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Meronem

Manufactured by AstraZeneca
Sourced in United States, United Kingdom

Meronem is a type of antibacterial medication used to treat various types of infections. It is a carbapenem antibiotic that works by inhibiting the synthesis of the bacterial cell wall, leading to the death of the bacteria.

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5 protocols using meronem

1

Inducing Ulcerative Colitis in Mice

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All procedures involving animals were approved by the Institutional Animal Care and Use Committee of the Jiangsu Province Institute of Traditional Chinese Medicine and written up following the ARRIVE guidelines. Experiments were performed in accordance with published National Institutes of Health guidelines. 6–8-week-old C57BL/6 male healthy mice were used to adapt to the laboratory conditions for 1 week prior to the experiments. Ulcerative colitis was induced in mice by administering 3% DSS (W/V) solution in distilled water for 7 days. In the HQD group, the mice received 9.1 g/kg HQD via oral gavage daily along with DSS. Mice in control group and DSS group consumed the same volume of water as controls. In the last two days, mice in the experiments were given distilled water (Figure 1A).
For antibiotic treatment, 1 g/L ampicillin (ICN Biomedicals), 1 g/L neomycin (Sigma), 0.5 g/L meronem (AstraZeneca) and 0.5 g/L vancomycin (Sigma) were added to the drinking water for 30 days. AB-containing drinking water was refreshed every second day [24 (link)].
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2

Antibiotic Susceptibility of Enterobacteriaceae and A. baumannii

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For each of the Enterobacteriaceae and A. baumannii isolates included in this study, the minimal inhibitory concentrations (MICs) of Imipenem (as Imipenem/Cilastatin, Tienam®, Merck & Co., Inc., Whitehouse Station, NJ, United States), Ertapenem (Invanz®, Merck & Co., Inc., Whitehouse Station, NJ, United States), and Meropenem (Meronem®, AstraZeneca, Wilmington, DE, United States) were determined via antimicrobial broth microdilution in accordance with the Clinical and Laboratory Standards Institute (CLSI) guidelines (Clinical and Laboratory Standards Institute [CLSI], 2012 ). Escherichia coli (ATCC® 25922TM) was used as a quality control strain (Clinical and Laboratory Standards Institute [CLSI], 2018c ).
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3

Antibiotic Potency Determination Protocol

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The following antibiotics were obtained as microbiological standard from Sigma-Aldrich, St Louis, MO (sodium salts, potency in brackets): ticarcillin (TIC; 85.25%), piperacillin (PIP; 94.20%), carbenicillin (CAR; 89.16%), and cefoxitin (FOX; potency, 95.11%). The remaining antibiotics were obtained as powder for parenteral use from their corresponding manufacturers (potency in brackets): temocillin (TMO, 78.12%) as Negaban® from Eumedica (Manage, Belgium), piperacillin-tazobactam (TZP; 97.00%) as Tazocin® from Wyeth (Louvain-La-Neuve, Belgium), ceftazidime (CAZ, 88.20%) as Glazidim® from Glaxo-SmithKline (Genval, Belgium), imipenem (IPM, 45.60% [due to the presence of cilastatin in the powder]) as Tienam® from MSD (Brussels, Belgium), and meropenem (MEM, 74.00%) as Meronem® from AstraZeneca (Brussels, Belgium).
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4

Meropenem Susceptibility Testing Protocols

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All isolates were examined for in vitro meropenem susceptibility test by using the following disks that were made from Meronem (AstraZeneca, UK), Exipenem (Exir, Iran), and Meroxan (DAANA, Iran) powders; each of these disks was compared with the other kind of meropenem products. Sterile blank diffusion disks were placed in labeled plates for meropenem products. Sterile blank disks were saturated with 20 µl of individual stock meropenem products. After the disks were dried, these were ready to be used for disk diffusion. Commercially available antibiotic disks (meropenem; MAST, UK) were used as standards for comparison.
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5

DSS-Induced Colitis in Mice

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Seven-week-old to eight-week-old sex-matched co-housed littermates were administered 1% or 2% DSS (36–50 kDa; MP Biomedicals) in their drinking water ad libitum for 7 consecutive days, followed by 2 days of normal drinking water. Survival and clinical parameters, such as weight loss, rectal bleeding and diarrhoea were monitored daily. The appearance of blood in the stool was measured by haemoccult tests (Beckman Coulter), and was given a score from 0 to 4, defined as follows: 0 for no blood; 2 for positive haemoccult; and 4 for gross bleeding. The severity of diarrhoea was given a score from 0 to 4, defined as follows: 0 for well-formed pellets; 2 for pasty and semiformed stools; and 4 for liquid stools. All clinical scorings were performed in a blinded fashion. Postmortem, the entire colon was removed from caecum to anus, and the colon length was measured as a marker for inflammation.
For antibiotic treatment, 1 g/L ampicillin (ICN Biomedicals), 1 g/L neomycin (Sigma), 0.5 g/L meronem (AstraZeneca) and 0.5 g/L vancomycin (Sigma) were added to the drinking water starting from weaning for 28 days. AB-containing drinking water was refreshed every second day.
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