
DAIRY PRODUCTS 401
called to the relation between intestinal flora and health. Douglas, an
Englishman, wrote a book which he called "The Old Age Bacillus."
He referred to Lactobacillus bulgaricus discussed by Metohnikoff.
In America, Herter, Rettger, Cheplin, Torrey, Coleman, Kendall,
Bass,
and others have contributed largely to the subject of intestinal
flora.
In a pieoe of work in which white rate were tised as the experimental
animals Rettger found that intestinal flora of these animals shifted
as the type of diet changed. It was found that dextrin, lactose sugar,
and staroh when taken in sufficient amounts tended to help establish
a flora of Lactobacillus acidophilus.
Concerning the natural flora of the human intestine's it has been
established that at birth they are sterile. But during breast feeding
the intestinal flora becomes typically B. bifidus and B. acidophilus.
When breast feeding is substituted by the use of cow's milk the flora
of the intestines changes and members of the coli group and of putre-
factive groups appear while B. bifidus and B. acidophilus tend to
disappear. This change is thought to be due to the fact that in
mother's milk the high milk sugar content causes undigested lactose to
appear throughout the intestinal tract thus favoring the growth of
L. acidophilus.
Kendall says, "The types of bacteria which constitute the normal
fecal flora of the nurslings are few in number and definite in their
chemioal characters. The most prominent of these, B. bifidus, so-
called because of its developmental peculiarities in artificial media,
is a strict anaerobe. Other organisms, the so-called Kopfchen baoillus,
B.
coli, B. lactis aerogenes and Micrococcus ovalis, are as a rule
;
very
much fewer in numbers than B. bifidus, and under normal conditions,
appear less important. The question arises, why should an obligate
anaerobe, as B. bifidus, dominate the nursling's intestinal flora? It
must be remembered that breast milk;, which is the normal diet of the
nursling, consists monotonously of about 7 per cent of lactose, about
3 per cent of fat, and but 1.5 per cent of protein. Consequently the
intestinal tract of the infant under ordinary conditions is practioally
continuously bathed in a nutrient medium containing at all times at
least a minimal amoutit of sugar. The normal infantile feces is always
slightly acid in reaction and this acid is lactic acid chiefly. It is a
significant fact that the dominating organism, B. bifidus, is a lactic
aoid-produoing microbe. It is also a significant fact that the reaotion
of the normal nursling's feces is acid enough to inhibit the growth of
practically all putrefactive bacteria; there are few or no putrefactive
bacteria in the normal infantile feces. This infantile flora, further-
more, appears to be a protective one in the sense that it inhibits the
growth of bacteria which might produce either putrefaction or disease.
These latter organisms are somewhat intolerant of lactic acid. It may
be remarked parenthetically that one of the first indications of in-
testinal disturbance in infants is the temporary or even permanent
disappearance of this lactic acid flora.