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Antimicrobial Agents and Chemotherapy, November 2004, p. 4470-4472, Vol. 48, No. 11
0066-4804/04/$08.00+0 DOI: 10.1128/AAC.48.11.4470-4472.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
In Vitro Susceptibilities of Mycoplasma hyopneumoniae Field Isolates
J. Vicca,1,2*
T. Stakenborg,3
D. Maes,1
P. Butaye,3
J. Peeters,3
A. de Kruif,1 and
F. Haesebrouck2
Department of Reproduction, Obstetrics and Herd Health,1
Department of Bacteriology, Pathology and Poultry Diseases, Faculty of Veterinary Medicine, Ghent University, Merelbeke,2
CODA-CERVA, Veterinary and Agrochemical Research Centre, Brussels, Belgium3
Received 31 March 2004/
Returned for modification 27 May 2004/
Accepted 27 July 2004

ABSTRACT
The in vitro susceptibilities of 21
Mycoplasma hyopneumoniae field isolates were determined using a broth microdilution technique.
One isolate showed acquired resistance to lincomycin, tilmicosin,
and tylosin, while five isolates were resistant to flumequine
and enrofloxacin. Acquired resistance against these antimicrobials
in
M. hyopneumoniae field isolates was not reported previously.

TEXT
Mycoplasma hyopneumoniae causes enzootic pneumonia, a chronic
respiratory disease in pigs resulting in considerable economic
losses. Although appropriate vaccines are available to reduce
the consequences of infection, medication with antimicrobials
in feed or water is still a common practice. The use of antimicrobials,
however, results in the selection of resistant bacteria. The
antimicrobial susceptibility of
M. hyopneumoniae field isolates
has rarely been determined, and limited numbers of strains have
been considered in these studies (
5,
7,
8,
14,
16), mainly due
to the fact that
M. hyopneumoniae is a fastidious and slowly
growing microorganism, making it difficult to obtain large numbers
of field strains. In this study, the antimicrobial susceptibility
of recently isolated
M. hyopneumoniae field strains was determined,
and the antibiotic use on the originating herds was monitored.
For MIC determination, 21 M. hyopneumoniae field strains, isolated between 2000 and 2002 from 21 different farrow-to-finish pig herds in Belgium, were used (18, 19). The isolation and cultivation of M. hyopneumoniae were optimized by using earlier reports (12). The antibiotics used on the herds at the three main production stages during the year before M. hyopneumoniae isolation are mentioned in Table 1.
The MIC determination was performed according to guidelines
written by Hannan (
6). Briefly, 96-well, round-bottom microtiter
plates (Sensititre Ltd., East Grinstead, England) containing
stabilized, freeze-dried antimicrobials (Table
2) were used.
Three wells on each plate were left antimicrobial free as a
positive growth control. Freshly thawed
M. hyopneumoniae isolates
with known titers were diluted in nonselective Friis medium
until the number of organisms reached 10
4 color-changing units/ml.
Fifty microliters of the diluted culture was transferred into
each well of the Sensititre plates. The
M. hyopneumoniae type
strain, ATCC 25634 (J strain), was used as the control strain
and tested three times in order to estimate the reproducibility
of the procedure. The plates were sealed using an adhesive foil
and incubated at 36 ± 1°C for 14 days and observed
daily. Growth of
M. hyopneumoniae organisms was observed when
the color of the medium changed from red to yellow (phenol red
indicator). The initial and final MICs were recorded. The initial
MIC was defined as the lowest antibiotic concentration to show
no change in color when the growth control turned yellow, and
the final MIC was defined as the lowest antibiotic concentration
to show no change in color at 14 days after inoculation (
13).
View this table:
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TABLE 2. Initial and final MIC50s, MIC90s, and MIC ranges of antimicrobials against Belgian M. hyopneumoniae field isolates
|
In Table
2, the initial and final MICs at which 50 and 90% of
the isolates tested were inhibited (MIC
50 and MIC
90, respectively)
and the MIC ranges are presented for the 21
M. hyopneumoniae field strains and the three replicates of the J strain. The
values for these replicates were equal or differed from each
other by only one doubling dilution, indicating good reproducibility
of the test. The initial MICs for the J strain were in agreement
with values reported previously (
7,
8,
14,
16).
A bimodal frequency distribution of MICs of the macrolides tylosin and tilmicosin as well as for the lincosamide antibiotic lincomycin was seen. The MICs of these antibiotics were clearly higher for one isolate, indicating acquired resistance. The MIC of tylosin for this isolate was also higher than the suggested breakpoint (7). Macrolides and lincosamides are chemically distinct but have similar modes of action and overlapping binding sites on the 23S rRNA of the 50S subunit of the bacterial ribosome. They act by blocking protein synthesis on assembled and functioning 50S ribosomal subunits (20). Acquired resistance against these antibiotics has not been described before for M. hyopneumoniae and has not been reported often for other mycoplasmas, most probably due to a limited number of strains having been tested. Only two M. pneumoniae strains, one Ureaplasma urealyticum strain, and two resistant Mycoplasma hominis isolates were isolated from humans (2). In animal mycoplasmas, acquired resistance to tylosin has been described for Mycoplasma gallisepticum (11), Mycoplasma hyosynoviae (1, 10), Mycoplasma hyorhinis (9, 10), and Mycoplasma bovis (17). No coresistance to lincomycin was observed for the tylosin-resistant M. hyosynoviae isolates. Lincomycin was not evaluated by Levisohn (11), and although tylosin- and lincomycin-resistant M. bovis strains were found by Thomas et al. (17), the existence of coresistance was not reported. ter Laak et al. (15) found lincomycin-resistant M. bovis isolates, but those were susceptible to tylosin. The use of lincomycin in growth-finishing pigs from the herd where our macrolide-lincosamide-resistant M. hyopneumoniae strain was isolated may have contributed to the selection of antibiotic resistance.
For five isolates, the MIC of flumequine was >16 µg/ml, which is higher than the previously proposed breakpoint of
16 µg/ml (7). For these isolates, the MIC of enrofloxacin was
0.5 µg/ml, while the MIC50 was 0.06 µg/ml. This rather high frequency of acquired resistance against fluoroquinolones is unusual. Although fluoroquinolone-resistant M. hominis isolates have been reported (3), resistance against these antibiotics in human-associated mycoplasmas has rarely been reported. Hannan et al. (7) described acquired resistance against flumequine in avian, porcine (but not M. hyopneumoniae), bovine, ovine, and caprine mycoplasmas, and Thomas et al. (17) isolated enrofloxacin-resistant strains from bovines. A possible explanation for the high prevalence of fluoroquinolone resistance in the present study might be the frequent use of enrofloxacin to treat Escherichia coli diarrhea in suckling and nursery piglets. The MIC of enrofloxacin for M. hyopneumoniae isolate 19 was >1 µg/ml. In the originating herd, fluoroquinolones were used in suckling, nursery, and growth-finishing pigs.
The MICs of oxytetracycline and doxycycline did not show a clear bimodal frequency distribution range (4), and the MICs of oxytetracycline were lower than the suggested breakpoint (7), indicating no acquired resistance against these antibiotics; nevertheless, in 62% of the herds selected for this study tetracycline antibiotics were used to treat nursery and growth-finishing pigs.
In conclusion, this study is the first description of acquired resistance in M. hyopneumoniae field isolates to macrolides, lincosamides, and fluoroquinolones. Resistance against other antimicrobials was not detected, confirming that antimicrobial resistance does not yet pose a major problem for the treatment of M. hyopneumoniae infections (7, 8, 16). However, the rather high frequency of fluoroquinolone resistance is worrying and warrants prudent use of these antibiotics.

ACKNOWLEDGMENTS
This work was supported by the Federal Public Service of Public
Health, Food Chain Security and Environment, Brussels, Belgium,
grant no. S-6039.

FOOTNOTES
* Corresponding author. Mailing address: Department of Reproduction, Obstetrics and Herd Health, Faculty of Veterinary Medicine, Ghent University, Salisburylaan 133, 9820 Merelbeke, Belgium. Phone: 32 (0)9 264 75 49. Fax: 32 (0)9 264 77 98. E-mail:
Jo.Vicca{at}UGent.be.


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Antimicrobial Agents and Chemotherapy, November 2004, p. 4470-4472, Vol. 48, No. 11
0066-4804/04/$08.00+0 DOI: 10.1128/AAC.48.11.4470-4472.2004
Copyright © 2004, American Society for Microbiology. All Rights Reserved.
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