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恩诺沙星治疗时间和剂量减少对禽偏肺病毒和气管鸟杆菌引起的呼吸道疾病病程的影响

The effect of reduced treatment time and dosage of enrofloxacin on the course of respiratory disease caused by avian metapneumovirus and Ornithobacterium rhinotracheale.

作者信息

Garmyn A, Martel A, Froyman R, Ludwig C, Nauwynck H, Haesebrouck F, Pasmans F

机构信息

Department of Pathology, Bacteriology and Avian Diseases, Faculty of Veterinary Medicine, Ghent University, Salisburylaan 133, B9820 Merelbeke, Belgium.

出版信息

Poult Sci. 2009 Nov;88(11):2315-23. doi: 10.3382/ps.2009-00247.

DOI:10.3382/ps.2009-00247
PMID:19834081
Abstract

A dose titration and reduced duration medication study were performed to evaluate the current enrofloxacin treatment schedule in growing turkeys experimentally infected with avian metapneumovirus and Ornithobacterium rhinotracheale. Experimental groups of 17 four-week-old turkeys were first infected with avian metapneumovirus and 3 d later with O. rhinotracheale. Enrofloxacin treatment in the drinking water was started 24 h after O. rhinotracheale inoculation. In the dose titration study, enrofloxacin doses of 5, 10, and 20 mg/kg of BW were administered for 5 successive days. In the reduced duration medication study, the following enrofloxacin regimens were compared: 25 mg/kg of BW per day on d 0 and 2; 15 mg/kg of BW per day on d 0, 2, and 4; and 10 mg/kg of BW for 5 successive days. In both studies, all enrofloxacin treatments were equally efficacious (i.e., equally capable of shortening the course of clinical disease), eliminating O. rhinotracheale from the respiratory tract and reducing gross lesions. Ornithobacterium rhinotracheale bacteria were not recovered from any of the birds on enrofloxacin-supplemented media, indicating that none of the used treatment regimens promoted the selection of bacterial clones with reduced susceptibility or resistance to this antimicrobial agent. In conclusion, none of the alternative enrofloxacin treatment regimens yielded better results than the current prescribed treatment (i.e., 10 mg/kg of BW for 5 successive days) of O. rhinotracheale infections in turkeys. However, the reduced duration of application would offer a less time-consuming and equally effective alternative.

摘要

进行了剂量滴定和缩短用药时间的药物研究,以评估当前恩诺沙星治疗方案对实验感染禽肺病毒和鼻气管鸟杆菌的生长火鸡的疗效。将17只4周龄火鸡分为实验组,首先感染禽肺病毒,3天后感染鼻气管鸟杆菌。在接种鼻气管鸟杆菌24小时后开始在饮水中添加恩诺沙星进行治疗。在剂量滴定研究中,连续5天给予5、10和20mg/kg体重的恩诺沙星剂量。在缩短用药时间的药物研究中,比较了以下恩诺沙星治疗方案:第0天和第2天每天25mg/kg体重;第0天、第2天和第4天每天15mg/kg体重;以及连续5天每天10mg/kg体重。在两项研究中,所有恩诺沙星治疗方案的疗效相同(即同样能够缩短临床疾病病程),可消除呼吸道中的鼻气管鸟杆菌并减少肉眼可见病变。在添加恩诺沙星的培养基上,未从任何禽类中分离出鼻气管鸟杆菌,这表明所使用的治疗方案均未促进对该抗菌药物敏感性降低或耐药的细菌克隆的选择。总之,对于火鸡鼻气管鸟杆菌感染,没有一种替代的恩诺沙星治疗方案比当前规定的治疗方案(即连续5天每天10mg/kg体重)产生更好的效果。然而,缩短用药时间将提供一种耗时更少且同样有效的替代方案。

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