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Hektoen enteric agar

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Hektoen enteric agar is a culture medium used for the isolation and identification of enteric pathogens, particularly Salmonella and Shigella species, from clinical and food samples. It is a selective and differential medium that inhibits the growth of Gram-positive bacteria and promotes the growth of Gram-negative enteric bacteria.

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12 protocols using hektoen enteric agar

1

Enumeration of Foodborne Pathogens in Salami

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Twenty-five grams of salami samples were transferred separately into plastic one-chamber filter stomacher bags (Neomed, Milano, Italy) and then homogenized 1:10 (w:v) in sterile peptone water (PW, Conda, Madrid, Spain) for 3 min using a Stomacher 400 blender (Seward Medical, London, UK). Decimal dilutions in sterile PW were then prepared.
Mesophilic lactic acid bacteria (LAB) were enumerated in the control salami by pour plating 1 mL of appropriate dilution in de Man–Rogosa–Sharpe agar (MRSA) (Microbiol Diagnostici, Cagliari, Italy), and the plates were incubated in accordance with ISO 15214 [30 ].
In the contaminated salami, L. monocytogenes enumeration was performed according to ISO 11290-2 [31 ]. For the enumeration of Salmonella spp., appropriate dilutions were surface-plated onto Hektoen enteric agar (HEA) (Oxoid, Milano, Italy). Typical colonies were counted after the incubation of duplicate plates at 37 °C for 24 h. To verify the absence of natural contamination of raw meat, at time zero, the enumeration of pathogens was also investigated in the control salami.
The quality of each culture medium used in this study was evaluated in accordance with ISO 11133-1 [32 ] and ISO 11133-2 [33 ].
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2

Isolation and Identification of Salmonella spp.

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Isolation of Salmonella spp. was firstly performed by pre-enrichment of samples in lactose broth (Merck, Darmstadt, Germany) at 37 °C for 24 h. For selective enrichment, pre-enriched cultures were transferred into Selenite Cystine (SC) broth (Merck, Darmstadt, Germany) and Tetrathionate Brilliant Green bile (TBG) broth (Merck, Darmstadt, Germany), and incubated at 35 °C for 24 h. Then, these cultures were streaked onto Bismuth Sulphite agar (BSA) (Oxoid, Basingstoke, UK), Xylose Lysine Deoxycholate Agar (XLD) (Oxoid, Basingstoke, UK), and Hektoen Enteric agar (HEA) (Oxoid, Basingstoke, UK) as selective media and incubated at 35 °C for 48 h. Typical colonies were cultured on the slants of Tryptic soy agar (TSA) (Merck, Darmstadt, Germany) and subjected to biochemical tests using Lysine Iron agar (LIA) (Merck, Darmstadt, Germany), Triple Sugar Iron (TSI) agar (Merck, Darmstadt, Germany), Sulfide-Indole-Motility (SIM) medium (Merck, Darmstadt, Germany), and Christensen’s Urea agar (Merck, Darmstadt, Germany) (Table S1) [89 ].
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3

Salmonella Isolation Protocol

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The samples were inoculated in 40 ml of nonselective tryptic soy broth (TSB) (Oxoid Ltd., Basingstoke Hampshire, UK) and incubated for two hours at 37°C with shaking at 100 rpm. Thereafter, 0.1 ml was inoculated into 9.9 ml of Rappaport-Vassiliadis broth (Oxoid Ltd., Basingstoke, UK), a selective enrichment media for Salmonella and incubated at 42°C for 24 hours [17 (link)]. A loopful of the sample was streaked onto Brilliance Salmonella Agar (Oxoid Ltd., Basingstoke Hampshire, England) and incubated at 37°C for 24 hours [18 (link)]. Single presumptive purple/pink colonies typical of Salmonella were picked and subsequently streaked onto Hektoen Enteric Agar (HEA) (Oxoid Ltd., Basingstoke Hampshire, England) and Salmonella Shigella agar (SSA) (Oxoid Ltd., Basingstoke Hampshire, England) plates and incubated at 37°C for 24 hours. Culture plates were examined for the presence of typical colonies based on morphological characteristics, i.e., clear colonies with a black centre on HEA and SSA. Single colonies were subcultured onto nutrient agar and subsequently stored in TSB supplemented with 10% glycerol (Merck, USA) at −60°C until further analysis. Salmonella enterica subsp. enterica serovar Choleraesuis ATCC 10708 (ATCC, Manassas, Virginia, USA) was included as a control strain.
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4

Isolation and Identification of Salmonella spp.

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The isolation of Salmonella spp. was carried out in accordance with ISO 6579–1:2017. After pre‐enrichment in BPW for 24 h at 37°C, 1 and 0.1 ml of each pre‐enrichment solution was inoculated into 10 ml of Selenite Cystine Broth base (CM 0699, Oxoid) and 10 ml of Rappaport‐Vassiliadis Broth (CM 669 B, Oxoid), respectively, and then incubated at either 37°C (Selenite Cystine Broth) or 41℃ (Rappaport‐Vassiliadis Broth) for 24 h and plated onto selective Xylose Lysine Deoxycholate (XLD) Agar (CM 0469, Oxoid) and Hektoen Enteric Agar (HEA) (CM 0419, Oxoid). Following 24 h incubation, suspect colonies of Salmonella spp. were tested by inoculation into Kligler iron agar (CM0033, Oxoid).
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5

Isolation and Identification of Salmonella and Shigella

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Approximately, 1 g of stool specimen was suspended in Selenite-Cystine broth (Oxoid, UK) contained in sterile test tube for overnight. A loopful of the suspension of the specimen was streaked on to two different media namely, Hektoen Enteric (HE) Agar and Salmonella-Shigella (SS) agar, both from Oxoid, UK. These plates were incubated aerobically at 37 °C overnight to enhance the recovery of the two pathogens. The isolates were purified by subculturing on nutrient agar plates. A colorless colony with or without black center on SS agar media, and a blue green colony with or without black center on HE agar were presumably isolated as Salmonella-like isolates. A colorless colony on SS and a green, moist and raised colony on HE agar were presumably isolated as Shigella-like isolates [3 , 25 , 26 ]. Colonies exhibiting characteristic reactions of Salmonella and Shigella-like were further characterized by the pattern of biochemical reactions after inoculation on to Triple sugar iron agar, lysine iron agar, Simon’s citrate agar, and MIU test (motility test, Indole and Urease production) for final identification using the standard procedures [3 , 25 , 26 ].
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6

Isolation and Identification of Salmonella and E. coli

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Salmonella species were isolated and identified according to the technique suggested by the international organization for standardization [23 ]. Xylose lysine deoxycholate (XLD) agar (Oxoid, UK), MacConkey agar (Oxoid, UK), Hektoen Enteric (HE) agar (Oxoid, UK) plates were used for plating out and identification. A loop full of inoculums from buffered peptone water suspension was inoculated into XLD, HE and MacConkey agar plates and incubated at 37°C for 24 hours. Isolation of E. coli was conducted following standard procedure [24 ]. Upon arrival to the laboratory, all pre-enriched buffered peptone water broth raw meat samples were consequently inoculated to MacConkey agar and incubated at 37°C overnight. Bacterial growth were subjected in to lactose fermenter and non-lactose fermenter and the lactose fermenter colony were sub-cultured and incubated at 37°C for 24 hours. Identification of Salmonella species and E. coli was done using different biochemical tests (Oxoid, UK) including Triple sugar iron (TSI) agar, Methyl red, urease, indole, motility agar and citrate tests.
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7

Quantification of Sessile Bacteria in Biofilms

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The biofilm of PM1 and PM2 with or without lactobacilli, formed as previously described, was rinsed twice with PBS, then lysed with a solution of 0.1% Triton X-100 (Merck, Milan, Italy). Aliquots of cell lysates were serially diluted and plated on Hektoen enteric agar (Oxoid, Milan, Italy) and incubated at 37 °C overnight to quantify sessile viable bacteria (CFUs/mL).
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8

Salmonella Isolation and Identification Protocol

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One gram of each faecal sample that was tested positive for Salmonella spp. using Seeplex Diarrhoea ACE system was suspended into 9 ml of the Universal Pre-enrichment Broth (Acumedia, Michigan) and incubated at 37 °C for 24 h. One millilitre of the enriched broth was then sub-cultured into 9 ml of the 2X Rappaport-Vassiliadis Enrichment Broth (Neogen, Michigan) and incubated at 42 °C for 24 h. After incubation, a 10 μl loopful of the enriched broth was sub-cultured onto Hektoen Enteric Agar (Oxoid, Hampshire). Presumptive green colonies with black centres on Hektoen Enteric Agar were confirmed using API 20E strips (bioMérieux, France). Serological groups of the isolates were determined using Wellcolex Colour Salmonella latex agglutination tests according to the manufacturer’s instructions (Remel Europe, UK).
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9

Salmonella enterica Strain Evaluation

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A total of 316 strains of Salmonella enterica and 1 strain of S. bongori from the collections of the Institute of Medical Microbiology, Jena, and the Robert Koch Institute, Wernigerode, Germany, were used as samples for the evaluation of the SalmoTyper assay. Twenty-five patient isolates of other Enterobacterales species collected at the Institute of Medical Microbiology, Jena, served as negative control strains. All strains were streaked onto Columbia sheep blood agar and Hektoen enteric agar (Oxoid, Thermo Fisher Scientific, Wesel, Germany) and incubated overnight before LAMP testing.
Species were identified using MALDI-TOF (Vitek MS, bioMeriéux, Nürtingen, Germany) and the identity of Salmonella strains was confirmed by serotyping using group-specific and monospecific antisera (Sifin Diagnostics, Berlin, Germany) according to the White-Kauffmann-Le Minor scheme.
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10

Salmonella Isolation from Rectal Samples

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All rectal samples were immediately seeded on Brain Heart Infusion (BHI) broth and incubated for 5 hours at 37˚C to improve bacteriological yield (7) . After this enrichment phase, 100 µL of the broth was transferred to Hektoen enteric agar (Oxoid, UK) supplemented with 4 µg/L cefotaxime and incubated at 37°C for 24 hours. Predominant colonies of different morphotypes were identified to species level by using in-house biochemical test panels including Triple Sugar Iron (TSI) agar, Sulfur-Indole-Motility test, Simmons´s citrate agar, and urease test.
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