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Antibiotic Susceptibility Testing of Isolated Strains

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The susceptibility of isolated strains was tested with 11 antibiotics belonging to the different classes (β-lactamines, cyclin, aminoglycosides, macrolides, quinolones, glycopeptides, phenicoles, and sulfa) by the disk diffusion method on Mueller-Hinton agar (Conda-Pronadisa, Madrid, Spain), according to the standards [9 ,10 ] recommended by the WHO. The antibiotic discs (BioRad, Marnes-la-Coquette, France) used are as follows: Penicillin (10 UI), cefoxitin (30 µg), tetracycline (30 µg), neomycin (30 µg), gentamicin (10 µg), erythromycin (15 µg), clindamycin (2 µg), ofloxacin (5 µg), vancomycin (30 µg), chloramphenicol (30 µg), and trimethoprim + sulfamethoxazole (1.25/23.73 µg).
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Antimicrobial Activity of A. fruticosa Fruits EO

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The stock solutions of A. fruticosa fruits EO used for further assays were prepared 1:1 in DMSO (dimethyl sulfoxide). The antimicrobial activity screening was determined by employing an adapted disk diffusion technique, using 10 μL of stock solution of EO, which contained 295 mg EO solubilized in 1 mL of DMSO. The minimum inhibitory concentrations (MICs) were measured as described previously [43 ]. Briefly, serial dilutions of the stock solutions in liquid medium (Brain heart infusion broth for bacterial strains and Sabouraud broth for yeasts) were prepared in 96 wells plates (concentrations 29.5–0.46 mg/mL). Then 10 μL of the microbial suspension with the standard density of 0.5 Mc Farland was added to each well, positive and negative controls were used for each strain. The positive control antibiotic disks used in diffusion method include oxacillin (1 µg) (Bio-Rad, Hercules, CA, USA); ticarcillin-clavulanic acid (75 + 10 µg) (Bio-Rad); ceftriaxone (30 µg) (Bio-Rad); cefalexin (30 µg) (Bio-Rad); vancomycin (30 µg) (Bio-Rad); ofloxacin (5 µg) (Bio-Rad); colistin (10 µg) (Bio-Rad); erythromycin (15 μg) (Bio-Rad). The antibiotics were chosen according to CLSI and literature data for each tested strain. The plates were incubated for 24 h at 37 °C. The absorbance was measured at 620 nm with an Apollo LB 911.
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Antibiotic Susceptibility of Staphylococcus Strains

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The susceptibility of each Staphylococcus strain to antibiotics was determined by the diffusion method [35 ]. The tested antibiotics (Bio-Rad) were as follows: penicillin G (P 10 µg), amikacin (AK 30 µg), fosfomycin (FOS 50 µg), cefoxitin (FOX 30 µg), gentamycin (GEN 10 µg), erythromycin (E 15 µg), lincomycin (MY 15 µg), ciprofloxacin (CF 5 µg), ofloxacin (OFX 5 µg), amoxicillin (AMO 20 µg), cefotaxime (CTX 30 µg), tetracycline (TET 30 µg), trimethoprim-sulfamethoxazole (SXT 23.75 µg), amoxicillin-clavulanic acid (AMC 20 µg), and fusidic acid (FD 10 µg).
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4

Antimicrobial Susceptibility Testing Protocol

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Antimicrobial susceptibility testing was performed according to the 2016 recommendations of the Antibiogram Committee of the French Society for Microbiology1. Disk diffusion method was performed for amikacin, amoxicillin +/- clavulanic acid, aztreonam, cefalotin, cefepime, cefoxitin, cefpirom, cefotaxime, ceftazidime, chloramphenicol, ciprofloxacin, colistin, cotrimoxazole, fosfomycin, gentamicin, imipenem, isepamicin, levofloxacin, moxalactam, nalidixic acid, netilmicin, ofloxacin, piperacillin, piperacillin/tazobactam, tetracycline, ticarcillin +/- clavulanic acid, and tobramycin (Bio-Rad®). E-test (bioMérieux®) was performed when inhibition zone diameters were observed around disks, and minimal inhibitory concentration (MIC) results that differed by more than two dilutions were considered as different. For ciprofloxacin, MICs were determined by the agar dilution reference method.
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