PMID- 6175656 OWN - NLM STAT- MEDLINE DCOM- 19820624 LR - 20210526 IS - 0095-1137 (Print) IS - 1098-660X (Electronic) IS - 0095-1137 (Linking) VI - 15 IP - 4 DP - 1982 Apr TI - Comparison of acridine orange, methylene blue, and Gram stains for blood cultures. PG - 562-6 AB - Direct microscopic screening of blood cultures by Gram stain or methylene blue stain is time consuming and frequently insensitive. Therefore, we evaluated a fluorescent-staining procedure that uses acridine orange (AO) at pH 3.5 and compared it with the methylene blue and Gram stain procedures. All smears were prepared within 24 h of receiving the culture, fixed with methanol, and examined without the results of the companion smears being known. AO-stained smears were examined with incident-light fluorescence at 600 x magnification and confirmed at 1,500x magnification. All bottles macroscopically positive within 24 h were excluded from the study. Of 2,946 cultures entered into the study, 204 (6.9%) were positive within 3 days. The sensitivity and specificity of AO based on these culture results were 52 and 98%, respectively, compared with 38% sensitivity and 99% specificity by methylene blue and Gram stains. The AO staining procedure is a simple, sensitive, screening technique for the early detection of positive blood cultures. FAU - Mirrett, S AU - Mirrett S FAU - Lauer, B A AU - Lauer BA FAU - Miller, G A AU - Miller GA FAU - Reller, L B AU - Reller LB LA - eng PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - J Clin Microbiol JT - Journal of clinical microbiology JID - 7505564 RN - F30N4O6XVV (Acridine Orange) RN - T42P99266K (Methylene Blue) SB - IM MH - *Acridine Orange MH - Bacteria/*isolation & purification MH - Blood/*microbiology MH - False Negative Reactions MH - False Positive Reactions MH - Methylene Blue MH - Staining and Labeling/*methods MH - Yeasts/isolation & purification PMC - PMC272144 EDAT- 1982/04/01 00:00 MHDA- 1982/04/01 00:01 PMCR- 1982/04/01 CRDT- 1982/04/01 00:00 PHST- 1982/04/01 00:00 [pubmed] PHST- 1982/04/01 00:01 [medline] PHST- 1982/04/01 00:00 [entrez] PHST- 1982/04/01 00:00 [pmc-release] AID - 10.1128/jcm.15.4.562-566.1982 [doi] PST - ppublish SO - J Clin Microbiol. 1982 Apr;15(4):562-6. doi: 10.1128/jcm.15.4.562-566.1982.