The Gram Stain -------------- Another effective tool available to the avian veterinarian is the Gram stain. Various specimens (feces, discharges, pus, etc.) from the patient can be Gram stained and examined microscopically. Such a preparation yields a surprisingly large amount of information: whether or not bacteria and yeasts are present in the sample; the relative numbers of organisms present; their shape and relative size; and their Gram stain reaction (Gram-negative bacteria appear light red or pink and are generally considered the major disease-causing bacteria among caged birds; Gram-positive bacteria appear dark blue or violet and make up most of the normal gastrointestinal and respiratory tract microflora of caged birds). Just knowing this information aids in the tentative identification of the bacteria present. An actual culture would be necessary to make a positive identification. The advantage of the Gram stain is that it represents a relatively inexpensive method of determining the microbiologic status of a patient. More important, it provides a convenient method for monitoring a patient's progress during and after antibiotic therapy.