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microbiome illustration normal resistant rod 3d intestine antibiotic nosocomial vaginitis klebsiella microbiocenosis microbiology microorganism nephritis rodshaped peritonitis pneumonia intrahospital resistance shigella salmonella pancreatitis pyelonephritis infection infectious microflora flora health abdominal bacteriology citrobacter colour disease inflammation edwardsiella enterobacteria enterobacteriaceae esherichia coli gramnegative gynecology healthy hospitalaquired wound yersinia enterobacter