10.antibiotics in brd prophylaxis and therapy
TRANSCRIPT
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ProphylaxisProphylaxis
Healthy animals treated.No BRD outbreak in the herd...
ProphylaxisProphylaxis
Herd management!Vaccinations!Antibiotics?
WhyWhy BRD & BRD & antibiopreventionantibioprevention in in the real life?the real life?
Fattening
Breeding herd
Vealcalves
FatteningFattening
France, Assie 2009 1167 young beef animals
1083 brought in 84 born at fattening site
71 herds 18,1% morbidity
1,2% for those born at fattening site 19,4% for those bought outside
FatteningFattening
Losses analysis Mortality (67%) Treatment costs
(16%) Management costs
(14%)
Losses analysis
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0,9
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Mortality Treatmentcosts
Managementcosts
Breeder Breeder herdherd
France, Assie 2009 7496 non-weaned calves 156 herds
17% morbidity
Income impact From -2% to -20%
Breeder Breeder herdherd
Treatment costs are always minor, regarding zootechnicallosses
Prevention management & income impact...Losses analysis and income impact of BRD, depending on the
incidence
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Low incidence(22% of herds)
Mild incidence(17% of herds)
High incidence(28% of herds)
Severe cases(12% of herds)
Zootechnical losses
Treatment andmanpower
Income impact
VealVeal calvescalves
3 years survey 42000 veal calves 78 herds
Prim’Holstein vealsBucket AMF All
Respiratory DiseasesNb of collective treatments
Veals individually treated %
Relapse
Other breed vealsBucket AMF All
Respiratory Diseases
Nb of collective treatments
Veals individually treated %
Relapse
WhateverWhatever the the breedingbreeding system system isis, , preventionprevention isis fundamentalfundamental
Herd management Vaccinations Antibiotics?
Only in very specific situations Veterinary prescription
ZACTRAN is the « tool » to avoidantibioprevention
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MetaphylaxisMetaphylaxis
« Healthy » animals treatedbecause of BRD outbreak on other
animals close to them
UsualUsual metaphylaxismetaphylaxis strategystrategy
Curative treatment on sick animals+
Metaphylactic treatment on at-risk animals
TargetedTargeted metaphylaxismetaphylaxis
Curative treatment on sick animals+
Metaphylactic treatment on a part of at-risk animals
Thanks to extraordinary PK/PD parameters of ZACTRAN
Focus on...Focus on...
Extraordinary PK/PD parameters
Gamithromycin concentration in broncho-alveolar cells
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1 da
y
2 da
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10 d
ays
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ays
12 d
ays
13 d
ays
14 d
ays
15 d
ays
Time after injection
µg/ml
MIC90 Mannheimia haemolytica MIC90 Pasteurella multocida & Histophilus somni
FastFast, , hugehuge concentration*, long concentration*, long lasting in the lasting in the heartheart of the of the lunglung
Fast acting< 30 minutes after one subcutaneous shot
Huge concentration18 to 36 times the MIC90
Long lasting
TargetedTargeted metaphylaxismetaphylaxis
Deux-Chaises (Allier) March-July 09 Aim
o Assess the efficacy of ZACTRAN in metaphylactic and curative treatments, in natural conditions
Field Field studystudy descriptiondescription
167 cattle from 8 different sources Males and females 4.5 months to 11 months of age 188 to 420 kg Limousin and Charolais
A confortable A confortable housinghousing
16 pens, 8 on each side of the aisle Bedded on straw (deep litter system) Straw added every 2-3 days, 3 kg per animal Constant level trough
Water from network (quality controlled water)
This isprophylaxis!
A A sanesane housinghousing
‘All-in All out’ Disinfected
Insecticide, virucidal and bactericidal
This isprophylaxis!
A A sanesane feedingfeeding
Food Baled hay on arrival Gradual shift towards a mixed ration
based on maize silage + concentrate (triticale, soybeans, grain corn, beet pulp, bran, minerals)
Fed once a day
This isprophylaxis!
A A completecomplete preventionprevention
The farmer manages the cattle as normal!
Weighing the day after arrival Vaccinations
RSV, BVD, PI3 , IBR
Deworming Ivomec D
This isprophylaxis!
4 days after arrival4 days after arrival……
13 clinical cases Allocation to 3 groups
Group 1: 13 clinical cases Group 2: 62 animals metaphylaxis Group 3: 92 animals monitored and
treated on a case by case basis
DecisionDecision criteriacriteria for for targetedtargeted metaphylaxismetaphylaxis
Sick animals (5-10%)Body weight < 270 kg« Farmer’s experience »
Groups 2 and 3 : a Groups 2 and 3 : a pertinent pertinent choicechoice
Weight is a major BRD risk factor
D 0 D 0 13 patients 13 patients 3 groups of animals3 groups of animals
Group 1Group 1 Group 2Group 2 Group 3Group 3
Housing of the 3 groupsHousing of the 3 groups
7 meters
7 meters
DD11
10 patients in Group 310 patients in Group 3
7 meters
DD225 patients more in Group 35 patients more in Group 3
7 meters
DD334 patients more in Group 34 patients more in Group 3
7 meters
DD662 patients more in Group 32 patients more in Group 3
7 meters
DD774 patients more in Group 34 patients more in Group 3
7 meters
DD881 patient more in Group 31 patient more in Group 3
7 meters
AtAt DD88
26 patients in Group 326 patients in Group 3
Complete prevention atComplete prevention at DD+14+14 ...and ...and for the for the restrest of the of the breedingbreeding timetime
7 meters
EconomicalEconomical analysisanalysis of the of the targetedtargeted metaphylaxismetaphylaxis
IndividualIndividual treatmenttreatment costscosts
Prevention is better than cure... And cheaperalso!
17,63 €3,64 €10,62 + 3,37 = 13,99 €Curative
13,19 €2,57 €10,62 €Metaphylaxis
Global cost per presentanimal
Manpower cost per presentanimal
Treatment cost per present animal
250 kg
TargetedTargeted metaphylaxismetaphylaxisisis profitableprofitable
Treatment cost per present animal
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12
14
16
18
0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50% 55% 60% 65% 70% 75% 80% 85% 90% 95% 100%
Percentage of sick animals in Group 3
€ /
pre
sen
t an
imal
Global metaphylaxis
Targeted metaphylaxis + curative x%
Targeted metaphylaxis
The curative case-by-case managementis permitted thanks to
ZACTRAN PK/PD parameters
ZACTRAN allowsallows a more profitable monitoring of a more profitable monitoring of
BRD BRD outbreaksoutbreaks in in youngyoung cattlecattle fatteningfattening herdsherds
The « classical » strategy Curative treatment on sick animals+ Metaphylactic treatment on all the others
A new strategy thanks to ZACTRAN PK/PD parameters Curative treatment on sick animals+ Metaphylactic treatment on some* of the others+ Other animals monitored and treated on a case by case
basis
* Decision criteria<270 kg body weight for instance
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Great thanks to Maurizio Bonfanti
TherapyTherapy
EfficiencySafety
Practicality
ItalianItalian fieldfield ssttuuddyy
Aimo ZACTRAN vs Tulathromycin in BRD treatment
24 Limousin 24 Limousin heifersheifers withwithseveresevere BRDBRD
Date of arrival: 3 December 08 Prophylaxis on the first day after arrival
IBR, PI3 ,BVD, RSV Ivomec Plus
Trial start BRD outbreak
End of the trial 14 days after treatment
Avanti, avanti...Porca miseria... Limousines...
24 Limousin 24 Limousin heifersheifers withwithseveresevere BRDBRD
ZACTRAN group 13 animals
258 ± 32 kg
Tulathromycin group 11 animals
259 ± 33 kg
ZACTRAN group 4/13 relapses
Tulathromycin group 9/11 relapses
D1
ZACTRAN group 13 animals
258 ± 32 kg
Tulathromycin group 11 animals
259 ± 33 kg
D2D3D4D5D6D7D8D9D10D11D12D13D14
Less reLess re--treatment in treatment in zactranzactran groupgroup
TherapyTherapy
Excellent results In line with many reports from
clinicians Profitable
Less re-treatment Less manpower needed
ProphylaxisProphylaxis, , metaphylaxismetaphylaxis & & TherapyTherapy
ZACTRAN allows new BRD management strategies Thanks to it’s PK/PD parameters
Fast acting Long lasting Huge concentration above MIC
Curative Metaphylaxis
Profitable thanks to less mortality Safety
AcknowledgementsAcknowledgements
Andy ForbesYou all here
Thanks for your attention
Any questions?