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10 protocols using nalidixic acid

1

Antibiotic Susceptibility Testing of Bacterial Isolates

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Antibiotic susceptibility test was done by disc diffusion method following the guidelines of Clinical and Laboratory Standards Institute (CLSI) using commercially available antibiotic disc (Oxoid, Basingstoke, United Kingdom). The antibiotic discs used in this study were ampicillin (Amp; 10 µg), sulphamethoxazole-trimethoprim (Sxt; 25 µg), mecillinam (Mel; 25 µg), nalidixic acid (Na; 30 µg), ciprofloxacin (Cip; 5 µg), norfloxacin (Nor; 10 µg), ofloxacin (Of; 5 µg), azithromycin (Azm; 15 µg), and ceftriaxone (Cro; 30 µg) [24] . The minimum inhibitory concentrations (MICs) of nalidixic acid, ciprofloxacin, norfloxacin, ofloxacin, azithromycin, and ceftriaxone were determined by the E-test (AB Biodisk, Solna, Sweden).
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2

Antimicrobial Susceptibility of ETEC

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Antimicrobial agents from Oxoid, Basingstoke, United Kingdom were used to determine bacterial susceptibility by using the guidelines of National Committee for Clinical Laboratory Standards [36 ]. The antibiotic discs used in the study included ampicillin (10 μg), azithromycin (15 μg), ceftriaxone (30 μg), ciprofloxacin (5 μg), doxycycline (30 μg), erythromycin (15 μg), mecillinam (25 μg), nalidixic acid (30 μg), norfloxacin (10 μg), streptomycin (10 μg), sulfomethoxazole-trimethoprim (25 μg) and tetracycline (30 μg). The minimum inhibitory concentrations (MIC) of nalidixic acid, ciprofloxacin, and azithromycin were determined by the E-test (AB Biodisk, Solna, Sweden) according to the NCCL guideline. E. coli ATCC 25922, susceptible to all antimicrobials was used as a control strain for susceptibility studies. We performed antibiogram of all ETEC strains collected during the study period and randomly selected the representative nalidixic acid and ciprofloxacin resistant strains. These strains were compared with a few representative nalidixic and ciprofloxacin susceptible strains for genotyping.
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3

Antimicrobial Resistance Profiling

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Antimicrobial susceptibility testing was performed using the Clinical and Laboratory Standards Institute (CLSI) disc diffusion method and interpreting zone diameters in accordance with CLSI guidelines in WHONET software version 5.346 (link). Discs used contained ampicillin (10 µg/ml), streptomycin (10 µg), trimethoprim (5 µg), tetracycline (30 µg), nalidixic acid (30 µg), chloramphenicol (300 µg), sulphonamide (1000 µg) and ciprofloxacin (5 µg) (Oxoid/Remel). E. coli ATCC 35218 and DH5αE (Invitrogen) were used as control strains. Minimum inhibitory concentrations (MICs) for nalidixic acid and ciprofloxacin were determined using E-test (bioMérieux) on Mueller-Hinton (MH) agar. Kanamycin MICs were determined by agar dilution on Mueller-Hinton Agar.
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4

Antibiotic Susceptibility Testing Protocol

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The antibiotics susceptibility pattern of the isolates was determined using the disk diffusion method on Mueller-Hinton agar (Oxoid, England). Inhibition zone diameter values were interpreted as recommended by the Antibiogram Committee of the French Society of Microbiology [11 ]. The 13 antibiotics (BioMérieux, France) used in this study are amoxicillin/clavulanic acid (20/10 μg), cefotaxime (30 μg), ceftriaxone (30 μg), amoxicillin (30 μg), imipenem (10 μg), gentamicin (10 μg), tobramycin (10 μg), amikacin (30 μg), kanamycin (30 μg), nalidixic acid (30 μg), ofloxacin (5 μg), ciprofloxacin (5 μg), and trimethoprim/sulfamethoxazole (1.25/23.75 μg).
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5

Antibiotic Susceptibility Testing Protocol

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Antibiotic susceptibility was determined by disc diffusion on
Mueller–Hinton agar, in accordance with the guidelines of the Antibiogram
Committee of the French Society for Microbiology [22 ]. The following antimicrobial drugs (Bio-Rad, Marnes-la-Coquette,
France) were tested: ampicillin, cefalotin, cefotaxime, streptomycin,
chloramphenicol, erythromycin, azithromycin, sulfonamides,
trimethoprim-sulfamethoxazole, vibriostatic agent O/129, tetracycline,
doxycycline, minocycline, nalidixic acid, norfloxacin, ofloxacin, pefloxacin,
ciprofloxacin, nitrofurantoin, polymyxin B and colistin (polymyxin E).
Escherichia coli CIP 76.24 (ATCC 25922) was used as a
control. The minimum inhibitory concentrations (MICs) of nalidixic acid and
ciprofloxacin were determined by Etests (bioMérieux, Marcy
L'Etoile, France). The MICs of colistin and polymyxin B were determined
with custom-produced Sensititre microtitre plates (Thermo Fisher Scientific,
East Grinstead, UK) and MIC test strips (Liofilchem, Roseto degli Abruzzi,
Italy), respectively, on 34 isolates chosen on the basis of resistance
phenotype, year and country of isolation.
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6

Antimicrobial Susceptibility Profiling

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MICs were determined by the Etest method according to the manufacturer’s instructions. Antimicrobial agents included aztreonam, ceftazidime, ciprofloxacin, colistin, gentamicin, imipenem, nalidixic acid, tetracycline, tigecycline, tobramycin, and trimethoprim (bioMe’rieux, Marcy-l’_Etoile, France). E. coli ATCC 25922 and Pseudomonas aeruginosa ATCC 27853 were used as quality control strains. Interpretation of antimicrobial susceptibility was based on guidelines of the Clinical Laboratory Standards Institute (CLSI) [49 ].
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7

Antibiotic Susceptibility Testing Protocol

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Antibiotic susceptibility was determined by disc diffusion on
Mueller–Hinton agar, in accordance with the guidelines of the Antibiogram
Committee of the French Society for Microbiology [22 ]. The following antimicrobial drugs (Bio-Rad, Marnes-la-Coquette,
France) were tested: ampicillin, cefalotin, cefotaxime, streptomycin,
chloramphenicol, erythromycin, azithromycin, sulfonamides,
trimethoprim-sulfamethoxazole, vibriostatic agent O/129, tetracycline,
doxycycline, minocycline, nalidixic acid, norfloxacin, ofloxacin, pefloxacin,
ciprofloxacin, nitrofurantoin, polymyxin B and colistin (polymyxin E).
Escherichia coli CIP 76.24 (ATCC 25922) was used as a
control. The minimum inhibitory concentrations (MICs) of nalidixic acid and
ciprofloxacin were determined by Etests (bioMérieux, Marcy
L'Etoile, France). The MICs of colistin and polymyxin B were determined
with custom-produced Sensititre microtitre plates (Thermo Fisher Scientific,
East Grinstead, UK) and MIC test strips (Liofilchem, Roseto degli Abruzzi,
Italy), respectively, on 34 isolates chosen on the basis of resistance
phenotype, year and country of isolation.
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8

Antibiotic Susceptibility Testing Protocol

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Antibiotic susceptibility was determined by disc diffusion on Mueller–Hinton agar, in accordance with the guidelines of the Antibiogram Committee of the French Society for Microbiology (CA-SFM & EUCAST, 2014 ). The following 32 antimicrobial drugs (Bio-Rad) were tested: ampicillin, ticarcillin, piperacillin, piperacillin/tazobactam, cefamandole, cefoperazone, cefoxitin, cefotaxime, amoxicillin/clavulanic acid, ticarcillin/clavulanic acid, imipenem, meropenem, ertapenem, cefepime, ceftazidime, streptomycin, spectinomycin, kanamycin, amikacin, gentamicin, netilmicin, tigecycline, isepamicin, nalidixic acid, pefloxacin, ciprofloxacin, sulfonamides, trimethoprim, sulfamethoxazole/trimethoprim, chloramphenicol, tetracycline and azithromycin. Minimal inhibitory concentration (MIC) values for nalidixic acid, ciprofloxacin and azithromycin were determined by Etests (bioMérieux). E. coli CIP 76.24 (ATCC 25922) was used as a control.
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9

Antibiotic Resistance Profiling of Campylobacter Isolates

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The isolated colonies were further analyzed for antibiotic susceptibility to chloramphenicol, amikacin, erythromycin, tetracycline, ciprofloxacin, nalidixic acid, and enrofloxacin (Sigma-Aldrich, St Louis, MO, USA), according to the guidelines of the Clinical & Laboratory Standards Institute [29 ]. To determine antibiotic resistance, the breakpoints suggested by CLSI [29 ], CDC [30 ], Hong et al. [31 (link)], and Kang et al. [32 (link)] were used as follows: chloramphenicol at 32 μg/mL, amikacin at 64 μg/mL, erythromycin at 32 μg/mL, tetracycline at 16 μg/mL, ciprofloxacin at 4 μg/mL, nalidixic acid at 64 μg/mL, and enrofloxacin at 4 μg/mL. The Campylobacter isolates on Colombia agar (bioMérieux, Marcy-l’Étoile, France) were suspended in Mueller-Hinton broth (MHB; Becton, Dickinson and Company, Sparks, MD, USA) to obtain a McFarland 0.5 standard, and further diluted 10-fold. Using needles, Campylobacter isolates were spotted on Mueller-Hinton agar (MHA; Becton, Dickinson and Company, Sparks, MD, USA) with 5% lysed horse blood plates (Oxoid Ltd., Basingstoke, UK), formulated at 0.5–128 μg/mL with seven antibiotics. The plates were incubated under microaerobic conditions at 37 °C for 48 h. MIC was determined by colony formation on the plates and the reference strain used was Campylobacter jejuni ATCC33560.
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10

Antibiotic Susceptibility of Soil Microbiome

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From the soil extract obtained in saline solution (NaCl 0.45%), it was verified that the density of viable microorganisms was >108 ufc mL−1 (optical density [OD] = 0.5 McFarland). The bacterial extraction was sown in Mueller–Hinton agar (Condalab®, Madrid, Spain), and the minimum inhibitory concentration (MIC) was evaluated by the Kirby–Bauer method, using ε-test antibiotic strips, in triplicate, for the following antibiotics: cefuroxime, cefuroxime axetil, cefoxitin, cefotaxime, ceftazidime, cefepime, ertapenem, imipenem, amikacin, gentamicin, nalidixic acid, ciprofloxacin, tigecycline and trimethoprim/sulfamethoxazole (BioMérieux®, Marcy l’Etoile, France). Plates were then incubated according to the manufacturer’s instructions. For the quantification of the MIC, the most restrictive halo was used as reference.
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