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Normal Human Microbiota
Normal Microbial Flora
• Population of micro-organisms that inhabit in
healthy normal person
• Normal microbiota describe the various
microorganisms that are permanent residents of
certain body sites
• Normal flora vary in both number and kind from
one site to another
• The internal organs such as CNS, blood, liver,
spleen, Kidneys and bladder are free of organisms
Types of skin Microbial flora
There are two groups of normal flora:
• Resident normal flora
• Transient normal flora
 Resident normal floras
• The resident flora consists of relatively fixed types of
microorganisms
• regularly found in a given area at a given age
• if disturbed, it promptly reestablishes itself
 Transient normal floras
• non-pathogenic or potentially pathogenic
microorganisms that inhabit the skin and mucus
membrane for a short period of time like hours,
days and weeks
• It is derived from the environment does not
produce disease & does not establish itself
permanently on the surface
• If the resident flora is disturbed, transient micro-
organisms may colonize, proliferate and produce
disease
Normal flora can cause disease when:
• the defense mechanisms of the body is
breached
or
• when the micro-organism is placed in the
abnormal body site
The role of Normal Flora
 Synthesis of vitamin K in the gastrointestinal tract
 Absorption of nutrients & breakdown of products
 Prevent colonization by pathogenic micro-organisms and
possible disease through bacterial interference:
a. Competition for nutrition with pathogenic bacteria
b. Competition for binding sites with pathogenic bacteria
 Members of the normal flora may produce disease under
certain circumstances
Normal flora of the Skin
The skin is rich in resident bacterial flora, like:
• Coagulase negative Staphylococci (S.epidermidis)
• Diphtheroids
• Propionibacterium acne
• Peptostreptococci
• Alpha-hemolytic streptococci and non-hemolytic streptococci
• Staphylococcus aureus
• Non-pathogenic Neisseria sp.
• Factors that eliminate nonresident
microorganisms from the skin:
1) Low pH
2) Lysozyme
3) Fatty acids in sebaceous secretions
Normal Flora of the Ear
• It is an extension of skin normal flora and often
profusely colonized
• Staphylococcus epidermidis
• Diphtheroids
• Alpha-hemolytic Streptococci
• non-hemolyic Streptococci
• Less frequently found are Bacillus spp.
Normal Flora of Respiratory Tract
• The upper respiratory tract is heavily colonized by normal flora
• Lower respiratory tract (trachea, bronchi, bronchioles and alveoli) do not
have a normal microbiota (it is sterile) as they removed by:
 The continuous stream of mucus generated by the ciliated epithelial cells
 Phagocytic action of alveolar macrophages
 Lysozyme, which is present in nasal mucus has bactericidal effect
Respiratory Tract
Nose:
The flora of the Nose consists of:
• Staphylococcus aureus
• S.epidermidis
• Corynebacteria
• Non pathogenic Neisseria
• Haemophilus spp.
Nasopharynx
• Some Neisseria species
• Staphylococcus epidermidis
• Staphylococcus aureus
• Diphtheroids
Normal Flora of the Mouth
• The normal flora of the oral cavity contains bacteria able to resist
mechanical removal by adhering to surface like the gum and teeth
• Sterile at birth, after 4-12 hrs contaminated from birth canal with
viridans Streptococci (as resident flora)
• Non-pathogenic Neisseria spp. (N. mucosa and N. lactamica)
• Diphtheroids
• Anaerobes like Fusobacterium spp
• Spirochetes
• Actinomyces
• Streptococci
Normal Flora of the Intestinal Tract
• At birth is sterile.
• Newborns (in intensive care): the intestine colonized by
Enterobacteriaceae (Klebsiella, Citrobacter, Enterobacter)
• infants:
- The initial residents of the colon of infants are members of the
Bifidobacteria
- Large number of Lactobacilli
• In formula-fed infants:
In formula-fed infants, Lactobacillus spp. predominate
Small intestine
• Lactobacilli
• Diphtheroids
are occasionally found in the jejunum.
• In the distal part of the small intestine (ileum), the
microbiota begin to take the characteristics of the
colon microbiota
• In the jejunum and ileum there are about 105–108
bacteria/ gm of the contents.
• In ileum the pH becomes more alkaline
• As a result anaerobic G-ve bacteria and members of
the family Enterobacteriaceae become established
• The population size in the cecum and transverse
colon is about 108–1010 bacteria/gm
• In sigmoid colon and rectum, there are about 1011
bacteria/gm of contents, constituting 10–30% of the
faecal mass
Large intestine
• The colon has the largest microbial population in the body
• Microscopic count of faeces approach 1012 organisms/gm weight
anaerobes (96-99% of resident flora):
- Fusobacterium spp.
- Bifidobacterium
- clostridia (C.dificile in small amount)
- anaerobic G+ve cocci (Peptostreptococcus)
facultative aerobes includes:
- Coliform
- Enterococci
- small No. of Pseudomonas, lactobacilli, Proteus .
Normal Flora of the Genitourinary Tract
 The upper genitourinary tract (kidney, ureters, and
urinary bladder) is usually sterile
 Few bacteria are usually present in the distal part of the
urethra such as :
• Staphylococcus epidermidis
• Corynebacterium spp.
Genitourinary Tract

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Lect 6 Microbiota.pptx

  • 2. Normal Microbial Flora • Population of micro-organisms that inhabit in healthy normal person • Normal microbiota describe the various microorganisms that are permanent residents of certain body sites
  • 3. • Normal flora vary in both number and kind from one site to another • The internal organs such as CNS, blood, liver, spleen, Kidneys and bladder are free of organisms
  • 4. Types of skin Microbial flora There are two groups of normal flora: • Resident normal flora • Transient normal flora
  • 5.  Resident normal floras • The resident flora consists of relatively fixed types of microorganisms • regularly found in a given area at a given age • if disturbed, it promptly reestablishes itself
  • 6.  Transient normal floras • non-pathogenic or potentially pathogenic microorganisms that inhabit the skin and mucus membrane for a short period of time like hours, days and weeks • It is derived from the environment does not produce disease & does not establish itself permanently on the surface • If the resident flora is disturbed, transient micro- organisms may colonize, proliferate and produce disease
  • 7. Normal flora can cause disease when: • the defense mechanisms of the body is breached or • when the micro-organism is placed in the abnormal body site
  • 8. The role of Normal Flora  Synthesis of vitamin K in the gastrointestinal tract  Absorption of nutrients & breakdown of products  Prevent colonization by pathogenic micro-organisms and possible disease through bacterial interference: a. Competition for nutrition with pathogenic bacteria b. Competition for binding sites with pathogenic bacteria  Members of the normal flora may produce disease under certain circumstances
  • 9. Normal flora of the Skin The skin is rich in resident bacterial flora, like: • Coagulase negative Staphylococci (S.epidermidis) • Diphtheroids • Propionibacterium acne • Peptostreptococci • Alpha-hemolytic streptococci and non-hemolytic streptococci • Staphylococcus aureus • Non-pathogenic Neisseria sp.
  • 10. • Factors that eliminate nonresident microorganisms from the skin: 1) Low pH 2) Lysozyme 3) Fatty acids in sebaceous secretions
  • 11. Normal Flora of the Ear • It is an extension of skin normal flora and often profusely colonized • Staphylococcus epidermidis • Diphtheroids • Alpha-hemolytic Streptococci • non-hemolyic Streptococci • Less frequently found are Bacillus spp.
  • 12. Normal Flora of Respiratory Tract • The upper respiratory tract is heavily colonized by normal flora • Lower respiratory tract (trachea, bronchi, bronchioles and alveoli) do not have a normal microbiota (it is sterile) as they removed by:  The continuous stream of mucus generated by the ciliated epithelial cells  Phagocytic action of alveolar macrophages  Lysozyme, which is present in nasal mucus has bactericidal effect
  • 14. Nose: The flora of the Nose consists of: • Staphylococcus aureus • S.epidermidis • Corynebacteria • Non pathogenic Neisseria • Haemophilus spp.
  • 15. Nasopharynx • Some Neisseria species • Staphylococcus epidermidis • Staphylococcus aureus • Diphtheroids
  • 16. Normal Flora of the Mouth • The normal flora of the oral cavity contains bacteria able to resist mechanical removal by adhering to surface like the gum and teeth • Sterile at birth, after 4-12 hrs contaminated from birth canal with viridans Streptococci (as resident flora) • Non-pathogenic Neisseria spp. (N. mucosa and N. lactamica) • Diphtheroids • Anaerobes like Fusobacterium spp • Spirochetes • Actinomyces • Streptococci
  • 17. Normal Flora of the Intestinal Tract • At birth is sterile. • Newborns (in intensive care): the intestine colonized by Enterobacteriaceae (Klebsiella, Citrobacter, Enterobacter) • infants: - The initial residents of the colon of infants are members of the Bifidobacteria - Large number of Lactobacilli • In formula-fed infants: In formula-fed infants, Lactobacillus spp. predominate
  • 18. Small intestine • Lactobacilli • Diphtheroids are occasionally found in the jejunum. • In the distal part of the small intestine (ileum), the microbiota begin to take the characteristics of the colon microbiota • In the jejunum and ileum there are about 105–108 bacteria/ gm of the contents.
  • 19. • In ileum the pH becomes more alkaline • As a result anaerobic G-ve bacteria and members of the family Enterobacteriaceae become established • The population size in the cecum and transverse colon is about 108–1010 bacteria/gm • In sigmoid colon and rectum, there are about 1011 bacteria/gm of contents, constituting 10–30% of the faecal mass
  • 20.
  • 21. Large intestine • The colon has the largest microbial population in the body • Microscopic count of faeces approach 1012 organisms/gm weight anaerobes (96-99% of resident flora): - Fusobacterium spp. - Bifidobacterium - clostridia (C.dificile in small amount) - anaerobic G+ve cocci (Peptostreptococcus) facultative aerobes includes: - Coliform - Enterococci - small No. of Pseudomonas, lactobacilli, Proteus .
  • 22. Normal Flora of the Genitourinary Tract  The upper genitourinary tract (kidney, ureters, and urinary bladder) is usually sterile  Few bacteria are usually present in the distal part of the urethra such as : • Staphylococcus epidermidis • Corynebacterium spp.