The human body is home to a diverse community of microorganisms that normally inhabit different areas, known as the indigenous or resident microflora. These microbes play an important role in preventing colonization by pathogenic organisms and support functions like vitamin synthesis. However, changes in the immune system or local environment can allow opportunistic pathogens within the normal flora to cause disease.
The human body is home to a diverse community of microorganisms that normally inhabit different areas, known as the indigenous or resident microflora. These microbes play an important role in preventing colonization by pathogenic organisms and support functions like vitamin synthesis. However, changes in the immune system or local environment can allow opportunistic pathogens within the normal flora to cause disease.
The human body is home to a diverse community of microorganisms that normally inhabit different areas, known as the indigenous or resident microflora. These microbes play an important role in preventing colonization by pathogenic organisms and support functions like vitamin synthesis. However, changes in the immune system or local environment can allow opportunistic pathogens within the normal flora to cause disease.
The human body is home to a diverse community of microorganisms that normally inhabit different areas, known as the indigenous or resident microflora. These microbes play an important role in preventing colonization by pathogenic organisms and support functions like vitamin synthesis. However, changes in the immune system or local environment can allow opportunistic pathogens within the normal flora to cause disease.
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Normal Flora of Human Body
The Indigenous Microflora
Normal Flora of Human Body • Resident flora – fixed • Advantages • Disadvantages types and are regularly • Inhibition of • Production of disease found in a given area of pathogenic if individual becomes organisms immunocompromised the body at a given age or there is a change • Transient flora – inhabit • Synthesis of vit. of usual anatomic B12 and K the skin and mucous location • Synthesis of • Production of disease membrane temporarily substances that for hours, days or weeks since most of them inhibit growth of are pathogens or and are derived from pathogenic opportunistic the environment organisms pathogens Skin
• Factors that eliminate non – resident flora from the
skin 1. Lysozyme 2. Acidic pH of the skin due to sweat 3. Free fatty acids in sebaceous secretions 4. Constant sloughing off of the skin Skin
• Skin of the axilla, perineum and toe webs is
characterized by having higher moisture levels, higher body temperature and higher levels of surface lipids. These regions have more microorganisms compared to the other regions of the skin and are predominantly inhabited by Gram negative bacilli Mouth
• Tongue and buccal mucosa are inhabited mostly by
Streptococcus viridans group, which includes S. mutans, S. milleri, S. salivarius and S. sanguis. • It is similar with pharynx and trachea, some pathogenic organisms transiently located at the pharynx are Haemophilus influenzae, Streptococcus pneumoniae, Neisseria meningitidis, and Mycoplasma Respiratory Tract
• Lower respiratory tract is usually sterile and
organisms that reach this region are usually destroyed by the defense mechanisms of the body such as the alveolar macrophages. Digestive Tract
• Esophagus – contains transient mouth flora
• Stomach – minimal bacteria due to acidity, some bacteria that resist acidity includes Helicobacter pylori, most common cause of duodenal ulcer. It produces UREASE that alkalinizes gastric acid. Digestive Tract
• Small and large intestine – scanty flora may be seen in
small intestine due to constant peristaltic movement mostly include streptococci, lactobacilli, and bacteroides. • The large intestine predominantly ANAEROBES (95 – 99%) includes Bacteroides fragilis, clostridium, Lactobacillus bifidum, Eubacterium. Facultative aerobes are Escherichia coli and Enterobacteriaceae. Important Roles of Intestinal Flora
1. Synthesis of Vitamin B complex and Vitamin K
2. Conversion of bile into bile acid 3. Competition with transient flora for nutrients 4. Prevention of colonization of the intestines by transient flora 5. Production of potentially pathogenic end – products of metabolism that are toxic to transient flora Genitourinary Tract
• The urinary tract is sterile above the distal 1cm of the
urethra. • Anterior Urethra – S. epidermidis, Enterococci, and Diphtheroids • Penile Urethra – Gardnerella vaginalis, Bacteroides and Alpha streptococci may be found • Female Urethra – either sterile or contains Staphylococcus epidermidis Genitourinary Tract
• Vaginal flora varies depending on the age, hormonal
levels and vaginal pH of the host. – In female infants ---predominant is Lactobacillus sp. Lactobacillus plays a crucial role in preventing gonococcal infection by producing lactic acid that adds to the acidity of the vagina. – From 1 month of age until puberty ---staph. Epidermidis, strep, diphteroids and E.coli – At puberty ---- Lactobacillus acidophilus, corneybacterium, peprostreptococci, strep, Bacteroides and staph – Fungi such as Torulopsis and Candida may also be found (10 to 30%)