Test Code GRAM Gram Stain
Clinical Indications
Used for the detection bacteria and/or fungi from normally
sterile sites
Gram stains on sputum specimens serve as a screening method to
determine acceptability for culture.
Additional Test Codes
Epic Order Code: Gram Stain
Sunquest Order Code: GRAM
Px Order Code: LAB4039
Specimen Collection Type
Varies
CSF, lower respiratory specimens, tissue,
bone, aspirates, normal sterile body fluid
Urine on neonates only
Minimum Collection Volume
Body fluid: 0.5 mL
Tissue: pea –sized piece
Respiratory specimen: 1.5 mL
Reference Range
No organisms seen
Critical Value
Varies by site
Positive direct Gram stain on CSF,
synovial fluid, or bone is considered critical.
Interpretation
Neutrophils, red blood cells, and bacteria will be reported semi-quantitatively. Observational characteristics of bacteria will be reported.
Rejection Criteria
Blood and bone marrow
Throat, ear, eye, meatus swabs
Hardware
IV or Foley catheter tips
Female urogenital swabs
Stool
Charcoal Swabs
Specimen Availability for Add-on Testing
N/A
Specimen Stability
24 hours at room temperature
72 hours at 2-8°C
Day(s) Performed
Monday through Sunday
Performing Lab- Department
TUKHS-BH-Microbiology
CPT Code
87205
LOINC Code
664-3
Test Alias
N/A
Additional Information / Notes
N/A