DefinitionThe pleural fluid Gram stain is a test to diagnose bacterial infections in the lungs.Alternative NamesGram stain of pleural fluidHow the test is performedPleural fluid is found in the space around the lungs. In a variety of diseases, an abnormal amount of pleural fluid builds up in the lungs.A sample of the pleural fluid is needed for this test. For information on how the sample is obtained, see: ThoracentesisThe fluid sample is placed onto a microscope slide and mixed with a violet stain (called a Gram stain). A laboratory specialist uses a microscope to look for bacteria on the slide. If bacteria are present, the color, number, and structure of the cells are used to identify the specific organism.How to prepare for the testSee:ThoracentesisHow the test will feelSee: Thoracentes