For the detection of ESBL-producing Enterobacterales, one loopful of each of the EE cultures was streaked onto Brilliance ESBL agar plates (Oxoid, Hampshire, UK). Plates were incubated under aerobic conditions at 37 °C for 24 hours. Colonies with different coloration and growth morphology were sub-cultured on Brilliance ESBL agar plates at 37 °C for 24 hours. From each plate, single colonies were picked and sub-cultured on plate count agar (PCA) for 24 hours at 37 °C.
Species were identified using matrix assisted laser desorption ionization-time of flight mass spectrometry (MALDI-TOF-MS, Bruker Daltonics, Bremen, Germany). Bacterial identification was carried out using the software Flex Control 3.4., the MALDI Biotyper (MBT) Compass database version 4.1.100, and the MBT Compass Library Revision H 2021.