In vivo pharmacokinetic and pharmacodynamic study and cutoff of florfenicol against Riemerella anatipestifer in ducks

Riemerella anatipestifer causes serious infections, characterized by septicemia and serositis, in ducks and geese. R. anatipestifer is mainly controlled through antimicrobial chemotherapy. This study investigated the pharmacokinetic/pharmacodynamic (PK/PD) integration of florfenicol (FF) against R. anatipestifer by establishing a systemic infection model in ducks. For PK studies, FF was administrated intramuscularly (i.m.) at single doses of 2.5, 10, 20, and 40 mg/kg body weight. The concentrations of FF in blood, lung, and liver were determined. FF was rapidly eliminated in R. anatipestifer-infected ducks with T_1/2kel values of 1.67, 2.2, and 1.62 h in the plasma, lung, and liver, respectively. For PD analysis, the infected ducks were administered FF via the i.m. route at doses of 5-80 mg/kg body weight, using 2 dosing regimens involving the administration of FF either once or twice over 24 h. The bacteria were counted 24 h after drug administration. Bactericidal effects in tissues (including those of the heart, liver, spleen, lung, kidney, and brain) were achieved at doses of ≥20 mg/kg following 2 i.m. injections of FF within 24 h. The data obtained were fitted to a sigmoidal E_max model. The results demonstrated that AUC_24h/minimum inhibitory concentration (MIC) (R² = 0.930) and C_max/MIC (R² = 0.930) were the optimal PK/PD parameters for describing the antibacterial activity of FF. The magnitudes of AUC_24h/MIC and C_max/MIC required to produce a drop of 3 Log₁₀CFU/mL in the bacterial count were 58.56 h and 15.10, respectively. The MIC distribution of 164 R. anatipestifer strains for FF ranged from 0.25 to 16 μg/mL. Both the values of CO_WT derived from the ECOFFinder program and the CO_PD based on a 10,000-subject Monte Carlo simulation of FF against R. anatipestifer were 1 μg/mL, confirming that infections caused by strains with MIC ≤ 1 μg/mL could be effectively treated. Our study results may prove useful in optimizing FF regimens to treat R. anatipestifer infections.