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Sir, The axilla supports one of the highest bacterial densities on the human body surface (1, 2). This site not only has hair follicles with sebaceous glands and eccrine sweat glands as found on the rest of the body, but also apocrine glands, which provide a further source of nutrition for the microflora. These factors combine to create a highly favourable site for bacterial multiplication (3). Due to the occluded nature of the axilla, this skin site is least prone to contamination from the environment and is therefore likely to support a microflora that is most representative of the indigenous cutaneous population (1). Axillary microorganisms have been implicated in the transformation of usually odourless apocrine secretions to compounds that give rise to the typical odour associated with the axilla (4, 5). There have been numerous studies of the microflora of the axilla ranging from investigations into the ‘normal’ bacterial residents of this region to the effects of deodorants, antiperspirants, antibiotics and other compounds on the prevalence and population density of bacterial groups (1, 4, 5). Although many such studies have been quantitative, one common feature and significant shortcoming is that they have relied on single samples at the same site on groups of volunteers, and the data are expressed usually as the geometric mean of colony forming units (cfu) per cm. This approach is unsuitable for detecting any variations in the microflora of an individual over time.

Microbial Colonization Dynamics of the Axillae of an Individual over an Extended Period