There is a moderate to high number of bacteria on the culture, but no one germ is predominant. The germs are things that are normally found in the respiratory tract.
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In the context of a medical report, "3 plus mixed respiratory flora" typically means there is a moderate amount of mixed bacterial growth present in a respiratory sample. This finding may indicate a bacterial infection in the respiratory system. Further testing and evaluation by a healthcare provider are usually necessary to determine the significance of this result.