P. acnes; (2) to determine whether strains of P . acnes produce inhibitors of S. epidermidis and of P. acnes; and (3) to determine the frequency of occurrence of inhibitory strains on normal and acne skin.MATERIALS AND METHODS Media. Nutrient Broth Number 2, Blood Agar Base, and Reinforced Clostridial Medium were obtained from Oxoid Limited, Southwark Bridge Road, London, SE1 9HF. Brain Heart Infusion Agar was purchased from Difco Laboratories, PO Box 14B, Central Avenue, West Molesey, Surrey.Source of bacteria. All strains of bacteria were isolated from the faces or backs of 44 subjects attending the acne clinic at the Leeds General Infirmary or from employees of the Department of Microbiology, University of Leeds (table I). All subjects were in the age range 15-30 years, with the exception of one patient aged 39 who had severe acne. There were 29 females and 15 males. Patients were graded according to a modification of the scheme of Burton et al. (1971), increasing the number of grades within the ' low acne ' group.Only subjects without evidence of acne on face, back and chest were regarded as controls.Samples were obtained from the skin surface with swabs soaked in nutrient broth. Organisms were released from the swab by agitation in 10 ml of nutrient broth on a rotamixer for 5 s; 0.1-ml volumes of the undiluted and tenfold diluted samples were plated out on heated blood agar (7 % v/v horse blood, Oxoid) for isolation of Micrococcaceae and on Brain Heart Infusion Agar with 0.3 % glucose added for isolation of P. acnes. Plates were incubated at 37"C, for 2 days aerobically for Micrococcaceae and 7 days anaerobically for P. acnes in an atmosphere of H2 plus 10 % C02 in Baird and Tatlock cold-catalyst anaerobic jars.Strains for use in inhibition tests were selected on the basis of predominant colonial types of either P. acnes or Micrococcaceae, verified by Gram staining and coded as follows: M = Micrococcaceae; P = Propionibacterium; F = isolated from face; B = isolated from back; hence MF1 , MB2, PF1 , PB2, etc.