Microbiology of Otitis Media in Aboriginal Australians

Microbial colonization of the infant begins immediately after birth. Initial colonization is fortuitous depending on the first suitable organisms to arrive at a particular site and is influenced by the route of delivery, amount of vernix caseosa present on the infant, the type of nourishment (breast or formula milk) and the environment.

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The Microbiology of Otitis Media in Aboriginal Infants: A Longitudinal Study From Birth
Viral-Bacterial Synergistic Interaction in the Pathogenesis of Otitis Media in Aboriginal Children