21. 7. ªÀÄ£ÀĵÀågÀÄ ªÀÄvÀÄÛ PÉÆýUÀ¼À°è G¥ÀAiÉÆÃUÀ ªÀÄvÀÄÛ CªÀÅUÀ¼À ¥ÁæªÀÄÄRåvÉAiÀÄ
DzsÁgÀzÀ ªÉÄÃ¯É ¸ÀÆPÁë÷ätÄ ¤gÉÆÃzsÀPÀUÀ¼À DAiÉÄÌ
¸ÀÆPÁë÷ätÄ
¤gÉÆÃzsÀPÀUÀ¼À ªÀUÀð
G¥ÀAiÉÆÃUÀzÀ DzÀåvÉ GzÁºÀgÀuÉ
ªÀUÀð I
(Class I)
(¥ÀæzsÁ£À C¥ÁAiÀÄ)
¥ÀæªÀÄÄRªÁV ªÀÄ£ÀĵÀå ªÉÊzÀåQÃAiÀÄ ±Á¸ÀÛçzÀ°è;
G¥ÀAiÉÆÃUÀ
PÉÆýUÀ¼À°è aQvÉìUÁV PÁ¬ÄÝj¸À§ºÀÄzÀÄ
¥ÉÇèÃgÉÆÃQé£Á¯ÉÆãïì:
K£ÉÆæÃ¥sÉèPÁìQì£ï, ¹¥ÉÇæÃ¥sÉèPÁìQì£ï,
¥sÉ¥sÉèPÁìQì£ï,
M¥sÉèPÁìQì£ï,¯ÉªÉÇÃ¥sÉèPÁìQì£ï,
¸Áàgï¥sÉèPÁìQì£ï.
ªÀUÀð II ªÀÄ£ÀĵÀå ªÉÊzÀåQÃAiÀÄ ±Á¸ÀÛçzÀ°è ªÀiÁzsÀå«ÄPÀªÁV JjÃvÉÆæêÉÄʹ£ï, ¥É¤ì°£ïì,ªÀUÀð II
(Class II)
(ªÀiÁzsÀå«ÄPÀ C¥ÁAiÀÄ)
ªÀÄ£ÀĵÀå ªÉÊzÀåQÃAiÀÄ ±Á¸ÀÛçzÀ°è ªÀiÁzsÀå«ÄPÀªÁV
G¥ÀAiÉÆÃUÀ
PÉÆýUÀ¼À°è aQvÉìUÁV ªÀiÁzsÀå«ÄPÀªÁV
JjÃvÉÆæêÉÄʹ£ï, ¥É¤ì°£ïì,
dAmÁªÉÄʹ£ï,
¸ÉæüÖAiÉÆÃ¥sïgï,¸À¯Áá£ÁªÉÄÊqïì
ªÀÄvÀÄÛ mÉmÁæ¸ÉÊQèãïì.
ªÀUÀð III
(PÀrªÉÄ C¥ÁAiÀÄ)
Class III
ªÀÄ£ÀĵÀå ªÉÊzÀåQÃAiÀÄ ±Á¸ÀÛçzÀ°è G¥ÀAiÉÆÃUÀ PÀrªÉÄ,
PÉÆýUÀ¼À°è aQvÉìUÁV ªÀiÁzsÀå«ÄPÀªÁV G¥ÀAiÉÆÃUÀ
(Majority of them has low per oral
bioavailability)
¨Áå¹mÉæù£ï, ¸ÉÖçÃ¥sÉÇÖêÉÄʹ£ï,
mÉʯÉÆù£ïì, ¸ÉàÃQÖ£ÉÆêÉÄʹ£ï,
¤AiÉÆêÉÄʹ£ï ªÀÄvÀÄÛ
mÁAiÀĪÀÄÄ°£ï
Farm history and/ or in vitro sensitivity
Clinical judgment
Use labeled directions before opt for extra-label
Narrow spectrum antibiotic, if pathogen is known
22. PÉÆý ¸ÁPÁuÉAiÀÄ EwºÁ¸À ªÀÄvÀÄÛ ¸ÀÆPÁë÷ätÄ ¤gÉÆÃzsÀPÀUÀ¼À DzsÀåvÉ
PÁ¬Ä¯É DAiÉÄÌAiÀÄ DzsÀåvÉ ¸ÀÆPÁë÷ätÄ ¤gÉÆÃzsÀPÉÃvÀgÀ ºÀ¸ÀÛPÉëÃ¥À
PÉÆð¨Á幯ÉÆù¸ï
{Septicemia}
Class III Class II
Class I
CªÉÆäAiÀiÁ/zsÀƽ£À ªÀÄlÖªÀ£ÀÄß PÀrªÉÄ ªÀiÁqÀĪÀÅzÀÄ,UÁ½QAr
ºÉZÀÄѪÀiÁqÀĪÀÅzÀÄ, ºÉZÀÄÑ ZÀ½/±ÁR¢AzÀ zÀÆgÀ«gÀĸÀĪÀÅzÀÄ,
ºÉPÉÌAiÀÄ vÉêÁA±À PÀrvÀUÉƽ¸ÀĪÀÅzÀÄ. ªÀiÁågÉÃPïì
¤AiÀÄAvÀætzÀ°è¬ÄqÀĪÀÅzÀÄ.
¥sÉÇêïè PÁ¯ÉgÀ
{Septcemia, lung infection,
menigistis, arthritis,cellulitis}
Class II Class I
Class III {Extra-label}
PÀpt §AiÉÆøÉPÀÆåjn PÀæªÀÄUÀ¼ÀÄ, ¸ÀwÛgÀĪÀ PÉÆýUÀ¼À£ÀÄß PÀæªÀĪÁV
«¤AiÉÆÃUÀ ªÀiÁqÀĪÀÅzÀÄ.
£ÉPÉÆæÃnPï JAngÉÊn¸ï
{Acute to chronic enteritis with
Class III Class II PÁQìrAiÀiÁ ¤gÉÆÃzsÀPÀUÀ¼À PÁAiÀÄðPÀæªÀÄ «ªÀIJ𹠣ÀAvÀgÀ PÉÆý
ªÀ¸ÀwAiÀÄ£ÀÄß ¸ÉÆÃAPÀÄ ¤ªÁgÀuÉ ªÀiÁqÀĪÀÅzÀÄ.
{Acute to chronic enteritis with
necrosis of upper SI}
ªÀ¸ÀwAiÀÄ£ÀÄß ¸ÉÆÃAPÀÄ ¤ªÁgÀuÉ ªÀiÁqÀĪÀÅzÀÄ.
ªÉÄÊPÉÆÃ¥sÁè¸Áä
{M.gallisepticum}
Class III Tylosin/ Tiamutin
Class II Tetracyclines
PÉÆýUÀ¼À°è EgÀĪÀ PÁ¬Ä¯ÉUÉ aQvÉì ¤ÃqÀĪÀÅzÀÄ; PÀpt
§AiÉÆøÉPÀÆåjn PÀæªÀÄUÀ¼ÀÄ. Class I [India, South Asia]
Class II [Tetracyclins & Erythromycin,
if M. synoviae]
¸Á¯Áä£É¯ÉÆèù¸ï
{Brooder house Eggs, Later
Poults}
Class III limited basis
Class II limited basis
May require Extra-label
¸ÀAvÁ£ÉÆÃvÁàzÀ£ÉUÁV Ej¹zÀ ªÀÄAzÉAiÀÄ gÀPÀÛ ¥ÀjÃPÉë
ªÀiÁr¸ÀĪÀÅzÀÄ; £ÀAvÀgÀ PÁåjAiÀÄgï PÉÆýUÀ¼À£ÀÄß ªÀzsÉ
ªÀiÁqÀĪÀÅzÀÄ [Prevent vertical transmission via eggs]
¸ÁÖ¥sÁå¯ÉÆÃPÁPÀ¸ï
{Hock &Footpad,Swollen head-
celllulitis; Osteomyelitis}
Class II Penicillins,
Cephalexin,
Erythromycin
gÉÆÃUÀzÀ ªÀÄlÖªÀ£ÀÄß ¥ÀjÃQë £ÀAvÀgÀ OµÀzsÉÆÃ¥ÀZÀgÀ
ªÀiÁqÀĪÀÅzÀÄ. Identify the predisposing factors; Upper
respiratory infection ?
26. 9. OµÀzsÉÆÃ¥ÀZÀgÀªÀ£ÀÄß vÁAwæPÀªÁV ¥ÀæªÀiÁt§zÀÝUÉƽ¸ÀĪÀÅzÀÄ
[Tiamulin in water vs feed (~ 12.5mg.kg-1 ) to prevent vertical transmission]
David G.S Burch, 2009
32. UÀjµÀ× OµÀzsÀ ±ÉõÀ/²°Ì£À ªÀÄlÖ
Maximum Residual Level (MRL)
• MRL: Country specific, hence trade disputes
• MRL: Species - Tissue - Commodity specific
• MRL: US FDA, EU, Japan, Australia, CAC -MRL
Codex Alimentarius Commission(CAC)
• CCRVDF: Codex Committee on residues of veterinary drugs in foods• CCRVDF: Codex Committee on residues of veterinary drugs in foods
• CCRFFP: Codex Committee on residues in fish and fish products
• Regional: FAO/WHO Codex Committee for South Asia
• Ad hoc: Ad hoc task force on animal feeds
• Official : Lowest between bacteriological & toxicological MRL
MRL
42. ºÉZÀÄѪÀj vÀ¯ÉaÃn OµÀ¢üUÀ¼À£ÀÄß §¼À¹zÀ°è CAUÁUÀ ²®ÄÌ vÀqÉUÀlÄÖªÀ §UÉ
Residue Avoidance used Extra –label
EU Directive 2001/82EC Amended 2004 /28/EC
¤²ÑvÀªÁzÀ PÉÆý vÀ½UÀ£ÀÄUÀÄtªÁV ªÀiÁ£Àå ªÀiÁrgÀĪÀ
DºÁgÀ ¸ÀAPÀ°vÀUÀ¼À£Éß [feed additives]
G¥ÀAiÉÆÃV¸ÀĪÀÅzÀÄ
²¥sÁgÀ¸ÀÄì ªÀiÁrgÀĪÀ OµÀ¢ü »AqÉAiÀÄĪÀ
PÁ¯ÁªÀ¢üAiÀÄ£ÀÄß ZÁZÀÄ vÀ¥ÀàzÉà ¥Á°¸ÀĪÀÅzÀÄ
vÀÄA¨Á CªÀ±ÀåPÀ«zÁÝUÀ ªÀiÁvÀæªÉà ºÉZÀÄѪÀj vÀ¯ÉaÃn
OµÀ¢üUÀ¼À£ÀÄß G¥ÀAiÉÆÃV¸ÀĪÀÅzÀÄ
Commodity Withdrawal days
if used extra-label
Poultry- Eggs 7 days
OµÀ¢üUÀ¼À£ÀÄß G¥ÀAiÉÆÃV¸ÀĪÀÅzÀÄ
¤²ÑvÀªÁzÀ/ ¸ÀjAiÀiÁzÀ zÁR®wAiÀÄ£ÀÄß ¤ªÀðºÀuÉ
ªÀiÁqÀĪÀÅzÀÄ
CAUÁUÀ ²°Ì£À §UÉÎ £ÀdgÀÄ PÁAiÀÄðPÀæªÀÄUÀ¼À£ÀÄß
[surveillance programmes] C¼ÀªÀr¹PÉƼÀÄîªÀÅzÀÄ
Milk 7days
Meat: Poultry,
Mammals
28days
Fish 500°C days
43. CAUÁUÀ ²®ÄÌ PÀAqÀÄ »rAiÀĪÀ ¥ÀjÃPÉëUÀ¼ÀÄ
Screening tests for residue detection
{{{Internal Quality Control Tests}
ªÀiÁA¸À RAqÀUÀ¼ÀÄ (Poultry muscle)
• 3-plate test (K. rhizophila, B. cereus, and E. coli) for detection and
presumptive identification of tetracyclines, β-lactam and quinolones
• Plate assays based on B. subtilis, B. cereus, and E. coli (specific
detection of quinolones)
ªÀÄÆvÀæ ¦AqÀzÀ zÀæªÀ (Renal pelvis fluid )(Nouws method)
• Renal pelvis fluid: 5-plate test NAT (B. subtilis, B. cereus,
B. pumilus, K. rhizophila, and Y. ruckeri)
• Bacillus stearothemophilus
• 147⁰F (64 ⁰C) for 3 hrs
B. pumilus, K. rhizophila, and Y. ruckeri)
ªÀiÁA¸À RAqÀUÀ¼ÀÄ ªÀÄvÀÄÛ ªÉÆmÉÖUÀ¼ÀÄ(Poultry muscle & egg)
• Plate assay based on Y. ruckeri and Premi®Test (specific detection of
quinolones)
ªÀiÁA¸À RAqÀzÀ zÀæªÀ (Poultry muscle fluid)
• EU 4-plate test, B. stearothermophilus disk assay and Premi®Test
comparison
CAUÁUÀ zÀæªÀ (Poultry tissue fluid)
• Premi®Test (B. stearothermophilus)
ªÉÆmÉÖ/CAUÁUÀ¼ÀÄ Egg/Poultry tissue
• Klebsiella pneumoniae plate test (Specific detection of quinolones)
44. ¸ÀÆPÁë÷ätÄ fë¤gÉÆÃzsÀPÀUÀ¼À £ÁåAiÀħzÀÝ G¥ÀAiÉÆÃUÀ : ¸ÁgÁA±À
Judicious Antibiotic Use: Summary
1. ¥À±ÀÄ ªÉÊzÀågÀÄ ªÀÄvÀÄÛ PÉÆý ¸ÁPÁuÉzÁgÀgÀ°è £ÁåAiÀĸÀªÀÄävÀ ¨ÁAzsÀªÀå
1. A valid poultry veterinarian-client-relationship
1.Closely monitor antibiotic usage in poultry flocks
2. Production mangers, veterinarians in close contact with
service persons and individual usersservice persons and individual users
2. ºÉZÀÄѪÀj vÀ¯ÉaÃn OµÀ¢üUÀ¼À G¥ÀAiÉÆÃUÀªÀ£ÀÄß PÀrªÉÄ ªÀiÁqÀĪÀÅzÀÄ/zÀÆgÀ«j¸ÀĪÀÅzÀÄ
2. Extra-label use must be avoided or limited
1. Govt of India - ECI
2. Food Safety Act, 2006
45. ¸ÀÆPÁë÷ätÄ fë¤gÉÆÃzsÀPÀUÀ¼À £ÁåAiÀħzÀÝ G¥ÀAiÉÆÃUÀ : ¸ÁgÁA±À
Judicious Antibiotic Use: Summary
3. ¸ÀªÀÄAd¸ÀªÁVzÀÝ°è £ÁågÉÆà ¸ÉàÃPïÖçA DAn §AiÉÆÃnPï UÀ¼À£ÉßÃ
G¥ÀAiÉÆÃV¸ÀĪÀÅzÀÄ
3. Use narrow spectrum antibiotics when relevant
1. Use culture & sensitivity test result for therapeutic success
2. Determine changes in antimicrobial susceptibility patterns
4. gÉÆÃUÀ ¤gÉÆÃzsÀPÀ ±ÀQÛ PÀrªÉÄ EgÀĪÀ PÉÆýUÀ¼À°è ¨ÁåQÖÃjAiÀiÁ¸ÁÖnPï UÀ¼À£ÀÄß
G¥ÀAiÉÆÃV¸ÀzÉ EgÀĪÀÅzÀÄ M½vÀÄ.
4. Avoid bacteriostatics in flocks with poor immunity
1. Chronic or frequent infections
2. Infection consequent to Infectious bursal disease [IBD]
46. ¸ÀÆPÁë÷ätÄ fë¤gÉÆÃzsÀPÀUÀ¼À £ÁåAiÀħzÀÝ G¥ÀAiÉÆÃUÀ : ¸ÁgÁA±À
5. PÉÆýUÀ¼ÀÄ PÁ¬Ä¯É¬ÄAzÀ §¼À®ÄwÛzÀÝ°è aQvÀìPÀ ¸ÀÆPÁë÷ätÄ fë¤gÉÆÃzsÀPÀUÀ¼À
§¼ÀPÉAiÀÄ£ÀÄß «ÄwAiÀÄ°èqÀĪÀÅqÀÄ
5. Limit therapeutic antibiotics to ill or birds at risk
Birds housed adjacently and not clinically ailing should
not be medicated
Do not medicate during non-bacterial uncomplicated Do not medicate during non-bacterial uncomplicated
viral infections.
6. EvÀgÉ aQvÀìPÁ DAiÉÄÌUÀ¼À£ÀÄß RqÁØAiÀĪÁV ¥ÀjUÀt¸ÀĪÀÅzÀÄ
6. Other therapeutic options must be considered
Use antibiotics only as a tool to contain active disease
Explore management adjustments:-
Temperature-Ventilation-Litter moisture
Supportive therapy with vitamins and electrolytes
47. ¸ÀÆPÁë÷ätÄ fë¤gÉÆÃzsÀPÀUÀ¼À £ÁåAiÀħzÀÝ G¥ÀAiÉÆÃUÀ : ¸ÁgÁA±À
7. aQvÀì PÀæªÀÄUÀ¼À£ÀÄß PÀqÁØAiÀĪÁV PÀæªÀħzÀÝUÉƽ¸ÀĪÀÅzÀÄ
7. Therapeutic regimens must be optimized
Use current pharmacological information
Therapeutic dosage-duration- MIC values
Drug-drug interactions, herbs-drug interactions
8. aQvÉì ¤ÃrgÀĪÀ zÁR¯ÁwUÀ¼À£ÀÄß ¤ªÀðºÀuɪÀiÁqÀĪÀÅzÀÄ ªÀÄvÀÄÛ
aQvÀì PÀæªÀÄUÀ¼À£ÀÄß «ªÀIJð¸ÀĪÀÅzÀÄ
8. Accurate records of treatment, evaluate therapeutic regimens
9. ¸ÀÆPÁë÷ätÄ fë¤gÉÆÃzsÀPÀUÀ¼ÀÄ ªÁvÁªÀgÀtzÉÆA¢UÉ
PÀ®Ä¶vÀªÁUÀĪÀÅzÀ£ÀÄß PÀrªÉĪÀiÁqÀĪÀÅzÀÄ
9. Minimise environmental contamination with antimicrobials
48. Vision is the ability to see what is possible
before it becomes obvious….