Florfenicol resistance: Mannheimia haemolytica Mannheimia haemolytica is the causative agent of several economically significant veterinary diseases occurring in ruminants. It accounts for approximately 30% of the total cattle deaths worldwide. Mannheimia (Pasteurella) species are common commensals on mucous membranes of most domestic animals worldwide but the organism seems to be enigmatic, changing its niche from commensal to a pathogenic bacterium under conditions of stress. M. haemolytica is associated with diseases in cattle causing pneumonic pasteurellosis, haemorrhagic septicaemia and abortion1. Early recognition by trained personnel skilled at detecting the early symptoms of disease and treatment with antibiotics are essential for successful therapy. Antibiotics effective against the 3 gram-negative bacteria most often involved in Bovine Respiratory Diseases should be selected1. Florfenicol is one of the antibiotics which has a lower resistance level wordwide, especially when compared with the most popular antibiotics such as tetracycline or penicillin. Occurrence of antimicrobial resistance of Mannhelmia haemolytica in Spain (DIAGNOS Service HIPRA S.A., Spain). Occurrence of antimicrobial resistance of Mannheimia haemolytica in different European countries2. 2002 Ceftiofur 2009 Ceftiofur 2010 Florfenicol England 2003 France 2004 2011 NL 2002 Doxycycline Florfenicol 2003 2004 Enrofloxacin 2002 Tetracycline Fluoroquinolones 2003 2004 Amoxicillin 2002 Ampicillin Erythromycin 2003 2004 TMP-sulfa 2002 TMP-sulfa 2003 Gentamycin 2004 2002 Spiramycin Tetracycline Neomicin 2003 2004 0 20 40 60 80 (%) 100 (%) 0 20 40 60 80 100 Conclusions Occurrence of antimicrobial resistance of Mannheimia haemolytica in Turkey3. Florfenicol: One of the most powerful antibiotics exclusively for veterinary use. Florfenicol Broad spectrum antibiotic with bactericidal effect against the most common pathogens. Enrofloxacin TMP-sulfa Highly effective and valuable alternative to traditional antibiotics. Ampicillin Erythromycin (%) 0 20 40 60 80 100 Occurrence of antimicrobial resistance of Mannheimia haemolytica in Iran4. One of the lowest levels of resistance wordwide. Occurrence of antimicrobial resistance of Mannheimia haemolytica in Netherlands5. Occurrence of antimicrobial resistance of Mannheimia haemolytica in Korea6. Florfenicol Ceftiofur Florfenicol Amoxicillin Florfenicol Ceftiofur Cephalothin Chloramphenicol Tilmicosin Chloramphenicol TMP-sulfa 96-97 1998 1999 2000 01-03 04-05 06-07 2008 Enrofloxacin Enrofloxacin Penicillin TMP-sulfa TMP-sulfa Enrofloxacin Spectinomycin Oxytetracycline Ampicillin Ampicillin Lincimycin Tylosin Gentamicin (%) 0 20 40 60 80 100 (%) 0 20 40 60 80 Neomycin 100 Gentamicin Bibliography 1. Adamu j.y: Mannheimia haemolytica: phylogeny and genetic analysis of its major virulence factors. Department of Veterinary Microbiology and Parasitology, Faculty of Veterinary Medicine, University of Maiduguri, P.M.B. 1069, Borno State, Nigeria. 2. Hendriksen RS, Mevius DJ, Schroeter A et al: Prevalence of antimicrobial resistance amoung bacterial isoled from cattle in different European countries from year 2002-2004. Acta Veterianria Scandinavica 50:19, 2008. 3. Önat K, Kahya K, Çarli T; Frequency and antibiotic susceptibility of Pasteurella multocida and Mannheimia haemolytica isolates from nasal cavities of cattle. Turk. J. Vet. Anim. Sci., 34(1):91-94, 2010. 4. Mohammadi GR, Ghazvini k, Abba Panah H: Antimicrobial susceptibility testing of Mannheimia Haemolytica and Pasteurella multocida isolated from calves with dairy calf pneumonia. Archives of Razi institute Vol.61, No2, 91-96, 2006. 5. MARAN report Central Veterinary instirude Wageninger UR 2008. 6. Shin JS, Kang GS, Nabin R, et al: Evaluation of the antimicrobial activity of florfenicol against bacteria isolated from bovine and porcine respiratory disease, Vet. Microbiol. 106: 73-77, 2005. Flumequine Tetracycline (%) 0 20 40 60 80 100 The low rate of resistance development, the low prevalence of transferable resistance determinants among bovine respiratory pathogens, and the limited use of phenicols in human and veterinary medicine explain the continued high degree of florfenicol susceptibility among bovine respiratory isolates. SELECTAN ® Florfenicol SELECTAN® Florfenicol, in injectable solution. COMPOSITION PER ML: Florfenicol 300 mg. INDICATIONS: Diseases caused by florfenicol susceptible bacteria: -Swine: Treatment of acute outbreaks of respiratory disease caused by Actinobacillus pleuropneumoniae and Pasteurella multocida. -Cattle: Treatment of respiratory infections due to Mannheimia haemolytica, Pasteurella multocida and Histophilus somni. ADMINISTRATION ROUTE: Intramuscular. DOSAGE: -Swine: 1 ml/20 kg b.w., equivalent to 15 mg of florfenicol/kg b.w, into neck muscles, administered twice at 48 hours intervals. The volume administered per injection site should not exceed 3 ml. -Cattle: 1 ml/15 kg b.w., equivalent to 20 mg of florfenicol/kg b.w., administered twice at 48 hours intervals.The volume administered per injection site should not exceed 10 ml. WITHDRAWAL PERIOD: Meat: -Swine: 18 days. -Cattle: 30 days. Special precautions for storage: Not require any special storage conditions. PACKAGING: 50, 100 and 250 ml plastic bottles. Marketing authorisation holder: Laboratorios Hipra, S.A., Amer (Girona), SPAIN.
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