SUMMARY.The development of the bacterial flora of neonates during the first week of life was studied in 23 babies. Specimens of meconium or faeces were collected and swabs taken from the umbilicus and mouth on days 1, 2, 3 and 6. The bacteria present were isolated on a variety of plain and selective media. The predominant faecal organisms by the end of the first week were anaerobes. Bifidobacteria were isolated from all the neonates and bacteroides and clostridia were isolated from 78.3%. Bifidobacteria and bacteroides were present in large numbers; other species were isolated in smaller numbers. Enterococci were isolated from all neonates, enterobacteria from 82.6%, anaerobic cocci from 52.2%, and streptococci and staphylococci from 34.8% each.Staphylococcus aureus was the predominant species isolated from the umbilicus; it was isolated from 21.7% of neonates on the first day rising to 87.0% by the sixth day and represented 49% of isolates from this site. S. albus, streptococci, enterococci and Escherichia coli were each isolated from a few neonates.Viridans streptococci (3 1 -4% of isolates) and Streptococcus salivarius (251%) were the commonest species recovered from the mouth. They were present from 8 h after birth; S. albus and Neisseria spp. were isolated later on the first day, and anaerobic species of Veillonella and Bijidobacterium appeared on the second day.
INTRODUCTIONThe normal fetus is sterile until shortly before birth, as long as the amniotic membrane remains intact. After birth, the neonate rapidly acquires commensal bacteria that colonise the skin and mucous membranes. The host defence mechanisms are not well developed at this stage and some commensals may become opportunist pathogens, particularly in compromised neonates who must remain in hospital for the treatment of congenital abnormalities.The gastrointestinal 'tract is colonised soon after birth, mainly by facultative bacteria. Mata, Mejicanos and Jimenez (1 972), Bullen, Tearle and Willis (1 976) and Long and Swenson (1977) have shown that anaerobes colonise the neonatal gastrointestinal tract during the first week of life and are greater in number and variety than aerobes or facultative species. Subsequently, only ~ ~~