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Title

Diagnostic value of gram staining in urinary tract infections: A review

 

Authors

Swati Narayan Thakare & Dhruba Chandi*

 

Affiliation

Department of Microbiology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences, Sawangi, Wardha, Maharashtra, India; *Corresponding author

 

Email

Swati Narayan Thakare - E-mail: tswati24@gmail.com
Dhruba Chandi - E-mail: dhruba.chandi@dmiher.edu.in
 

Article Type

Review

 

Date

Received September 1, 2026; Revised September 30, 2026; Accepted September 30, 2026, Published September 30, 2026

 

Abstract

Urinary tract infections are common bacterial infections and rapid diagnostic information may support timely and appropriate antimicrobial treatment. Although urine culture remains the reference method for identifying uropathogens and determining antimicrobial susceptibility, Gram staining provides rapid information on bacteriuria and bacterial morphology. Therefore, it is of interest to summarize the evidence on urine Gram staining, including direct and centrifuged-sediment approaches, in comparison with urine culture. Available evidence indicates that diagnostic performance varies with bacterial burden, specimen processing, patient population and staining methodology, particularly in specimens with low bacterial counts or contamination. Gram staining may therefore serve as an inexpensive and rapid adjunct to urinalysis and culture, while standardized protocols and computer assisted interpretation require further clinical validation.

 

Keywords

Urinary tract infection (UTI), gram stain; urine microscopy, bacteriuria, diagnostic accuracy

 

Citation

Thakare & Chandi Bioinformation 22(9): 5889-5892 (2026)

 

Edited by

Rashmi Laddha

 

ISSN

0973-2063

 

Publisher

Biomedical Informatics

 

License

This is an Open Access article which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. This is distributed under the terms of the Creative Commons Attribution License.