Standard Operating Procedure: Gram Staining
1. Purpose and Scope
To perform differential Gram staining for preliminary identification of bacteria based on cell wall characteristics, morphology, and arrangement.
2. Specimen Requirements
- Type: Bacterial colonies from culture, clinical specimens (sputum, CSF, pus, urine sediment).
- Volume: Small amount sufficient for smear preparation.
- Rejection Criteria: Dried or improperly collected specimens.
3. Safety and Precautions
- Wear appropriate PPE (lab coat, gloves, eye protection).
- Handle all specimens as potentially infectious.
- Use Bunsen burner in well-ventilated area.
- Crystal violet and safranin are irritants.
4. Equipment and Reagents
- Clean glass slides, inoculating loop, Bunsen burner.
- Reagents:
- Primary stain: Crystal violet (1% aqueous or Hucker's)
- Mordant: Gram's iodine
- Decolorizer: 95% ethanol or acetone-alcohol
- Counterstain: Safranin (0.5% aqueous) or basic fuchsin
- Microscope with 100x oil immersion objective, immersion oil.
5. Step-by-Step Procedure
- Smear Preparation:
- For liquid specimens: Place 1-2 loops on slide, spread to form thin film.
- For colonies: Emulsify small amount in drop of saline/water on slide.
- Air dry completely.
- Heat Fixation: Pass slide through flame 2-3 times (specimen side up). Do not overheat.
- Staining:
- Flood smear with crystal violet for 1 minute. Rinse gently with water.
- Flood with Gram's iodine for 1 minute. Rinse with water.
- Decolorize: Tilt slide, apply 95% ethanol drop by drop for 5-15 seconds until runoff is clear. CRITICAL STEP - immediately rinse with water.
- Flood with safranin for 30-60 seconds. Rinse with water.
- Drying: Air dry or blot gently with bibulous paper.
- Microscopy: Examine under 100x oil immersion objective.
6. Interpretation
- Gram-positive: Purple/violet color (thick peptidoglycan retains crystal violet-iodine complex).
- Gram-negative: Pink/red color (thin peptidoglycan, decolorized, takes up safranin).
- Note morphology (cocci, bacilli, spirilla) and arrangement (chains, clusters, pairs).
7. Quality Control
- Run known Gram-positive (Staphylococcus aureus ATCC 25923) and Gram-negative (Escherichia coli ATCC 25922) controls with each new batch of reagents.
- Check reagent freshness; replace if contaminated or expired.
8. Reporting Results
- Report Gram reaction, morphology, and arrangement (e.g., "Gram-positive cocci in clusters," "Gram-negative bacilli").
- Semi-quantify if from clinical specimen (Rare, Few, Moderate, Many).