Prudent exam, from ppt Flashcards
Susceptibility in P. multocida (Cattle)
Tulathromycin:
Gamithromycin:
Tilmicosin:
Tulathromycin: 95%
Gamithromycin: 95%
Tilmicosin: 80%
Lung:Plasma Tilmicosin: Tulathromycin: Gamithromycin: Tildipirosin:
Tilmicosin: 30-60x
Tulathromycin: 50-180x
Gamithromycin: 480x
Tildipirosin: X
Which mode of action drug should be given IV?
Concentration dependent bactericidal agents
Which mode of action drug should be given IM, SC
Time dependent bactericidal
Which drugs have bad distribution?
Penicillin, cephalosporin, aminoglycoside
Will not penetrate the lungs
Which AB can be used for respiratory diseases in ruminants (M. bovis)
Tulathromycin Gamithromycin Tildipirosin Florfenicol Fluoroquinolones
Interdigital dermatitis treatment options
Zinc/copper sulphate + cationic degergent
Tetracyclines (cattle less susceptible, overuse)
NSAIDs
Which AB can be used for F. necrophorum and anaerobic (Ruminants)
Amoxicillin Amoxicillin clavulanic acid Tetracycline Lincomycin Tylosine Tulathromycin Ceftiofur/Cefquinome Florfenicol
Mild case calf diarrhoea, what AB can be used (PO)
Amoxicillin (Main one)
Fluoroquinolones
Aminoglycoside
Colistin
Severe case calf diarrhoea, what AB can be used (IV)
Ceftiofur (High dose)
Amoxicillin (Sheep), Amoxicillin clavulanic acid
Fluoroquinolones (Enro and Marbo)
Mastitis, when is the cow at risk?
Involution: increased susceptibility to Gr+
Transition: increased susceptibility to Gr-
Systemic treatment of clinical mastitis
Fluoroquinolones IV (Marbo, Enro)
Tetracyclines IV
Pot. SA IV
Intramammary treatment of clinical mastitis (staph, Strep. E.coli)
Ampicillin + cloxacillin Cefalexin, cephapirin Amoxicillin clavulanic acid Cefoperazone Cefquinome
Which drug groups are off-label in Poultry
Gen 3 & 4 Cephalosporins
Gen 1 & 2 Cephalosporins
Amoxicillin clavulanic acid
Which drugs have synergistic effect?
Sulphonamide + Trimethoprim
Lincomycin + Spectinomycin
Amoxicillin + Gentamycin
Which narrow spectrum penicillin has good oral bioavailability?
Phenoxymethylpenicillin
What can we use narrow spectrum penicillins for?
Swine erysipelas
Streptococcosis
Fowl cholera
If going off label, what is the WP
1,5 times as long WP as the longest for cattle
What can we use broad spectrum penicillins for?
Clostridium Erysipelas FIRST CHOICE: Fowl cholera O. rhinotracheale Enterococcus
What is the WP for Amoxicillin in poultry?
1-2 weeks
Spectinomycin, which bacteria is/are sensitive?
Mycoplasma is sensitive
Generally: quick resistance is developed
What can we use tetracyclines for?
Fowl cholera
O. rhinotracheale
Mycoplasmosis
Bordetella avium
What can we use Macrolides for?
C. perfringens E. rhusiopathiae Staphylococcus spp. Mycoplasma gallisepticum and synoviae O. rhinotracheale
Which bacteria has almost total resistance against Macrolides?
Pasteurella multocida
E. coli
What can we use Lincosamides for?
Mycoplasmosis
C. perfringens
Staphylococcosis
What can we use Pleuromutilins for?
Mycoplasmosis (Tiamulin)
O. rhinotracheale
Pleuromutilins are incompatible with:
Ionophores
Can we use Chloramphenicol in food producing animals?
NO!
What can we use Florfeniol for?
Mycoplasmosis
Respiratory infections (Ornithobacterium)
Fowl cholera
E. coli
Which side effects can you get using Pot. SA?
Bone marrow suppression
Vitamin K deficiency
What can we use Pot. SA for?
P. multocida
B. avium
Not effecting against Mycoplasma!
What can we use Fluoroquinolones for?
Only if nothing else
E. coli, Mycoplasma spp (CRD)
Fowl cholera
A. paragallinarum
B. avium
Which bacteria is/are frequently resistance against Fluoroquinolones?
O. rhinotracheale
E. coli (More resistance in poultry than in swine)
E. coli sensitivity test in poultry! Amoxicillin: Amoxicillin clavulanic acid: Aminoglycosides: Colistin: Tetracycline: Florfenicol: Pot. SA: Fluoroquinolone:
Amoxicillin: 40-70% Amoxicillin clavulanic acid: 1-10% Aminoglycosides: 20-30% Colistin: 5% Tetracycline: 40-90% Florfenicol: <10% Pot. SA: 25-40% Fluoroquinolone: 60-80%
Which AB can be used against P. multocida (Fowl cholera)
Amoxicillin
Florfenicol
Doxycycline
Pot. SA
(Enrofloxacin, tylvalosin)
Which AB can be used against O. rhinotracheale
Amoxicilline
Doxycycline
Florfenicol
(Tylosin, tilmicosine, tylvalosine)
Which AB cannot be used against O. rhinotracheale
Pot. SA
Fluoroquinolone
Which AB can be used against Clostridium perfringens
Phenoxymethylpenicillin
Amoxicillin, tylosin, lincomycin
Which AB can be used against diarrhoea (E. coli) in piglets? (usually a peak right after weaning)
Gentamycin Amoxicillin clavulanic acid Florfenicol Ceftiofur Cefquinome Enrofloxacin Colistin
Which AB can be used against Proliferative enteritis (Lawsonia intracellularis)
Tylosin Lincomycin Tiamulin Tylvalosin Valnemulin
Which AB can be used against Dysentery (B. hyodysenteriae)
Lincomycin
Tiamulin
Tylvalosin
Valnemulin
Which AB can be used against polyserositis (Streptococcus suis, Haemphilus parasuis and Mycoplasma hyorhinis)
Florfenicol (is the best choice, works on all three)
Doxycycline, Enrofloxacin
Which AB can be used against Mycoplasma hyopneumoniae
Tylvalosin
Tulathromycin
Tiamulin
Valnemulin
(Doxycycline, lincomycin, Linco-specin)
Which AB can be used against Actinobacillus pleuropneumoniae
Ceftiofur
Cefquinome
Florfenicol
Enrofloxacin, Marbofloxacin
(Doxycycline, Tilmicosin, Tiamulin, Tulathromycin)
Which AB can be used against Staphylococcus hyicus
Amoxicillin clavulanic acid (Amoxicillin alone will not work)
Tylosin
Lincomycin
Pot. SA
Which AB can be used against Erysipelas
Amoxicillin
Penicillin
Which AB can be used against Pyoderma (S. pseudointermedius)
Oxacillin
meticillin
Cephalosporins
Amoxicillin clavulanic acid
NB! MRSP/MRSA
Which AB can be used against Pyoderma (E. coli, P. aeruginosa) Shampoo
Chlorhexidine
If deep: Benzoyl perixide
Which AB can be used against Pyoderma local AB
Aminoglycosides (Neomycin, gentamycin)
Macrolides (Erythromycin, Azithromycin)
Which AB can be used against deep Pyoderma systemic AB
1st line: Lactamase stable beta-lactams & Lincosamides
2nd line: Fluoroquinolones
3rd line: Macrolides
1st line against deep pyoderma:
Cephalosporins: Cefalexin Amoxicillin clavulanic acid Cefovecin (rather 2nd line) Lincosamides (75-80% sensitivity) Pot. SA
2nd line against deep pyoderma
Fluoroquinolones: Enro, marbo, cipro, prado Local: Mupriocin and Fusidic acid Rifampicin (Combination!) Amizacin Florfenicol
3rd line against deep pyoderma
Macrolides (Azithromyxin, clarithromycin)
Vancomycin
Teicoplanin
Duration for pyoderma
AB should be given at least 3-4 weeks
Duration for deep pyoderma
4-8 weeks
Which AB can be used against local staphylococcus otitis
Gentamycin Polymyxin B Orbifloxacin Marbofloxacin Florfenicol
Which AB can be used against pseudomonas otitis
Chlorhexidine
Local: Gentamycin, tobramycin, polymyxin B, marbofloxacin
Systemic: GC, Ciprofloxacin, marbofloxacin, enrofloxacin
Which AB can be used against Malassezia otitis
Local: Chlorhexidine, thiabendazole, miconazone, clotrimazole, posaconazole, terbinafine
Systemic: Ketoconazole, itraconazole, terbinafine
Which AB to use against septic mastitis
Amoxicillin clavulanic acid + enrofloxacin
Which AB to use against non-septic mastitis
Gr+: Clindamycin, macrolides
Gr-: Fluoroquinolones
Which AB to use against pharyngitis, tonsillitis (Streptococcus spp.)
Penicillin
Acute –> chronic: Penicillinm Cepahlosporin (1st gen), macrolides
Which AB to use against rhinitis
Acute: self healing Chronic: 4 weeks AB Doxycycline Azithromycin, clarithromycin Pot. SA
Which AB to use against Feline rhinotracheitis
Doxycycline
Amoxicillin +/- clavulanic acid
Azithromycin, clarithromycin
Which AB to use against bronchitis, pneumonia (life threatening)
Amoxicillin clavulanic acid IV BID
Cephalosporins (Cefuroxime, ceftazidime, ceftriaxone)
Aminoglycosides (gentamycinm, tobramycin, amikacin)
Fluoroquinolones (Enro, Marbo)
Which AB to use against bronchitis, pneumonia (not life threatening)
Tetracycline
Macrolides
Pot. SA
Which AB to use against Kennel cough
Doxycycline –> antiinflammatory
Pot. SA
Macrolides
- Fluoroquinolones
- Amoxicillin clavulanic acid
Which AB to use against aspiration pneumonia
Broad spectrum beta-lactam + enrofloxacin (Aminoglycoside) + metronidazole
GC is contraindicated!
Which AB to use against pyothorax
Broad spectrum beta-lactam + fluoroquinolone (Aminoglycoside) + metronidazole
Which AB to use against gingivitis, periodontitis
Amoxicillin clavulanic acid
Metronidazole + spiramycin
Clindamycin
Cefovecin
Which AB to use against life threatening bacterial enteritis (Campylobacter)
Azithromycin
Clarithromycin
Clindamycin
Which AB to use against life threatening bacterial enteritis (E. coli)
Fluoroquinolones
Which AB to use against Antibiotic responsive diarrhoea
Tylosin
Metronidazole
Oxytetracycline
Which AB to use against chronic colitis
Metronidazole
Tylosin
Sulfasalazine
Masalazine
Which AB to use against Parvovirosis
IV Amoxicillin clavulanic acid
Fluoroquinolone/aminoglycoside
Which AB to use against UTI (E. coli)
Amoxicillin clavulanic acid
2nd & 3rd gen Cephalosporins: Cepalexin, Cefuroxime, Cefovecin (CIA)
Pot. SA
Fluoroquinolones (Enro, Marbo)
Which AB to use against prostatitis
Fluoroquinolones
Pot. SA
Phenicols
Which AB to use against cystitis
1st line: Amoxicillin, Amoxicillin clavulanic acid, cefalexin, Pot. SA
2nd line: Cefovecin, fluoroquinolones, nitrofurantoin/fosfomycin/amikazin
Which AB to use against pyelonephritis
Fluoroquinolones (high dose!)
Ceftriaxon - Aminoglycoside (Gentamycinm tobramycin, amikacin)
When should we avoid the usage of the antibiotic
Pharyngitis, tonsilitis? Acute rhinitis CIRCD (first 10 days) Mild gingivitis, periodontitis Acute enteritis (if good general condition) Cat FLUTD