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• W70155435 abstract "No AccessJournal of Urology1 Mar 1984Adherence of Cervical, Vaginal and Distal Urethral Normal Microbial Flora to Human Uroepithelial Cells and the Inhibition of Adherence of Gram-Negative Uropathogens by Competitive Exclusion Raphael C.Y. Chan, Andrew W. Bruce, and Gregor Reid Raphael C.Y. ChanRaphael C.Y. Chan More articles by this author , Andrew W. BruceAndrew W. Bruce More articles by this author , and Gregor ReidGregor Reid More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(17)50512-1AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail The adherence of the normal flora to human uroepithelial cells was examined using scanning and transmission electron microscopy and an in vitro adhesion assay. The normal flora were isolated from human cervical, vaginal and distal urethral surfaces. Human uroepithelial cells were obtained from healthy females (controls) and from female patients with recurrent urinary tract infection. The results indicate that: 1) there was no significant difference between the mean adherence of the normal flora to the uroepithelial cells from controls or patients, but there were quantitative differences between different bacterial species of the normal flora attaching to uroepithelial cells; 2) bacterial species isolated from the distal urethral and vaginal surfaces attached in larger numbers to uroepithelial cells from controls than from patients at day 10 of the menstrual cycle (peak value of adherence); 3) the adherence patterns of the cervical and vaginal microbial flora were bicyclic and appeared to be related to the human menstrual cycle; 4) complete or partial inhibition of adherence of several Gram-negative uropathogens was achieved by preincubating the uroepithelial cells with several bacterial species of the normal flora. Results from this study suggest that the normal flora of the urinary tract may play an important protective role against attachment of uropathogens to the surfaces of uroepithelial cells, and that the blocking capacity of these organisms may vary over the menstrual cycle. © 1984 by The American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited ByReid G (2018) Editorial CommentJournal of Urology, VOL. 176, NO. 5, (2054-2054), Online publication date: 1-Nov-2006.Reid G, Cook R and Bruce A (2018) Examination of Strains of Lactobacilli for Properties that May Influence Bacterial Interference in the Urinary TractJournal of Urology, VOL. 138, NO. 2, (330-335), Online publication date: 1-Aug-1987.Fihn S, Johnson C, Pinkstaff C and Stamm W (2018) Diaphragm Use and Urinary Tract Infections: Analysis of Urodynamic and Microbiological FactorsJournal of Urology, VOL. 136, NO. 4, (853-856), Online publication date: 1-Oct-1986.Uehling D, Jensen J and Balish E (2018) A Quantitative in Vivo Assay for Bacterial Adherence to the UrethraJournal of Urology, VOL. 133, NO. 2, (316-318), Online publication date: 1-Feb-1985.Bruce A, Reid G, Chan R and Costerton J (2018) Bacterial Adherence in the Human Ileal Conduit: A Morphological and Bacteriological StudyJournal of Urology, VOL. 132, NO. 1, (184-188), Online publication date: 1-Jul-1984. Volume 131Issue 3March 1984Page: 596-601 Advertisement Copyright & Permissions© 1984 by The American Urological Association Education and Research, Inc.MetricsAuthor Information Raphael C.Y. Chan More articles by this author Andrew W. Bruce More articles by this author Gregor Reid More articles by this author Expand All Advertisement Loading ..." @default.
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• W70155435 title "Adherence of Cervical, Vaginal and Distal Urethral Normal Microbial Flora to Human Uroepithelial Cells and the Inhibition of Adherence of Gram-Negative Uropathogens by Competitive Exclusion" @default.
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