In 1965, Mary J. Marples' seminal book The Ecology of' Human Skin was published, as also was Maibach and Hildick-Smith's Skin Microbiology: Its Relation to Clinical Infection. Skin microbiology as a subject with its own intrinsic interest and also one that contributes to other disciplines may, therefore, be said to be fast approaching maturity. It is interesting to examine the changes that have occurred in this time, but it is essential to understand that, in the early years, appreciation of the intrinsic interest of skin microbiology was limited; skin was simply another surface that needed disinfection before surgery. It is convenient to discuss the evolution of the subject in three principal parts: (i) a more precise definition of the skin microflora, (ii) interactions between members of that flora (coactions), and (iii) interaction between the flora and the host. Finally, some lacunae in our present knowledge will be explored.
The resident skin floraBefore the work of Marples (1965) it was thought possible to dismiss the normal skin flora as comprising micrococci and diphtheroids with a few yeasts. Now we expect a normal healthy adult to carry several representatives of the genera Stapliylococcus, Micrococcus, Propionibactcrium, Corynebacterium, Brevibacteriuni and Acinetohacter as well as Pityrosporum as resident members of the normal skin flora. There will also be a variable number of transients or contaminants.The cocci. The greatest changes in our knowledge of taxonomy and ecology have occurred amongst the gram-positive cocci. At the time of Baird-Parker's initial attempts to define the cocci (Baird-Parker, 1965), the genera Staphq~lococcus and Micrococcus (Sarcina) were regarded as closely related; taxonomically, they must now be regarded as very distinct. Baird-Parker's (1965) schemes have now largely been superseded but they were instrumental in opening the way to a rational study of the cocci. There is still no full agreement on the classification of the cocci but the major historical trends are shown in table I. The major error in laboratory studies with the cocci, as later with the coryneforms, was overconfidence in simple 'biochemical' tests, so that Micrococcus spp. were classified amongst the staphylococci.