I had an IUD inserted about 2 months ago and since then I have had heavy vaginal discharge (only during sex) and an unpleasant odor (also during sex). Bethesda, MD 20894, Web Policies The natural process of lacto-fermentation supplies us with tons and tons of gut-friendly bacteria . Diameter increases and lower ribs flare out. Normal Respiratory Flora. Pneumonia caused by potential pathogens such as as Streptococcus mitis and Streptococcus anginosus group that may be part of the NRF. Penicillin and amoxicillin are two commonly prescribed drugs. From what I read so far (correct me if I'm wrong please) the normal upper respiratory flora can be a number of different . The upper respiratory tract, including the nasopharynx, serves as the reservoir for pathogens capable of causing respiratory tract infections, including sinusitis ().Potential pathogens can relocate during a viral respiratory infection from the nasopharynx into the sinus cavity, causing sinusitis ().Establishment of the microbiology of all forms of sinusitis is of primary importance as it can . They maintain the vagina at a healthy pH of around 4. Also, because polymicrobial lower respiratory tract infections are rare, it is more likely that the true pathogen has been identified if there is heavy growth of a single organism than if there is mixed growth. Our 5 year old appears to be a strep carrier. In your case, your normal flora is probably healthy. 6.1. induced sputum. We sought to determine whether mixed flora (MF) was in fact a harbinger of impending pneumonia or a benign result that could be therapeutically ignored. . They may become infected, often as a superinfection complicating upper respiratory viral infection. It's easy! To get a result of your sputum test, you may need to wait for up to three days. Although many microorganisms enter URT through air during breathing, most of them are removed by mucus lining and nasal hair. Heavy flora could mean a lot of normal bacteria (not harmful in a healthy person) or it could mean a heavy growth of abnormal, or harmful bacteria. induced sputum. 32 Votes) The presence of normal upper respiratory tract flora should be expected in sputum culture. These bacteria may be commensal and/or mutualistic, opportunistic, or pathogenic. A throat culture will determine if there is a bacterial infection, and if so, whats causing it. "Mixed flora" is a commonly returned result yielding not in either indication for therapy or identification of potential causative organisms. The presence of normal upper respiratory tract flora should be expected in sputum culture. Can You Have Strep Throat Without a Fever? Routine respiratory flora present or no growth. Bibler MR, Rouan GW. Strep throat: Tests and diagnosis, Mayo Clinic Staff. Sore throat and headache can sometimes occur together. All rights reserved. No growth, routine/normal skin flora, routine/normal body site flora. This is so frustrating. Your health care provider will use a cotton swab to collect the sample from inside the outer ear canal. 2019 Oct;7(10):907-920. doi: 10.1016/S2213-2600(18)30510-1. . moderate. They usually appear after a routine respiratory infection that was treated with antibiotics, which in turn damage intestinal flora. He is still getting 300 mg of omnicef daily. read more , sphere-shaped (coccal) bacteria (see . A patient is unable to produce adequate sputum for routine, acid-fast, and fungal cultures. The significance of specific organisms detected in the lower respiratory tract is shown in Table 1. Bradypnea is the medical term for a reduced rate of breathing. If the amount of material aspirated is small, it may be advisable to inject it into an anaerobic transport or absorb it onto the swab of the bacterial swab collection kit and use the bacterial transport. A Gram stain is a laboratory procedure used to detect the presence of bacteria and sometimes fungi in a sample taken from the site of a suspected infection. It is also known as phlegm and, because of its thickness, can contain infectious germs. Microbiota: A Missing Link in The Pathogenesis of Chronic Lung Inflammatory Diseases. 2023 Laboratory Corporation of America Holdings. Otitis externa is frequently caused by P aeruginosa and less frequently by Candida sp, Proteus sp, S aureus, and Trichophyton sp. Heavy growth indicates that the organism was present in all areas of the culture plates, moderate indicates half the plate was covered and scanty indicates that the organism was only present in the initial sample inoculum. Logistics Lab Testing Sections: Microbiology Phone Numbers: MIN Lab: 612 -813 5866 STP Lab: 651-220-6555 Test Availability: Daily, 24 hours Turnaround Time: Preliminary report available at 1 day, final report within 2 - 5 days. Expert Answer. Enterotoxigenic (ETEC): This is the most common etiology (~50%) of traveler's diarrhea. It's standard culture protocol to include semi-quantitation as it could provide some clues for disease states. Should I order a blood transfusion based on the hemoglobin (Hgb) or the hematocrit (Hct). Positive: Because common causes of pararespiratory infections are usually derived from upper respiratory tract endogenous flora, positive culture must be interpreted in the context of quantity or bacterial growth, purity of culture, Gram stain findings, and . Before Fermented foods include sauerkraut, , kimchi, lacto-fermented ginger carrots, lacto-fermented pickles, enzyme-rich mayonnaise, yogurt, and kefir. Even when the child is not sick. Any light you or anyone could shed on these questions would be so appreciated! heavy growth of normal upper respiratory flora. Bacteria are predominant normal flora organisms. A throat swab culture, or throat culture, is a test commonly used to diagnose bacterial infections in the throat. All Rights Reserved. Large quantities of bacteria, including Firmicutes, Actinobacteria, and Bacteroidetes, colonize the surface of the respiratory mucosa of healthy people. A sample of the patient's feces is placed on several different types of nutrient media and observed for growth. It is also known as phlegm and, because of its thickness, can contain infectious germs. 1. government site. For throat specimens submitted for isolation of Neisseria gonorrhoeae, use GC (Neisseria gonorrhoeae) Culture Only [008128] and include inoculated Jembec transport. I asked them to do a full respiratory culture,not just for strep A. . When to investigate and when to prescribe. I am very confused about the results and wondered if anyone has input or has experienced any of the same results. 0/250. Redness, swelling, and white streaks or pus on the tonsils as well as red spots in the roof of the mouth are signs of infections. PMC eCollection 2022. what is routine respiratory flora heavy growth, Hotels Near Crystal Ballroom Daytona Beach, Fl, 1994 skybox basketball cards most valuable, x ray lumbar spine oblique view positioning. It is important to fully define the human microflora of the healthy oral cavity before we can understand the role of bacteria in oral . Patients allergic to penicillins may also be allergic to cephalosporins. She had full blown psychotic PANDAS with severe OCD/anorexia nervosa/tics and culture postitive (throat and perianal) but her ASO was only 31 and anti-dnase B was only 149. Epub 2021 Feb 24. The PubMed wordmark and PubMed logo are registered trademarks of the U.S. Department of Health and Human Services (HHS). A simultaneous Gram stain should always be prepared and performed (additional charge) to facilitate interpretation. Answer (1 of 3): It's the normal bacteria present in the upper respiratory tract They are perfectly normal in a healthy individual and can cause problems only in immuno-compromised individuals. Leave swab in place for 15 to 30 seconds. They will then rub a sterile cotton swab across the back of your throat, your tonsils, and any other sore areas for a few seconds. Estrogen relaxes ligaments in the rib cage. Apparent increase in the incidence of invasive group A beta-hemolytic streptococcal disease in children. Everyone is diffrent: But the average pulse rate is between 60 and 80 beats per min. doi: 10.1093/gigascience/giz093. However, it occurs regularly on the surfaces of plants and . This can help your doctor have a better view of the back of your throat. ANSWER: (Level 3, Objective 7) Yeast colonies in a . ASO 106 Anti DNaseB 1:170 The significance of commensal oropharyngeal flora (COF) as a potential cause of ventilator-associated pneumonia (VAP) is scarcely investigated and consequently unknown. Alaa Nafea. A throat culture or throat swab culture involves collecting a sample from the site of infection in your throat and inoculating the sample into solid or liquid nutrient media (e.g., agar, gelatin) in order to grow any microorganisms like bacteria or fungi that may be present. Outbreak of group A. Wright JM, Taylor PP, Allen EP, Byrd RL. eCollection 2014. Why Does My Young Female Patient Have Recurrent Spontaneous Pneumothoraces? Category: medical health infectious diseases. I think the way it works is that if the strep infection is current, the antibiotics will work to resolve it which could probably improve symptoms for a little while, but the antibodies are already still out there attaching themselves to the receptors in the brain and that just doesn't go away within a few days, it takes months (as long as there is no new re-infection which can only be guaranteed by staying on antibiotics continually) So you wouldn't really see an improvement long-term. Dysbiosis, where the normal flora have been displaced; Very low fiber or other extreme diets; Mixed Flora Results. This is the classic etiology for dysentery; fever, abdominal cramps, and frequent, small volume stool with blood . Does anyone know if Group B strep can cause a scarlatinaform rash?? Can anyone comment on the anti DNase B in my 5 yo being 1:170? The patient was treated with a 3 weeks course of ofloxacin and had a good response. What antibiotic did you use for the Group B strep and beta hemolytic, non A? Routine respiratory flora present or no growth Additional Information Thrush, oral candidiasis, and Candida esophagitis frequently complicate antineoplastic therapy, hyperalimentation, transplantation immunosuppression, pregnancy, and the acquired immunodeficiency syndrome (AIDS). The difference in strep groups can be judged from agar plates and certainly the difference between Group A and B is a matter of size of hemoysis around the colonies (although you can have non-hemalytic Group B too). Culture, Sputum/Lower Respiratory - Isolation of potential respiratory pathogens can be useful in the diagnosis of respiratory tract infection. The lab team checks the dish every day to see if . HIS, physician office application). 1. Strep throat is a bacterial infection that causes inflammation and pain in the throat. Subscribe to Blog via Email We are using Zithromax, but now I'm not sure if that is what we should be on. Meyer RD. In contrast to EHEC, this strain causes a. Once you know whats causing your sore throat, you and your doctor can decide on the best treatment options for you. Most respiratory tract pathogens-such as Streptococcus pneumoniaeor Haemophilus influenzae-can be found as part of the normal human flora of the nasopharynx or pharyngeal mucosa, and therefore isolation in sputum does not represent any proof of its involvement in a lower respiratory tract infection. These infections can include strep throat, pneumonia, tonsillitis, whooping cough, and meningitis. italy health care system pediatrician chesterfield hogan's alley quantico, virginia 1. -, Lanaspa M., Bassat Q., Medeiros M. M., Munoz-Almagro C. Respiratory microbiota and lower respiratory tract disease. Mar 4. Current Opinion in Virology. c. The normal flora will be found in clumps, and any pathogenic bacteria will be found with the normal flora. In the late 1980s a resurgence of serious Streptococcus pyogenes infection was observed. Logistics Lab Testing Sections: Microbiology Phone Numbers: MIN Lab: 612 -813 5866 STP Lab: 651-220-6555 Test Availability: Daily, 24 hours Turnaround Time: Preliminary report available at 1 day, final report within 2 - 5 days. Kaplan EL. Brook I. 2022 Apr 13;11(8):1324. doi: 10.3390/cells11081324. Brodsky L. Modern assessment of tonsils and adenoids. As a general principle, the antimicrobial of choice has to be appropriate (pathogen is susceptible) and adequate (high enough level of the drug at the site of infection). Sorry! The throat culture test can help find the cause of a sore throat. I am thoroughly confused, don't know what to make of it all. Strep test: Throat culture. Respiratory rate may increase/Dyspnea may occur (sensation of dyspnea more common than. A positive test indicates the presence of streptococci (the bacteria that causes strep throat) or other bacteria. and transmitted securely. The diversity of airway microorganisms in cystic fibrosis (CF) patients is decreased, while pathogenic bacteria and conditional pathogenic bacteria are proliferated in large numbers. 2014 Oct 16;9(10):e109710. It is found mostly in tropical or developing countries. doi: 10.1016/j.coviro.2012.03.009. It is different from spit or saliva. Sputum Gram stain and culture are indicated for all patients with hospital-acquired pneumonia. Today is day 4 on the Zith, dark circles gone, my daughter's tics greatly reduced, their behaviors are slightly improved, baby's rash completely gone. 3. upper respiratory tract flora: Microbiology Bacteria that are normally located in the upper respiratory tract 1. The significance of specific organisms detected in the lower respiratory tract is shown in Table 1. I know it is supposed to be caused by strep A, but after 2 days on the Zith, the rash was completely gone. No growth, routine/normal skin flora, routine/normal "body site" flora. upper respiratory tract flora: Microbiology Bacteria that are normally located in the upper respiratory tract and spas or hot tubs with chlorine would be expected to kill nonmycobacterial flora and therefore could permit the growth of mycobacteria in the absence of competitors for . Microorganisms are trapped in mucus . Please enable it to take advantage of the complete set of features! A 16S rDNA sequencing-based analysis of airway microecology in patients with an acute exacerbation of chronic obstructive pulmonary disease: A cross-sectional study in Inner Mongolia, China. A treatise describing the plants of a region or time. They also form a small part of normal human flora. By Sore throats are a common symptom caused by infections or environmental factors. Plants considered as a group, especially the plants of a particular country, region, or time. Here are the results: Colleen (the mom) Beta strep, BUT NOT A,C, G, or B 7 year old son: routine upper respiratory flora, heavy growth 5 year old son: routine respiratory , moderate growth. Thanks. Strep throat: Causes, Strep throat test: The test. Our dd had titers drawn 2x. A simultaneous Gram stain should always be prepared and performed (additional charge) to facilitate interpretation. The normal vaginal flora is dominated by various lactobacillus species. The results guide appropriate therapy in infectious and inflammatory diseases of the throat. Streptococcus pyogenes: (group A -hemolytic strep) and other -hemolytic streptococci in groups B, C, D, and G are generally susceptible to penicillin and its derivatives, therefore, susceptibility need not be routinely determined. Stool CultureDefinitionA stool culture is a laboratory test used to isolate and identify pathogens in the feces of patients suspected of having digestive tract infections. Sputum is a thick mucus that is coughed up from the lungs. Depending on the type of vegetation present, a wildfire may be more specifically identified as a bushfire (in Australia), desert fire, grass fire, hill fire, peat fire, prairie fire, vegetation fire, or veld fire. Healthy people live in harmony with most of the microorganisms that establish themselves on or in (colonize) nonsterile parts of the body, such as the skin, nose, mouth, throat, large intestine, and vagina. . Streptococcal bacteria are very contagious. A simultaneous Gram stain should always be prepared and performed (additional charge) to facilitate interpretation. The bacteria and other microorganisms that normally inhabit a bodily organ or part: intestinal flora. Anaerobic organisms that are frequently implicated in chronic infection of the tonsils and adenoids are not recovered by aerobic culture methods. Most are found in the superficial layers of the epidermis and the upper parts of hair follicles.. Sputum is an irregular discharge from the respiratory tract that comes off when you cough. Your doctor will ask you to open your mouth and tilt your head back. Skin flora is usually non-pathogenic, and either . My doctor agreed to put the 2,5,7 yr. old on Zithromax that day based on their great previous response to it. Throat culture refers to the growth and isolation of a micro-organism from a specimen taken from the throat. Culture, Sputum/Lower Respiratory - Isolation of potential respiratory pathogens can be useful in the diagnosis of respiratory tract infection. Front Microbiol. Gram-positive bacteria stain blue when this stain is applied to them. Many of them are bacteria of which there are around 1,000 species upon human skin from nineteen phyla. Microflora are only present in URT Although many microorganisms enter URT through air during breathing, most of them are removed by mucus lining and nasal hair. If bacteria or yeast (a fungus) are present, they start multiplying. "Mixed flora" is a commonly returned result yielding not in either indication for therapy or identification of potential causative organisms. 2. Download the app on your smart phone and sign up below to catch future pearls right into your inbox, all for free! Also takes erythromycin , in addition to daily antibiotic pen vk. upper respiratory tract flora: Microbiology Bacteria that are normally located in the upper respiratory tract Lactobacilli help to keep the vagina healthy by producing lactic acid, hydrogen peroxide, and other substances that inhibit the growth of yeast and other unwanted organisms. Contamination occurs when non-replicating bacteria enter the wound. Routine susceptibility testing of M. kansasii isolates is recommended for rifampin . Susceptibility If the patient is taking an antibiotic to which the bacteria are reported as resistant (R) or I guess I am concerned that I didn't get the blood work done at his bad time does it take a long time for the strep in the bloodwork to go down so that it won't really matter that I didn't get the bloodwork 2 months ago? Zhu SF, Wu XX, Guo Y, Li PF, Wang JR, Liu M, Luo CW, Yuan XZ, Li SW. Front Med (Lausanne). Conclusions: Normal respiratory flora, with or without viral . The roles of pathogens in the occurrence and development of asthma. 2. VAP is the second-most common hospital-acquired infection in intensive care units (ICUs), and the most common cause of nosocomial infection leading to death in critically ill patients. Treatment. If necessary, your doctor may use a tongue depressor. Lab results indicate my routine genital flora has "heavy. The profiles of respiratory flora in the occurrence and development of chronic respiratory. A simultaneous Gram stain should always be prepared and performed (additional charge) to facilitate interpretation. Flora Study of upper respiratory tract bacterial flora: First report. Bordetella pertussis* Candida albicans. Here are the results: Colleen (the mom) Beta strep, BUT NOT A,C, G, or B, 7 year old son: routine upper respiratory flora, heavy growth, 5 year old son: routine respiratory , moderate growth, 2 year old: Group B strep (I have been GBS- group beta strep positive with all 4 of my pregnancies and even though I would be treated at 34 weeks with antibiotics, I would test positive again a few weeks after being treated so maybe I am a carrier of GBS??). The physician may attempt to obtain a/an. They maintain the vagina at a healthy . Clonal basis for resurgence of serious. To do the test, you will need to give a sample of your blood, urine, skin, or other tissue. If bacteria or yeast (a fungus) are present, they start multiplying. So sorry for such a long post, but I am hoping someone can help me make some sense of this. Matt Hancock embarked on a 41-hour scramble to save his career after pictures emerged of 'a snog and heavy petting' with Gina Coladangelo in the Department of Health, leaked messages reveal.. CCTV . Large quantities of bacteria, including Firmicutes, Actinobacteria, and Bacteroidetes, colonize the surface of the respiratory mucosa of healthy people. I thought this was an interesting way to treat. Wounds often become colonized by multiple Gram-negative rods and mixed culture results are common. The bacteria listed under "Mixed Flora" are the bacteria growing on the culture plates in moderate to heavy amounts. Learn how we can help. 2019;8(8):p. giz093. Group B Streptococcus (GBS) can be found as part of the normal flora in the gastrointestinal and female genital tracts, periurethral area, perineal and perianal skin and even the upper respiratory tract ( 41 ). If your child is undergoing the examination, you should ask them to remain still. Other. Sore Throat 101: Symptoms, Causes, and Treatment, Nicole Leigh Aaronson, MD, MBA, CPE, FACS, FAAP. Results say: "routine flora, heavy growth." The throat culture test can help find the cause of a sore throat. Respiratory Microbiota- Normal Flora of Respiratory Tract Eat fermented foods. How should I interpret the growth of normal respiratory flora from sputum of my patient with community-acquired pneumonia (CAP)? Staphylococcus aureus is the most dangerous of all of the many common staphylococcal bacteria. The profiles of respiratory flora in the occurrence and development of chronic respiratory diseases. Lab results indicate my routine genital flora has "heavy. These infections can include strep throat, pneumonia, tonsillitis, whooping cough . Nasopharynx: With patient's head immobilized, insert flexible wire swab into nostril until it reaches posterior nares. When we used Zithromax back in October, I saw results within 4 days- dark circles gone, tics about 50% gone, much less irritable. Correlation of nasopharyngeal cultures with results of tympanocentesis culture is poor and lacks predictive value in identification of the causative agent of otitis media. Microflora generally consists of saprophytic microbes which are acquired during and after few days of birth of an individual. Everywhere I read it says 12mg/kg/day is the optimal treatment dose. Healthline Media does not provide medical advice, diagnosis, or treatment. Lecturer and consultant of. Skin flora, also called skin microbiota, refers to microbiota (communities of microorganisms) that reside on the skin, typically human skin.. Transmits observations and results from the producing system/filler i.e. These can be grown outside our body in test tubes with special medium in it called culture medium. The client will not be telephoned to approve this change, but the change will be indicated on the report. The Respiratory System. After about 5 days off of the Zith, the behaviors slowly returned as well as the dark circles. Frontiers in Cell and Development Biology. There are no risks or complications associated with a throat swab culture. The ASO was 366. Skin flora, also called skin microbiota, refers to microbiota (communities of microorganisms) that reside on the skin, typically human skin.. Another question I'd like to post on labs for PANDAS symproms. Abramson JS, Wasilauskas B. This growth indicates an infection in your urinary system. The results guide appropriate therapy in infectious and inflammatory diseases of the. Expert Review of Anti-Infective Therapy. Would you like email updates of new search results? there is no surgery for it Abstract. I don't know if that makes sense.. Get prescriptions or refills through a video chat, if the doctor feels the prescriptions are medically appropriate. The normal vaginal flora are dominated by various lactobacillus species. Your doctor may suggest over-the-counter drugs, such as ibuprofen or acetaminophen, to help relive throat pain or reduce fever. Wounds often become colonized by multiple gram-negative rods and mixed culture results are common. A patient is unable to produce adequate sputum for routine, acid-fast, and fungal cultures. Microorganisms are trapped in mucus . An integrated respiratory microbial gene catalogue to better understand the microbial aetiology of Mycoplasma pneumoniae pneumonia. Also checks titers and regardless if they are elevated treats with erythromycin. Now, pause for a few minutes and list below the situations when a HCW should wash . It usually takes a couple of days to culture the bacteria so you may have to wait some time to receive your test results. I double posted and can not figure out how to delete one of the posts. Colonisation occurs when the bacteria begin replicating and adhere to the wound site, but do not cause tissue damage. The LOINC codes are copyright 1994-2021, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee. The normal vaginal flora is dominated by various lactobacillus species. Lang SD, Singh K. The sore throat. In decreasing order of frequency, the following organisms have been recovered from tympanocentesis: S pneumoniae (50% to 75%), H influenzae (10% to 30%), Moraxella (Branhamella) catarrhalis (5% to 10%), Streptococcus pyogenes (5% to 10%), Staphylococcus aureus (1% to 5%), Pseudomonas aeruginosa (0.1% to 1%). Eat fermented foods. Current status. 2020;8:p. 91. doi: 10.3389/fcell.2020.00091. Culture is the medical term for growing microorganisms like bacteria and yeast in a laboratory setting. We did not culture my 12 yr. old. In therapeutic failures, S aureus, and P aeruginosa are most frequently recovered. The organism was identified as N. weaveri by using 16S rRNA sequencing. Specimens from other sources, such as genital, stool, urine, upper and lower respiratory specimens, cannot be cultured under the aerobic bacterial culture test number. Check expiration date of transport; do not use expired device. I understand that the results are normal, but why would they note "heavy growth"? Liked this post? If specimens are incorrectly submitted with an order for aerobic bacterial culture, the laboratory will process the specimen for the test based on the source listed on the test request form. During her last episode she cultured negative but I cultured for Group B strep. An infected person can easily pass the bacteria on if they cough, sneeze, or share food or drinks. Asthma is a kind of disease that is well-recognized as immune dysfunction of the respiratory system, which is defined as a clinical syndrome of intermittent respiratory symptoms caused by viral upper respiratory infections, environmental allergens, or other stimuli, characterized by nonspecific bronchial hyperresponsiveness and airway 5.7k views Answered >2 years ago. The agar recommended by for routine susceptibility is: Select one: a. MacConkey b. Trypticase soy agar Promote growth of normal respiratory flora c. Liquefy the mucus d. A sample of ear drainage is needed. I also had titers done on my 5 year old who seemed worse off than the others. We sought to determine whether mixed flora (MF) was in fact a harbinger of impending pneumonia or a benign result that could be therapeutically ignored. Delay in sputum processing with possible overgrowth of oropharyngeal flora. The bacteria can also be picked up from doorknobs or other surfaces and transferred to your nose, mouth, or eyes. Sputum is a thick mucus produced in the lungs. Or is it just her titers that are not elevated? 3. A nasopharyngeal culture is a test used to diagnose upper respiratory infections. Federal government websites often end in .gov or .mil. First Medical Care Inc. VIDEO VISIT. My 2 yr. old also had what looked like a scarlatinaform rash all over his belly. A throat swab culture, or throat culture, is a test commonly used to diagnose bacterial infections in the throat. Most are found in the superficial layers of the epidermis and the upper parts of hair follicles.. In a Gram stain test, these organisms yield a positive result. On Oct. 3rd I had the 5 and 7 yr. old cultured, results came back negative. Future approaches for the treatment of respiratory tract infections: description of alternatives. The criteria for this is when a person's breathing rate is less than 12 breaths per minute. A lab adds growth-promoting substances to a urine sample. Colonization with S aureus precedes most invasive diseases caused by S aureus . A review of the oral manifestations of infections in pediatric patients. HL7 ORU. Results say: "routine flora, heavy growth." The normal flora of humans are exceedingly complex and consist of more than 200 species of bacteria. No growth, routine/normal skin flora, routine/normal "body site" flora. A respiratory virus alone was found in 16 of 120 (13.3%) patients. The proportion of Firmicutes and Proteobacteria is increased in patients with upper airway cough syndrome (UACS), which replaces the dominance of Streptococcus and Neisseria in the pharynx of a normal population. It is important to consider carefully the likely significance of culture results from sputum to avoid over- The normal flora of the respiratory tract is made up of the following: Common residents (>50% of the healthy general population): Oral . Every human being has specific normal flora and its composition is dependent on health status, diet, age . 2017;17(1):p. 184. doi: 10.1186/s12866-017-1092-5.