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Gram-negative bacteria

Microbiology · Medicine

Say it: GRAM NEG-uh-tiv bak-TEER-ee-uh

Gram-negative bacteria have a thin peptidoglycan wall wrapped in an outer membrane, so they lose the purple dye in a Gram stain and look pink.

Also: Gram-negative bacterium, gram-negative, Gram- bacteria

Definition

What are Gram-negative bacteria?

Gram-negative bacteria are bacteria that turn pink or red in a Gram stain. Their cell envelope has three layers: the inner plasma membrane, a thin sheet of peptidoglycan in a gel-filled space called the periplasm, and an outer membrane. During staining, alcohol washes the crystal violet out of the thin wall, so the cells take up the red counterstain safranin instead.

The outer face of the outer membrane is rich in lipopolysaccharide, or LPS. Its lipid A portion acts as an endotoxin: released from bacteria in the body, it can trigger fever and inflammation and, in severe infections, shock. The outer membrane also works as a barrier that keeps many antibiotics out, one reason these bacteria are often harder to treat. The sugar side chains of LPS vary between strains, and labs use them to tell strains apart.

Well-known Gram-negative bacteria include Escherichia coli, Salmonella, Pseudomonas aeruginosa, Klebsiella, Acinetobacter and the bacterium that causes gonorrhea. In hospitals they cause pneumonia and bloodstream, wound and urinary tract infections, and some strains now resist most or all antibiotics, including carbapenems.

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