ÞEMËS ÛKIO MOKSLAI. 2004. Nr. 2. P. 4451
Modestas Ruþauskas, Èeslova Butrimaitë-Ambrozevièienë
Lietuvos mokslø akademijos leidykla, 2004
Most common pathogenic bacteria and their
Pathological material from pigs was investigated in the Veterinary Ins-
titute of Lithuanian Veterinary Academy and National Veterinary Labo-
ratory during a 5-year period. Pathological material was investigated
under suspicion of infections caused by pathogenic bacteria with the aim
to isolate them and to determine their resistance to antimicrobials. In
Lithuanian pig farms, among pathogenic and opportunistic bacteria most
frequently E. coli and Salmonella spp. 176 strains of E. coli and 122
strains of Salmonella were isolated. The most common serotypes of E.
coli were 08:K87, 0141:K85, and 0149:K91. Most of them contained
fimbrial antigens F4, F5 or F6. S. Choleraesuis (79%) was the most
common serovar among Salmonella. The highly pathogenic S. Enteriti-
dis and S. Typhimurium were infrequent (respectively 3.3% and 2.5%).
The HAP group (Haemophilus, Actinobacillus and Pasteurella) bacteria
were also rather widespread: 84 strains of this group were isolated. The
most frequent pathogens were Actinobacillus pleuropneumoniae, Haemo-
philus parasuis and Pasteurella multocida.
The bacteria isolated from pigs were comparatively resistant to an-
timicrobials. E. coli and Salmonella spp. were most susceptible to poly-
myxin B and fluoroquinolones. The resistance to other antimicrobials
was higher, especially to lincomycin-spectinomycin and aminoglycosides.
25% of staphylococci were resistant to penicillin, and 50% of strep-
tococci were resistant to gentamicin. Bacteria of the HAP group were
susceptible to many antimicrobials. All investigated Pasteurella multocida
were tetracycline-sensitive, whereas Haemophilus and Actinobacillus spp.
were susceptible to chloramphenicol, ceftiofur and polymyxin B. Key words: antimicrobials, E. coli, HAP, resistance, Salmonella
teria occupy one of the most important places among
all pathogens, particularly by their adaptability and
Pathogenic bacteria are important in the etiology of
ability to resist unfavourable environment.
pig diseases and cause great economical losses [18].
Resistance of bacteria to antimicrobials has re-
Bacteria can cause diseases by themselves or in as-
cently become a question of topical importance. Re-
sociation with viruses, mycoplasmas or other micro-
search works on this subject appear all over the
organisms. Some studies of infectious diseases in
world. Some works put emphasis on separate spe-
Lithuanian pig farms were carried out. Species of
cies or genera [6, 21, 26, 30] of bacteria, others
pathogenic bacteria, mycoplasmas, chlamydias or vi-
concentrate on the resistance of bacteria to separa-
ruses were investigated [9, 11, 16, 24, 28, 29]. Bac-
te antibiotics or their groups [13, 25]. Of great im-
Most common pathogenic bacteria and their antimicrobial resistance in pigs
portance are studies on the sensitivity of pathogenic
For inoculation into media, 0.5 McFarland units of
bacteria in different regions or countries [3]. Sym-
bacterial suspension (for Haemophilus and Strepto-
posia and conferences devoted to the theme of re-
coccus 1 McFarland unit) were used. The pH of
sistance to antibiotics are held [27, 31]. Lithuania
media was 7.4 ± 0.2. Antibiotic discs (Becton Dic-
has not so far developed an apparent strategy to
kinson, USA) were used and the results were inter-
ensure the prudent use of antibiotics for veterinary
preted with special tables of this manufacturer. The
purposes. The aim of the present work was to elu-
concentrations of antimicrobials were standard: pe-
cidate the most widespread pathogenic bacteria in
nicillin 10 U, oxacillin 1 µg, chloramphenicol 30 µg,
Lithuanian pig farms and determine their resistance
enrofloxacin 10 µg, gentamicin 10 µg, polymyxin B
300 U, streptomycin 10 µg, tetracycline 30 µg, cef-
tiofur 30 µg. Resistance of the isolated bacteria to
The pathological material of pigs was provided from
different Lithuanian districts. Investigations were car-
ried out at the Veterinary Institute of Lithuanian
Investigations involved 35 pig farms from all regions
Veterinary Academy and in National Veterinary La-
of Lithuania. Data listed in Table 1 reveal the most
common pathogenic bacteria in pigs. E. coli was
Bacteriological investigations were done using
the most widespread pathogenic bacteria in Lithua-
classical methods. The common media for isolation
nian pig farms: 176 E. coli isolates were obtained
of bacteria were used: Tryptone Soy Agar, Tryptone
(19%) from 925 tested pigs, and 156 strains of iso-
Soy Broth, Nutrient Agar (Oxoid, Lab-M, England)
lated E. coli were serotyped; 20 strains did not ag-
and analogues. For cultivation of different bacteria,
glutinate with agglutinating sera. According to the
selective media were used: Endo Agar, SS Agar,
data of Table 2, the most widespread serotypes of
Perfringens Agar Base (Oxoid, Lab-M, England), as
E. coli were 0141:K85, 08:K87 and 0149:K91. Most
well as adequate ingredients and needful supple-
of ETEC (enterotoxigenic) E. coli contained fimb-
ments. For cultivation of fastidious bacteria, growth
rial antigens F4, F5 or F6. E. coli of serotype 0157
factors were used (Nicotinamide Adenine Dinucleo-
tide (Sigma)). For isolation of staphylococci Manite
Salt Agar (Oxoid, England), Baird Parker Medium
Table 1. Data on bacteria isolated from pigs
(Lab M, England) and of streptococci Columbia
Broth (BBL, USA), Eugon Agar (bio Merieux, Fran-
ce) were used. E. coli were incubated at 43 °C with
the aim to inhibit the growth of saprophytic E. coli.
Identification of isolated bacteria was done according
to their growth, biochemical properties, according
to Bergeys Manual of Determinative Bacteriology
[2]. Some experiments were based on standard met-
hods, e.g., ISO standard for isolation of Salmonella
(ISO 65791993). Bacteria difficult to cultivate on
media (Brachyspira hyodysenteriae) were examined
For determination of biochemical properties, car-
bohydrates and amino acids in test tubes with indi-
cators, as well as the commercial systems Intersis-
Table 2. Prevalence of Salmonella serovars in pigs
tem (Liofilchem, Italy) and Crystal (BBL, USA) were
used. Escherichia coli and Salmonella were serotyped
by drop on glass or latex agglutination test with
commercial sera. For Salmonella typing, SIFIN (Ger-
many) and for E. coli the Sanofi Diagnostics Pa-
steur (France), Oxoid (England) and Bundesinstitut
Veterinärmed (Germany) sera were used.
The resistance to antimicrobials was determined
by the method of diffusion in agar gel according to
KirbyBauer [1]. Mueller Hinton Agar II and Hae-
mophilus Test Medium (Oxoid, England) were used.
Modestas Ruþauskas, Èeslova Butrimaitë-Ambrozevièienë
has not so far been isolated in Lithuania. These
countries about salmonella serovars prevalence va-
serotypes are also widespread in all countries and
ry. There is a great variety of salmonella serotypes
our data coincide with the data of other authors
in some countries, particularly in the U.S.A [5]. At
present, more than 2500 Salmonella serovars are
There are different E. coli categories associated
known. Most of them are extremely rare. Only a
with animal colibacillosis such as enterotoxigenic, ve-
few serovars (e.g., Enteritidis, Typhimurium, Chole-
rotoxigenic, attaching and effacing, septicemic, uropa-
raesuis, Hadar, etc.) are distributed worldwide and
thogenic. Enterotoxigenic E. coli is the most common
are important from the epidemiological point of
category in pigs. This category includes serotypes that
affect newborn piglets and cause extraintestinal dise-
Salmonella Choleraesuis preferentially infects pigs
ase in preweaned and weaned pigs, manifested clini-
and can cause increased morbidity and mortality re-
cally by sudden death and pathologically by lesions
sulting in millions of lost income for the pork in-
caused by endotoxic shock. These strains most often
dustry. This serovar is more common in Eastern
belong to serotypes O8, O149, and O157 and are gene
Europe. However, in West European countries Sal-
probe positive for haemolysin, K88 (F4) fimbriae, he-
monella Typhimurium replaced this serovar.
at-labile enterotoxin I (LT-I), and heat-stable entero-
Salmonella and E. coli can be mentioned as the
toxin b (STb) [10]. Most of E. coli isolated by us con-
most common agents of digestive tract infections
tained these antigens, particularly K88 (F4). Veroto-
[15], although the primarily intestinal bacteria, Sal-
xigenic E. coli was associated with oedemal disease in
monella and Escherichia coli, are widespread in the
environment and commonly found in farm effluents,
In the last years, agents of pig salmonellosis we-
sewage and in any material subject to faecal conta-
re also rather widespread. 122 strains of Salmonella
mination. Salmonellosis and colibacillosis have been
(9.9%) were isolated from 1237 pigs. So far, the
recognized in all countries, but they appear to be
variety of Salmonella serovars in Lithuanian farms
most prevalent in areas of intensive animal hus-
has been small. The most widespread serovar was
bandry, especially poultry or pigs and dairy cattle
S. Choleraesuis (79%) (Table 3). The genus Salmo-
reared in confinement. Salmonellosis and colibacil-
nella consists of two species: S. enterica and S. bon-
losis can affect all species of domestic animals; young
gori. Species names were arbitrarily given to sero-
animals, pregnant and lactating animals are those
vars for convenience reasons in medical practice.
most susceptible. Some serotypes only affect certain
The serovar S. Choleraesuis depends to the species
hosts, e.g., S. Choleraesuis or E. coli O149:K91 in
Salmonella enterica subsp. enterica. Analogous data
pigs, although most serotypes may cause a disease
are presented also by authors from the neighbou-
in a wide range of animal species. Enteric disease
ring countries. For example, in Poland in 2001 19
is the commonest clinical manifestation, but a wide
isolates from 33 depended to the serovar Salmonel-
range of clinical signs that include acute septicae-
la Choleraesuis [14]. In recent years, new and by
mia, abortion, arthritis and respiratory disease may
far more variable Salmonella serovars have been re-
be seen. Many animals, however, may also be in-
gistered in Lithuania. This may be accounted for by
fected but show no clinical illness. Such animals may
an increasing flow of animal products and fodder
be important in relation to the spread of infection
imported from other countries. Data from other
among the herds and as causes of human food
Bacteria of the HAP group are rather widespread
Table 3. Serotypes of E. coli isolated from pigs
in Lithuanian pig farms. Fifty Haemophilus and Acti-
nobacillus isolates were obtained (19.5%) from 256
pigs. A. pleuropneumoniae and H. parasuis are equally
widespread, P. multocida is more infrequent (34 strains
(8.6%) were isolated). P. multocida in most cases acts
as the secondary agent. Only in one case highly viru-
lent Pasteurella was isolated from the blood.
Forty-five strains of Staphylococcus and the sa-
me number of Streptococcus were isolated (15.6%
and 19.6%, respectively). The most widespread
among staphylococcis (pathogenic in pigs) were S.
hyicus and S. aureus. The isolated streptococci be-
Among clostridia the most frequent was C. per-
Most common pathogenic bacteria and their antimicrobial resistance in pigs
Table 4. E. coli resistance to antimicrobials (n = 55)
of strains Susceptible % Resistant % Intermediate %
Table 5. Salmonella resistance to antimicrobials (n = 28)
of strains Susceptible % Resistant % Intermediate %
Table 6. Pasteurella multocida resistance to antimicrobials (n = 12)
of strains Susceptible % Resistant % Intermediate %
These bacteria demonstrated a 100% susceptibility in
Table 9 contains data on the resistance of Strep-
vitro to ceftiofur, polymyxin B and chloramphenicol.
tococcus to antimicrobials. No streptococci resistant
Of all staphylococci, 75% were susceptible to pe-
to penicillin were isolated, but 29.4% of them were
nicillin (Table 8). However, even one fourth of them
medium susceptible; 29.2% were resistant to neomy-
were penicillin-G resistant. All staphylococci were
cin and even half of the strains were resistant to
susceptible or medium susceptible to aminoglycosi-
gentamicin and lincomycin-spectinomycin. Faecal
des except streptomycin (25% resistant).
streptococci demonstrated the highest resistance.
Modestas Ruþauskas, Èeslova Butrimaitë-Ambrozevièienë
Table 7. ActinobacillusHaemophilus resistance to antimicrobials (n = 13)
of strains Susceptible % Resistant % Intermediate %
Table 8. Staphylococcus resistance to antimicrobials (n = 11)
of strains Susceptible % Resistant % Intermediate %
Table 9. Streptococcus resistance to antimicrobials (n = 31)
of strains Susceptible % Resistant % Intermediate %
Among pathogenic bacteria able to cause disea-
PCR have been introduced in Lithuania not long
ses in pigs, E. coli and Salmonella spp. are belong
ago, there are no generalized data on some bacte-
to those most widespread in Lithuania. The seroty-
rial diseases caused by the agents that are difficult
pe variety of these bacteria is not great. However,
to cultivate on nutrient media. However, judging
the developing trade relations with other countries
from clinical manifestations, the course of disease,
contribute to the increasing variability of these sero-
pathological anatomical changes and results of sero-
types. No such dangerous bacteria as toxigenic E.
logical tests we may assume that in Lithuanian pig
Most common pathogenic bacteria and their antimicrobial resistance in pigs
farms the cases of leptospirosis, swine dysentery, pro-
tible to many antimicrobials used in veterinary prac-
liferative ileitis and mycoplasmosis are not infrequ-
ent. Some bacterial diseases occur only in separate
3. Some pathogenic bacteria, particularly Salmo-
pig-breeding farms as a result of vaccination (erysi-
nella spp. and E. coli, tend to be more resistant to
pelas). These diseases are important in pig-breeding
Bacteria isolated from pigs are comparatively
resistant to antimicrobials. Enterobacteriaceae (Es-
cherichia coli and Salmonella spp.) were most su-
sceptible to polymyxins and fluoroquinolones. They
showed an increasing resistance to other antimic-
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Most common pathogenic bacteria and their antimicrobial resistance in pigs
ñåðîòèïû O141:K85, O149:K91 è O8:K87. ×àñòî îíè
×åñëîâà Áóòðèìàéòå-Àìáðîçÿâè÷åíå
èìåëè àäãåçèîííûå àíòèãåíû F4, F5 èëè F6. Òàêæå
ÁÎËÅÅ ÐÀÑÏÐÅÄÅËÅÍÍÛÅ ÏÀÒÎÃÅÍÍÛÅ
÷àñòî âûäåëÿëè ñàëüìîíåëëû. Ñàìûì ðàñïðîñòðà-
ÁÀÊÒÅÐÈÈ ÑÂÈÍÅÉ È ÈÕ ÓÑÒÎÉ×ÈÂÎÑÒÜ
íåííûì ñåðîâàðîì ñàëüìîíåëë áûë ñåðîâàð S. Cho-
Ê ÀÍÒÈÌÈÊÐÎÁÍÛÌ ÂÅÙÅÑÒÂÀÌ
leraesuis(79%). Ïàòîãåííûõ S. Enteritidis è S. Typhi-murium âûäåëåíî íàìíîãî ðåæå (ñîîòâåòñòâåííî 3,3
è 2,5%). Äîâîëüíî ðàñïðîñòðàíåíû áûëè òàêæå áàê-
Áàêòåðèîëîãè÷åñêèå èññëåäîâàíèÿ ïàòîëîãè÷åñêîãî
òåðèè ãðóïïû HAP (Haemophilus, Actinobacillus è Pa-
ìàòåðèàëà ñâèíåé ïðîâîäèëèñü â Èíñòèòóòå âåòåðè-
steurella). Âûäåëåíû 84 èçîëÿòà ýòîé ãðóïïû, íàèáî-
íàðèè Ëèòîâñêîé âåòåðèíàðíîé àêàäåìèè è Íàöèî-
ëåå ÷àñòî âèäû Actinobacillus pleuropneumoniae, Hae-
íàëüíîé âåòåðèíàðíîé ëàáîðàòîðèè â òå÷åíèå ïÿòè
mophilus parasuis è Pasteurella multocida.
ëåò ñ öåëüþ âûäåëèòü ïàòîãåííûå áàêòåðèè è óñòà-
Áîëüøèíñòâî âûäåëåííûõ ñàëüìîíåëë è ýøåðè-
íîâèòü èõ óñòîé÷èâîñòü â îòíîøåíèè àíòèìèêðîá-
õèé in vitro áûëè ÷óâñòâèòåëüíû ê ïîëèìèêñèíàì è
íûõ âåùåñòâ. Èññëåäîâàíèÿ ïðîâîäèëèñü âî âðåìÿ
ôòîðîõèíîëîíàì, íî óñòîé÷èâû ê ëèíêîìèöèíó,
âñïûøåê çàáîëåâàíèé ñâèíåé ïðè ïîäîçðåíèè, ÷òî
ñïåêòèíîìèöèíó, àíòèáèîòèêàì ãðóïïû àìèíîãëè-
ýòèîëîãè÷åñêèì ôàêòîðîì áîëåçíåé ÿâëÿþòñÿ ïàòî-
êîçèäîâ. Óñòîé÷èâû ê ïåíèöèëëèíó áûëè 25% ñòà-
ãåííûå èëè óñëîâíî-ïàòîãåííûå áàêòåðèè. Áàêòåðèî-
ôèëîêîêêîâ, à 50% ñòðåïòîêîêêîâ áûëè óñòîé÷èâû
ëîãè÷åñêèå âûñåâû îñóùåñòâëÿëèñü èç ïàðåíõèìà-
ê ãåíòàìèöèíó. Áàêòåðèè ãðóïïû HAP áûëè áîëåå
òîçíûõ îðãàíîâ, à â îòäåëüíûõ ñëó÷àÿõ èç òåõ
÷óâñòâèòåëüíû ê àíòèìèêðîáíûì âåùåñòâàì ðàçíûõ
ìåñò, îòêóäà âûäåëèòü ïðåäïîëàãàåìûå áàêòåðèè
íàèáîëåå âåðîÿòíî. Áîëåå âñåãî âûäåëåíî áàêòåðèé
Êëþ÷åâûå ñëîâà: àíòèìèêðîáíûå âåùåñòâà, E. co-
âèäà E. coli. Èç íèõ ÷àùå âñåãî óñòàíàâëèâàëè
li, HAP, óñòîé÷èâîñòü, Salmonella
Carvedilol-Lisinopril Combination Therapy and Endothelial Function inAaron S. Kelly, PhD;1 J. Michael Gonzalez-Campoy, MD, PhD;2 Kyle D. Rudser, PhD;3 Harold Katz, MD;4 Andrea M. Metzig, MA;1From the Department of Pediatrics, University of Minnesota Medical School, Minneapolis, MN;1 Minnesota Center for Obesity, Metabolism andEndocrinology, Eagan, MN;2 the Division of Biostatistics, University o
Dr.Venkataram Mysore MBBS.DVD.DNB. MD.DipRCPath (Lond) FRCP (Glasgow) It is very important to understand male pattern hairless is a progressive condition and hence patients need a combination of drugs in addition to HT. Otherwise, fresh areas will become bald in future. Presently, there are a) Minoxidil lotions 2%, 3, 5, 7, 10, 12.5%-it has to be applied daily twice b) Finasteride 1mg tab