Alt D P, Zuerner R L, Bolin C A
Bacterial Diseases of Livestock Research Unit, National Animal Diseases Center, USDA, Ames, IA 50010, USA.
J Am Vet Med Assoc. 2001 Sep 1;219(5):636-9. doi: 10.2460/javma.2001.219.636.
To evaluate antibiotics for treatment of cattle with leptospirosis caused by Leptospira borgpetersenii serovar hardjo.
Randomized controlled trial.
42 healthy mixed-breed cattle.
Cattle were inoculated via conjunctival instillation with L. borgpetersenii serovar hardjo. After infection and urinary shedding of L. borgpetersenii were confirmed, cattle were treated with various antibiotics. To determine effectiveness of antibiotic treatment, urinary shedding of L. borgpetersenii was monitored for 4 to 6 weeks after administration of antibiotics, using darkfield microscopic examination, microbial culture, immunofluorescence testing, and a polymerase chain reaction assay.
All inoculated cattle developed leptospirosis and shed leptospires in their urine. The following antibiotic treatments resulted in elimination of urinary shedding of leptospires: a single injection of oxytetracycline (20 mg/kg 19 mg/lb] of body weight, IM), tilmicosin (10 mg/kg [4.5 mg/lb], SC), or a combination product that contained dihydrostreptomycin-penicillin G (25 mg/kg [11.4 mg/lb], IM) or multiple injections of ceftiofur sodium (2.2 or 5 mg/kg [1 or 2.3 mg/lb], IM, once daily for 5 days, or 20 mg/kg, IM, once daily for 3 days).
Successful resolution of leptospirosis in cattle by administration of dihydrostreptomycin-penicillin G confirms results obtained by other investigators. Three other antibiotics (oxytetracycline, tilmicosin, and ceftiofur) also were effective for resolving leptospirosis and may be useful substitutes for dihydrostreptomycin, an antibiotic that is no longer available for use in food-producing animals in the United States. Cost, safety, and withdrawal times of these various treatment options need to be considered.
评估抗生素对感染波氏疏螺旋体哈氏血清型(Leptospira borgpetersenii serovar hardjo)的牛的治疗效果。
随机对照试验。
42头健康的杂种牛。
通过结膜滴注法给牛接种波氏疏螺旋体哈氏血清型。在确认感染及尿液中排出波氏疏螺旋体后,用各种抗生素对牛进行治疗。为确定抗生素治疗的效果,在给予抗生素后4至6周内,采用暗视野显微镜检查、微生物培养、免疫荧光检测和聚合酶链反应分析,监测牛尿液中波氏疏螺旋体的排出情况。
所有接种的牛均感染钩端螺旋体病并在尿液中排出钩端螺旋体。以下抗生素治疗可使尿液中钩端螺旋体的排出停止:单次肌内注射土霉素(20 mg/kg [19 mg/lb]体重)、替米考星(10 mg/kg [4.5 mg/lb],皮下注射),或含二氢链霉素 - 青霉素G的复合制剂(25 mg/kg [11.4 mg/lb],肌内注射),或多次肌内注射头孢噻呋钠(2.2或5 mg/kg [1或2.3 mg/lb],每天1次,共5天;或20 mg/kg,每天1次,共3天)。
给予二氢链霉素 - 青霉素G成功治愈牛钩端螺旋体病,证实了其他研究者的结果。其他三种抗生素(土霉素、替米考星和头孢噻呋)对治愈钩端螺旋体病也有效,且可能是二氢链霉素的有用替代品,二氢链霉素在美国已不再用于食用动物。需要考虑这些不同治疗方案的成本、安全性和停药期。