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4 protocols using ceftazidime pentahydrate

1

Cefepime Quantification in Biological Fluids

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Animals were administered cefepime hydrochloride (Hospira, Lake Forest, IL [lot no. 144G005]) for injection. Artificial CSF (Tocris Bioscience, Bristol, UK) and normal saline (Abbott [lot no. C950212]) were used as in the sampling methods described below. Liquid chromatography-tandem mass spectrometry (LC-MS/MS) standard curves were generated using commercially obtained cefepime hydrochloride (USP) (Chem-Impex International, Inc., Wood Dale, IL) with a purity of greater than 99.5%. Ceftazidime pentahydrate (Acros Organics, NJ) was used as an internal standard for the cefepime quantification. Formic acid was obtained from Thermo Fisher Scientific (Waltham, MA). Acetonitrile (BDH [lot no. 16I011254]) and methanol (BDH [lot no. 16L204024]) were obtained from VWR Analytical (Chicago, IL). Milli-Q water was obtained from Midwestern University via an Aqua Solutions water purification dispensatory. Frozen, nonmedicated, nonimmunized, pooled Sprague-Dawley rat plasma (anticoagulated with disodium EDTA) and CSF were used for calibration of standard curves (BioreclamationIVT, Westbury, NY).
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2

Optimizing Rapid CAZ/AVI NP Test Parameters

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On the basis of our previous experience developing several rapid diagnostic NP tests, we set and compared different parameters to determine the optimal conditions of the Rapid CAZ/AVI NP test by using 2 CAZ/AVI–susceptible isolates (1 E. coli ATCC 25922 and 1 KPC3-producing K. pneumoniae 3074) as negative controls and 2 CAZ/AVI–resistant isolates (1 NDM-5-producing E. coli 3031 and 1 KPC-41-producing K. pneumoniae 3007) as positive controls. Those parameters included bacterial inoculum, 98% ceftazidime pentahydrate (Acros Organics, Thermofisher Scientific) concentrations, avibactam sodium hydrate (MedChem Express, distributed by Lucerna-Chem, https://lucerna-chem.ch) concentrations, and incubation times with and without shaking. After comparison of the results with different parameters, all experiments were performed in triplicate by 2 persons using the optimal protocol obtained, as described below.
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3

Determination of Antibiotic Susceptibility

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Stock solutions of kanamycin sulfate (Fisher
Chemical, U.K.), cefotaxime sodium salt (Roth, Germany), gentamycin
sulfate (Toku-E), spectinomycin dihydrochloride pentahydrate (Roth,
Germany), tetracycline hydrochloride (Roth, Germany), doxycycline
hyclate (Roth, Germany), ceftazidime pentahydrate (Acros Organics,
Belgium), amikacin sulfate (Toku-E), tobramycin sulfate (Toku-E),
fosfomycin sulfate (Toku-E), imipenem (Toku-E), and meropenem (Toku-E)
were dissolved in distilled water. Chloramphenicol (Toku-E) and levofloxacin
(Toku-E) were dissolved in 50% ethanol. Norfloxacin (Toku-E) was dissolved
in 5% acetic acid (POCH, Poland). Ciprofloxacin (Toku-E) was dissolved
in 0.1 M NaOH (POCH, Poland). Trovafloxacin mesylate (Sigma, Germany)
and nitrofurantoin (Toku-E) were dissolved in DMSO (Roth, Germany).
We determined the minimal inhibitory concentrations (MICs) of testing
antibiotics by the standard broth dilution method. After overnight
incubation on 96-well plates, we estimated MIC values: 1.5 μg/mL
kanamycin, 0.64 μg/mL cefotaxime, 0.75 μg/mL gentamycin,
3 μg/mL spectinomycin, 1.5 μg/mL tetracycline, 0.5 μg/mL
doxycycline, 1 μg/mL chloramphenicol, 0.02 μg/mL norfloxacin,
0.006 μg/mL ciprofloxacin, 0.004 μg/mL levofloxacin, 4
μg/mL amikacin, 4 μg/mL fosfomycin, 0.004 μg/mL
trovafloxacin, 1 μg/mL ceftazidime, 1.5 μg/mL tobramycin,
0.75 μg/mL imipenem, 0.1 μg/mL meropenem, and 3 μg/mL
nitrofurantoin.
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4

Characterization of Enzymatic Activities

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Hexamethylenetetramine (≥99%), aluminum chloride (≥98%), agar (Agar-Agar), and LB broth were obtained from Carl Roth Gmbh & Co Kg (Karlsruhe, Germany). The 2,2-diphenyl-1-picrylhydrazyl (DPPH) (99%), methanol (≥99.9%), rutin (95%), Viscozyme® L, cellulase from Aspergillus niger, Clara-diastase, lipase from Aspergillus oryzae, protease from Bacillus species, amyloglucosidase from Aspergillus niger, Tween 20 broth, trichloroacetic acid (≥99%), starch (soluble) and 3,5-dinitrosalicylic acid (DNS) were obtained from Sigma-Aldrich Corporation (Taufkirchen, Germany). Folin–Ciocalteu reagent, casein and acetonitrile (≥99.8%) were supplied by Merck (Darmstadt, Germany). Sodium carbonate, calcium carbonate, and acetic acid (99.9%) were bought from Reachem S.r.o. (Bratislava, Slovakia). Sodium acetate (trihydrate) (99%) was obtained from ChemPur (Piekary Śląskie, Poland). Cellulose and ceftazidime pentahydrate (98%) were obtained from Acros Organics (Geel, Belgium). Bidistilled water was prepared by means of the distillation apparatus Thermo Scientific (Fremont, CA, USA).
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