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Updated: Jul 15, 2026

Cost-effective Method for Microbial Source Tracking Using Specific Human and Animal Viruses
Published on: December 3, 2011
Human polymicrobial infections
Kim A Brogden1, Janet M Guthmiller, Christopher E Taylor
1Department of Periodontics and Dows Institute for Dental Research, College of Dentistry, University of Iowa, Iowa City, IA 52242, USA. kim-brogden@uiowa.edu
Context:
Polymicrobial diseases, caused by combinations of viruses, bacteria, fungi, and parasites, are being recognised with increasing frequency. In these infections, the presence of one micro-organism generates a niche for other pathogenic micro-organisms to colonise, one micro-organism predisposes the host to colonisation by other micro-organisms, or two or more non-pathogenic micro-organisms together cause disease.
Starting Point:
Recently, Gili Regev-Yochay (JAMA 2004; 292: 716-20) and Debby Bogaert (Lancet 2004; 363: 1871-72), and their colleagues, suggested another interaction: microbial interference-the ability of Streptococcus pneumoniae carriage to protect against Staphylococcus aureus carriage, and the inverse effect of pneumococcal conjugate vaccination on the increased carriage of Staph aureus and Staph-aureus-related disease. Strep pneumoniae carriage protected against Staph aureus carriage, and the bacterial interference could be disrupted by vaccinating children with pneumococcal conjugate vaccines that reduced nasopharyngeal carriage of vaccine-type Strep pneumoniae.
Where Next:
The medical community is recognising the significance of polymicrobial diseases and the major types of microbial community interactions associated with human health and disease. Many traditional therapies are just starting to take into account the polymicrobial cause of diseases and the repercussions of treatment and prevention.
Insights
Polymicrobial diseases are increasingly recognized. Microbial interference, like Streptococcus pneumoniae protecting against Staphylococcus aureus, highlights complex interactions impacting health and disease treatments.
Area of Science:
- Microbiology
- Infectious Diseases
- Immunology
Background:
- Polymicrobial diseases, involving multiple pathogens, are increasingly prevalent.
- These infections arise from niche creation, host predisposition, or synergistic non-pathogenic organisms.
- Microbial interference, where one microbe protects against another, is a key interaction.
Purpose of the Study:
- To highlight the growing recognition of polymicrobial diseases.
- To emphasize the significance of microbial community interactions in human health.
- To discuss the implications for medical therapies and prevention strategies.
Main Methods:
- Review of recent literature on microbial interactions.
- Analysis of studies on Streptococcus pneumoniae and Staphylococcus aureus carriage.
- Examination of the impact of pneumococcal conjugate vaccination on carriage dynamics.
Main Results:
- Studies suggest Streptococcus pneumoniae carriage can inhibit Staphylococcus aureus carriage.
- Pneumococcal conjugate vaccination has been linked to increased Staphylococcus aureus carriage.
- This indicates a disruption of natural microbial interference by vaccination.
Conclusions:
- The medical community acknowledges the importance of polymicrobial diseases and microbial interactions.
- Understanding these interactions is crucial for developing effective treatments and prevention.
- Current therapies are beginning to incorporate the polymicrobial nature of diseases.
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