Susceptibility to several antimicrobial agents was determined using the disc diffusion assay on Mueller–Hinton agar/1% NaCl [14 (link),27 (link)]. The following antibiotics (Oxoid, UK) were tested against all identified bacteria: amikacin (AK, 30 μg), ampicillin (AMP, 10 μg), gentamicin (GEN, 10 μg), tetracycline (TET, 10 μg), ertapenem (ETP, 10 μg), fosfomycin (FOS, 200 μg), norfloxacine (NOR, 10 μg), linezolid (LZD, 30 μg), nitrofurantoin (F, 100 μg), ciprofloxacin (CIP, 5 μg), nalidixic acid (NA, 30 μg), moxifloxacin (MXF, 30 μg), meropenem (MEM, 10 μg), ticarcillin (TIC, 75 μg), piperacillin + tazobactam (PPT, 75/10 μg), cefotaxime (CTX, 30 μg), tigecycline (TGC, 15 μg), pristinamycin (PTN, 15 μg), rifampicin (RAM, 30 μg), erythromycin (E, 15 μg), chloramphenicol (C, 30 μg), amoxicillin + clavulanic acid (AUG, 30 μg), temocillin (TMO, 30 μg), tobramycin (TOB, 10 μg), sulphamethoxazle + trimethoprim (SXT, 25 μg), ceftazidime (CZD, 30 μg), ceftaroline (CPN, 5 μg), colistin (CST 50 μg), netilmicin (NET, 30 μg), and teicoplanin (TEC, 30 μg). After incubation at 37 °C for 18 to 24 h, the diameter of the inhibition zone was measured using a 1 mm flat rule. The antibiotic susceptibility profile of the isolate was interpreted as sensitive, intermediate, and resistant according to the Clinical and Laboratory Standards Institute (CLSI) M45 and (CLSI) M100 guidelines Institute [28 ,29 ]. Two mathematic indices were used to interpret the results obtained: (i) the antibiotic resistance index (ARI) of each bacterial population [30 ], and (ii) the multiple antibiotic resistances (MAR) index of the isolates [31 (link)].
Free full text: Click here