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Amoxicillin-current use in swine medicine
1Octagon Services Ltd, Windsor, Berkshire, UK.
Journal of Veterinary Pharmacology and Therapeutics
|January 21, 2018
Summary
Amoxicillin remains effective against key pig pathogens like Streptococcus suis and Actinobacillus pleuropneumoniae. However, resistance in E. coli and Salmonella is high, often overcome by combining amoxicillin with clavulanic acid.
Area of Science:
- Veterinary Pharmacology
- Antimicrobial Resistance
- Bacteriology
Background:
- Amoxicillin is a critical antimicrobial for treating systemic infections in pigs, including Streptococcus suis.
- Epidemiological cut-off values (ECOFFs) are used to assess antimicrobial susceptibility in porcine pathogens.
- Beta-lactamase production is a key mechanism of resistance in bacteria like Escherichia coli and Salmonella.
Purpose of the Study:
- To evaluate the efficacy of amoxicillin, alone and in combination with clavulanic acid, against common porcine bacterial pathogens.
- To compare the susceptibility of various bacteria to amoxicillin using established ECOFFs.
- To inform future antibiotic classification and preservation strategies in veterinary medicine.
Main Methods:
- Review of pharmacodynamic and pharmacokinetic data for amoxicillin in healthy and infected animals.
- Analysis of clinical trial data for amoxicillin efficacy against Streptococcus suis, Actinobacillus pleuropneumoniae, Pasteurella multocida, Escherichia coli, and Salmonella species.
- Comparison of amoxicillin susceptibility data with proposed epidemiological cut-off values (ECOFFs).
Main Results:
- Amoxicillin demonstrates good efficacy against Streptococcus suis (0.7% isolates above ECOFF) and Actinobacillus pleuropneumoniae (11.3% isolates with reduced susceptibility).
- Pasteurella multocida shows low reduced susceptibility (2.6%) to amoxicillin.
- High levels of reduced susceptibility to amoxicillin were observed in Escherichia coli (70.9%) and Salmonella species (67.7%), largely due to beta-lactamase production, which is overcome by clavulanic acid combination.
Conclusions:
- Amoxicillin remains highly valuable for specific porcine infections, but its efficacy against E. coli and Salmonella is limited by beta-lactamase-mediated resistance.
- Combining amoxicillin with clavulanic acid effectively overcomes beta-lactamase resistance in E. coli and Salmonella.
- Differentiating amoxicillin's efficacy alone versus in combination could aid in preserving critically important antibiotics in veterinary medicine.
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