The bacteriological ecosystem of the skin of children in an African tropical environment (Tanzania)

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Abstract
Using a standardized method for sampling, the aerobic microbial flora of the skin of ninety-five children in Dar es Salaam, Tanzania, was studied qualitatively and quantitatively. The subjects comprised three groups; group A, thirty-seven normal infants (below the age of 1 year); group B, twenty-nine infants with various bacterial skin lesions; and group C, twenty-nine nursery school children between 4-5 and 7 years. The following observations were made: (I) The quantitative results indicated; (a) great variation between individuals, which was more marked among the females; (b) lower bacterial counts in infants than in older children; (c) counts were not affected by the presence of infection or state of cleanliness; (d) there were some differences between females and males and between different ethnic groups. (2) Qualitatively, the types of organisms isolated were similar to those reported elsewhere. There were differences in carrier rates of many organisms but these were most striking with Staphylococcus aureus and Staph. albus. It is concluded that there are great differences in carrier rates between persons in a tropical African environment and those studied elsewhere. These difference may be due to environmental, geographical or ethnic factors. Such observations call for more studies in this area to establish the normal flora.