The investigators propose to study the microbiome of the nose, throat and three skin sites in a population without current exposure to the healthcare environment: 80 community dwelling adults. We will characterize the microbial communities in these body sites (nose, throat, perirectal and three skin sites) over time using culture-independent techniques. The investigators will then "decolonize" the subjects. Subjects will receive intranasal mupirocin and topical chlorhexidine. The investigators will then compare the microbial communities at baseline and after decolonization within individuals. Our overall hypothesis is that the microbial composition of these sites and the response to decolonization is influenced by the healthcare environment and that decolonization leads to re-colonization with an increasing proportion of Gram-negative bacilli.
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Change in the Abundance of Staphylococcus Aureus in the Nose After Decolonization
Timeframe: 8 weeks
Change in the Abundance of Staphylococcus Aureus in the Throat After Decolonization
Timeframe: 8 weeks
Change in the Abundance of Gram Negative Bacteria on the Subclavian Skin After Decolonization
Timeframe: 12 months
Change in the Abundance of Gram Negative Bacteria on the Femoral Skin After Decolonization
Timeframe: 12 months