The nose as bacterial reservoir: important differences between the vestibule and cavity

Laryngoscope. 2000 Mar;110(3 Pt 1):426-8. doi: 10.1097/00005537-200003000-00019.

Abstract

The difference between the spectra of potential bacterial pathogens (PBPs) in the nasal vestibule and cavity has not been taken into account in clinical studies.

Purpose: Since one can anticipate different flora in different kinds of mucosae, the authors compared bacterial species in the vestibule with those of the cavity.

Subjects and method: A total of 534 healthy male clerical workers in a downtown Lucerne office building were examined with fractionated swabs.

Results: PBPs, notably Staphylococcus aureus, were found in 412 subjects and surprisingly, differences in flora of the two sites were noted in 130 of them: PBPs were observed in the vestibule and not in the cavity in 85 of the subjects, and in 45 of them, the reverse was true.

Conclusion: The practical implications of these findings are considerable regarding infection control in patients at increased infection risk.

MeSH terms

  • Adult
  • Bacteria / classification*
  • Bacteria / growth & development
  • Candida albicans / growth & development
  • Citrobacter / growth & development
  • Confidence Intervals
  • Enterobacter cloacae / growth & development
  • Escherichia coli / growth & development
  • Haemophilus / growth & development
  • Haemophilus influenzae / growth & development
  • Humans
  • Klebsiella / growth & development
  • Male
  • Methicillin Resistance
  • Middle Aged
  • Nasal Cavity / microbiology*
  • Nasal Mucosa / microbiology
  • Nose / microbiology*
  • Staphylococcus aureus / growth & development