Stool samples were routinely cultured on
MacConkey agar, xylose lysine deoxycholate agar, and
Hektoen agar (Oxoid Ltd, Basingstoke, UK). Stool samples were also inoculated into
selenite F broth (Oxoid Ltd, Basingstoke, UK). Blood samples were collected in blood culture bottles and incubated in the
BD BACTEC™ blood culture system (Becton, Dickinson and Company, Franklin Lakes, USA). A blood culture sample flagged as positive by the system was inoculated on blood agar, chocolate agar, and
MacConkey agar. Identification of microbes from urine samples was performed by plating the sample onto
MacConkey agar and
cystine lactose electrolyte deficient (CLED) agar (Oxoid Ltd, Basingstoke, UK). Samples, other than stool or blood, e.g. urine, abdominal abscess, and surgical wound swabs, were cultivated as per standard operating procedures followed at the microbiology laboratory at KFHU.
Identification and antimicrobial susceptibility testing of all bacterial isolates was performed by the Vitek2 automated card system (bioMérieux Vitek Inc., Hazelwood, MO, USA). When required, an antimicrobial susceptibility test was performed manually using the disc diffusion method following the Clinical and Laboratory Standards Institute guidelines.
20 Salmonella serogrouping was performed using the BD Salmonella antisera (Becton, Dickinson and Company, Franklin Lakes, USA).
Aljindan R.Y, & Alkharsah K.R. (2020). Pattern of increased antimicrobial resistance of Salmonella isolates in the Eastern Province of KSA. Journal of Taibah University Medical Sciences, 15(1), 48-53.