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Cloxacillin

Manufactured by Thermo Fisher Scientific
Sourced in United Kingdom, Germany

Cloxacillin is a semi-synthetic penicillin antibiotic used for the treatment of various bacterial infections. It functions by inhibiting the bacterial cell wall synthesis, which leads to cell death. Cloxacillin is commonly used in laboratory settings for antimicrobial susceptibility testing and research applications.

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6 protocols using cloxacillin

1

Antimicrobial Susceptibility Testing of S. aureus

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Disk diffusion antimicrobial susceptibility tests were performed on the confirmed S. aureus isolates. The common used antibiotics for treating respiratory disease in farm animals were chosen for the antimicrobial susceptibility tests, including ampicillin (10 μg), cloxacillin (5 μg), cefoxitin (30 μg), cefazolin (30 μg), gentamicin (10 μg), vancomycin (30 μg), and tetracycline (30 μg) (Oxoid Ltd., Hampshire, UK). Briefly, S. aureus colonies were picked and subcultured by streaking on nutrient agar (Himedia Laboratories, Mumbai, India) and incubating the plate at 37°C for 18–24 hr. Then, a sterilized loop was used to pick four or five colonies from the nutrient agar and they were suspended in 2 ml of Mueller-Hinton broth (Difco Laboratories, Inc., NJ, USA). After adjusting to a turbidity of 0.5 McFarland standards, a sterile swab was dipped into the tube and streaked on Mueller-Hinton agar (Difco Laboratories, Inc., NJ, USA). Then, the appropriate antimicrobial-impregnated disks were placed on the surface of the agar, and the plate was incubated at 37°C for 18–24 hr. Thereafter, we measured the zones of inhibition and determined the antimicrobial susceptibility of the isolates using interpretative standards for Staphylococcus species. The results were reported as susceptible, intermediate, or resistant [8 , 9 ].
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2

Antimicrobial Susceptibility of Clinical Isolates

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Isolates were subjected to antimicrobial susceptibility testing using the disk diffusion method as described by Olabode et al. [17 ]. Thirteen antibiotics (Oxoid, Hampshire, UK) were used including amoxicillin/clavulanic acid (30 μg), amoxicillin (25 μg), tetracycline (25 μg), erythromycin (5 μg), nitrofurantoin (200 μg), gentamicin (10 μg), ofloxacin (5 μg), clarithromycin (10 μg), cotrimoxazole (25 μg), nalidixic acid (30 μg), chloramphenicol (10 μg), cloxacillin (5 μg), and streptomycin (10 μg).
The antibiotic-impregnated disks were placed on the inoculated blood agar plates using sterile forceps and incubated at 42 °C for 48 h. The clear zones of inhibition were measured to the nearest millimeter using a transparent millimeter ruler and analyzed as described by Clinical and Laboratory Standard Institute [18 ].
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3

Differentiation of MRSA Isolates

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All the presumptive MRSA isolates were differentiated from other coagulase positive isolates following the methods of Cheesbrough [12 ]. Briefly, sterile swabs were used to inoculate the test organism onto the sensitivity agar (Mueller Hinton). Sterile forceps were used to carefully distribute the following antibiotic disc, oxacillin (1µg), cloxacillin (5µg), cefoxitin (30µg) and vancomycin (30µg) (Oxoid, Germany) evenly on the inoculated plates at a distance of 30 mm (Fig. 1). The plates were kept on the bench for 30 minutes to allow pre-diffusion of the antibiotics, these were inverted and incubated aerobically at 35oC for 18-24 hours. The zones of inhibition were measured using a meter rule and compared with CLSI guidelines [10 ].
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4

Antibiotic Susceptibility Profiling

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A control experiment was set up by testing conventional antibiotics against the test organisms (MDR Pseudomonas aeruginosa, methicillin-resistant Staphylococcus aureus, and MDR Escherichia coli) using the disc plate method. The antibiotics included ampicillin, tetracycline, gentamicin, amoxicillin-clavulanic acid, sulphamethoxazole-trimethoprim, penicillin, ciprofloxacin, and cloxacillin (Oxoid Ltd., Basingstoke, UK). The antibiotic discs were placed on the surface of Mueller-Hinton agar plates that had been inoculated with the test microorganisms. During incubation, the antibiotics diffused outward from the discs thereby creating a concentration gradient. After 24 hours, each zone of inhibition was measured and recorded.
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5

Antimicrobial Susceptibility Testing

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An AST was performed using the Kirby-Bauer disc diffusion method according to the guidelines of the Clinical and Laboratory Standards Institute (CLSI) [4 ] with a 24-h incubation period at 35℃. Discs with the following compounds were used: amoxicillin-clavulanic acid, cefoxitin, ceftriaxone, cephazolin, chloramphenicol, clindamycin, penicillin, cloxacillin, doxycycline, gentamycin, oxytetracycline, sulfa-trimethoprim, tetracycline, and vancomycin (Oxoid).
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6

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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