Yatoo Mohd Iqbal, Parray Oveas Raffiq, Mir Muheet, Bhat Riyaz Ahmed, Malik Hamid Ullah, Fazili Mujeeb Ur Rehman, Qureshi Sabia, Mir Masood Salim, Yousuf Raja Wasim, Tufani Noor Alam, Dhama Kuldeep, Bashir Shah Tauseef
Mycoplasma Laboratory, Division of Veterinary Clinical Complex, Faculty of Veterinary Sciences and Animal Husbandry, Shuhama, Srinagar, Jammu and Kashmir, 190006, India.
Division of Clinical Veterinary Medicine, Faculty of Veterinary Sciences and Animal Husbandry, Shuhama, Srinagar, SKUAST-Kashmir, 190006, India.
Trop Anim Health Prod. 2019 Nov;51(8):2127-2137. doi: 10.1007/s11250-019-01913-2. Epub 2019 May 10.
Therapeutic management of contagious caprine pleuroneumonia (CCPP) involves mostly the use of oxytetracycline followed by enrofloxacin and rarely tylosin. In many parts of the world including India, the former antibiotics are commonly available than the latter. Therefore, prolonged use of the same leads to the development of antibiotic resistance and decreased efficacy of drug. Besides, inflammatory and allergic pathogenesis of CCPP envisages combination therapy. In this study, we evaluated the effectiveness of the combination therapy using different antibiotics (oxytetracycyline @ 10: group I, enrofloxacin @ 5 group II, and tylosin: group III, @ 10 mg/kg body weight), along with anti-inflammatory (meloxicam @ 0.5 mg/kg) and anti-allergic (pheneramine maleate @ 1.0 mg/kg) drugs. These drugs were given intramuscularly at the interval of 48 h for four times in three test groups (n = 10) of Pashmina goats, viz. groups I, II, and III, respectively, affected with CCPP. Group IV (n = 10) was kept as healthy control when group V (n = 10) treated with oxytetracycline @ 10 mg/kg alone was used as positive control. Clinical signs, clinical parameters, pro-inflammatory cytokine (tumor necrosis factor alpha (TNF-α)), and oxidative stress indices (total oxidant status (TOS), total antioxidant status (TAS)) were evaluated at hours 0, 48, 96, and 144 of experimental trial. Tylosin-based combination therapy resulted in a rapid and favorable recovery resulting in restoration of normal body temperature (102.46 ± 0.31 °F), respiration rate (16.30 ± 0.79 per minute), and heart rate (89.50 ± 2.63 per minute) compared to the oxytetracycline (102.95 ± 0.13, 21.30 ± 1.12, 86.00 ± 2.33, respectively) and enrofloxacin (102.97 ± 0.19, 21.00 ± 1.25, 90.00 ± 2.58, respectively) treated groups. By hour 144, all the groups showed restoration of clinical parameters of normal health and diminishing signs of CCPP, viz. fever, dyspnea, coughing, nasal discharge, weakness, and pleurodynia. Significant (P ≤ 0.05) decrease in levels of TNF-α and non-significant (P > 0.05) decrease in levels of TOS and an increase in levels of TAS were noted from hour 0 to 144 in all the test groups. Within the groups, no significant (P > 0.05) change was noted in TNF-α, TOS, and TAS levels; however, TNF-α levels were comparatively lower in group III. Hematological parameters did not differ significantly (P > 0.05). From these findings, it can be inferred that tylosin-based combination therapy is relatively better for early, rapid, and safe recovery besides minimizing inflammatory and oxidative cascade in CCPP affected Pashmina goats compared to oxytetracycline- and enrofloxacin-based therapies.
传染性山羊胸膜肺炎(CCPP)的治疗管理主要涉及使用土霉素,其次是恩诺沙星,很少使用泰乐菌素。在包括印度在内的世界许多地方,前一种抗生素比后一种更常见。因此,长期使用同一种抗生素会导致抗生素耐药性的产生和药物疗效的降低。此外,CCPP的炎症和过敏发病机制设想采用联合治疗。在本研究中,我们评估了联合使用不同抗生素(土霉素@10mg/kg体重:第一组,恩诺沙星@5mg/kg体重:第二组,泰乐菌素@10mg/kg体重:第三组)以及抗炎药(美洛昔康@0.5mg/kg)和抗过敏药(马来酸氯苯那敏@1.0mg/kg)的联合治疗效果。这些药物在感染CCPP的三组克什米尔山羊(每组n = 10)中,即第一组、第二组和第三组,每隔48小时肌肉注射一次,共注射四次。第四组(n = 10)作为健康对照,第五组(n = 10)仅用土霉素@10mg/kg治疗作为阳性对照。在实验试验的0小时、48小时、96小时和144小时评估临床症状、临床参数、促炎细胞因子(肿瘤坏死因子α(TNF-α))和氧化应激指标(总氧化剂状态(TOS)、总抗氧化剂状态(TAS))。与土霉素治疗组(分别为102.95±0.13°F、21.30±1.12次/分钟、86.00±2.33次/分钟)和恩诺沙星治疗组(分别为102.97±0.19°F、21.00±1.25次/分钟、90.00±2.58次/分钟)相比,基于泰乐菌素的联合治疗导致快速且良好的恢复,使体温恢复正常(102.46±0.31°F)、呼吸频率恢复正常(16.30±0.79次/分钟)和心率恢复正常(89.50±2.63次/分钟)。到144小时时,所有组的临床参数均恢复到正常健康水平,CCPP的症状如发热、呼吸困难、咳嗽、鼻分泌物、虚弱和胸膜疼痛等均减轻。在所有测试组中,从0小时到144小时,TNF-α水平显著降低(P≤0.05),TOS水平无显著降低(P>0.05),TAS水平升高。在各治疗组内,TNF-α、TOS和TAS水平无显著变化(P>0.05);然而,第三组的TNF-α水平相对较低。血液学参数无显著差异(P>0.05)。从这些结果可以推断,与基于土霉素和恩诺沙星的治疗方法相比,基于泰乐菌素的联合治疗对于感染CCPP的克什米尔山羊的早期、快速和安全恢复相对更好,同时还能最大限度地减少炎症和氧化反应。