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Sulfamethoxazole

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Sulfamethoxazole is a laboratory reagent used in microbiological applications. It is a sulfonamide antibiotic that inhibits the growth of certain bacteria by interfering with the synthesis of folic acid, an essential nutrient for bacterial cells.

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15 protocols using sulfamethoxazole

1

Antibiotic Susceptibility Profiling of Clinically Relevant Pathogens

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Antibiotic susceptibility tests of clinically important bacteria and fungi were performed and interpreted according to the criteria of the Clinical and Laboratory Standards Institute [13 ] for the corresponding year, and the manufacturers’ instructions were followed for the use of antibiotics.
To assess the resistance of pathogens to other antibiotics, the K-B disk diffusion method was applied. Nine antibiotics were selected: piperacillin, cefoperazone/sulbactam, sulfamethoxazole, ceftazidime, cefotaxime, imipenem, gentamicin, ciprofloxacin, and tigecycline (Oxoid, UK). Polymyxin B was not included in antibiotic susceptibility tests because a preliminary test showed no resistance among the collected strains (Table S1).
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2

Antibiotic Resistance Profiling of S. aureus

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The phenotypic pattern of antibiotic resistance of S. aureus bacteria was investigated using the disk diffusion method on Mueller–Hinton agar (Merck, Germany).13 (link) Principles of the Clinical Laboratory Standard Institute (CLSI) were used for this purpose.14 Diverse kinds of antibiotic agents including aminoglycosides (amikacin (30 µg/disk) and gentamicin (10 µg/disk)), fluoroquinolones (levofloxacin (5 µg/disk) and ciprofloxacin (5 µg/disk)), lincosamides (clindamycin (2 µg/disk)), macrolides (erythromycin (15 µg/disk) and azithromycin (15 µg/disk)), penicillins (penicillin (10 µg/disk)), tetracyclines (doxycycline (30 µg/disk) and tetracycline (30 µg/disk)), phenicols (chloramphenicol (30 µg/disk)), folate pathway inhibitors (trimethoprimsulfamethoxazole (25 µg/disk)), and ansamycins (rifampin (5 µg/disk)) were used for this goal (Oxoid, UK). The method was completed using the protocol characterized previously.14
S. aureus (ATCC 43300 and ATCC 29213) was used as the quality control organism in antimicrobial susceptibility determination.
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3

Antibiotic Resistance Profiling Protocol

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Antibiotic resistance phenotypes were determined by agar diffusion method [20 ].The bacterial inoculum was prepared by bacterial dilution in sterile MilliQ water. This inoculum was seeded in plates with Muller Hinton agar (Oxoid, Basingstoke, England) and after placed the antibiotics disks. The tested antibiotics were as follows: the beta-lactams ticarcillin (75 μg), ticarcillin/clavulanic acid (75/10 μg), ceftazidime (10 μg), cefepime (30 μg), imipenem (10 μg), andmeropenem (10 μg); the aminoglycosides streptomycin (10 μg) and gentamicin (10 μg); tobramycin (10 μg) andamikacin (30 μg); the quinolones levofloxacin (5 μg), nalidixic acid (30 μg), and ciprofloxacin (10 μg); the polymyxincolistin sulfate (10 μg); the sulfonamide sulfamethoxazole (25 μg) andsulfamethoxazole/trimethoprim (23.75/1.25 μg); fosfomycin (50 μg); rifampicin (5 μg); and tetracycline (30 μg) (Oxoid, Basingstoke, England). The strains Escherichia coli ATCC 25922 and Pseudomonas aeruginosa DSM 1117 (ATCC 27853) were included as quality controls. Phenotypes were classified as resistant, intermediary or susceptible according to the manufacturer’s instructions.
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4

Salmonella Antimicrobial Susceptibility Profile

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The antimicrobial susceptibility profile for Salmonella isolates (n = 75) was investigated against 8 different antimicrobial agents using the Kirby–Bauer disc diffusion method (Oxoid Ltd., Basingstoke, UK). The sensitivity pattern was interpreted according to the guidelines of Clinical and Laboratory Standards Institute [40 ]. The antibiotics selected were those commonly used in the poultry industry, including Cefotaxime (CTX, 30 μg), Ceftriaxone (CRO, 30 μg), Ampicillin–Sulbactam (SAM, 10 μg), Amoxicillin–clavulanic (AMC, 30 μg), Impenem (IPM, 10 μg), Sulfamethoxazole–trimethoprim (SXT, 25 μg), Ciprofloxacin (CIP, 5 μg) and (Gentamicin CN, 10 μg) (Oxoid Ltd., Basingstoke, UK). The diameter of the inhibition zone was measured compared with the zone size interpretation chart and was graded as susceptible (S), intermediate (I), and resistant (R).
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5

Antimicrobial Susceptibility of Salmonella

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All Salmonella isolates were tested for antimicrobial susceptibility after their isolation. The testing was performed in the Sanitary Veterinary Laboratory for Food Safety situated in Cluj County, Romania. The testing was made on eleven antimicrobials that are normally used in human and animal therapy. The method applied was the disk diffusion method and the protocol followed exactly the guidelines of the Clinical and Laboratory Standards Institute (CLSI) [35 ,36 ]. The antimicrobial classes tested were ampicillin (AMP, 10 μg), cefotaxime (CTX, 30 μg), ceftazidime (CAZ, 30 μg), chloramphenicol (CHL, 30 μg), ciprofloxacin (CIP, 5 μg), gentamicin (GEN, 10 μg), nalidixic acid (NA, 30 μg), streptomycin (S, 10 μg), sulfamethoxazole (SMX, 300 μg) trimethoprim/sulfamethoxazole (SXT, 1.25/23.75 μg), and tetracycline (TET, 30 μg) (Oxoid, Basingstoke, UK). The interpretation of the results was made according to the CLSI breakpoints.
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6

Antibiotic Susceptibility Testing Protocol

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Antibiotic susceptible test was performed using disk diffusion method [1 ]. The bacterial cells were prepared by propagated the bacteria using Luria Broth (Oxoid, England), followed by centrifugation at 14,500 rpm for 10 min using MiniSpin (Eppendorf, Germany). The collected bacterial cells were adjusted into 109 colony forming unit (CFU) using physiological saline and monitored using Biophotometer (Eppendorf, Germany). The suspensions were swabbed on Mueller-Hinton agar (Oxoid, England) using sterile cotton bud. The inoculated media was then left for 10 min before antibiotic discs were placed onto the agar surface. 16 types of antibiotics tested were nalidixic acid (30 µg/disk), oxolinic acid (2 µg/disk), compound sulfonamides (300 µg/disk), doxycycline (30 µg/disk), tetracycline (30 µg/disk), novobiocin (30 µg/disk), chloramphenicol (30 µg/disk), kanamycin (30 µg/disk), sulfamethoxazole (25 µg/disk), flumequine (30 µg/disk), erythromycin (15 µg/disk), ampicillin (10 µg/disk), spiramycin (100 µg/disk), oxytetracycline (30 µg/disk), amoxicillin (25 µg/disk), and fosfomycin (50 µg/disk) (Oxoid, England). After 24 h of incubation period, diameter of the inhibition zone was measured in millimeter (mm) using a ruler and results were interpreted with reference to the standard provided by Clinical Laboratory Standards Institute [9 ].
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7

Antibiotic Resistance Profiling of E. coli

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Antibiotic resistance pattern of E. coli isolates was determined by simple disk diffusion method. The Mueller–Hinton agar (Merck, Germany) media were used for antibiotic susceptibility test. Principles of the Clinical and Laboratory Standards Institute (CLSI) were used for this purpose [19 ]. Susceptibility of E. coli isolates were tested against tetracycline (30 u/disk), ampicillin (10 u/disk), cefotaxime (30 μg/disk), gentamicin (10 μg/disk), ciprofloxacin (5 μg/disk), amikacin (30 u/disk), ceftazidime (30 μg/disk), imipenem (30 u/disk), cotrimoxazole (30 μg/disk), enrofloxacin (5 μg/disk), sulfamethoxazole (25 μg/disk), trimethoprim (5 μg/disk), streptomycin (10 μg/disk) and chloramphenicol (30 μg/disk) antibiotic agents (Oxoid, UK). All of the inoculated plates were aerobically incubated at 37 °C for 18-24 h. Results were interpreted based on the instruction provided by CLSI [19 ]. E. coli ATCC 25922 was used as positive control.
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8

Antimicrobial Susceptibility of P. putida

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The agar disk diffusion test was performed for all the recovered P. putida isolates (n = 18) according to the method described by Ali et al. [35 ]. Susceptibility for florfenicol (10 µg), ampicillin (10 µg), erythromycin (15 µg), sulfamethoxazole-trimethoprim (25 µg), ciprofloxacin (5 µg), doxycycline (30 µg), and tylosin (15 µg), Oxoid, UK. Muller-Hinton agar plates (Oxoid, Uk) were incubated at 37 °C for 48 h due to the slow growth rate of the tested isolates. The inhibition zone (mm) was measured to the nearest mm and interpreted according to the breakpoints mentioned [36 (link)].
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9

Antibiotic Susceptibility Testing Protocol

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Mueller-Hinton (MH) agar medium was purchased from Guangzhou Dijing Microbiology Co., Ltd.. Drug sensitivity test paper (combining sulfamethoxazole, SXT; minocycline, MH; levofloxacin, LVX; ticarcillin/clavulanic acid, TIM; ceftazidime, CAZ; chloramphenicol, CL and imipenem, IPM) was purchased from OXOID (United Kingdom).
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10

Antibiotic Susceptibility Profiling of Bacterial Isolates

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The Kirby-Bauer disc diffusion method was used to determine the susceptibility patterns of the isolated bacteria species to antibiotics. Few colonies of the bacterial isolates were picked and emulsified into saline water until the turbidity of 0.5 McFarland was reached. A sterile swab was dipped in the test suspension and streaked in three directions over the entire surface of the agar and a final sweep with the swab was made against the agar around the rim of the Mueller Hinton Agar plate. Antibiotic impregnated discs (Oxoid) were applied onto the plates using an antibiotic dispenser. The plates were incubated for 24 hours at 37ºC. The antibiotics used were Ertapenem 10µg, Vancomycin 30µg, Ampicillin 10µg, Gentamycin 30µg, Erythromycin 15 µg, Tetracycline 30µg, Ceftriaxone 30µg, Kanamycin 30µg, Neomycin 10µg, Cloxacillin 5µg, and Sulfamethoxazole 25µg (Oxoid, Germany). The zones of inhibition were measured and the results were interpreted as resistant, intermediate and sensitive to the different antibiotics that were used using the WHONET [18] .
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