Image Article Alternate and non-staining methods for confirming cell wall of Gram indeterminate bacteria Venkataramana Kandi Address for Correspondence: Dr.Venkataramana Kandi, Assistant Professor, Department of Microbiology, Prathima Institute of Medical Sciences, Karimnagar, Telanagana, India. email: ramana_20021@rediffmail.com Clinical microbiologists during their laboratory practice are required to isolate and identify the bacteria from various clinical samples. In most instances gram’s stain is sufficient to know if a bacterium possesses a gram positive cell wall or a gram negative cell wall. Some bacteria produce rough colonies which are hard to emulsify (eg: Actinomyces spp, Corynebacterium spp, propionibacterium spp) and do not reveal the exact gram’s reaction. Few other bacteria are inherently gram variable and pose difficulty in identifying their gram’s reaction. Bacillus spp, Butyrivibrio, and Clostridium spp are gram positive bacteria which show gram negative forms misleading their identification by microbiologists. Studies in the past have evaluated the alternate and nonstaining methods to determine if the isolated bacterium has a gram positive or a gram negative cell wall. KOH string test and the antibiotic disc test (vancomycin 5 μg and colistin 10 μl) are the alternates to grams stain where in gram positive bacteria are KOH string test negative, vancomycin 5 μg – sensitive and colistin 10 μg-resistant. Gram negative bacteria are positive for KOH string test, vancomycin 5 μg -resistant and colistin 10 μg –sensitive. For KOH test the bacterial colony is picked up with the help of an inoculating wire loop and is emulsified in a drop/10 μl 3% KOH on a clean and grease free slide1,2. After stirring/mixing the colonies for about 60 seconds we should look for the appearance of viscous nature and in that case the loop should be raised very slowly to see the formation of stringiness indicating that it is a gram negative bacterium. Gram positive bacteria don’t form viscous emulsion and are negative for string like formation as shown in Figure. REFERENCES 1. Buck JD: Nonstaining (KOH) method for determination of gram reactions of marine bacteria. Applied and Environmental Microbiology. 1982, 44, 992-993. 2. Halebian S, Harris B, Finegold SM, Rolfe RD: Rapid method that aids in distinguishing Gram-positive from Gram-negative anaerobic bacteria. Journal of Clinical Microbiology. 1981, 13, 444-448. 39 Demonstration of string test for the determination of bacterial cell wall type (gram positive/gram negative cell wall) Please cite this article as: Venkataramana Kandi. Alternate and non-staining methods for confirming cell wall of Gram indeterminate bacteria.Perspectives in medical research 2015;3:2:39. Sources of Support: Nil,Conflict of interest:None declared