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Macconkey agar plate

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MacConkey agar plates are a selective and differential culture medium used for the isolation and identification of Gram-negative enteric bacteria, particularly members of the Enterobacteriaceae family. The plates contain bile salts and crystal violet, which inhibit the growth of Gram-positive bacteria, while the lactose content allows for the differentiation of lactose-fermenting and non-lactose-fermenting organisms.

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66 protocols using macconkey agar plate

1

Isolation and Identification of Bacteria

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All samples were inoculated into Trypticase soy broth tubes and were incubated at 37 °C for 24 h. A loop-ful from the previously incubated tubes were streaked onto MacConkey agar plates (Oxoid Ltd., Cairo, Egypt) and Eosin methylene blue agar (EMB) (Oxoid) and were incubated aerobically at 37 °C for 24 h. Suspected colonies were purified through subculture on MacConkey agar plates and were examined for morphology and phenotype traits according to Collee et al. [23 ].
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2

Isolation and Identification of Cefotaxime-Resistant E. coli from Broiler Farms

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For each selected broiler farm, cloacal swabs were collected using sterile cotton swabs directly from cloaca of 10 randomly selected birds. The cloacal swab samples in each farm were pooled in Falcon tubes containing 25 ml Luria-Bertani (LB) broth (Merck, Darmstadt, Germany). A paired boot swab samples were obtained by walking along the whole length of the broiler house. Boot swab samples were placed in a 500 ml beaker containing 250 ml of LB broth for enrichment. A total of 156 samples (78 pooled cloacal swabs and 78 boot swabs) from 78 broiler farms were processed and subjected to microbiological analysis. Samples were incubated aerobically at 37 °C for 18–24 h. Thereafter, a loopful (10 μl) of each enriched sample was streaked onto MacConkey agar plate (Oxoid, United Kingdom) supplemented with 1 mg/L cefotaxime and incubated aerobically at 37 °C for 24 h. A replicate MacConkey agar plate without cefotaxime was also prepared for each sample. Subsequently, one bright pink colony, suggestive of lactose-fermenting bacteria and morphologically indicative of E. coli, was picked and streaked in a selective and differential medium, Eosin Methylene Blue agar plate (HiMedia, Mumbai, India) and incubated at 37 °C for 24 h. The bacteria isolated from all pooled fecal and swab samples were identified.
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3

Bacterial Identification in Tissue Samples

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The tissue cylinders were lysed using Precellys Lysing Kit (Tissue homogenizing CKMix, Precellys Lysing Kit, Bertin, France), according to the manufacturer’s instruction and under consideration of hygiene standards as to avoid contamination. After dilution of the lysates at 1:5 and 1:100 in PBS, 50 μL were spread out on Columbia agar +5% sheep blood agar (COS), Columbia NaladixicAcid agar (CNA) (Biomerieux, Marcy l’Etoile, France), and Mac Conkey Agar plates (Thermo Fisher Scientific, Waltham, MA, USA) for 48 h at 37 °C, before the number of colony forming units was determined manually. Exemplary mass spectrometric analysis (matrix-assisted laser desorption/ionization (MALDI)) of each macroscopically distinctive unit was then carried out for bacterial identification.
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4

Conjugation Assay of E. coli Strains

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Colonies of PM185, PM187, PR1, and wildtype E. coli J53 were separately suspended in Tryptic Soy Broth (TSB) (Sigma Aldrich, St. Louis, MO) and diluted to 0.05 OD600. 100 μl of PM185, PM187, and PR1 were separately added to 100 μl E. coli J53 (for a 1:1 ratio) and diluted to 5 mL with TSB. Co-cultures were incubated at 37 °C without shaking for 24 hours. 50 μl of co-cultures were suspended onto MacConkey agar plates containing sodium azide (Thermo Fisher Scientific, Waltham, MA) (150 μg/ml) and ceftriaxone (5 μg/ml), spread with glass beads, and incubated for 18 hours at 37 °C. Individual transconjugant colonies were propagated overnight in TSB supplemented with 5 μg/ml ceftriaxone under shaking conditions (220 rpm).
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5

Carbapenem-Resistant Enterobacteriaceae Detection

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Bacterial isolates for this study were identified using the Vitek 2 automatic system (bioMérieux, France). The stool samples were inoculated on MacConkey agar plates (ThermoFisher, USA), followed by carbapenem antimicrobial susceptibility testing using the disk diffusion method to confirm the presence of carbapenem-resistant Enterobacteriaceae (CRE). CRE refers to Enterobacterales that exhibit resistance to at least one carbapenem antibiotic, namely ertapenem, imipenem, or meropenem. The broth microdilution method or the Vitek 2 system determined antimicrobial susceptibility tests. Tigecycline susceptibility was determined using the US Food and Drugs Administration (FDA) interpretive criteria (US Food Drug and Administration, 2023 ). Colistin using the European Committee on Antimicrobial Susceptibility Testing (EUCAST) breakpoint (European Committee on Antimicrobial Susceptibility Testing, 2023 ), and the remaining susceptibility results were interpreted using the Clinical and Laboratory Standards Institute (CLSI) documentation standards (Clinical and Laboratory Standards Institute, 2022 ). The Modified Carbapenem Inactivation Method (mCIM) and Modified EDTA-Carbapenem Inactivation Method (eCIM) were employed to detect carbapenemase phenotypes (Pierce et al., 2017 (link)).
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6

Retrospective Study of Urine Culture

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This retrospective study was conducted at the First Affiliated Hospital of Chongqing Medical University, a large comprehensive tertiary-care center in southwest China, with 3200 beds. The microbiological laboratory receives about 12,000 urine culture specimens per year. Urine specimens were cultured on blood agar plates and MacConkey agar plates (ThermoFisher Scientific, Shanghai, China), and Isolates were identified using matrix-assisted laser desorption/ionization time of flight mass spectrometry (MALDI-TOF MS) (VITEK®MS, bioMérieux, Marcy l’Etoile, France) or the VITEK 2 Compact system (bioMérieux, Marcy l’Etoile, France). The antimicrobial susceptibility testing (AST) was performed using the VITEK 2 Compact system and Modified Kirby–Bauer disc diffusion method. The clinical and microbiological information of isolates were separately collected from the electronic medical record system (EMRS) and the laboratory information system (LIS).
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7

Microbial Colony Counting via MacConkey Agar

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In the laboratory, microtubes containing liquid samples were thoroughly mixed in a vortex mixer before 10 µL calibrated loops were used to transfer liquid samples onto parallel MacConkey agar plates (Thermo Fisher Scientific). Liquid was extensively spread on the agar plate before incubation for 18 to 24 h at 37 ± 1 °C. After incubation, all CFU per plate were counted (<300 CFU per plate), and the concentration (CFU/mL) was calculated by multiplying the colony counts with the dilution factor of 100. We used the arithmetic mean of 2 plate counts for each hand sample to obtain the pre- and post-sample values for further statistical analysis. CFU counts >300/plate were not applicable, and concentrations were noted >30,000 CFU/mL.
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8

Antimicrobial Efficacy of Bacterial Cellulose and Egg

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BC alone or egg alone (tested at 0.5, 1, 5, and 10 mg/mL) or BC with egg combination (tested at a 60:40 ratio with a final combined concentration of 0.5, 1, 5, and 10 mg/mL) were added to 1 × 106 colony-forming units (CFU)/mL of each pathogen in LB broth for 24 h. Following incubation, samples were serially diluted in PBS and cultured on blood agar and MacConkey agar plates (Fisher Scientific, Loughborough, UK), at 37 °C overnight. Then, the number of colonies formed were determined.
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9

Isolation and Identification of E. coli

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Stool specimens were plated directly onto Eosin Methylene Blue agar plates (Sigma, St. Louis, MO), MacConkey agar plates (Fisher, Pittsburgh, PA), and GN enrichment broth (Fisher, Pittsburgh, PA), and incubated overnight at 37°C. For each participant a maximum of 2 stools each day were cultured and a rectal swab was obtained if no stool was passed. Colonies suspicious for E. coli were confirmed by positive agglutination with O78 antisera (Denka Seiken, Campbell, CA) on lactose and indole positive colonies.
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10

Isolation and Identification of Antibiotic-Resistant E. coli

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From each sample, 1.0 ± 0.1 g of feces was enriched in 9 ml sterile buffered peptone water (Oxoid, Basingstoke, UK) by incubating at 37°C overnight. Subsequently, 10 μl of the pre-enrichment was streaked onto selective MacConkey agar plates (Oxoid, Basingstoke, UK) supplemented with 1 mg/l cefotaxime and incubated at 44°C for 18–22 h. One colony from each plate with bacterial growth was re-streaked onto MacConkey agar plates with 1 mg/l cefotaxime supplement and incubated at 37°C for 18–22 h. If a plate had morphologically different colonies, a representative colony from each different growth was streaked onto an agar plate.
After achieving a pure bacterial culture, the isolate was streaked onto a bovine blood agar plate and incubated at 37°C overnight for bacterial species determination with a matrix-assisted laser desorption ionization–time of flight mass spectrometry (MALDI-TOF MS) based Bruker Biotyper (Bruker Daltonics). A score value of 2.0–3.0 was considered high-confidence and was set as the criteria. All isolates identified as
E. coli were stored at -70°C for further characterization.
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