Sterilization human skin flora

Table 12-6. Human Skin Flora Sterilization by FE-DBD Plasma...

Evidence has been accumulating that extracellular metabolic activity of microorganisms, mainly bacteria, occurs within skin glands and on the skin surface (Albone, 1997). Sterile human apocrine secretions do not develop the characteristic axillary odour (Shelley et al., 1953). In the salivary secretions of the boar, transformations of the pheromonal 16-androstene steroids 2. were attributed to the microbial flora (Booth, 1987). 

While it is not possible, nor probably desirable to sterilize the skin surfaces of humans, the number of microorganisms residing on the skin can be greatly reduced. Skin bacteria are generally classified as transient and resident flora... 

Many areas of the human body are colonized with bacteria— this is known as normal flora. Infections often arise from one s own normal flora (also called an endogenous infection). Endogenous infection may occur when there are alterations in the normal flora (e.g., recent antimicrobial use may allow for overgrowth of other normal flora) or disruption of host defenses (e.g., a break or entry in the skin). Knowing what organisms reside where can help to guide empirical antimicrobial therapy (Fig. 66-1). In addition, it is beneficial to know what anatomic sites are normally sterile. These include the cerebrospinal fluid, blood, and urine. 

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