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30 protocols using amoxicillin

1

Antibiotic Resistance Profiling of Clinical Isolates

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Antibiotic susceptibility test (AST) of both clinical isolates was performed using the modified Kirby-Bauer disk diffusion method on Mueller Hinton agar (Hi-Media Laboratories, India) following standard zone size interpretative criteria set by the Clinical and Laboratory Standards Institute (CLSI) [25 ]. The different antibiotic disks used in this study during AST were procured from HiMedia Laboratories, India, and include amoxicillin (30 μg), gentamicin (10 μg), cotrimoxazole (25 μg), ciprofloxacin (5 μg), imipenem (10 μg), amoxicillin/clavulanic acid (20/10 μg), cefotaxime (30 μg), ceftriaxone (30 μg), ceftazidime (30 μg), aztreonam (30 μg), and cefpodoxime (10 μg). The E. coli and K. pneumoniae isolates were regarded as MDR isolates if they were resistant to at least one agent of three different classes of antimicrobial disks [2 (link)].
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2

Antibiotic Resistance Profiling of E. coli

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The antibiotics resistance pattern of E. coli isolates against 20 different antibiotics such as ampicillin (10 mcg), amoxicillin (10 mcg), ceftazidime (30 mcg), cefoperazone (75 mcg), cefpodoxime (30 mcg), cefepime (30 mcg), clotrimazole (10 mcg), cefazolin (30 mcg), cefotaxime (30 mcg), cotrimaxozole (25 mcg), ceftriaxone (30 mcg), chloramphenicol (30 mcg), meropenem (10 mcg), moxifloxacin (5 mcg), nystatin (100 units), nitrofurantoin (300 mcg), norfloxacin (10 mcg), nitrofurantoin (300 mcg), penicillin (10 units) and tetracycline (30 mcg) (HiMedia, India) was performed on Mueller Hinton agar at 37 o C for 24 hrs as per standard agar-disc diffusion method (Bauer et al., 1966) . The selection of antimicrobial drugs was based on their common use, availability and as per the recommendations of Clinical and Laboratory Standards Institute (CLSI). After incubation, the zone of inhibition was measured and interpreted as sensitive, resistant and intermediate sensitive as per CLSI recommendations (Clinical and Laboratory Standards Institute, 2014).
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3

Antibiotic Susceptibility of STEC Isolates

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All PCR-confirmed STEC isolates were tested for antibiotic sensitivity. The susceptibility test was employed according to the Kirby-Bauer disc diffusion method using eight (amoxicillin (20 μg), ciprofloxacin (5 μg), streptomycin (10 μg), gentamicin (10 μg), ampicillin (25 μg), chloramphenicol (30 μg) (HiMedia, India), kanamycin (10 μg), and tetracycline (10 μg) (Oxoid, England)), commercially available antibiotic-impregnated disks. The antibiotics were selected based on the treatment of choice for E. coli strains. Antibiotics were also selected based on their availability and frequent utilization for treating disease in the area. Mueller Hinton (MHA) agar media (Oxoid, England) and a 0.5 Mac-Farland standard suspension of the bacteria were prepared to culture and adjust the density of the bacterial suspension, respectively. The result of the zone of inhibition was measured and interpreted as sensitive, intermediate, or resistant according to the Clinical and Laboratory Standards Institute (CLSI) guidelines [24 (link)].
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4

Antibiotic Susceptibility Testing of Bacterial Isolates

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The disk diffusion method on Muller-Hinton agar medium (MH) (Oxoid, UK) was performed to assess the sensitivity of Staphylococcus aureus, Escherichia coli, and Proteus spp. isolates against standard antibiotic disks of 8 mm, including Cefotaxime, Gentamicin, Ciprofloxacin, and Amoxicillin (Himedia, India). The isolates were suspended in sterile water and diluted according to MacFarland microbial suspension, which approximately contained 1×108 CFU/ml. The cultures were incubated at 37°C for 18 hr, according to Kirby-Baur. The zones of inhibition were determined by the National Committee for Clinical Laboratories Standard rules [25 ]. All measurements were executed three times to obtain an average result. Activity Index (AI) and Fold Increase were calculated based on the inhibition zone diameters using Equation 2 and Equation 3 to compare the performance of Co nanoparticles compared to standard antibiotics [19 (link)–24 (link)].
Where Ic is the inhibition zone diameter of Co NPs and Ia is the inhibition zone diameter of antibiotics.
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5

Antibiotic Susceptibility Testing of Bacterial Isolates

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The antimicrobial susceptibility of bacterial isolates was performed by using Kirby Bauer Disk diffusion method on Mueller Hinton Agar (Hi-Media, India) according to the CLSI guidelines [15 ]. The antibiotic susceptibility pattern was examined by using commercial antibiotic discs including Amoxicillin (10μg), Ceftazidime (30μg), Gentamicin (10μg), Tetracycline (30μg), Nitrofurantoin (300μg), Cotrimoxazole (1.25μg), Nalidixic acid (30μg), Cefoxitin (30μg), Azithromycin (15μg), and Ciprofloxacin (5μg) (Hi-Media, India). The Escherichia coli isolate ATCC 25922 and Staphylococcus aureus isolate ATCC 25923 were used as reference organisms for quality control to antimicrobial susceptibility testing.
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6

Antimicrobial Susceptibility Profiling

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All of P. multocida and M. haemolytica isolates were tested for their susceptibility to amoxicillin (30 µg), cefotaxime (30 µg), amikacin (30 µg), gentamicin (10 µg), ciprofloxacin (5 µg), enrofloxacin (5 µg), tetracycline (30 µg), and chlortetracycline (30 µg) disks (HiMedia, Mumbai) using disk diffusion method [10 ]. Escherichia coli ATCC 25922 was used as a quality control strain. The interpretation of the results was based on the Clinical and Laboratory Standards Institute breakpoints [11 ].
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7

Antibiotic Susceptibility Testing Protocol

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The antimicrobial susceptibility test was performed using Kibry-Bauer disk diffusion method on Muller Hinton agar (HiMedia-India). Isolates were tested for the following antibiotics; ciprofloxacin (5 μg), chloramphenicol (30 μg), tetracycline (30 μg), ampicillin (10 μg), streptomycin (10 μg), enrofloxacin (30 μg), co-trimoxazole (Thrimethoprimsulfmethoxazole) (25 μg), gentamycin (10 μg), amoxicillin (10 μg) and ceftriaxone (30 μg) (HiMedia-India). According to the width of the inhibitory zone, the pattern of drug sensitivity was determined as susceptible and resistant.
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8

Flavonoid Analysis by HPLC

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HPLC (high-performance liquid chromatography) grade methanol and trifluoroacetic acid were procured from Thermo Fisher Scientific (Waltham, MA, US). Flavonoid standards such as kaempferol, luteolin, quercetin, and quercetin 3-β-d-glucoside were purchased from Sigma-Aldrich Ltd. (New Delhi, India) with ≥97.0% purity. Nutrient agar, amoxicillin, potassium acetate, aluminium chloride and other chemicals were obtained from Himedia Laboratories (Mumbai, India).
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9

Antibiotic Sensitivity of Listeria Isolates

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All Listeria isolates were subjected to antibiotic sensitivity test against 12 different antimicrobial agents by agar diffusion method in Mueller-Hinton AGAR [15 ]. Listeria isolates were tested against amoxicillin (10 mg), cefixime (10 mg), chloramphenicol (25 mg), furazolidone (100 mg), co-trimoxazole (25 mg), oxytetracycline (30 mg), erythromycin (15 mg), chlortetracycline (30 mg), streptomycin (10 mg), and nitrofurazone (100 mg), neomycin (10 mg), doxycycline hydrochloride (30 mg), and antibiotic discs (HiMedia, Mumbai). The clinical breakpoints for Listeria susceptibility testing were defined according to the Clinical and Laboratory Standard Institute [16 ] and the isolates were grouped as sensitive, intermediary sensitive, and resistant against each antibiotic.
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10

Antimicrobial Resistance in Campylobacter

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Isolates of Campylobacter spp. were tested via the disk diffusion method [37 (link)] using eight (8) commercially available antimicrobials in Bangladesh, viz., amoxicillin (30 μg), ciprofloxacin (5 μg), azithromycin (30 μg), erythromycin (30 μg), tetracycline (30 μg), streptomycin (10 μg), gentamicin (10 μg), and ceftriaxone (30 μg) (HiMedia, Mumbai, India). The zones of inhibition growth were evaluated as the diameter zone as per parameters specified by the Clinical and Laboratory Standard Institute (CLSI) [38 ], thus established as resistant (R), intermediate resistant (I) or susceptible (S) against the antimicrobial agents. In this testing, the E. coli ATCC 25922 strain was used as a quality control organism. All evaluations were validated by conducting at least two replications of the disk diffusion test. Multidrug resistance (MDR) was decided as the resistance to a minimum of three different classes of antimicrobial agents [39 (link)].
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