Larsen J L, Nielsen N C
Nord Vet Med. 1975 Jul-Aug;27(7-8):353-64.
A retrospective investigation into the drug resistance pattern of intestinal E. coli was carried out in 17 closely monitored herds in order to evaluate a possible influence of an improved diagnostic and a restrictive use of antibiotics in swine herds. The herds participated from October, 1970, in an investigation of preweaning mortality and morbidity, and during a two-year investigation period antibiotics were only used when therapeutically indicated. Sensitivity tests were regularly performed on the intestinal flora from post mortem examined pigs from the herds and the results forwarded to the local veterinarians. A total of 443 E. Coli strains were isolated in pure or almost pure culture from the jejunum of post mortem examined pigs and tested for sensitivity, using the following antibiotics: streptomycin, compound sulphonamide, neomycin, oxytetracycline, chloramphenicol, nalidixic acid, furazolidone, and ampicillin. During the investigation period, the frequency of isolated multiresistant E. coli strains decreazed from 67.7 per cent to 9.5 per cent and the number of strains without antibiotic resistance increased from 3.0 per cent to 36.2 per cent (Table I; Fig. 1). Herds were divided into 3 groups according to different intensity of antibiotic administration and to closed or open management system (Table II). The most pronounced decrease in the number of multiresistant E. coli strains (from 64.9 to 2.0 per cent) was observed in Group I, which comprises closed herds with a rapid decrease in the use of antibiotics. In Group II, which comprises semi-closed herds with a decreasing, but in the last year of the investigation still frequent use of antibiotics, a somewhat slower decrease of the number of multiresistant strains to a level of 12.1 per cent was observed. The number of strains without resistance increased to approximately the same level as in Group I. In Group III, which comprises open herds with infrequent use of antibiotics, the incidence of resistant E. coli strains fluctuated (Table III; Fig. 2). The resistance was proved transferable in 60.5 per cent of the examined resistant strains. The frequency of transferability did not show any significant change during the investigation period (Table IV). The most frequently encountered resistance determinants were: sulphonamide (97 per cent), streptomycin (40 per cent), and oxytetracycline (34 per cent). Only resistance against sulphonamide, streptomycin, tetracycline, and chloramphenicol was proved transferable (Table V). It is concluded that it is possible to obtain a simultaneous reduction of induced antibiotic resistance of intestinal E. coli and of enteric diseases in sucking pigs in commercial herds, by adjustment of management and rational use of antibiotics based on improved diagnostic including in vitro sensitivity tests.
对17个密切监测猪群的肠道大肠杆菌耐药模式进行了回顾性调查,以评估猪群中诊断方法的改进和抗生素的限制性使用可能产生的影响。这些猪群自1970年10月起参与断奶前死亡率和发病率的调查,在为期两年的调查期间,仅在有治疗指征时使用抗生素。定期对这些猪群中经尸检的猪的肠道菌群进行敏感性试验,并将结果反馈给当地兽医。从经尸检的猪的空肠中分离出443株纯培养或几乎纯培养的大肠杆菌菌株,并使用以下抗生素进行敏感性测试:链霉素、复方磺胺、新霉素、土霉素、氯霉素、萘啶酸、呋喃唑酮和氨苄青霉素。在调查期间,分离出的多重耐药大肠杆菌菌株的频率从67.7%降至9.5%,无抗生素耐药性的菌株数量从3.0%增加到36.2%(表I;图1)。根据抗生素使用强度和封闭或开放管理系统的不同,将猪群分为3组(表II)。在第一组中观察到多重耐药大肠杆菌菌株数量下降最为明显(从64.9%降至2.0%),该组包括封闭猪群且抗生素使用迅速减少。在第二组中,包括半封闭猪群,抗生素使用量在减少,但在调查的最后一年仍频繁使用,观察到多重耐药菌株数量下降幅度稍慢,降至12.1%的水平。无耐药性的菌株数量增加到与第一组大致相同的水平。在第三组中,包括开放猪群且抗生素使用不频繁,耐药大肠杆菌菌株的发生率波动(表III;图2)。在60.5%的检测耐药菌株中证明耐药性是可转移的。在调查期间,可转移性频率未显示出任何显著变化(表IV)。最常遇到的耐药决定因素是:磺胺(97%)、链霉素(40%)和土霉素(34%)。仅对磺胺、链霉素、四环素和氯霉素的耐药性被证明是可转移的(表V)。得出的结论是,通过调整管理并基于包括体外敏感性试验在内的改进诊断合理使用抗生素,有可能同时降低商品猪群中仔猪肠道大肠杆菌的诱导性抗生素耐药性和肠道疾病。