Thawed nasal swabs were plated onto blood agar and incubated at 37 °C for 24–48 h in ambient air. All colonies with different morphology were isolated and identified using MALDI-TOF mass spectrometry (Bruker Daltonics, Bremen, Germany).
Defrosted fecal samples were plated on selective medium for isolation of ESBL-producing organisms (BrillianceTM ESBL Agar, Oxoid, Basingstoke, UK) and incubated at 37 °C for 24 h. Then two colonies per plate with morphology suggestive of Escherichia coli or the Klebsiella, Enterobacteria, Serratia, and Citrobacter group (KESC) were selected and confirmed at species level using MALDI-TOF mass spectrometry (Bruker Daltonics, Bremen, Germany).