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121 protocols using sulfamethoxazole

1

Antibiotic Susceptibility Profiling of Isolated Bacteria

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The susceptibility of the isolated bacteria was evaluated with the microdilution method in accordance with the requirements of the Clinical and Laboratory Standards Institute M45-A2 [31 ]. The minimum inhibitory concentrations (MICs) of ampicillin, cefotaxime, ciprofloxacin, doxycycline, erythromycin, gentamicin, meropenem, sulfamethoxazole, and tetracycline antimicrobials (Sigma-Aldrich, Schnelldorf, Germany) were tested in the range concentrations of 0.06–64 µg/mL, with the exception of sulfamethoxazole (0.25–256 µg/mL). The reference strain, E. coli ATCC25922, was used as a quality control. The breakpoints recommended by CLSI [31 ] and EUCAST [32 ] were used; if not defined, the breakpoint values described by Stratev et al. [33 ] and Scarano et al. [34 (link)] were applied. The production of carbapenemases was confirmed using the modified carbapenem inactivation methods: mCIM and eCIM [35 ]
The MAR index of the isolates against the tested antibiotics was calculated based on the following formula [36 (link)]: MAR index = X/(Y × Z), where X–total of bacteria resistant to antibiotics, Y–total of antibiotics used in the study, and Z–total of isolates.
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2

Quantitative Analysis of Pharmaceutical Compounds

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Acetaminophen (ACP), ciprofloxacin (CPX), sulfamethoxazole (SMZ), diclofenac (DCF), vancomycin (VMC), lamivudine (LMV), and ivermectin (IVT) standards were purchased from Sigma Aldrich, Germany. LCMS grade acetonitrile, LC grade methanol, and acetone were procured from Honeywell Company, Germany. All other chemicals and solvents used were of analytical grade. MilliQ water used in the LC analysis was prepared using RiOs™/Elix 5 Millipore Water Purifier (Model No PF05113).
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3

Preparation and Characterization of Hybrid Membranes

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Beta-cyclodextrin (BCD), terephthaloyl chloride (TPC), Trimesoyl chloride (TMC), polysulfone, triethylamine (TEA) and N,N′-bis(3-aminopropyl)ethylenediamine (BAPEDA) were purchased from Sigma Aldrich, St. Louis, MO, USA. For the filtration test, different salts (MgCl2, CaCl2, MgSO4, Na2SO4, NaCl) and pharmaceutically active compounds (Caffeine, Sulfamethoxazole, Amitriptyline, Loperamide) were also bought from Sigma.
The membranes were characterized using an ATR-Fourier-transform infrared spectroscopy (Thermo, Waltham, MA, USA, Smart iTR NICOLET iS10), a scanning electron microscope (JEOL JSM6610LV, Tokyo, Japan), an atomic force microscope (Agilent 550, Amsterdam, The Netherlands) and water contact angle (KRUSS DSA25). The feed and permeate solution were tested using a conductivity meter (Ultrameter II, Hanna, Woonsocket, RI, USA) for salts and a JASCO V-750 UV-Vis spectophotometer for pharmaceutically active compounds. The membranes were tested for their performance using the Sterlitech CF042 Membrane test system, United States of America.
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4

Photocatalytic Degradation of Sulfamethoxazole

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Sulfamethoxazole (99.7%) was obtained from Sigma-Aldrich and used without additional purification. An aqueous stock solution of SMX (10 mg L−1) was prepared, protected from light, and stored at 4 °C. HPLC analysis was used to confirm the presence of SMX as a pure organic compound. Silver nitrate (99%) and niobium(v) oxide (99.9%) were also obtained from Aldrich and used as the sources of the silver and the niobate in the preparation of the photocatalysts. Potassium persulfate (K2S2O8, 99%) was purchased from Panreac and used as the PS source. P25 TiO2 was obtained from Degussa. Sodium hydroxide, nitric acid, reagent-grade ammonium acetate, and HPLC-grade methanol were purchased from Merck. Water was purified with a Milli-Q water ion-exchange system (Millipore Co.) for a resistivity of 1.8 × 107 Ω cm, and the deionized water was utilized in all the experiments.
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5

Preparation of Finafloxacin and Co-trimoxazole

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Finafloxacin was supplied by MerLion Pharmaceuticals GmbH. Sulfamethoxazole and trimethoprim were purchased from Sigma Aldrich (UK) for the in vitro assays and an oral suspension of co-trimoxazole (Septrin) was purchased from GlaxoSmithKline (UK) for use in the in vivo studies.
For the in vitro assays, working concentrations of finafloxacin at 10 mg/mL were prepared by adding 100 mg of antibiotic to 9 mL of sterile water and 1 mL of 1 M sodium hydroxide (NaOH). Co-trimoxazole (10 mg/mL) was prepared by adding 16.5 mg of trimethoprim to 4.985 mL distilled water and 15 μL acetic acid, and 83.5 mg of Sulfamethoxazole was added to 4.5 mL of distilled water and 0.5 ml of 1M NaOH, and the 2 components mixed. Bacteria grown in the equivalent concentration of sodium hydroxide used to prepare the antibiotics was included as a control.
For the in vivo studies a 15 mg/mL solution of finafloxacin was prepared by adding 2.1 mL of 0.01 M Tris buffer to 44 mg of finafloxacin powder (containing 37.5 mg of active ingredient). 200 μL of 1 M NaOH was added to dissolve the antibiotic followed by 200 μL of 0.01 M hydrochloric acid. The pH of the resulting solution was pH 8; a new solution was prepared for each time point. Co-trimoxazole was diluted in PBS to obtain a concentration of 1.56 mg per 50μL dose.
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6

Synthesis and Characterization of Graphite-based Conjugates

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Graphite was purchased from AVONCHEM; glucosamine (GLA) was purchased from Merck; 1-ethyl-3-[3-(dimethylamino)propyl] carbodiimide hydrochloride (EDC) was purchased from Ambeed; triethyl amine (Et3N), sulfuric acid (H2SO4- 98%), and hydrochloric acid (HCl) were obtained from BDH laboratories; KMnO4 was used of analytical grade; hydrogen peroxide H2O2 (35%) was purchased from Scharlau chemicals; phosphoric acid, ethanol, and diethyl ether were purchased from Sigma Aldrich (St. Louis, MO, USA); and ethacridine lactate (EL) and sulfamethoxazole (Sul) were kind gifts from the local pharma. All these compounds were prepared and their working concentrations were used in different assays.
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7

Isolation of Antimicrobial-Resistant Bacteria from Water

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Bacterial strains resistant to different antimicrobials were isolated from water samples in the second sampling campaign (S2, low rainfall sampling). The triplicates were mixed (750 mL of water from each replicate), and 1000 mL of water from each pond was filtered through 0.45 μm pore size Millipore® (Barueri, SP, Brazil) membranes using a Kitassato connected to a vacuum pump. The four membranes were washed individually in 20 mL of saline (NaCl 0.85%).
Aliquots of 100 µL of each sample and their respective dilutions (10−1 and 10−2) were plated in Petri dishes containing CHROMagar Orientation culture medium (BD Diagnostics) supplemented with 50 μg/mL ciprofloxacin (Sigma®, Saint Louis, MI, USA), 60 μg/mL sulfamethoxazole (Sigma®, Buchs, Switzerland) or 8 μg/mL ceftriaxone (Sigma® Saint Louis, MI, USA) [43 (link),44 (link)]. The plates were incubated at 37 °C for 24 h. After determination of colony forming units per milliliter (CFU/mL), three colonies of each morphology were reinoculated on CHROMagar and further identified at the genus level by MALDI-TOF (Bruker Daltonics Bremen, Germany). All isolated strains were maintained at −80 °C in tryptic soy broth medium (TSB) supplemented with the antibiotic used for their isolation, and 20% glycerol.
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8

Antibiotics Preparation and Stock Solutions

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The following antibiotics were used in this study: ciprofloxacin (Fluka), levofloxacin (Sigma-Aldrich), tetracycline (tetracycline hydrochloride, Sigma-Aldrich), doxycycline (doxycycline hyclate, Sigma-Aldrich), tobramycin (TCI), colistin (colistin sulfate salt, Sigma-Aldrich), ceftazidime (TCI, containing ca. 10% Na2CO3), chloramphenicol (Sigma-Aldrich), meropenem (meropenem trihydrate, Sigma-Aldrich), trimethoprim (Sigma-Aldrich), and sulfamethoxazole (Sigma-Aldrich). Stock solutions of the antibiotics used were prepared in different solvents. Ciprofloxacin was dissolved in 20 mM HCl; levofloxacin, tetracycline, doxycycline, tobramycin, colistin, and ceftazidime were dissolved in deionized water; chloramphenicol, meropenem, and trimethoprim-sulfamethoxazole (mixed at 1:1 ratio) were dissolved in DMSO. Stock concentrations used were of 1 mg/ml for ciprofloxacin and levofloxacin, and 10 mg/ml for all other antibiotics.
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9

Laccase-Mediated Degradation of Sulfamethoxazole

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Halloysite nanoclay (diameter × length- 30–70 nm × 1–3 μm, nanotube), sulfamethoxazole (SMX, analytical standard), laccase from Trametes versicolor (form- powder), sodium sulfite (Na2SO3, ACS reagent grade), sodium hydroxide (NaOH, ACS reagent grade), 2,2′-Azino-bis(3-ethylbenzothiazoline-6-sulfonic acid) diammonium salt (ABTS, assay- ≥98% high-performance liquid chromatography (HPLC)), syringaldehyde (SA, assay- ≥98%), guaiacol (GUA, assay- ≥98%), methanol (HPLC grade), glutaraldehyde (GTA, grade II, 25% in H2O), and chitosan (75–85% deacetylated, low molecular weight, molecular weight- 50,000–190,000 Da) were obtained from Sigma-Aldrich (St. Louis, MO, USA). FeCl3-6H2O was obtained from JUNSEI (Kyoto) Japan. laccase from Trametes versicolor have a molecular mass of 70 kDa and an isoelectric point (pI) of 3.5 [23 (link)].
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10

Synthesis and Characterization of Peptide Dendrimer G3KL

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Peptide dendrimer G3KL was synthesized by solid-phase peptide synthesis and purified as described earlier [32 (link)]. Vancomycin, ampicillin, novobiocin, azithromycin, sulfamethoxazole, and trimethoprim were purchased from Sigma Aldrich (Buchs, Switzerland), erythromycin and ciprofloxacin were purchased from Acros Organics (Geel, Belgium), and chloramphenicol and gentamicin were purchased from AppliChem (Darmstadt, Germany). All compounds were conditioned as 8 or 10 mg/mL stock solutions in water (G3KL, ampicillin, novobiocin, chloramphenicol, and gentamicin), 1% acetic acid (ciprofloxacin), and DMSO (erythromycin, azithromycin, sulfamethoxazole, and trimethoprim).
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