The normal bacterial flora contains antibiotic resistance genes to various
degrees, even in individuals with no history of exposure to commercially pr
epared antibiotics. Several factors seem to increase the number of antibiot
ic-resistant bacteria in feces. One important factor is the exposure of the
intestinal flora to antibacterial drugs. Antibiotics used as feed additive
s seem to play an important role in the development of antibiotic resistanc
e in normal flora bacteria. The use of avoparcin as a feed additive has dem
onstrated that an antibiotic considered "safe" is responsible for increased
levels of antibiotic resistance in the normal flora enterococci of animals
fed with avoparcin and possibly in humans consuming products from these an
imals. However, other factors like stress from temperature, crowding, and m
anagement also seem to contribute to the occurrence of antibiotic resistanc
e in normal flora bacteria. The normal flora of animals has been studied wi
th respect to the development of antibiotic resistance over four decades, b
ut there are few studies with the intestinal flora as the main focus. The r
esults of earlier studies are valuable when focused against the recent unde
rstanding of mobile genetics responsible for bacterial antibiotic resistanc
e. New studies should be undertaken to assess whether the development of an
tibiotic resistance in the normal flora is directly linked to the dramatic
increase in antibiotic resistance of bacterial pathogens. Bacteria of the n
ormal flora, often disregarded scientifically, should be studied with the i
ntention of using them as active protection against infectious diseases and
thereby contributing to the overall reduction of use of antibiotics in bot
h animals and humans.