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2 protocols using norfloxacin

1

Antimicrobial Susceptibility Testing of ESBL-Producing K. pneumoniae

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The ESBL-producing K. pneumoniae isolates were tested for
antimicrobial susceptibility testing (AST) using disk diffusion technique
according to the Clinical and Laboratory Standards Institute (CLSI)
instructions9. Antimicrobials were classified as follows: aztreonam (ATM, 30 μg),
gentamicin (CN, 10 μg), ciprofloxacin (CIP, 5 μg), ceftazidime (CAZ, 30 μg),
levofloxacin (LEV, 5 μg), amoxicillin/clavulanate (AMC, 30 μg), trimethoprim
(TMP, 5 μg), norfloxacin (NOR, 10 μg), cefotaxime (CTX, 30 μg), nitrofurantoin
(F, 300 μg), imipenem (IPM, 10 μg), chloramphenicol (C, 30 μg), tetracycline
(TE, 30 μg), and ceftriaxone (CRO, 30 μg) (Bioanalyse, Turkey). MDR isolates
were determined according to the previous definition (resistance to at least one
member of three antibiotics classes)10. Escherichia coli ATCC 25922 and K.
pneumonia
e ATCC 700603 were used as quality control strains.
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2

Antibiotic Sensitivity Testing by Agar Disc Diffusion

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Antibiotic sensitivity testing (AST) was performed by Kirby-Bauer test using Agar Disc Diffusion Method in Mueller-Hinton medium, following recommendations of the Clinical Laboratory Standards Institute (CLSI, 2018, 28 th ) for Antibiotic sensitivity testing in the medical laboratories. The following 7 antibiotics of fluoroquinolones were used: Nalidixic Acid (30µg), CiprOfloxacin (10µg), Norfloxacin (10µg), Ofloxacin (5µg), Lomafloxacin (10µg), LevOfloxacin (5µg), and Trovafloxacin (10µg), which were all obtained from BioAnalyse, Turkey [14] .
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