Bull Vet Inst Pulawy 52, 223-226, 2008 ANTIBIOTIC SUSCEPTIBILITY OF LACTOCOCCUS GARVIEAE IN RAINBOW TROUT (ONCORHYNCUS MYKISS) FARMS KURSAT KAV AND OSMAN ERGANIS Department of Microbiology, Faculty of Veterinary Medicine, Selcuk University, 42075 Konya, Turkey [email protected] Received for publication February 21, 2008 Abstract The aim of the study was to describe bilateral exophthalmos ‘‘pop eye syndrome’’ in rainbow trout (Onchorynchus mykiss) fisheries in the Konya region and to determine effective antibiotic treatments. Between June 2002 and August 2004, 180 ill fish were obtained from 6 rainbow trout fisheries where the disease had been observed. Lactococcus garvieae strains were isolated from fish tissues during different periods. All the isolates were found susceptible to penicillin-G, ampicillin, amoxycillin, ampicillin+sulbactam, amoxicillin/clavulanic acid, vancomycin, ciprofloxacin, marbofloxacin, chloramphenicol, florfenicol, erythromycin, oxytetracycline, cefoperazone, sulbactam/cefoperazone, and novobiocin. It seems that βlactam antibiotics are preferred in the treatment of L. garvieae infection in the rainbow trout farms. Key words: rainbow trout, Lactococcus garvieae, antibiotic susceptibility. Lactococcus garvieae is one of the most important Gram-positive cocci pathogenic for fish. It is responsible for a serious problem in cultured marine and freshwater fish species, such as yellowtail (Seriola quinqueradiata) in Japan and rainbow trout (Onchorynchus mykiss) in Europe and Australia (2, 5, 6, 13). In Turkey, lactococcosis has appeared regularly in rainbow trout farms since 2001 (5), becoming one of the most important risk factors in the trout industry during the summer months. Despite the increased clinical significance of L. garvieae, studies on the characterisation and epidemiological relationship of this microorganism isolated from different species and/or clinical samples are very limited (17). Besides fish, L. garvieae has been isolated from other homoeothermic and poikilothermic animals, such as cows, buffalos, and freshwater shrimp (3, 15). In addition, it has been also recovered from humans (7, 9) and, therefore, the possibility of zoonosis should be considered. Taking into account all of these facts, it is clear that effective control measures to avoid the spread of this important disease are required. Outbreaks of the disease are usually associated with changes in environmental conditions, such as stress, overcrowding, sudden change of temperature, transfer of fish, mishandling, poor water quality, and high water temperature. The aim of this study was to determine an effective antibiotic treatment of lactococcosis. Material and Methods Sampling and microbiological examination. A total of 180 fish were obtained from 6 rainbow trout farms between June 2002 and August 2004. The samples of the liver, kidneys, heart, and eyes were collected. The samples were placed on a 5% sheep blood agar (Oxoid) with 1% yeast extract agar (Merck) plates and then incubated at 24°C and 37°C for 2-3 d under aerobic conditions. Wet mounts of skin, fin, and gill smears were also examined microscopically as well as macroscopically for parasites. Antibiotic susceptibility test. An antibiotic susceptibility test was performed using the disk diffusion method on Mueller-Hinton agar (Oxoid) according to the National Committee of Clinical Laboratory Standards (4, 12). A minimum of three colonies from the Columbia blood agar medium, incubated at 25°C for 24 h, were suspended in 2 ml of sterile saline to a density approximately equal to the McFarland Opacity Standard No. 0.5. A dry sterile cotton wool swab was placed in the suspension and excess liquid was expressed into the tube. The bacterial suspension was inoculated onto Mueller-Hinton agar with the swab in such a way that the whole surface of the agar was covered. Disks containing the following antibiotics were used: penicillin G (10 U, Oxoid), ampicillin (10 µg, Oxoid), amoxycillin (25 µg, Oxoid), ampicillin/ sulbactam (20 µg, Oxoid), amoxicillin/clavulanic acid (30 µg, Oxoid), methicillin (5 µg, Oxoid), oxacillin (5 µg, Oxoid), cloxacillin (25 µg, Oxoid), cefoperazone (30 µg, Oxoid), sulbactam/cefoperazone (105 µg, 224 Oxoid), erythromycin (15 µg, Oxoid), neomycin (30 µg, Bioanalyse), clindamycin (2 µg, BBL), lincomycin (10 µg, Oxoid), gentamicin (10 µg, Oxoid), neomycin (30 µg, Bioanalyse), enrofloxacin (5 µg, Oxoid), ciprofloxacin (5 µg, Oxoid), danofloxacin (5 µg, Pfizer), marbofloxacin (5 µg, Marbocyl®, Laboratoire Vétoquinol), chloramphenicol (30 µg, Bioanalyse), florfenicol (30 µg, Oxoid), oxytetracycline (30 µg, Oxoid), bacitracin (10 U, Oxoid), novobiocin (30 µg, Oxoid), spiramycin (100 µg, Oxoid), sulphamethoxazole/trimethoprim (25 µg, Oxoid), and vancomycin (5 µg, Oxoid). These disks were dispensed on the surface of the medium and incubated aerobically at 25°C for 24 h. The media, in which a susceptibility to methicillin and oxacillin was tested, were incubated at 25°C and 35°C, and then evaluated at 24 h and 48 h, respectively. The results were recorded as resistant or susceptible by measurement of the inhibition of the zone diameter according to the interpretive standards of NCCLS (12, 14). The reference strains used for antibiotic susceptibility assay were Enterococcus seriolocida (junior synonym of L. garvieae) ATCC 49156, and L. garvieae NCDO 2155 (=ATCC 43921). Results In the macroscopic examinations, bilateral exophthalmos, darkening of skin, congestion of the intestine, liver, kidney, spleen, and brain, and characteristic haemorrhagic enteritis were observed (Fig. 1). Gram-positive cocci were seen in Gram-stained smears taken from the eyes, liver, and kidney. No parasites in the skin, fin, gills, and internal organs were found. The growth of pure α-haemolytic grey colonies was observed after culturing the material from the eyes, brain, and internal organs. The bacteria were identified as L. garvieae on the basis of colony morphology, Gram-staining, and biochemical characteristics (15, 17). All the isolates gave the expected 1100-bp PCR amplification product, which is specific for this microorganism (18), confirming the preliminary biochemical identification. Antibiotic susceptibilities of L. garvieae isolates were given in Table 2. The isolates were found to be susceptible to penicillin-G, ampicillin, amoxycillin, amoxicillin/clavulanic acid, ampicillin sulbactam, cefoperazone, sulbactam/cefoperazone, vancomycin, ciprofloxacin, marbofloxacin, chloramphenicol, florfenicol, erythromycin, oxytetracycline, and novobiocin and to be resistant to methicillin, oxacillin, cloxacillin, spiramycin, clindamycin, lincomycin, gentamicin, neomycin, bacitracin and sulphamethoxazole/trimethoprim. On the basis of the results of antibiotic susceptibility test, erythromycin was chosen for the treatment of L. garvieae infection. Fig. 1. The appearance of the exophtalmus on the eyes (A) and haemorrhagic lesions on the liver (B) and eye (A), L. garvieae colonies on the 5 % sheep blood agar (C) and microscopic appearance of L. garvieae (1) (D). 225 Table 1 Antibiotic susceptibility of L. garvieae Antibiotic disc Penicillin-G Ampicillin Amoxycillin Ampicillin/sulbactam Amoxicillin/clavulanic acid Methicillin Oxacillin Cloxacillin Cefoperazone Sulbactam/Cefoperazone Erythromycin Spiramycin Clindamycin Lincomycin R1 S S S S S R R R S S S S S S R2 S S S S S R R R MS S S R R R ST1-30 S S S S S R R R S S S R R R Antibiotic disc Gentamicin Neomycin Enrofloxacin Ciprofloxacin Danofloxacin Marbofloxacin Chloramphenicol Florfenicol Oxytetracycline Bacitracin Novobiocin Sulphamethoxazole/Trimethoprim Vancomycin R1 R R S R MS MS S S S R S S S R2 R R S S S S S S S R S S S ST1-30 R R MS S MS S S S S R S R S R1 - L. garvieae ATCC 49156, R2 - L. garvieae NCDO 2155, ST1-30 - L. garvieae isolates, S - susceptible, MS moderately susceptible, R - resistant. Discussion Lactococcosis is one of the infectious diseases with significant economic and sanitary repercussions for trout farms in Mediterranean countries during the summer months. Bacteriologic and molecular studies confirmed L. garvieae as the aetiological agent of haemorrhagic septicaemia in farmed trout. In this study, L. garvieae was found to be susceptible to β-lactam antibiotics except for penicillinase-resistant penicillin antibiotics. It is well known that β-lactams have a high effect on Streptococcus strains (16). Diler et al., (5) reported that L. garvieae was resistant to penicilin-G and ceftriaxon while it was sensitive to ampicillin. However, in our study, L. garvieae was resistant to penicillinase-resistant penicillins such as methicillin, oxacillin, and cloxacillin. It is stated that penicillinase-resistant penicillins, generally are less active in vitro than natural penicillins against susceptible Gram-positive cocci, apart from penicillinase producing Staphylococcus sp. (11). L. garvieae was sensitive to erythromycin but it was resistant to clindamycin, lincomycin, and spiramycin in our study. It is reported that L. garvieae resistance to clindamycin is accepted as an identification marker (8). Similar results were reported by Diler et al., (5), while Alves d’Azevedo et al., (1) found that L. garvieae was resistant to erythromycin. These controversial results may be due to differences of L. garvieae isolate and antibiotics usage in the area. When the aminoglycoside antibiotic was evaluated, no susceptibility was observed. In fact, aminoglycoside antibiotics have no effect on Streptococcus sp. (7). L. garvieae was susceptible to ciprofloxacin and marbofloxacin, but it was moderately susceptible to enrofloxacin and danofloxacin. When the other antibiotics were evaluated, it was determined that L. garvieae was susceptible to amphenicoles, oxytetracycline, novobiocin, and vancomycin. Tetracycline, vancomycin, and chloramphenicol susceptibilities were also reported (5, 8, 10). As it was demonstrated, β-lactam antibiotics, except for penicillinase-resistant penicillin, were the most effective antibiotics in the inhibition of L. garvieae growth. These groups of antibiotics may be preferred for the treatment of lactococcosis in fish. Acknowledgments: This work was supported by SUBAPK (No. 2002/003) Konya, Turkey. This article is a part of doctoral thesis. We thank Dr Jesus L. Romalde from the Departamento de Microbiología y Parasitología, Facultad de Biología, Universidad de Santiago, Spain, for providing L. garvieae NCDO 2155, and Dr Deok-Chan Lee from the Department of Aquatic Life Medicine, Pukyong National University, Busan, Korea, for providing L. garvieae ATCC 49156. References 1. 2. 3. 4. 5. 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