Bacterial flora of the healthy skin in children

Insights

Antibiotic-resistant bacteria are common on children's skin, potentially spreading resistance to infections. Topical antiseptics are recommended over antibiotics for skin issues in children.

Area of Science:

  • Microbiology
  • Dermatology
  • Pediatrics

Background:

  • The skin's normal bacterial flora plays a crucial role in health and disease.
  • Understanding the antibiotic resistance patterns of commensal skin bacteria is essential for effective treatment strategies.

Purpose of the Study:

  • To investigate the bacterial spectrum and antibiotic resistance of the normal skin flora in healthy children.
  • To assess the potential for antibiotic resistance transfer from commensal to pathogenic bacteria in pediatric skin infections.

Main Methods:

  • Abrasion skin samples were collected from the upper back of 100 healthy children.
  • Bacterial cultures were analyzed to determine the predominant species and their antibiotic resistance profiles.

Main Results:

  • Staphylococcus albus was the most prevalent bacteria, followed by Sarcina and Corynebacteria.
  • A significant proportion of the normal skin flora exhibited resistance to commonly used antibiotics.

Conclusions:

  • The high prevalence of antibiotic-resistant strains in the normal skin flora raises concerns about resistance transfer to pathogens.
  • Topical broad-spectrum antimicrobial agents (antiseptics) are recommended over systemic antibiotics for pediatric skin conditions due to widespread resistance.

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