A multicenter survey of resistance in The Netherlands using the Etest.

To obtain data about the prevalence of resistance in bacterial isolates causing serious infections in the Netherlands, a multicenter survey was carried out using the Etest for quantitative susceptibility testing. More than 6000 isolates belonging to ten species were tested against eight antibiotics. Moreover, the Etest was validated against the agar dilution method and the reproducibility of the Etest was studied. In spite of pH differences between the agar plates used for Etesting and agar dilution testing, a good correlation (that is 86%-97% within log2 dilution steps) was found between both methods. Comparison of Etest values of the participating laboratories and the reference laboratory showed > 80% conformity within 1 log2 dilution step and 90% within 2 log2 dilution steps, indicating a sufficient reproducibility of the Etest. Resistance percentages were low for most species and antibiotics, relatively high percentages (10%-20%) indicating natural insusceptibility rather than development or increase of resistance.

Protection against neonatal Escherichia coli diarrhoea in pigs by vaccination of sows with a new vaccine that contains purified enterotoxic E. coli virulence factors F4ac, F4ab, F5 and F6 fimbrial antigens and heat-labile E. coli enterotoxin (LT) toxoid.

The efficacy of a new vaccine against neonatal Escherichia coli diarrhoea in piglets containing purified F4ab, F4ac, F5 and F6 fimbriae and detoxified heat-labile toxin (LT) was tested in challenge experiments by the method described by the European Pharmacopoeia (3rd edn, EDQM, Council of Europe, Strasbourg, France). A group of 11 young sows from a herd without E. coli problems was vaccinated 6-8 and 2-4 weeks prior to expected farrowing and another group of nine young sows were non-vaccinated controls. Escherichia coli antibody titres were determined in serum samples taken from the sows before first vaccination and before farrowing and in colostrum samples. The newborn piglets were allowed to suckle colostrum from their mother immediately after birth. The piglets were marked with individually numbered ear tags. Approximately 12 h after birth, 118 piglets from vaccinated sows and 79 piglets from non-vaccinated control sows were challenged by oral instillation of 5 ml of a freshly prepared culture of one of the challenge strains [O8:K87:F4ab (LT+) or O149:K91:F4ac (LT+) or O9:K30:F5 or O9:K103:F6 respectively]. The challenge cultures contained as a mean 6.8x10(9) CFU/ml. After challenge the piglets were observed for 7 days and mortality and morbidity were recorded. Vaccinated sows developed significant levels of antibody titres in colostrum and serum. Control sows stayed at a low/seronegative level. The protective efficacy was excellent because 66.7-87.5% of the piglets from vaccinated sows remained without clinical signs after challenge. Only 0.0-28.0% of the piglets from non-vaccinated sows remained healthy and more than 47.1% of the piglets in this group died after challenge. It is concluded that the new vaccine is very effective in protection of piglets against neonatal E. coli diarrhoea.