Abstract

Growing levels of microbial resistance to chemotherapeutic agents pose a threat to public health and constitute a global problem. The above can be often attributed to improper and excessive use of antibacterial drugs in veterinary and human medicine, animal breeding, agriculture and industry. To address this problem, veterinary and human health practitioners, animal breeders and the public have to be made aware of the consequences and threats associated with the uncontrolled use of antibacterial preparations. In recent years, many countries have implemented programs for monitoring antibiotic resistance which provide valuable information about the applied antibiotics and the resistance of various bacterial species colonizing livestock, poultry and the environment. Special attention should be paid to the sources and transmission routes of antibiotic resistance. There are no easy solutions to this highly complex problem. The relevant measures should address multiple factors, beginning from rational and controlled use of chemotherapeutic agents in veterinary practice, to biosecurity in animal farms, food production hygiene, and sanitary and veterinary inspections in the food chain. The tissues of treated birds should not contain antibiotic residues upon slaughter. Rational use of antibiotics should minimize the risk of drug resistance and decrease treatment costs without compromising the efficacy of treatment. Therefore, the key principles of antibiotic therapy of bacterial infections in poultry should be the adequate selection and dosage of the administered drug, a sound knowledge of the drug’s pharmacokinetic and pharmacodynamic properties, as well as a knowledge of the differences between bacteriostatic and bactericidal drugs and between time-dependent and concentration-dependent drugs. There is an urgent need to revise the existing approach to the use of chemotherapeutic agents in the treatment of poultry diseases, and to increase the awareness that antibiotics cannot compensate for the failure to observe the fundamental principles of biosecurity in all stages of poultry farming.

Highlights

  • It should be stressed that irrational antibiotic use without prior identification of the etiological factor and its sensitivity to chemotherapeutic agents exerts an adverse effect on the immune system, eliminates healthy gut bacteria and often leads to treatment failure

  • An analysis of the latest research findings indicates that bacteria isolated from poultry are characterized by growing levels to resistance to chemotherapeutic agents and that selected strains of resistant bacteria can be a source of resistance genes for other strains, which poses a threat to human and animal health. These problems stem from long-term use of antibacterial chemotherapeutic agents in poultry and the presence of antibiotic resistant bacteria and/or bacterial genes encoding antibiotic resistance in human and animal habitats

  • Combination therapy is recommended for severe infections, infections with a high mortality rate and infections without a fully known etiology

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Summary

Introduction

There is an urgent need to revise the existing approach to the use of chemotherapeutic agents in the treatment of poultry diseases, and to increase the awareness that antibiotics cannot compensate for the failure to observe the fundamental principles of biosecurity in all stages of poultry farming. In view of the growing levels of antimicrobial resistance in poultry pathogens, veterinary practitioners are faced with the difficult task of selecting the most effective therapeutic method, including the drug and its dosage.

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