Gram-negative bacterium

Gram-negative bacterium, any of various types of bacteria that are characterized by having a thin peptidoglycan cell wall surrounded by an outer membrane containing lipopolysaccharide that is in turn enveloped by a capsule. These bacteria are so-named because of their reaction to the Gram stain, a microbiological staining technique that is used to identify and characterize bacteria. Gram-negative bacteria characteristically stain pink or red following the Gram reaction, owing to their thin cell walls; this is in contrast to Gram-positive bacteria, which stain purple, owing to their thick cell walls.

In the process of Gram staining, a slide containing a heat-fixed smear of bacterial cells is treated with crystal-violet stain. The slide is then flushed with an iodine solution, followed by an organic solvent, such as alcohol or acetone. In the final step, a counterstain, such as safranin, is added. Gram-negative bacteria, similar to Gram-positive bacteria, stain purple in the initial step of the reaction. However, in cells with thin peptidoglycan layers, the dye is subsequently removed by the solvent; in the final step, these cells acquire a pink or red colour, revealing their identity as Gram-negative bacteria.

There are many different types of Gram-negative bacteria; some examples include Enterobacter, Escherichia, Haemophilus, Klebsiella, Pseudomonas, Salmonella, Shigella, and Yersinia. Many of these organisms are capable of causing severe illness in humans; for example, diseases such as meningitis, pneumonia, sepsis, and urinary tract infections often are attributed to infection with Gram-negative organisms. Although susceptible to antibiotics, disruption of the outer membrane of Gram-negative bacteria results in the release of substances known as endotoxins, which can worsen symptoms of infection.

Infections involving Gram-negative bacteria are further complicated by antibiotic resistance. Many Gram-negative organisms are naturally resistant to commonly used antibiotics, particularly β-lactam antibiotics, which include carbapenems, cephalosporins, and penicillins. Gram-negative bacteria also have a tendency to rapidly acquire antibiotic resistance and can transmit resistance to other bacterial cells following exposure to antibiotics. For these reasons infections with Gram-negative bacteria may require combination therapy with structurally diverse antibiotic agents, such as a β-lactam antibiotic and an aminoglycoside or a fluoroquinolone antibiotic. The use of more diverse agents, however, can result in the selection of multidrug-resistant bacteria, further complicating treatment.