Re: B&B Gram problem
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From: | RSRICHMOND@aol.com |
To: | histonet@pathology.swmed.edu |
Reply-To: | |
Content-Type: | text/plain; charset="US-ASCII" |
Jeanine Bartlett at the Centers for Disease Control in Atlanta GA raises a
technical question about the Brown and Brenn Gram stain. I have no useful
advice, but I'd like to put a pathologist's question about the stain into
this public forum - would like to know what people at the CDC think about it.
Tissue Gram stains are kind of a reflex order when infection is suspected,
but they don't make much sense. One is trying to find bacteria, and the stain
is not a good one for finding Gram negative bacteria. If one is just trying
to find bacteria, a Giemsa stain (or a simplification of the Giemsa stain
such as buffered toluidine blue) is considerably more sensitive, and about as
specific if you keep your wits about you.
For this reason, I almost never order a tissue Gram stain unless I'm required
to.
Bob Richmond
Samurai Pathologist
Knoxville TN
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