Abstract
Within the first few hours of life, microbial colonisation of the human body begins. In different ways, the microorganisms are transmitted via the mouth to sites of potential colonisation. This transmission originates from the mother during delivery, from feeding and from people coming into contact with the infant (Marsh and Martin 1984). These pioneer species consist mostly of aerobic and facultatively anaerobic bacteria. Already the day after birth, Streptococcus salivarius has been isolated from oral samples in most infants (Carlsson et al. 1975). Streptococci are the dominant oral microorganisms in newborn infants, together with staphylococci, neisseria, lactobacilli and veillonella (McCarthy et al. 1965). When the teeth are erupted, Streptococcus sanguis starts to colonise the mouth. Other microorganisms appearing at tooth eruption include Streptococcus mutans and Actinomyces viscosus. These microorganisms are mainly found in the dental plaque. At 1 year of age, Actinomyces, Bacteroides and Fusobacterium species have been isolated in about 50% of infants. This ecosystem containing only a few genera and species will further develop until a stable but dynamic system is reached (Marsh and Martin 1984; Macfarlane and Samaranayake 1989).
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References
Alestig K, Carlberg H, Nord CE, Trollfors B (1983) Effect of cefoperazone on faecal flora. J Antimicrob Chemother 12: 163–167
Allen SD, Siders JA, Cromer MD, Fischer JA, Smith JW, Israel KS (1980) Effect of LY 127935 (6059–5) on human fecal flora. In: Nelson JD, Grassi C, eds. Current chemotherapy and infectious disease. Vol. 1. Washington: The American Society for Microbiology pp 101–103
Alm L (1982) The effect of fermentation on nutrients in milk and some properties of fermented liquid milk products. Thesis, Karolinska Institute, Stockholm
Ambrose NS, Johnson M, Burdon BW, Keighley MR (1985) The influence of single dose intravenous antibiotics on faecal flora and emergence of Clostridium difficile. J Antimicrob Chemother 15: 319–326
Arabi Y, Dimock F, Burdon DW, Alexander-Williams J, Keighley MRB (1979) Influence of neomycin and metronidazole on colonic microflora of volunteers. J Antimicrob Chemother 5: 531–537
Aronsson B, Möllby R, Nord CE (1985) Antimicrobial agents and Clostridium difficile in acute enteric disease: Epidemiological data from Sweden 1980–1982. J Infect Dis 151: 476–481
Axelsson LT, Chung TC, Dobrogosz WJ, Lindgren SE (1989) Production of a broad spectrum antimicrobial substance by Lactobacillus reuteri. Microb Ecol Health Dis 2: 131–136
Balmer SE, Scott PH, Wharton BA (1989) Diet and faecal flora in the newborn: casein and whey proteins. Arch Dis Child 64: 1678–1684
Balmer SE, Wharton BA (1989) Diet and faecal flora in the newborn: breast milk and infant formula. Arch Dis Child 64: 1672–1677
Barefoot SF, Klaenhammer TR (1983) Detection and activity of Lactacin B, a bacteriocin produced by Lactobacillus acidophilus. Appl Environ Microbiol 45: 1808–1815
Bartlett JG, Onderdonk AB, Drude E, Goldstein C, Anderka M, Alpert S, McCormack WM (1977) Quantitative bacteriology of the vaginal flora. J Infect Dis 136: 271–277
Beck C, Necheles H (1961) Beneficial effects of administration of Lactobacillus acidophilus in diarrheal and other intestinal disorders. Am J Gastroenterol 35: 522–530
Bergogne-Berezin E (1989) Microbial ecology and intestinal infections. In: Bergogne-Berezin E, ed. Microbial ecology and intestinal infections. Paris: Springer-Verlag pp 1–5
Bertazzoni EM, Benoni G, Beni T, Deganello A, Zoppi G, Gaburro D (1978) A simplified method for the evaluation of human faecal flora in clinical practice. Helv Paediat Acta 32: 471–478
Bhatia SJ, Kochar N, Abraham P, Nair NG, Mehta AP (1989) Lactobacillus acidophilus inhibits growth of Campylobacter pylori in vitro. J Clin Microbiol 27: 2328–2330
Black FT, Andersen PL, Orskov J, Orskov F, Gaarslev K, Laulund S (1989) Prophylactic efficacy of lactobacilli on traveler’s diarrhea. In: Steffen R, ed. Travel medicine. Conference on international travel medicine 1, Zürich, Switzerland, 1988. Berlin: Springer-Verlag pp 333–335
Black F, Einarsson K, Lidbeck A, Orrhage K, Nord CE (1991) Effect of lactic acid producing bacteria on the human intestinal microflora during ampicillin treatment. Scand J Infect Dis 23: 247–254
Bornside GH, Cohn I Jr (1969) Intestinal antisepsis: Stability of fecal flora during mechanical cleansing. Gastroenterology 57: 569–573
Borriello SP (1986) Microbial flora of the gastrointestinal tract. In: Hill MJ, ed. Microbial metabolism in the digestive tract. Florida: CRC Press pp 1–19
Brook I, Barett C, Brinkman C, Martin W, Finegold SM (1979) Aerobic and anaerobic bacterial flora of the maternal cervix and newborn gastric fluid and conjunctiva: A prospective study. Pediatrics 63: 451–455
Carlsson J, Gothefors L (1975) Transmission of Lactobacillus jensenii and Lactobacillus acidophilus from mother to child at time of delivery. J Clin Microbiol 1: 124–128
Carlsson J, Grahnén H, Jonsson G (1975) Lactobacilli and streptococci in the mouth of children. Caries Res 9: 333–339
Clements ML, Levine MM, Black RE, Robins-Browne RM, Cisneros LA, Drusano GL, Lanata CF, Saah AJ (1981) Lactobacillus prophylaxis for diarrhea due to enterotoxigenic Escherichia coli. Antimicrob Agents Chemother 20: 104–108
Clements ML, Levine MM, Ristaino PA, Days VE, Hughes TP (1983) Exogenous lactobacilli fed to man–their fate and ability to prevent diarrheal disease. Prog Food Nutr Sci 7: 29–37
Conway PL, Gorbach SL, Goldin BR (1987) Survival of lactic acid bacteria in the human stomach and adhesion to intestinal cells. J Dairy Sci 70: 1–12
Cooperstock MS, Zedd AJ (1983) Intestinal flora of infants. In: Hentges DJ, ed. Human intestinal microflora in health and disease. New York: Academic Press pp 79–99
Daikos GK, Kontomichalou P, Bilalis D, Pimenidou L (1968) Intestinal flora ecology after oral use of antibiotics. Chemother 13: 146–160
Drasar BS, Shiner M, McLeod GM (1969) Studies on the intestinal flora. L The bacterial flora of the gastrointestinal tract in healthy and achlorhydric persons. Gastroenterology 56: 71–79
Ellis-Pregler RB, Crabtree C, Lambert HP (1975) The faecal flora of children in the United Kingdom. J Hyg Camb 75: 135–142
Evaldson G, Heimdahl A, Kager L, Nord CE (1982) The normal human anaerobic microflora. Scand J Infect Dis, Suppl. 35: 9–15
Femandes CF, Shahan KM, Amer MA (1987) Therapeutic role of dietary lactobacilli and lactobacillic fermented dairy products. FEMS Microbiology Reviews 46: 343–356
Finegold SM, Davis A, Miller LG (1967) Comparative effect of broad-spectrum antibiotics on nonspore-forming anaerobes and normal bowel flora. Ann NY Acad Sci 145: 268–281
Finegold SM, Sutter VL, Mathisen GE (1983) Normal indigenous intestinal flora. In: Hentges DJ, ed.
Human intestinal microflora in health and disease. New York: Academic Press pp 3–31
Fondén R (1989) Lactobacillus acidophilus. In: Les laits fermentés. Actualité de la recherche. London, Paris: John Libbey Eurotext pp 35–40
Gilliland SE (1989) Acddophilus milk products: a review of potential benefits to consumers. J Dairy Sci 72: 2483–2494
Goldin BR (1986) In situ bacterial metabolism and colon mutagens. Ann Rev Microbiol 40:367–393 Gorbach S, Barza M, Giuliano M, Jacobus NV (1988) Colonisation resistance of the human intestinal microflora: Testing the hypothesis in normal volunteers. Eur J Clin Microbiol Infect Dis 7: 98–102
Gotz V, Romankiewics JA, Moss J, Murray 11W (1979) Prophylaxis against ampicillin-associated diarrhea with a lactobacillus preparation. Am J Hosp Pharm 36: 754–757
Hall MA, Cole CB, Smith SL, Fuller R, Rolles CJ (1990) Factors influencing the presence of faecal lactobacilli in early infancy. Arch Dis Child 65: 185–188
Heimdahl A, Nord CE (1979) Effect of phenoxymethylpenicillin and clindamycin on the oral, throat and faecal microflora of man. Scand J Infect Dis 11: 233–242
Heimdahl A, Nord CE (1985) Colonisation of the oropharynx with pathogenic microorganisms–a potential risk factor for infection in compromised patients. Chemioterapia 4: 186–191
Hentges DJ (1980) Does diet influence human fecal microflora composition? Nutr Rev 38: 329–336
Itoh K, Freter R (1989) Control of Escherichia coli populations by a combination of indigenous clostridia and lactobacilli in gnotobiotic mice and continuous-flow cultures. Infect Immun 57: 559–565
Kager L, Liljekvist L, Malmborg A-S, Nord CE, Pieper R (1982) Effects of ampicillin plus sulbactam on bowel flora in patients undergoing colorectal surgery. Antimicrob Agents Chemother 22: 208–212
Kandler O, Weiss N (1986) Regular, nonsporing Gram-positive rods. In: Sneath PHA, Mair NS, Sharpe ME, Holt JG, eds. Bergey’s manual of systematic bacteriology. Vol. 2. Baltimore: Williams & Wilkins pp 1208–1234
Kleeman EG, Kiaenhammer TR (1982) Adherence of Lactobacillus species to human fetal intestinal cells. J Dairy Sci 65: 2063–2069
Knothe H, Dette GA, Shah PM (1985) Impact of injectable cephalosporins on the gastrointestinal microflora: Observations in healthy volunteers and hospitalised patients. Infection 13: S129–133
Lidbeck A, Gustafsson J-A, Nord CE (1987) Impact of Lactobacillus acidophilus supplements on the human oropharyngeal and intestinal microflora. Scand J Infect Dis 19: 531–537
Lidbeck A, Edlund C, Gustafsson J-A, Kager L, Nord CE (1988) Impact of Lactobacillus acidophilus on the normal intestinal microflora after administration of two antimicrobial agents. Infection 16: 329–336
Macfarlane TW, Samaranayake LP (1989) Clinical oral microbiology. London: Wright Mackowiak PA (1982) The normal microbial flora. New Engl J Med 307: 83–93
Marsh P, Martin M (1984) The normal oral flora. In: Oral microbiology. Berkshire: Van Nostrand Reinhold pp 11–25
Mata L, Urrutia J (1971) Intestinal colonisation of breast-fed children in a rural area of low socioeconomic level. Ann NY Acad Sci pp 93–109
McCarthy C, Snyder ML, Parker RB (1965) The indigenous oral flora of man–I. The newborn to the 1-year-old infant. Arch Oral Biol 10: 61–70
Mehta AM, Patel KA, Dave Pi (1983) Isolation and purification of an inhibitory protein from Lactobacillus acidophilus AC 1. Microbios 37: 37–43
Metchnikoff E (1908) Prolongation of life. New York: GP Putman’s Sons
Moore WEC, Cato EP, Holdeman LV (1978) Some current concepts in intestinal bacteriology. Am J Clin Nutr 31: S33–42
Mulligan ME, Citron DM, McNamara BT, Finegold SM (1982) Impact of cefoperazone therapy on fecal flora. Antimicrob Agents Chemother 22: 226–230
Nord CE, Kager L (1984) The normal flora of the gastrointestinal tract. Netherlands J Med 27:249–252 Nord CE, Heimdahl A, Kager L (1986) Antimicrobial induced alterations of the human oropharyngeal and intestinal microflora. Scand J Infect Dis Suppl 49: 64–72
Nord CE (1990) Studies on the ecological impact of antibiotics. Eur J Clin Microbiol Infect Dis 9: 517–518
Oksanen PJ, Salminen S, Saxelin M, Hämäläinen P, Ihantola-Vormisto A, Muurasniemi-Isoviita L, Nikkari S, Oksanen T, Pörsti I, Salminen E, Siitonen S, Stuckey H, Toppila A, Vapaatalo H (1990) Prevention of traveller’s diarrhoea by Lactobacillus GG. Ann Med 22: 53–56
Patte C, Tancrède C, Raibaud P, Ducluzeau R (1979) Premières étapes de la colonisation bacteriénne du tube digestif du noveau-né. Ann Microbiol (Inst Pasteur) 130 A: 69–84
Pearce JL, Hamilton JR (1974) Controlled trial of orally administered lactobacilli in acute infantile diarrhea. J Pediatr 84: 261–262
Pettersson L, Graf W, Sewelin U (1983) Survival of L. acidophilus NCDO 1748 in the human gastrointestinal tract. 2. Ability to pass the stomach and intestine in vivo. In: Hallgren B, ed. Nutrition and the intestinal flora. XV Symp Swed Nutr Found. Uppsala: Almqvist & Wiksell pp 127–130
Rettger LF, Levy MN, Weinstein L, Weiss JE (1935) Lactobacillus acidophilus and its therapeutic application. New Haven: Yale University Press
Reuman PD, Duckworth DH, Smith KL, Kagan R, Bucciarelli RL, Ayoub EM (1986) Lack of effect of Lactobacillus on gastrointestinal bacterial colonisation in premature infants. Pediatr Infect Dis 5: 663–668
Robins-Browne RM, Levine MM (1981) The fate of ingested lactobacilli in the proximal small intestine. Am J Clin Nutr 34: 514–519
Roediger WEW (1986) Interrelationship between bacteria and mucosa of the gastrointestinal tract. In: Hill MI, ed. Microbial metabolism in the digestive tract. Florida: CRC Press pp 201–209
Sandine WE (1979) Roles of lactobacillus in the intestinal tract. J Food Protection 42:259–262 Savage DC (1977) Microbial ecology of the gastrointestinal tract. Ann Rev Microbiol 31: 107–133
Savage DC (1979) Introduction to mechanisms of association of indigenous microbes. Am J Clin Nutr 32: 113–118
Savage D (1984) Adherence of the normal flora. In: Boedeker EC, ed. Attachment of organisms to the gut mucosa. Florida: CRC Press pp 4–10
Shahan KM, Vakil JR, Kilara A (1977) Natural antibiotic activity of Lactobacillus acidophilus and bulgaricus. II. Isolation of acidophilin from L. acidophilus. Cult Dairy Prod J 12 (2): 8–11
Shahani KM (1983) Nutritional impact of lactobscinic fermented foods. In: Hallgren B, ed. Nutrition and the intestinal flora. XV Symp Swed Nutr Found. Uppsala: Almqvist & Wiksell pp 103–111
Silva M, Jacobus NV, Deneke C, Gorbach SL (1987) Antimicrobial substance from a human Lactobacillus strain. Antimicrob Agents Chemother 31: 1231–1233
Simon GL, Gorbach SL (1981) Intestinal flora in health and disease. In: Johnson LR, ed. Physiology of the gastrointestinal tract. New York: Raven Press pp 1361–1380
Smith RP (1924) The implantation or enrichment of Bacillus acidophilus and other organisms in the intestine. Br Med J 11: 948–950
Speck ML (1976) Interactions among lactobacilli and man. J Dairy Sci 59: 338–343
Speck ML (1983) Lactobacilli as dietary supplements and manifestations of their functions in the intestine. In: Hallgren B, ed. Nutrition and the intestinal flora. XV Symp Swed Nutr Found. Uppsala: Almqvist & Wiksell pp 93–98
Sussman II, Baron EJ, Goldberg SM, Kaplan MH, Pizzarello RA (1986) Clinical manifestations and therapy of Lactobacillus endocarditis: Report of a case and review of the literature. Rev Infect Dis 8: 771–776
Sutter VL, Finegold SM (1974) The effect of antimicrobial agents on human faecal flora: Studies with cephalexin, cyclacillin and clindamycin. In: Skinner FA, Carr JG, eds. The normal microbial flora of man. Society for Applied Bacteriology, Symposium Series, No 3. New York: Academic Press pp 229–240
Tankanow RM, Ross MB, Ertel IJ, Dickinson DG, McCormick IS, Garfinkel JF (1990) A double-blind, placebo-controlled study of the efficacy of Lactinex in the prophylaxis of amoxicillin-induced diarrhea. DICP Ann Phannacother 24: 382–384
Tannock GW (1983) Effect of dietary and environmental stress on the gastrointestinal microbiota. In: Hentges DJ, ed. Human intestinal microflora in health and disease. New York: Academic Press pp 517–539
Tannock GW, Fuller R, Smith SL, Hall MA (1990) Plasmid profiling of members of the family Enterobacteriaceae, lactobacilli, and bifidobacteria to study the transmission of bacteria from mother to infant. J Clin Microbiol 28: 1225–1228
van der Waaij D (1983) Colonisation pattern of the digestive tract by potentially pathogenic microorganisms: Colonisation-controlling mechanisms and consequences for antibiotic treatment. Infection 11: 90–92
Wells CL, Maddaus MA, Jechorek RP, Simmons RL (1988) Role of intestinal anaerobic bacteria in colonisation resistance. Eur J Clin Microbiol Infect Dis 7: 107–113
Wittman DH (1991) Intra-abdominal infections. Pathophysiology and treatment. New York: Marcel Dekker pp 20–29
Yoshioka H, Iseiki K, Fujita K (1983) Development and differences of intestinal flora in the neonatal period in breast-fed and bottle-fed infants. Pediatrics 72: 317–321
Yost RL, Gotz VP (1985) Effect of a Lactobacillus preparation on the absorption of oral ampicillin. Antimicrob Agents Chemother 28: 727–729
Young LS (1988) Antimicrobial prophylaxis in the neutropenic host: lessons of the past and perspectives for the future. Eur J Clin Microbiol Infect Dis 7: 93–97
Zoppi G, Deganello A, Benoni G, Saccomani F (1982) Oral bacteriotherapy in clinical practice. Eur J Pediatr 139: 18–21
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Lidbeck, A., Nord, C.E. (1994). Lactobacilli, Normal Human Microflora and Antimicrobial Treatment. In: Gibson, S.A.W. (eds) Human Health. Springer Series in Applied Biology. Springer, London. https://doi.org/10.1007/978-1-4471-3443-5_6
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