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12 protocols using biotyper database

1

Rapid Bacterial Identification and Antibiotic Resistance Profiling

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Samples were initially processed on chromogenic agar (CHROMagar Orientation, Mast Diagnostica, Reinfeld, Germany) for a rapid identification of E. coli colonies. Confirmation of single bacterial E. coli colonies with a typical morphology and of all untypical colony morphologies was performed using MALDI- TOF (MALDI Microflex LT® and Biotyper database® Bruker Daltonics, Bremen, Germany). Phenotypic antimicrobial resistance analysis of randomly picked colonies of the cecum samples obtained in necropsy was performed by using VITEK 2 system to confirm their identity as the inoculated ESBL- and AmpC- strains.
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2

Colistin Resistance and Platelets in E. coli

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In order to test strains of E. coli against platelets and to see if there is a possible cross-resistance between resistance to colistin and resistance to platelet antimicrobial peptides, ten strains of E. coli were selected. Five laboratory colistin-sensitive strains were used (ATCC 25922, ATCC 11303, K12, J53 and BL21DE3). Five colistin-resistant human isolates stored at the IHU were also tested (LH1, LH30, Q1065, Q1066 and Q6269) (Table 1). Identification was confirmed using matrix-assisted laser desorption/ionization time-of-flight (MALDI-TOF) mass spectrometry and the Biotyper database (Bruker, Dresden, Germany). Strains were grown at 37 °C in an overnight culture of Columbia agar +5% sheep blood (bioMérieux, Marcy l’Etoile, France). After 18 h of incubation at 37 °C, the colonies were removed and suspended in 0.9% NaCl medium to obtain the required concentrations: 1 × 108 CFU (Colony Forming Unit)/mL for flow cytometry and 3 × 108 CFU/mL for growth test.
For each strain, the minimum inhibitory concentration (MIC) of colistin (Table 1) was tested by microdilution in accordance with the recommendations of the European Committee on Antimicrobial Susceptibility Testing (EUCAST).
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3

Microbial Enumeration and Identification

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Colony forming units of the shell rinse suspensions were determined using: 1) Plate count (PC) agar for total bacterial count, 2) MacConkey agar no. 3 (MacC) for Enterobacteriaceae, 3) Columbia Horse Blood CNA Agar (CNA) for Gram-positive cocci (Staphylococci and Streptococci), 4) Brilliance UTI Clarity™ Agar (UTI) for coliforms and Enterococci, 5) Brilliance MRSA 2 Agar (MRSA) for the screening of methicillin-resistant Staphylococcus aureus, and 6) MacConkey agar no. 3 + Cefotaxime 4μg/ml (ESBL) for the screening of ESBL and AmpC producing bacteria.
As plating method, a triple droplet method was used with a serial dilution, depending on the disinfection group [32 (link)]. From each dilution, triplicates of 10μl were dripped onto the solid medium surface. All suspension samples were dripped onto all five media and incubated for 18–24 hrs. at 37°C. As for the overnight culture, 100 μl from each sample was spread across the MacConkey + Cefotaxime media surface and incubated for 18–24 hrs. at 37°C.
After incubation, all media were analyzed to establish cfu values for each tested egg. Random colonies from the different media were picked and analyzed using Matrix-Assisted Laser Desorption Ionization Time of Flight Mass Spectrometry (MALDI-TOF) Microflex LT® and Biotyper database® (Bruker Daltonics, Germany).
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4

Identification of ESBL-producing E. coli

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After selection of unsusceptible E. coli via agar dilution with cefotaxime containing MacConkey-agar (1 μg/mL), the species was confirmed using MALDI-TOF identification (MALDI Microflex ® LT and Biotyper ® database, Bruker Daltonics, Bremen, Germany). Identification of ESBL encoding genes of the CTX-M, TEM, SHV and CYM families was carried out by PCR according to the method published by Roschanski et al. [34 (link)].
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5

Detecting ESBL/AmpC E. coli from Livestock

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Extended-spectrum β-lactamases/AmpC-producing E. coli strains derived from the strain collection of the Institute for Animal Hygiene and Environmental Health, Freie Universitaet Berlin. The isolates were obtained from 7 different pig farms (n = 104) and 22 turkey farms (n = 51) in Germany. Each isolate originated from an individual sample including feces, boot swabs, manure, air or dust. ESBL/AmpC E. coli were selected using MacConkey agar (Oxoid, CM 0115, Wesel, Germany) supplemented with 1 mg/L cefotaxime, followed by species confirmation using MALDI-TOF identification (MALDI Microflex LT and Biotyper database, Bruker Daltonics, Bremen, Germany). The presence of the β-lactamase genes blaCTX, blaTEM, blaSHV and the CIT-type AmpCs (e.g., CMY-2) was confirmed by real-time PCR as described by Roschanski et al. (2014) (link).
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6

Identification of Group B Streptococcus

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GBS were isolated from sterile sites by culture of the clinical sample on sheep blood agars such as Columbia agar. Before 2010, the identification of GBS was based on micro- and macroscopic examination (Gram staining, beta-hemolysis) and identification of the group B antigen using a rapid agglutination tests. After 2010, suspected colonies were identified using Matrix-Assisted Laser Desorption/Ionization Time-of-Flight Mass Spectrometry (MALDI-TOF MS) and the Biotyper database (Bruker Daltonics). Invasive strains were referred to the Belgian National Reference Centre (CHU Liège) for further testing including capsular serotyping and/or genotyping, and isolates were kept stored at − 80 °C in sterile glycerol-free skimmed milk.
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7

Bacterial Strain Identification and Culturing

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Strains from the CSUR (Collection des souches de l’unité des Rickettsies, IHU Méditerranée infection, Marseille France) were used. Bacterial strains were identified by Maldi Toff mass spectrometry using the Bio Typer database (Bruker, Dresden, Germany). In a second time, they were cultured on 5% sheep blood-enriched Columbia agar (COS, BioMérieux, Marcy l’Etoile, France). After 18 h of incubation at 37°C, colonies were removed and suspended in NaCl at the required concentration. Three different strains of each species were used, thus Methicillin sensitive S. aureus (P6142, P2188 and P6141) and S. sanguinis (P8633, P760 and P2754). All strains were isolated from positive blood cultures.
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8

Profiling E. coli Strains for Platelet Activation

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The strains used in this study were selected from each group based on our previous results [9 (link)]. The two main selection criteria are the capacity of the strain to induce platelet activation and the profile toward the platelet inhibitory effect (Table 1).
The strains represent the following profiles: E. coli J53, platelet sensitive strain which induces platelet activation; E. coli K12, platelet resistant strain which induces platelet activation; and E. coli LH30, platelet resistant strain which does not induce platelet activation (Table 1).
Identification was confirmed using matrix-assisted laser desorption/ionization time-of-flight (MALDI-TOF) mass spectrometry and the Biotyper database (Bruker, Dresden, Germany). Strains were grown at 37 °C in an overnight culture of Columbia agar +5% sheep blood (bioMérieux, Marcy l’Etoile, France). After 18 h of incubation at 37 °C, the colonies were removed and suspended in 0.9% NaCl medium to obtain the required concentrations: 1 × 108 CFU (colony format units).
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9

Chromogenic Identification of ESBL/pAmpC E. coli

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The sample processing was identical to the one which was described in our seeder-bird colonization model [12 (link)]. Chromogenic orientation agar (CHROMagar Orientation, Mast Diagnostica, Reinfeld, Germany) was used for a reliable identification of the E. coli colonies. To confirm the ESBL-/ pAmpC- absence in the experimental room and the newly hatched broiler chickens, the agar was supplemented with two μg/ml cefotaxime (AppliChem, Darmstadt, Germany). In order to process all other samples, a set of four chromogenic agar plates which has proven suitable for our study was used. The total count of E. coli colonies was determined using an agar plate without selective media (positive control). For the detection of the ESBL- E. coli 10716, one plate was supplemented with two μg/ml cefotaxime and four μg/ml enrofloxacin (Sigma- Aldrich, Steinheim, Germany). For the detection of the pAmpC- E. coli 10717, one agar plate was supplemented with two μg/ml cefotaxime and seven μg/ml colistin (Carl Roth, Karlsruhe, Germany). The fourth agar plate contained all three antibiotics in the given concentrations (negative control). All samples were incubated for 24 h at 37°C. Every untypical E. coli colony morphology was further analyzed using MALDI- TOF (MALDI Microflex LT® and Biotyper database®; Bruker Daltonics, Bremen, Germany).
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10

MALDI-TOF MS Spectral Processing

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FlexAnalysis Software (Bruker Daltonics) was used for visual inspection and mass spectra processing such as smoothing, normalization, baseline subtraction and peak picking.
Acceptable spectra for reference strain were defined by the experimenter. The four spectra must be stackable, the baseline must be flat, sufficient intensity must be around 1.10e4. Main spectra projections (MSP) were generated considering the four spectra average obtained by the second protocol and were saved separately from the Biotyper database (Bruker Daltonics). The name of the MSP species was given by the first protocol. The addition of a given reference strain was made using the "MSP creation" function in the MALDI Biotyper software (version 3.0) comprising Bruker's default parameters (maximum mass error of each single spectrum, 2,000; desired mass error for the MSP, 200; desired peak frequency minimum, 25%; maximum desired peak number for the MSP, 70).
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