Normal Flora of Human Body

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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%)

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