Antimicrobial
Sensitivity Data
for the major
Poultry Bacterial Pathogens
by
DGS Burch BVetMed MRCVS
Octagon Services Ltd Copyright © November 2002
On-line at: www.octagon-services.co.uk
On the Oral Antimicrobial Pharmacokinetics spreadsheets for chickens and turkeys we tabulated the major pharmacokinetic characteristics of most of the major oral antimicrobial medicines used in poultry. The concentrations that can be found in blood (serum), for systemic infections, lung for respiratory infections and eggs for vertically transmitted infections are described as far as possible. These can then be compared with the minimal inhibitory concentrations (MICs) of the various antimicrobials against the various pathogens, which are tabulated below: -
Respiratory/systemic infections
Enteric/systemic infections
1. Escherichia coli
1. Salmonella
2. Pasteurella multocida
2. Erysipelas rhusiopathiae
3. Ornithobacterium rhinotracheale
3. Clostridium perfringens
4. Haemophilus paragallinarum
4. Brachyspira pilosicoli
5. Mycoplasma (gallisepticum, synoviae
Other
meleagridis & iowae)
1. Staphylococci
Virus infections tend to dominate in poultry and bacterial infections are frequently secondary invaders. E. coli infections, following Infectious Bronchitis (IB), Infectious Bursal Disease (IBD), Newcastle Disease (ND), and Avian Pneumovirus (AP), especially in turkeys (TRT), and mycoplasma infections, account for much of the antimicrobial medication used in poultry production. Salmonella, Pasteurella multocida, Ornithobacterium rhinotracheale and Haemophilus paragallinarum in warmer climates regularly occur and respiratory and systemic infections play a very important role. The recent ban of growth promoters in the EU, all of which had activity against Clostridium perfringens, has resulted in an upsurge of Necrotic Enteritis (NE) in broilers.
In some cases there is no comparative MIC data, only sensitivity data, based on disc diffusion tests and I have tried to use data from a number of countries for comparison purposes. The MIC is the lowest concentration of an antimicrobial, which will inhibit the growth of an organism. Often there is an MIC50 figure, which means that concentration will inhibit 50% of the different bacterial strains of bacteria tested. Similarly the MIC90 is the concentration that inhibits 90% of the strains and the Range is the variation between the most and least sensitive. The effective concentration or clinical ‘breakpoint’ can be determined where the concentration of the antimicrobial in the blood or target tissue is higher than the MIC for that organism. For regulatory purposes this level is deemed as being above the MIC90 and for clinical purposes this is a good target as it means that there is a high chance that the product will inhibit that organism’s growth (bacteriostatic effect) and enable the bird’s own immune system to destroy it. Some antibacterials will kill a bacterium directly and this is known as the bactericidal effect. The tetracyclines, macrolides and pleuromutilins exert primarily a bacteriostatic effect and the quinolones, aminoglycosides, trimethoprim/sulphas and penicillins a bactericidal effect. The bacteriostatic antimicrobials are therefore time dependent on their killing effect where as the bactericidal ones are more concentration dependent, except for the penicillins.
Respiratory/Systemic Infections:
1a. Escherichia coli - United Kingdom, Sensitivity (%)
Antimicrobial
(Disc Conc. mg)
Lasswade
(n = 286)
Shrewsbury
(n =198)
Overall
(n = 484)
Apramycin (15)
98
98
98
Neomycin (10)
79
89
83
Spectinomycin (25)
-
88
88
Linco/spectin (150)*
91
-
91
Amoxycillin (2)
15
-
15
Ampicillin (10)
-
62
62
Doxycycline (30)
56
-
56
Tetracycline (10)
46
61
52
Trimeth/Sulpha (25)
72
82
76
Enrofloxacin (5)
99
98
99
Difloxacin (10)**
95
-
95
*Lincomycin/spectinomycin – 239 isolates Source: (Burch, 2000)
** Difloxacin – 71 isolates
1b. E. coli Comparison – UK, EU (slaughter survey), Canada, USA (turkeys),
Sensitivity (%)
Country
UK
UK
EU (slaughter)
Canada
USA (Turkeys)
Year Isolated
1999
1986-91
1995
1993
1995
No. Isolates
484
274
1154
294
1204
Antimicrobial
Apramycin
98
-
-
97
-
Neomycin
83
84
94
50
13
Spectinomycin
88
-
-
38
54
Ampicillin
62
84
66
58
67
Tetracycline
52
48
55
11
-
Trimeth/Sulpha
76
85
64
78
87
Enrofloxacin
99
-
97
99
99
Sources (Burch, 2000; Wray et al, 1993; Scheer et al, 1997; Laperle et al, 1996; Salmon and Watts, 2000)
1c. E. coli - USA turkeys, MIC data (µ/ml) – 1204 isolates
Antimicrobial
MIC 50
MIC 90
Range
Ampicillin
4.0
>32
1->32
Ceftiofur
0.5
1.0
0.13->32
Enrofloxacin
<0.03
0.13
<0.03-8
Florfenicol
4.0
8.0
0.25->64
Gentamicin
0.5
32
<0.06->64
Neomycin
16
512
0.5->512
Spectinomycin
16
>128
8->128
Sulfamethazine
>512
>512
16->512
Tetracycline
>32
>32
0.25->32
Trimethoprim/sulphadiazine
0.13
2.0
0.03->16
Source: (Salmon & Watts, 2000)
2. Pasteurella multocida – Canada, sensitivity; MICs (µ/ml) global - 107 isolates
Antimicrobial
Sensitivity (%)
Mode MIC
MIC 90
Range
Ampicillin
100
-
-
-
Ceftiofur
100
-
-
-
Danofloxacin
-
0.03
0.25
<0.008-1.0
Erythromycin
73
-
-
-
Gentamicin
93
-
-
-
Lincomycin
-
32
64
0.25->64
Penicillin
100
-
-
-
Spectinomycin
87
32
64
<1->128
Sulfasoxazole
60
-
-
-
Trimethoprim/S
100
-
-
-
Tetracycline
93
-
-
-
Oxytetracycline
-
<0.5
16
<0.05->64
Source; (Laperle et al, 1996; Raemdonck et al, 1992)
3a. Ornithobacterium rhinotracheale – Belgium, MICs (µ/ml) – 45 isolates
Antimicrobial
MIC 50
MIC 90
Range
Ampicillin
4
8
0.12-16
Ceftiofur
8
16
1-32
Lincomycin
>64
>64
>64
Tilmicosin
>64
>64
0.5->64
Tylosin
8
16
1-16
Enrofloxacin
2
2
0.12-2
Doxycycline
8
16
0.12-16
Tiamulin
0.12
0.25
0.12-0.25
Source: (Devriese et al, 2001)
3b. O. rhinotracheale – Hungary, MICs (µ/ml) – 12 isolates
Varga et al, 2001
MIC50
MIC90
Range
Amoxycillin
0.12
≥64
≤0.06-≥64
Enrofloxacin
4.0
8.0
≤0.06-8.0
Erythromycin
0.25
0.25
0.12-0.5
Lincomycin
1.0
32
1.0-32
Oxytetracycline
4.0
4.0
2.0-8.0
Penicillin
<0.06
<0.06
<0.06-0.5
Spectinomycin
>64
>64
>64
Trimethoprim
>64
>64
>64
Tylosin
0.12
4.0
≤0.06-8.0
Tilmicosin
0.12
0.25
≤0.06-1.0
Tiamulin
0.25
2.0
<0.06-2.0
Varga, 2002 (10 isolates)
Tilmicosin
0.12
0.5
≤0.06-1.0
Source:(Varga et al, 2001; Varga, 2002)
3c. O. rhinotracheale – Holland, Sensitivity (%)
Antimicrobial
1996 (52 isolates)
1999 (105 isolates)
Amoxycillin
65
16
Tetracycline
60
11
Enrofloxacin
15
13
Trimethoprim/S
35
10
Source: (van Veen et al, 2001)
4. Haemophilus paragallinarum - Japan, MICs (µ/ml) – 24 isolates
Antimicrobial
MIC 50
MIC 90
Range
Ofloxacin
0.05
0.1
0.05-0.2
Oxytetracycline
3.13
3.13
0.78-12.5
Doxycycline
0.39
1.56
0.2-1.56
Spectinomycin
6.25
6.25
1.56-25
Chloramphenicol
0.39
0.78
0.39-0.78
Thiamphenicol
0.39
0.39
0.1-1.56
Tiamulin
3.13
6.25
0.78-6.25
Tylosin
3.13
6.25
0.78-12.5
Sulphamethoxazole
50
100
25-200
Trimethoprim
0.2
0.78
0.1-1.56
Trimethoprim/S (1:20)
3.13
3.13
1.56-3.13
Source: (Takahashi et al, 1990)
5. Mycoplasma – Worldwide – summary of 20 references and reports
13 were from before 1990 and seven from 1990 and after. There was information on 241 isolates of MG, 105 of MS, 28 of MM and 111 of MI. The comparative MIC data and resistance development for four mycoplasma species are summarized in the tables below.
5a. Mycoplasma gallisepticum, MIC ranges (µ/ml) by time period (no. of isolates)
Antimicrobial
1975-1989 (175)
1990-2000 (66)
Tiamulin
0.0039-0.78
0.006-0.39
Tylosin
0.01-75
0.006-400
Oxytetracycline
0.12-10
0.05-200
Lincomycin
0.4-64
0.125-6.25
Enrofloxacin
0.01-0.25
0.0125-2.0
5b. Mycoplasma synoviae, MIC ranges (µ/ml) by time period (no. of isolates)
Antimicrobial
1975-1989 (53)
1990-2000 (52)
Tiamulin
0.031-1.0
0.006-0.5
Tylosin
0.015-75
0.006-50
Oxytetracycline
0.06-0.08
0.025-100
Lincomycin
0.31-6.0
0.05-1.56
Enrofloxacin
0.1-1.0
0.025-1.56
5c. Mycoplasma meleagridis, MIC ranges (µ/ml) by time period (no. of isolates)
Antimicrobial
1975-1989 (17)
1990-2000 (11)
Tiamulin
0.03-1.0
0.025-3.13
Tylosin
0.015-3.0
0.78-50
Oxytetracycline
0.3-5.0
0.05-25
Lincomycin
0.5-5.0
0.05-25
Enrofloxacin
0.015-1.0
0.1-3.13
5d. Mycoplasma iowae, MIC ranges (µ/ml) by time period (no. of isolates)
Antimicrobial
1975-1989 (25)
1990-2000 (86)
Tiamulin
0.015-10
0.006-0.125
Tylosin
0.05-64
0.05-100
Oxytetracycline
1-3
0.025-100
Lincomycin
3-64
0.05-100
Enrofloxacin
0.1-1.0
0.005-1.0
(Valks and Burch, 2002)
5e. Mycoplasma, Worldwide, MICs (µ/ml)
Organism (no. of isolates) and antimicrobial agent
MIC (mg/ml)
Type strain
Field strains
Range
MIC 50%
MIC 90%
M. gallisepticum (20)
Enrofloxacin
0.01
0.025-1
0.05
0.1
Danofloxacin
0.005
0.01-0.5
0.05
0.1
Flumequine
0.5
2.5-10
5
10
Tiamulin
0.0025
0.0005-0.25
0.001
0.025
Tylosin
0.01
0.0025-10
0.01
2.5
Oxytetracycline
0.1
0.05-0.5
0.25
0.5
M. synoviae (28)
Enrofloxacin
0.5
0.05-0.5
0.25
0.5
Danofloxacin
0.5
0.1-0.5
0.25
0.5
Flumequine
10
5-50
25
50
Tiamulin
0.1
0.05-0.5
0.1
0.25
Tylosin
0.025
0.0025-50
0.025
50
Oxytetracycline
0.1
0.025->100
0.1
100
M. iowae (19)
Enrofloxacin
0.005
0.005-1
0.025
0.5
Danofloxacin
0.01
0.01-1
0.025
0.5
Flumequine
5
2.5-100
10
25
Tiamulin
0.005
0.005-0.1
0.01
0.1
Tylosin
0.5
10->100
>100
>100
Oxytetracycline
0.25
0.25-10
1
1
Source: (Hannan et al, 1997)
Enteric/Systemic infections:
1a. Salmonella – Canada - upto 41 isolates; UK - 1439 isolates, Sensitivity (%)
Antimicrobial
Canada
United Kingdom
Ampicillin
66
90
Apramycin
100
100
Ceftiofur
100
-
Enrofloxacin (nalidixic acid)
98
(89)
Gentamicin
73
-
Neomycin
83
99
Spectinomycin
37
-
Sulphonamide
27
75
Tetracycline
32
87
Trimethoprim/S
98
84
Source: (Laperle et al, 1997); VLA/DEFRA, 2001)
1b. Salmonella – USA, turkeys, MICs (µ/ml) - 24 isolates
Antimicrobial
MIC 50
MIC 90
Range
Ampicillin
1.0
0.5-1.0
Ceftiofur
1.0
1.0
0.5-1.0
Enrofloxacin
0.06
0.13
0.06-0.13
Florfenicol
0.5
8.0
0.25-8.0
Gentamicin
0.5
0.5
0.25-0.5
Neomycin
8.0
64
4->512
Spectinomycin
32
64
16->128
Source: (Salmon and Watts, 2000)
2. Erysipelas rhusiopathiae – UK, Sensitivity (%) - 7 isolates
Sensitive (%)
100
Tetracycline
43
Penicillin
100
Trimethoprim/S
50
Erythromycin
100
Ceftiofur
100
Source: (VLA/DEFRA, 2001)
3a. Clostridium perfringens – Belgium, MICs (mg/ml) - 27 avian isolates
Product
Class
MIC 50
MIC 90
Range (mg/ml)
Avoparcin
Banned GP
0.5
0.5
0.5
Bacitracin
Banned GP
0.06
0.5
0.03-16
Carbadox
Banned GP
0.03
0.06
0.007-0.15
Nitrovin
Banned GP
0.25
0.5
0.12-0.5
Virginiamycin
Banned GP
0.25
0.5
0.12-0.5
Bambermycin
GP
128
128
128
Monensin
GP/Coccci.
2
4
2.0-4.0
Chloramphenicol
Medicine
2
4
1.0-4.0
Erythromycin
Medicine
1
2
1.0-2.0
Lincomycin
Medicine
0.25
2
0.12-2.0
Penicillin G
Medicine
0.25
0.25
0.12-0.5
Tetracycline
Medicine
8
32
0.12-64
Tiamulin
Medicine
0.25-4.0
Source: (Dutta & Devriese, 1980)
3b. C. perfringens – Belgium, MICs (mg/ml) - 95 mixed isolates from poultry, calves and pig
Product
Class
MIC 50
MIC 90
Range (mg/ml)
Avoparcin
Banned GP
0.25
0.5
0.12-0.5
Bacitracin
Banned GP
0.25
0.5
0.12-64
Virginiamycin
Banned GP
0.25
0.25
0.12-8
Avilamycin
GP
0.12
0.5
0.12-0.5
Flavomycin
GP
64
64
64
Salinomycin
GP/Cocci.
0.12
0.12
0.12
Tylosin
Medicine (GP)
0.12
0.12
0.12-0.25
Source: (Devriese et al, 1993)
3c. C. perfringens - UK, Sensitivity (%) - 49 isolates
Antimicrobial
Disc strength (mg)
Sensitive (%)
Chloramphenicol
10
84
Tetracycline
10
33
Doxycycline
30
45
Apramycin
15
33
Neomycin
10
24
Lincomycin/spectinomycin
150
88
Trimethoprim/sulpha
25
6
Enrofloxacin
5
96
Difloxacin
10
96
Source: (Burch, 2000, unpublished data)
4. Brachyspira pilosicoli - Australia, MICs (mg/ml) - 35 isolates
Antimicrobial
MIC 50
MIC 90
Tiamulin
<0.1
0.5
Tylosin
>100
>100
Lincomycin
17
47
Tetracycline
<1
18
Neomycin
117
190
Metronidazole
0.5
1.5
Source: (Oxberry & Hampson, 1998)
Other infections:
- Staphylococcus spp – Canada, Sensitivity (%) - 60 isolates
Antimicrobial
Sensitive (%)
Ampicillin
97
Ceftiofur
95
Erythromycin
73
Gentamicin
98
Oxacillin
100
Penicillin
90
Sulfasoxazole
87
Trimethoprim / S
100
Tetracycline
32
Source: (Laperle et al, 1996)
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