Department of Reproduction, Obstetrics, and Herd Health
Faculty of Veterinary Medicine, Ghent University
RISK FACTORS ASSOCIATED WITH TETRACYCLINE RESISTANCE IN LACTOSE-POSITIVE ENTERIC COLIFORMS FROM FATTENING PIGS Timmerman T., Dewulf J., Catry B., Duchateau L., de Kruif A., Maes D. Faculty of Veterinary Medicine, Ghent University, Salisburylaan 133, 9820 Merelbeke, Belgium Introduction To date, only a few studies evaluating the effects of various husbandry conditions on the development and persistence of antibiotic-resistant bacteria in swine have been reported. The majority of these studies are single factor analyses, focusing on one (or two) possible risk factor(s) like age (Langlois et al., 1988; Mathew et al., 1999), housing conditions (Langlois et al., 1988), transport or overcrowding (Molitoris et al., 1987; Langlois and Dawson, 1999),… . These studies indicate that, besides exposure to antibiotics, also other factors can influence antimicrobial resistance. The aim of this study was to to assess the impact of different management and housing conditions on the degree of tetracycline-resistance (TETR) in lactose-positive enteric coliforms (LPEC) associated with fattening pigs kept under commercial farming conditions. Materials and Methods Fifty randomly selected pig Study population on farm: Registation of Weaners (10 ± 2 weeks) (a) General herd data closed or semi-closed Growers (18 ± 2 weeks) (b) Antimicrobial drug consumption located in the most (c) Finishers (26 ± 2 weeks) (c) Management factors Statistical analysis: dense pig areas (d) Housing factors Multivariable linear at least 150 sows and mixed effects model 600 fattening pigs with herd as random Collection of pooled faecal Determination of TETR in LPEC per samples per production stage pooled sample using an agar (4 pens, 4 pigs per pen) dilution technique Results and Discussion The overall TETR in LPEC was 56.8% (min. 8.2%, median 56.9%, max. 100.0%; 95% CI 53.2%-60.4%). Results of the univariable and multivariable analyses are shown in Table 1. The multivariable analysis identified tetracycline treatment and inside pen hygiene as significant risk factors. Table 1: Estimated herd-level TETR and 95% CIs from analyses based on the linear mixed model with herd as random factor. Only parameters which were significant in the univariable analysis and which were not correlated (r<0.60) are shown. Parameter P-value univariable P-value multivariable Production system 56.4-65.3 Continuous 44.1-56.2 Moving to other pen/room <3 days ago 52.7-92.6 3-10days ago 46.2-75.6 >10days ago 51.7-59.5 Inside pen hygiene 48.7-57.4 59.5-71.8 Tetracycline treatment 59.3-71.0 48.5-71.0 Conclusions
• Antimicrobial treatment is the most important risk factor in the development of tetracycline resistance. • Pigs housed in dirty pens had a lower TETR than pigs housed in clean pens. This is probably caused be intake of susceptible bacteria from the environment which dilute or replace the resistant LPEC.
• Changes in antimicrobial resistance after transport and holding stress in swine have been reported (Langlois et al., 1984; Molitoris et al., 1987). Similar univariable effects were seen after moving pigs to another pen/room, but could not be confirmed in the multivariable analysis.
• In the univariable analysis, animals in a continuous production system have a lower TETR. A possible explanation is that these animals take up susceptible bacteria, originating from older or non-treated animals, which dilute or replace the resistant LPEC.
This study was supported by IWT-Flanders, grant number SB/23200. UNIVERSITY
Fixed-Income Holdings Per Currency As at 31 December 2002 Security Nominal amount (QC) Market Value (SEK) Clean Value(SEK) EUR Belgium Kingdom Government 5.50 2017-09-28 Italy Buoni Poliennali Del Tesoro 6 2031-05-01 7 169 309 285 6 958 443 680 GBP United Kingdom Government 9 2011-07-12 United Kingdom Government 5.75 2009-12-07United Kingdom Government 6.25 2010-11-
COMO SEGUIR AS PACIENTES COM CÂNCER DE MAMA ? Dr. José Luiz B. Bevilacqua DECLARAÇÃO DE CONFLITOS DE INTERESSE COMO SEGUIR AS PACIENTES COM CÂNCER DE MAMA ? • Novos estadiamentos são necessários?• Qual o benefício do diagnóstico precoce de • Exames ou conversa: o que as pacientes Follow-up em Ca de mama – Aspectos da Abordagem • Sintomas comuns associados ao t