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11 protocols using penicillin

1

Antibiotic Susceptibility Testing of Isolates

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The antibiotic susceptibility of the all isolates was determined by the disk diffusion method on Mueller–Hinton agar (Becton–Dickinson, Sparks, MD, USA) according to the recommendations of the Clinical and Laboratory Standards Institute (CLSI). The disk diffusion assay was run with 15 antibiotics: bacitracin (10 U), enrofloxacin (5 μg) (OXOID), streptomycin (10 μg), spiramycin (100 μg), sulfadiazine (25 μg), chloramphenicol (30 μg) (BD), doxycycline (30 μg), erythromycin (15 μg), gentamicin (10 μg), neomycin (30 μg), penicillin (10 U), tetracycline (30 μg), cefoxitin (30 μg), trimethoprim/sulfamethoxazole (1.25 μg/23.75 μg, respectively), and vancomycin (30 µg and 5 µg) (BIO-RAD, Hercules, CA, USA). S. aureus strain ATCC 25923 and Enterococcus faecalis strain ATCC 29212 were used as controls in the susceptibility test.
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2

Antibiotic Susceptibility Profiling

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Susceptibility to 13 antibiotics was determined by the disc diffusion method and using the ADAGIO™ Automated System (Bio-Rad, Hercules, CA, USA) as described. The antibiotics tested included ampicillin (10 µg), penicillin (6 µg), ampicillin/sulbactam (20 µg), chloramphenicol (30 µg), vancomycin (5 µg), teicoplanin (30 µg), streptomycin (300 µg), gentamicin (120 µg), ciprofloxacin (5 µg), levofloxacin (5 µg), quinupristin-dalfopristin (15 µg), linezolid (30 µg) and tigecycline (15 µg) (Bio-Rad, Hercules, CA, USA)]. Susceptibility to aminoglycosides, glycopeptides, quinolones and β-lactam antibiotics was also determined by an E-test (M.I.C. Evaluator™, OXOID, Basingstoke, UK). The methods and the interpretation of the results followed the CLSI guidelines [32 ]. Enterococcus faecalis ATCC 29212 and Staphylococcus aureus ATCC 25923 were used as control strains.
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3

Isolation of Fibroblasts and Keratinocytes from Newborn Mouse Skin

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FB and KC were separated from skins of nascent mice as previously mentioned [31 (link)]. Briefly, the newborn Kunming mice were executed with deep CO2 anesthesia and sterilized. The skin were quickly removed, expanded, and floated on a cryogenic trypsin (with not EDTA, 0.25%, w/v, Sigma-Aldrich, Shanghai, China) overnight with the dermis side-down at 4 °C. The skins were treated with typsin, and then transferred to dry plates with the epidermis facing down and in contact with the plastic at various points on the edges. The dermis was directly raised higher than the epidermis. To prepare FB cells, dermis was transferred to plates containing Dulbecco’s Modified Eagle Media (DMEM, Solarbio) with 10% FBS, penicillin (200 U/mL), and streptomycin (200 μg/mL, Invitrogen, Carlsbad, CA, USA). To prepare KC cells, epidermis was transferred to plates containing S-MEM (Solarbio) chelexed with chelex®100 Resin (Bio-Rad, Hercules, CA, USA), 8% FBS, penicillin (200 U/mL) and streptomycin (200 μg/mL). After fully mincing and triturating, the suspension was filtered using cell strainer (1250 mesh, BD, Franklin Lakes, NJ, USA). After incubation for 24 h, the isolated cells were washed with PBS solution, while the suspension cells and fragments were discarded. The isolated cells were incubated in 5% CO2 at 37 °C.
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4

Isolation and preparation of mouse splenic cells

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After being removed, the spleens were aseptically saved in a PCM buffer prepared with sterile PBS pH 7.4 containing 7 × 10−4 M CaCl2, 5 × 10−4 M MgCl2, 5% (v/v) fetal bovine serum (Gibco, South America), 100 U/ml penicillin, and 100 μg/ml streptomycin (PAA, Pasching, Austria). Single cells were mechanically separated via a cell strainer (BD Falcon, NJ). Erythrocytes were removed by lysis in 0.17 M NH4Cl pH 7.65, and the resulting cell suspensions were washed twice with a PCM buffer by centrifugation. Cell pellets were finally resuspended with RPMI-1640 (PAA) containing 10% (v/v) fetal bovine serum, 0.01 M HEPES pH 7.4, 5 × 10−5 M β-mercaptoethanol (BioRad, Hercules, CA), 2 mM L-glutamine, 100 U/ml penicillin and 100 μg/ml streptomycin. The viability of the splenic cells was determined by trypan blue dye exclusion using a hemocytometer.
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5

Cell Culture Protocols for L929 and AGS

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Iran’s National Cell Bank (NCBI, Tehran, Iran) was the source for purchasing L929 and AGS cell lines. The culturing of the cells happened in the medium of RPMI-1640 accompanied by 100 μg/ml streptomycin, 100 IU/ml penicillin, 10% fetal bovine serum inactivated by heat (Bio-Rad, San Diego, CA, USA) at 37ºC and moisturized atmosphere, with 5% CO2 - 95% O2. When the cultured cells reached the suitable confluence, they got subjected to passage (Karimabad et al., 2017a; Karimabad et al., 2017b).
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6

Antibiotic Susceptibility Testing of Isolated Strains

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The susceptibility of isolated strains was tested with 11 antibiotics belonging to the different classes (β-lactamines, cyclin, aminoglycosides, macrolides, quinolones, glycopeptides, phenicoles, and sulfa) by the disk diffusion method on Mueller-Hinton agar (Conda-Pronadisa, Madrid, Spain), according to the standards [9 ,10 ] recommended by the WHO. The antibiotic discs (BioRad, Marnes-la-Coquette, France) used are as follows: Penicillin (10 UI), cefoxitin (30 µg), tetracycline (30 µg), neomycin (30 µg), gentamicin (10 µg), erythromycin (15 µg), clindamycin (2 µg), ofloxacin (5 µg), vancomycin (30 µg), chloramphenicol (30 µg), and trimethoprim + sulfamethoxazole (1.25/23.73 µg).
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7

Antibiotic Resistance Profiling of VRE

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The antibiotic susceptibility testing of VRE isolates was tested using the disk diffusion method. For the antibiotic sussceptibility testing were used: penicillin 6 µg (Bio-Rad, Czech Republic), vancomycin 30 µg just for VSE detection, tetracyclin 50 µg, teicoplanin 30 µg, linezolid 10 µg, nitrofurantoin 50 µg, streptomycin 25 µg, chloramphenicol 50 µg, clindamycin 10 µg, erytromycin 30 µg, trimethoprim/sulphamethoxazole 25 µg (Oxoid, Czech Republic). The MICs of vancomycin and teicoplanin of the isolates were estimated using the E test method (0–256 µg/mL (bioMérieux, France).
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8

Antimicrobial Susceptibility Profiling of MRSA

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Susceptibility to cefoxitin, chloramphenicol, ciprofloxacin, clindamycin, fusidic acid, erythromycin, gentamicin, kanamycin, linezolid, mupirocin, quinupristin-dalfopristin, penicillin, rifampin, tetracycline, tobramycin and trimethoprim/sulfamethoxazole (BioRad, USA) was performed by disk diffusion method and to vancomycin and teicoplanic by Etest (bioMérieux, France) in accordance to the European Committee on Antimicrobial Susceptibility Testing (EUCAST) recommendation (http://www.eucast.org). Multidrug resistance (MDR) was defined as resistance of MRSA to three or more district antimicrobial classes in addition to beta-lactams.
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9

Antibiotic Susceptibility Testing of E. coli

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Antimicrobial susceptibility was tested using the standardized Bauer–Kirby agar disc diffusion method using Mueller–Hinton agar (Oxoid, CM0337, Basingstoke, Hampshire, UK) and following the instructions of the Clinical Laboratory Standards Institute (CLSI, 2015). E. coli ATCC 25,922 was used as a positive control. Discs of 6 antibiotics recommended for Enterobacteriaceae were tested, namely, gentamicin (10 mg), ampicillin (50 mg), penicillin (50 mg), tetracycline (30 mg), ciprofloxacin (5 mg) and kanamycin (50 mg) (Bio-Rad Laboratories, Marnes-la-Coquette, France).
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10

Antibiotic Resistance Profiling of MRSA

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The antibiotic susceptibility of the MRSA isolates was determined by the disk diffusion method on Mueller-Hinton agar (MHA, CONDA, Spain), according to the recommendations of the Clinical and Laboratory Standards Institute (CLSI). The disk diffusion assay was done with 14 antibiotics: bacitracin (10 U), enrofloxacin (5 μg) (OXOID), streptomycin (10 μg), spiramycin (100 μg), sulfadiazine (25 μg), chloramphenicol (30 μg) (BD), doxycycline (30 μg), erythromycin (15 μg), gentamicin (10 μg), neomycin (30 μg), penicillin (10 U), tetracycline (30 μg), cefoxitin (30 μg), and trimethoprim/sulfamethoxazole (1.25 μg/23.75 μg, respectively) (BIO-RAD). Minimum inhibitory concentrations (MIC) for cefoxitin and vancomycin was determined by using MIC Test Strip (Liofilchem) on inoculated Mueller Hinton agar plates and the results were interpreted according EUCAST breakpoints. S. aureus strain ATCC 25923 and Enterococcus faecalis strain ATCC 29212 were used as controls in the susceptibility test.
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