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M ller hinton agar

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Müller-Hinton agar is a type of culture media used for the susceptibility testing of bacteria to antimicrobial agents. It is a standardized agar medium recommended by the Clinical and Laboratory Standards Institute (CLSI) for the performance of antimicrobial susceptibility testing.

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24 protocols using m ller hinton agar

1

Clostridium difficile Spore Production

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Spore production and spore quantification were performed according to previously described protocols [20 , 21 (link)]. Briefly, pure aliquots from each strain were plated onto Müller Hinton agar (Oxoid, UK) supplemented with 7% horse blood and 0.1% sodium taurocholate (Sigma-Aldrich Co., USA), followed by anaerobic incubation at 37°C for 48 h. After incubation, a suspension of C. difficile was prepared in sterile 0.85% saline using McFarland standard 1 as the reference. Thereafter, the suspension was diluted in fresh, pre-reduced BHIS medium at a 1:1000 ratio, followed by anaerobic incubation at 37°C for 72 or 120 h. After incubation, each suspension was thermally treated for 20 min at 70°C, and serial dilutions (10–2 to 10–5) were plated onto Müller Hinton agar (Oxoid, UK) supplemented with 7% horse blood and 0.1% sodium taurocholate (Sigma-Aldrich Co., USA) and incubated under anaerobic conditions at 37°C for 48 h. The isolate CD196 (RT027) was used as the reference strain. Tests were performed in sextuplicate for each strain during the two periods evaluated (72 h and 120 h).
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2

Cultivation and Antibiotic Testing of Isolates

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Isolates were routinely grown on Tryptone Soy Agar plates (TSA) or Tryptone Soy Broth (TSB) (Oxoid) at 37°C for 18–24 h. In antibiotic tests, isolates were cultured in Müller-Hinton agar (Oxoid) at 37°C for 24 h.
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3

In vitro free toxin production by C. difficile

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Free toxin levels produced in vitro were determined at two different time points (24 and 72 h post inoculation), as described previously [19 (link)]. Briefly, pure aliquots from each strain were plated onto Müller Hinton agar (Oxoid, UK) supplemented with 7% horse blood and 0.1% sodium taurocholate (Sigma-Aldrich Co., USA), followed by anaerobic incubation at 37°C for 18–24 h (stationary phase). After incubation, a suspension of C. difficile was prepared in sterile 0.85% saline, using McFarland standard 1; 100 μL of the suspension was transferred to cryotubes containing 500 μL of BHI broth (Oxoid, UK), and the tubes were subjected to anaerobic incubation at 37°C. After incubation for 24 and 72 h, the culture was centrifuged at 16,000 × g for 10 min at 4°C and filtered through a membrane filter with a 0.22 μm pore size. The toxin concentrations in the supernatants were evaluated using a commercial enzyme immunoassay (Ridascreen C. difficile Toxin A/B® - R-Biopharm, Germany) and the absorbance was measured at 450 nm according to the manufacturer´s instructions. Strain CD196 (RT027) was used as the reference strain.
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4

Population Bottleneck Effects on C. jejuni

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C. jejuni NCTC11168 was used in all experiments and was grown under microaerophilic conditions (4% O2, 10% CO2, 86% N2) at 42°C on Müller-Hinton agar (Oxoid) plates supplemented with vancomycin (10 µg/ml) and trimethoprim (5 µg/ml). The initial inoculum for the experiments was prepared by taking the bacteria from frozen glycerol stocks stored at −80°C and then restreaking them onto a second plate, which was then scraped into Müller-Hinton broth (Oxoid) to resuspend the cells.
To apply a population bottleneck, the required number of colonies was picked with a loop (for smaller bottleneck sizes) or estimated and then scraped off the plate (for larger bottleneck sizes) before being resuspended in Müller-Hinton broth and then serially diluted onto agar plates. Individual colonies were picked from the inoculum (60 colonies) and the final population (30 colonies) after five successive bottlenecks. The repeat numbers, expression states, and phasotypes for 28 phase-variable loci of these colonies were determined with the 28-locus PV assay (29 (link)).
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5

Antibiotic Susceptibility Testing by MIC

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Due to logistic constraints, a third of the study isolates (20/68, 29 %) were randomly selected for phenotypic susceptibility testing by minimum inhibitory concentrations (MICs). MICs were performed by the agar dilution method [50 (link)], according to the European Committee on Antimicrobial Susceptibility Testing v9.0 (EUCAST, 2019) guidelines. Stock solutions of 1000 mg l−1 were initially prepared, from which the working solutions were made. For each antibiotic, duplicate twofold serial dilutions (from 32 mg l−1 to 0.03 mg l−1) were done in molten Müller–Hinton agar (Oxoid, Basingstoke, UK). The results were interpreted according to EUCAST breakpoint tables (http://www.eucast.org). Where EUCAST cut-off values were not available, the recommended cut-off values from the Clinical Laboratory Standards Institute (https://www.clsi.org) were used.
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6

Antibiotic Resistance Profiling of E. coli

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A set of 300 isolated colonies of E. coli were randomly selected for antibiotic resistance profiling against clinically relevant antibiotics. These included 100 from untreated sludge from each WWTP (sample points 1 and 4) and 100 from after MAD at WWTP two (sample point 5). All antibiotic testing was carried out according to CLSI disk diffusion guidelines (Clinical Laboratory Standards Institute, 2017). Selected isolates were first re-streaked from MLGA onto nutrient agar and incubated for 24 hours at 37°C. The isolate was then resuspended in phosphate buffered saline (PBS) to an OD600 of 0.5 using a MacFarland standard, plated onto Müller-Hinton agar (Oxoid) and incubated at 35°C for 18–20 hours. Zones of inhibition were measured to the nearest millimetre.
The antibiotics used were ciprofloxacin (5 μg), gentamicin (10 μg), meropenem, (10 μg), ampicillin (10 μg) (used to test for amoxicillin resistance (Clinical Laboratory Standards Institute, 2017)), trimethoprim (5 μg), and four different third generation cephalosporins—ceftazidime (30 μg), cefoperazone (75 μg), ceftiofur (30 μg) and cefpodoxine (30 μg) (all antibiotics were from Oxoid., Basingstoke, UK).
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7

Antimicrobial Susceptibility Testing Using VITEK2

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Antimicrobial susceptibility testing was performed using VITEK®2 automated system (biomérieux, Marcy-l’Etoile, France). In addition, Etests® (biomérieux, Marcy-l’Etoile, France) for ceftazidime were performed on Müller-Hinton-Agar (Oxoid, Schwerte, Germany) to determine the minimal inhibitory concentration (MIC). All MICs were interpreted according to the 2023 European Committee on Antimicrobial Susceptibility Testing (EUCAST) clinical breakpoints version 13.1 (EUCAST, 2023 ).
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8

Characterization of Erythromycin-Resistant GAS Isolates in Italy

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A total of 32 GAS isolates, including 27 erythromycin-resistant [minimum inhibitory concentration (MIC) ≥ 1 μg/mL] and 5 erythromycin-susceptible strains isolated throughout Italy from children with pharyngitis (Varaldo et al., 1999 (link)), were examined. All strains had previously been characterized (Facinelli et al., 2001 (link); Spinaci et al., 2004 (link), 2006 (link)) in terms of erythromycin resistance phenotype/genotype [erm(B)/cMLS (n = 6); erm(B)/iMLS (n = 5); erm(TR)/iMLS (n = 6); mef(A)/M (n = 10)]; emm type (12 different emm types); the presence of the prtF1 gene, and cell invasiveness. Each of the 32 strains is a clone identified among Italian GAS isolates.
Blood agar base (BAB) supplemented with 5% sheep blood, Müller-Hinton agar (MHA) supplemented with 5% sheep blood, Müller-Hinton cation-adjusted broth (CAMHB) supplemented with 3% laked sheep blood, brain heart infusion (BHI) agar and broth, Todd-Hewitt broth (THB) and Tryptone Soya Broth (TSB), all from Oxoid (Basingstoke, UK) were used throughout the study. Isolates were maintained in glycerol at –70°C and subcultured twice on BAB before testing.
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9

Antibiotic Resistance in Pseudomonas Strains

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Pseudomonas aeruginosa PAO1, Pseudomonas aeruginosa ATCC 27853, Pseudomonas putida and Pseudomonas aeruginosa polyresistant bacteria were used in the experiments. The bacteria are available from our own strain collection at the Department of Medical Microbiology and Immunology, Medical School, University of Pécs, Pécs, Hungary. The strains were plated on Müller-Hinton agar (Oxoid Ltd., Basingstoke, UK) and 5% sheep blood agar media and incubated for at least 1 day at 25 °C, 37 °C and 42 °C. Fatty acid composition of bacterial strains was determined following 1, 3 and 5 days of the incubation. The antimicrobial sensitivity of strains was detected using a filter paper disc method. We used the product of Oxoid Ltd., Basingstoke, UK and we fully adhered to protocol suggested by Oxoid firm. The Pseudomonas aeruginosa ATCC 27853 was sensitive to ciprofloxacin, ceftazidime and imipenem—cilastatin, the Pseudomonas aeruginosa polyresistant was resistent to the same antimicrobial drugs.
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10

Antibacterial Activity of Synthesized Compounds

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Synthesized compounds were prepared for Antibacterial Activity by dissolving in Dimethyl Sulfoxide (DMSO) and then diluted in sterile distilled water to obtain a final concentration of 100 mg/mL. To check the effect of solvent on the growth of microorganisms, DMSO (100 µL) was used as negative control [48 (link)]. The antibacterial activity of different compounds was evaluated by agar well diffusion method. Briefly, 100 μL of 0.5 MacFarland bacterial suspensions (1.5 × 108 CFU/mL) was spread on Müller-Hinton agar (Oxoid, Basingstoke, UK). Wells were made on the agar plates using sterile cork borer, then 100 μL of each prepared compound was introduced into appropriately marked wells. The antibacterial activity was evaluated by measuring the diameter of the inhibition zone for each tested organism compared with the negative and positive control after an incubation period of 24 h at 37 °C. DMSO (100 µL) was used as a negative control, and an antibiotic disc of Ciprofloxacin (5 μg) was used as a positive control [48 (link),49 ].
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