©2012 Poultry Science Association, Inc. Clostridium perfringens and Clostridium septicum toxoid to control cellulitis in turkeys1 A. J. Thachil,* B. McComb,† M. M. Early,‡ C. Heeder,‡ and K. V. Nagaraja*2 *Department of Veterinary and Biomedical Sciences, College of Veterinary Medicine, University of Minnesota, 1971 Commonwealth Ave., Saint Paul 55108; †Willmar Poultry Company, Willmar, MN 56201; and ‡Jennie-O Turkey Store, 2505 Willmar Ave., Willmar, MN 56201 Primary Audience: Poultry Veterinarians, Poultry Producers, Poultry Health Researchers SUMMARY Cellulitis has emerged as a major problem in the turkey industry over the last few years. Clostridium perfringens and Clostridium septicum are recognized as the causative agents for cellulitis in turkeys. The objective of this study was to develop and evaluate the use of a bivalent C. perfringens and C. septicum toxoid to control cellulitis in commercial turkeys. A bivalent C. perfringens and C. septicum toxoid was prepared and tested in 6-wk-old commercial turkeys under laboratory conditions for its safety and efficacy. It was then evaluated for its use in 2 commercial turkey farms with a consistent history of cellulitis. The flock consisted of 16,000 birds, of which 8,000 birds were vaccinated and an equal number were kept as unvaccinated controls. The 2 groups were separated by wire mesh. The commercial birds were vaccinated once at 6 wk of age. The mortality in both groups was recorded and compared. Blood samples from birds in both groups were examined to detect the antibody response to C. perfringens and C. septicum toxoid by ELISA. The bivalent toxoid developed was found to be safe and effective. It produced antibodies that appeared protective. With vaccinated commercial turkeys, antibiotic use to control cellulitis was significantly less compared with birds in the unvaccinated group. The use of bivalent C. perfringens and C. septicum toxoid appears to be a valuable tool to reduce losses attributable to cellulitis in the turkey industry. Key words: cellulitis, Clostridium perfringens, Clostridium septicum, dermatitis, toxoid, turkey, vaccine 2012 J. Appl. Poult. Res. 21:358–366 http://dx.doi.org/10.3382/japr.2011-00435 DESCRIPTION OF PROBLEM Cellulitis in turkeys is described as an inflammation of the skin and subcutaneous tissue characterized by an accumulation of frothy san1 guineous exudate in the subcutis of the breast and tail regions [1, 2]. The lesions associated with cellulitis usually begin to appear at 7 wk of age and continue to 18 wk or older [2, 3]. Cellulitis in turkeys has resulted in substantial eco- Presented at the 146th American Veterinary Medical Association/American Association of Avian Pathologists Annual Meeting, Seattle, WA, July 11–15, 2009 (Abstract No. 7630). 2 Corresponding author: [email protected] Thachil et al.: CLOSTRIDIUM TOXOID nomic losses to the turkey industry caused by high mortality, medication costs, and increased condemnations at the processing plants [4, 5]. Mortality is reported to be as high as 1 to 2% per week in the affected flocks. The prevalence and severity of cellulitis have increased over the last several years since it was first reported in 1939 [6]. Currently, cellulitis in turkeys has been diagnosed in Minnesota, Wisconsin, Missouri, Virginia, and other turkey-producing areas [2]. Clostridium perfringens [1], Clostridium septicum [7], or both [2] have been identified as the causative agents for this acute disease in turkeys. At the University of Minnesota, we have demonstrated for the first time that C. perfringens and C. septicum multiply in the subcutaneous tissue and breast muscles of turkeys and cause typical cellulitis lesions and mortality [2]. Clostridium perfringens is one of the most widespread of all pathogenic bacteria affecting humans and animals. A producer of many potent extracellular toxins and enzymes, C. perfringens is recognized as the causative agent of human gas gangrene and food poisoning as well as enterotoxemic diseases [8]. Clostridium perfringens is found in the intestinal tract of healthy poultry as a normal inhabitant, usually in low numbers, and has also been isolated from processed carcasses as well as from processing plants [9, 10]. Hatcheries are identified as a potential source and reservoir for C. perfringens in integrated poultry operations [11]. Experimental inoculation of a purified α-toxin of C. perfringens produces lesions similar to cellulitis and also mortality in turkeys [1]. Clostridium septicum plays an important role as an etiologic agent in traumatic gas gangrene and clostridial myonecrosis in animals and humans [12]. Clostridium septicum produces 4 major toxins (α, β, γ, and δ) that are responsible for tissue damage and toxemia [13]. Little information is available about the distribution and sources of C. septicum in poultry production facilities. Clostridial vaccines containing toxoids and killed bacteria have been used successfully in humans, animals, and poultry against clostridial infections. Toxoids alone or toxoids against clostridial diseases, such as blackleg caused by Clostridium chauvoei and tetanus caused by Clostridium tetani, have been found to be very 359 safe and highly effective. Formalin-inactivated Clostridium difficile toxoid vaccine was found to be highly safe and immunogenic against C. difficile infections in humans [14]. Clostridium perfringens infections have been successfully controlled in suckling piglets by administering a toxoid vaccine [15]. Sheep challenged with C. perfringens toxoid were found to be protected against gas gangrene caused by C. perfringens [16]. A recombinant C. perfringens α-toxoid was protective against clostridial myonecrosis in mice [17]. Toxoids prepared from the secretory toxins in a supernatant of culture of C. perfringens induced protection against necrotic enteritis in chickens [18]. Here, immunity to necrotic enteritis was found to be associated with the presence of antibodies against C. perfringens α-toxin [18]. In another study, inactivated α-toxin of C. perfringens (phospholipase C) was found to be protective against lethal infections caused by C. perfringens in mice [19]. Recent studies [2, 20] have drawn attention to secretory toxins from C. septicum and their role in causing cellulitis. In this study, we have examined the effect of immunizing turkeys with an experimental bivalent C. perfringens and C. septicum toxoid in an attempt to control cellulitis in turkeys under laboratory and commercial conditions. MATERIALS AND METHODS Preparation of a Bivalent C. perfringens and C. septicum Toxoid On the basis of our previous studies on clostridial isolates for their spore and toxin production and a mouse lethal assay [2], isolates of C. perfringens (UMNCP 12) and C. septicum (UMNCS 106) were selected from our laboratory collection. These 2 isolates were used to make a bivalent toxoid against cellulitis in turkeys. The isolates were grown in DuncanStrong sporulation media [21] and brain-heart infusion media [22], respectively, for 24 h. At the end of the 24 h, aliquots from each culture were tested in mice for toxin content. The 50% minimum lethal doses (MLD50) in mice for C. perfringens and C. septicum were found to be 2.12 and 0.024 mg of toxin units, respectively. The cultures were then treated with 0.5% forma- 360 lin and incubated at 37°C for 18 h to inactivate the toxin. The complete inactivation of the anaculture (killed bacteria + toxoid) was confirmed by subculturing a sample on anaerobic sheep blood agar plates [23] and tryptose sulfite cycloserine agar plates [24] anaerobically. No growth change was considered a complete inactivation of the bacteria. Inactivation of the toxins was also confirmed by hemolysis assay using SRBC [25]. An experimental bivalent toxoid was prepared using the formalin-inactivated C. perfringens and C. septicum culture; Dakreol-6VR [26], a vaccine-grade mineral oil, as adjuvant; and Arlacel-A [24] as an emulsifier. For every 1,000 mL of the experimental bivalent toxoid vaccine, the aqueous component containing the toxoid of C. perfringens (500 mL) and C. septicum (7.81 mL) and Arlacel-A was used at the rate of 10% (vol/vol) in the oil component of the toxoid. The oil component contained mineral oil (442.97 mL) and Arlacel-A (19.22 mL). A water-in-oil emulsion was prepared after slowly mixing the oil component in a blender to which the aqueous component was added over a period of 5 min. The final toxoid preparation was adjusted to contain 2 MLD50 toxin units/mL of each of inactivated C. perfringens and C. septicum preparation. Laboratory Evaluation of the Bivalent Toxoid in Turkey Poults The experimental bivalent toxoid was first tested in 6-wk-old turkeys for safety and efficacy. The birds were inoculated subcutaneously with either a 1× dose (1 mL of inactivated toxoid containing 2 MLD50 toxin units) or a 2× dose (2 mL of inactivated toxoid containing 4 MLD50 toxin units) of the toxoid preparation. Forty-eight 6-wk-old commercial Nicholas Large White male turkeys [27] obtained from a source with no history of cellulitis were divided into 4 groups (groups 1 to 4) of 12 birds each. Birds in group 1 were inoculated with a 1× dose, and birds in group 2 were inoculated with a 2× dose of each of toxoid preparation subcutaneously at the wing web. The birds in groups 3 and 4 were treated as nonvaccinated controls. All the birds were monitored twice daily for any adverse effects of the toxoid. Any bird showing severe JAPR: Research Report pain and distress, as indicated by its inability to move to feeders and drinking water fountains, was euthanized in a carbon dioxide chamber. On d 14 postvaccination, one-half of the birds from groups 1 and 2 were given a booster dose of the corresponding experimental toxoid at the same dose as first vaccinated. The blood from all the birds was collected for serological examination at 0, 14, and 28 d after the first vaccination and on 7 d after the booster vaccination. At 28 d after the first vaccination, 6 birds each from groups 1 and 2, which received 1 vaccination, and 6 birds from the nonvaccinated controls (group 3) were challenged with a subcutaneous inoculation of 1 mL each of a C. perfringens and C. septicum culture containing 1.4 × 108 and 4.8 × 107 spores/mL, respectively, in the breast region. Similarly, at 14 d after the booster vaccination, the remaining 6 birds each from groups 1 and 2 and 6 birds from the nonvaccinated controls (group 3) were challenged with the same dose as described above. The challenge dose used in this experiment was one we had optimized in a previous study [2]. Blood from all the birds was examined for seroconversion to the vaccine by using an ELISA test [6]. The specificity and sensitivity of the ELISA test used in this experiment was examined earlier with known negative and positive sera against C. septicum and C. perfringens and had been found to be greater than 95%. At the end of the study, all the birds were humanely euthanized in a carbon dioxide chamber according to the 2007 American Veterinary Medical Association guidelines for euthanasia (http://www.avma. org/issues/animal_welfare/euthanasia.pdf). The challenge trial lasted for 36 d. All bird experimental protocols were approved by the Institutional Animal Care and Use Committee, and the procedures were performed in accordance with those requirements. The birds were reared at Research Animal Resources isolation facilities at the University of Minnesota in Saint Paul. Field Trials with the Bivalent Toxoid in Commercial Turkeys With permission from the Board of Animal Health and the University of Minnesota and consent from a leading commercial turkey pro- Thachil et al.: CLOSTRIDIUM TOXOID ducer, field trials were planned to test the efficacy of our experimental bivalent toxoid. In a flock of 16,000 six-week-old Nicholas White turkey poults in a brooder barn, 8,000 randomly selected poults were vaccinated with the experimental bivalent toxoid at a 1× dose. The commercial turkey brooder barn selected typically broods 16,000 turkey poults. All the birds were male poults that had previously been vaccinated for Newcastle disease and hemorrhagic enteritis. The vaccine was administered subcutaneously in the neck region by using a vaccine applicator. From this flock, 4,000 birds each from the vaccinated and nonvaccinated groups were transferred to grower farm 1. Similarly, the remaining 4,000 vaccinated and nonvaccinated birds were transferred to grower farm 2. Both of these grower farms had a consistent history of cellulitis. The vaccinated and nonvaccinated birds were kept separated by a solid wire mesh in the middle of the barn. The birds were likely to be exposed to Clostridium within the poultry environment (natural challenge). The antibiotic penicillin G sodium was used in the water as a measure to control mortality when mortality increased above 0.5% per day. Daily mortality was recorded for both vaccinated and nonvaccinated birds from 13 wk of age until the birds were marketed (22 wk of age). On the farm, there was routine monitoring of all the sick, moribund, and dead birds twice daily. Birds identified as sick or moribund were euthanized. These birds were not included in the mortality data. The results were compared to detect any observable differences in the occurrence of mortality between vaccinated and nonvaccinated birds. On the days of treatment, antibiotic usage was also recorded in vaccinated and nonvaccinated birds from 13 to 22 wk of age. Twenty birds at 10 wk of age from the fieldvaccinated trials (5 birds each from the vaccinated and nonvaccinated groups from both farms) were randomly selected and transferred to isolation facilities at the University of Minnesota. All the birds were challenged as mentioned in the laboratory trials. Cellulitis development and mortality between the groups were recorded. At 12 wk of age (end of the study), all the birds were euthanized in a carbon dioxide chamber. 361 Statistical Analysis Statistical analysis was performed by SAS software [28]. The postchallenge mortality data were analyzed using Fisher’s exact test. Pearson’s chi-squared test was used to compare the use of antibiotics between the vaccinated and nonvaccinated groups. A survival analysis of maximum likelihood estimates was conducted using a proportional hazards model (PH-REG procedure of SAS) to analyze mortality rates in the field trial for the vaccinated and nonvaccinated groups. Serological data were analyzed by using the GLM procedure for repeated-measures ANOVA, and a P-value of 0.05 was considered significant. RESULTS AND DISCUSSION Laboratory Evaluation of the Bivalent Toxoid in Turkey Poults Subcutaneous inoculation of C. perfringens and C. septicum cultures consistently produced cellulitis lesions and mortality in turkeys in this study, as in previous studies [2]. Similar descriptions of lesions caused by C. perfringens [1] and C. septicum [29] have been reported before from field cases of cellulitis in turkeys. In the past, our efforts to administer C. perfringens and C. septicum cultures orally failed to produce cellulitis lesions in 9-wk-old turkeys. Efforts to reproduce necrotic enteritis consistently in chickens by oral inoculation of C. perfringens in different laboratories have also resulted in extremely variable results, including severe clinical signs, subclinical necrotic enteritis in exposed birds, and no lesions at all [30–33]. No adverse effects were noticed in any of the birds at the site of inoculation of the experimental bivalent toxoid with administration of either the 1× or 2× dose. All the birds challenged with C. perfringens and C. septicum in the nonvaccinated group (group 3) developed severe cellulitis lesions and died within 24 h of challenge (Table 1). Figure 1 shows the cellulitis lesions seen in nonvaccinated turkeys. A single administration of the experimental bivalent toxoid at a 2× dose per bird protected all birds after challenge. No mortality or cellu- JAPR: Research Report 362 Table 1. Mortality in vaccinated and nonvaccinated birds (n = 6) after challenge with a Clostridium perfringens and Clostridium septicum spore culture1 Vaccinated Item Vaccinated once Vaccinated twice 1× dose 2× dose 1/6a 0/6a 0/6a 0/6a Nonvaccinated 6/6b 6/6b a,b Birds within a row or column with no common superscript are considered significantly different (P < 0.001). The birds were first vaccinated at 6 wk of age subcutaneously with 1 of 2 doses of the toxoid preparation: a 1× dose [1 mL of inactivated toxoid containing 2 MLD50 (50% minimum lethal dose) toxin units], or a 2× dose (2 mL of inactivated toxoid containing 4 MLD50 toxin units). Another group of birds was vaccinated twice (at 6 and 8 wk of age) subcutaneously at the same dose. A group of nonvaccinated birds served as controls. Birds were challenged with C. perfringens and C. septicum subcutaneously on the breast region on d 28 after the first vaccination and on d 14 after the booster vaccination. 1 litis lesion development was observed in birds that received the booster vaccination and were challenged in the vaccinated groups. Of the birds vaccinated once with a 1× dose per bird, 1 bird was lost to cellulitis within 48 h after challenge. The serum antibody titers (optical density values) obtained by ELISA are shown in Tables 2 and 3, respectively. A significant increase in C. perfringens and C. septicum antibody titers was noticed in the vaccinated birds on 14 and 28 d after the first vaccination or after the second vaccination with either dose of the vaccine. Field Trials with the Bivalent Toxoid in Commercial Turkeys In vaccinated birds, the need to use the antibiotic penicillin was significantly reduced (P < 0.0001) from 547 packs in nonvaccinated birds to 361 packs in vaccinated birds. Mortality and antibiotic usage in the vaccinated and nonvaccinated birds are shown in Table 4. Although antibiotics were used to control mortality, a significant reduction in mortality (P < 0.001) was observed in the vaccinated group compared with Figure 1. Presence of a gelatinous sanguineous exudate in the subcutaneous tissue over the breast region in a turkey affected with cellulitis. Thachil et al.: CLOSTRIDIUM TOXOID 363 Table 2. Clostridium perfringens α-toxin ELISA serum antibody titers [optical density (OD) values] from vaccinated and nonvaccinated birds1 OD value after 2 vaccinations OD value after 1 vaccination Group Vaccination with a 1× dose Vaccination with a 2× dose Nonvaccinated 0 dpv 14 dpv 28 dpv 7 dpv 0.3296 ± 0.07a 0.3307 ± 0.06a 0.3155 ± 0.06a 0.3597 ± 0.06a 0.34984 ± 0.05a 0.3386 ± 0.08a 0.4682 ± 0.130b 0.5474 ± 0.10b 0.3212 ± 0.08a 0.5963 ± 0.13c 0.6006 ± 0.20c 0.3404 ± 0.07a a–c Means within a row or column with no common superscript are considered significantly different (P < 0.05). Birds were first vaccinated at 6 wk of age subcutaneously with 1 of 2 doses of the toxoid preparation: a 1× dose [1 mL of inactivated toxoid containing 2 MLD50 (50% minimum lethal dose) toxin units], or a 2× dose (2 mL of inactivated toxoid containing 4 MLD50 toxin units). Another group of birds was vaccinated twice (at 6 and 8 wk of age) subcutaneously at the same dose. A group of nonvaccinated birds served as controls. Blood from all the birds was collected for ELISA at 0, 14, and 28 d after the first vaccination and at 7 d after the booster vaccination. Values indicate mean ± SD. dpv = days postvaccination. 1 the nonvaccinated group. The use of the toxoid reduced mortality by 21% in vaccinated birds compared with nonvaccinated birds. Figure 2 shows a Kaplan-Meier survival curve comparing the survival distribution function of nonvaccinated and vaccinated birds. The hazard ratio for the nonvaccinated group compared with the vaccinated group of birds was 1.3:1. No significant difference was noticed in terms of mortality between the 2 farms (P = 0.1216). In birds (n = 10) transferred from the vaccinated and nonvaccinated groups from field trials to the university at 10 wk of age, vaccinated birds had a C. perfringens α-toxin ELISA serum antibody titer of 0.4861 ± 0.09, and nonvaccinated birds had an antibody titer of 0.2945 ± 0.10. The C. septicum ELISA serum antibody titers were 0.4582 ± 0.11 and 0.3654 ± 0.13, re- spectively. When these birds were challenged, a mortality of 80% (8/10) in 24 h was recorded in nonvaccinated birds. The 2 birds that survived did show signs of cellulitis lesions at 2 to 6 d, but the lesions subsided in few days. All birds from the vaccinated group resisted challenge, developed no signs of cellulitis lesions, had no mortality, and were found to be completely protected. The experimental bivalent C. perfringens and C. septicum toxoid developed was found to be safe and effective in reducing cellulitis lesions and mortality in turkeys under laboratory conditions. There are several reports on the use of Clostridium vaccines in humans, animals, and poultry [14, 15, 34–37]. Clostridium vaccines against C. perfringens and C. septicum containing toxoids and killed bacteria have been used Table 3. Clostridium septicum ELISA serum antibody titers [optical density (OD) values] from vaccinated and nonvaccinated birds1 OD value after 2 vaccinations OD value after 1 vaccination Group Vaccination with a 1× dose Vaccination with a 2× dose Nonvaccinated a–c 0 dpv 14 dpv a 0.2701 ± 0.07 0.2880 ± 0.08a 0.2889 ± 0.07a 28 dpv a 0.3309 ± 0.06 0.3441 ± 0.07a 0.2465 ± 0.08a 7 dpv b 0.4095 ± 0.12 0.4984 ± 0.16b 0.2884 ± 0.07a 0.5658 ± 0.19c 0.644 ± 015c 0.2689 ± 0.09a Means within a row or column with no common superscript are considered significantly different (P < 0.05). Birds were first vaccinated at 6 wk of age subcutaneously with 1 of 2 doses of the toxoid preparation: a 1× dose [1 mL of inactivated toxoid containing 2 MLD50 (50% minimum lethal dose) toxin units] or a 2× dose (2 mL of inactivated toxoid containing 4 MLD50 toxin units). Another group of birds was vaccinated twice (at 6 and 8 wk of age) subcutaneously at the same dose. A group of nonvaccinated birds served as controls. Blood from all the birds was collected at 0, 14, and 28 d after the first vaccination and at 7 d after the booster vaccination for ELISA. Values indicate mean ± SD. dpv = days postvaccination. 1 JAPR: Research Report 364 Table 4. Comparison of overall mortality and antibiotic usage after vaccination in vaccinated and nonvaccinated birds from 13 to 22 wk of age1 Item Vaccinated group Nonvaccinated group Birds, no. Mortality, no. Mortality, % Total penicillin usage Penicillin usage days 8,000 595a 7.4a 361 packs2 31a 8,000 748b 9.4b 547 packs 59b a,b Values within a row or column with no common superscript are considered significantly different (P < 0.05). 1 These data are a combined average from field trials conducted on 2 different farms. All the birds were male turkeys, and one-half of the birds (n = 8,000) were vaccinated once at 6 wk of age with a 1× dose of the experimental vaccine subcutaneously at the neck region. 2 One pack of penicillin contains 0.384 billion units of penicillin G potassium (Alpharma Inc., Bridgewater, NJ). successfully before against clostridial infections [34–37]. Similarly, a multicomponent C. perfringens, C. septicum, and Pasteurella bacterin was reported to reduce mortality in broiler chickens affected with gangrenous dermatitis [36]. A formalin-inactivated C. difficile toxoid vaccine was found to be highly safe and protective against C. difficile infections in humans [14]. The use of a formalin-inactivated C. septicum α-toxoid was found to be protective against experimental challenge with C. septicum spores in mice [37]. The incidence of C. perfringens- and C. septicum-associated diseases in poultry has increased significantly in recent years because of the reduced use of antimicrobial growth promoters [38]. Cellulitis is now commonly controlled in a preventive manner by incorporating antimicrobial drugs in the feed or water, but this practice is increasingly criticized or has been banned in some countries. Because cellulitis cases in turkeys are also increasing at a rapid rate, there is a need to investigate alternative biological approaches for its effective control. We were able to reduce the dose and duration of penicillin G sodium usage significantly in turkeys vaccinated to control cellulitis and mortality compared with nonvaccinated controls. In our laboratory studies, better protection was observed in birds administered a 2× dose Figure 2. Kaplan-Meier survival curve showing the survival distribution function after vaccination with the bivalent Clostridium perfringens and Clostridium septicum toxoid in nonvaccinated (broken line) and vaccinated (solid line) birds from 13 to 22 wk of age. These data were obtained from field trials conducted on 2 different farms. All the birds were male turkeys, and one-half of the birds (n = 8,000) were vaccinated once at 6 wk of age with a 1× dose of the experimental vaccine subcutaneously at the neck region. Thachil et al.: CLOSTRIDIUM TOXOID of vaccine than in birds administered a 1× dose of the vaccine. However, administration of a volume greater than 1 mL was not tried under field conditions because of difficulties in labor and handling. When a single administration of a 1× dose of our experimental bivalent C. perfringens and C. septicum toxoid was used under field conditions, it was found not to be fully protective, but it did reduce the number of cellulitis cases, antibiotic usage, and mortality. The use of toxoid significantly reduced mortality by 21% in vaccinated birds compared with nonvaccinated birds. Even a 21% reduction in mortality is highly significant, considering the fact that the disease appears in adult birds and the normal mortality rate at this age group is much less in commercial settings. The reason for the partial protection was assumed to be the use of a single dose of the vaccine. Use of a C. septicum toxoid preparation was also reported to elicit an antibody response against C. septicum in immunized turkeys under experimental conditions [6, 20]. We conclude, based on our results, that C. perfringens and C. septicum toxoids can be used successfully to mitigate cases of cellulitis in turkeys in the field. It is widely accepted that the natural outbreaks of cellulitis in turkeys are associated with a proliferation of pathogens in the poultry environment. Under field conditions, the commercial poults are reared on deep litter systems and the litter is not replaced for every flock. Buildup of a clostridial load may occur during this time. A greater environmental load may help these Clostridium spores persist and also may increase the chance of spread through the fecal-oral route over time. Under such scenarios, adverse effects of greater severity may be expected in the field when birds are exposed to an extremely highdose clostridial challenge compared with under experimental conditions. However, additional studies are required to know the effect of the clostridial load in the litter on the incidence of cellulitis cases under field and experimental conditions. CONCLUSIONS AND APPLICATIONS 1. The experimental bivalent C. perfringens and C. septicum toxoid developed offered good protection against cellulitis 365 after homologous challenge under experimental conditions. 2. The same vaccine enabled us to reduce mortality and use of the antibiotic treatment significantly in preventing cellulitis in commercial turkeys. 3. Multiple vaccinations, as well as the use of a higher concentration of antigens, may offer better protection against cellulitis caused by C. perfringens and C. septicum in turkeys. 4. The challenge model we developed previously is reproducible and can be used for future pathogenesis and vaccine studies for cellulitis in turkeys. REFERENCES AND NOTES 1. Carr, D., D. Shaw, D. A. Halvorson, B. Rings, and D. Roepke. 1996. 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Vikram (University of Minnesota) for helping with statistical analysis. This research was supported by funding from the Minnesota Turkey Research and Promotion Council (Buffalo) and the Midwest Poultry Consortium (Shoreview, MN).
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