Retrospective Broiler Health Survey: Scope, Parameters, and Overall Trends.

A retrospective analysis encompassing 18 yr (1999-2016) of broiler chicken health surveys from broiler production complexes throughout the United States was conducted to identify trends and areas of opportunity. The analysis used necropsy data from 19,577 broiler chickens considered to be "healthy" or "clinically normal" by visual assessment. The very low incidence of dehydrated (0.01%) or undersized (0.02%) broilers is evidence that the objective of examining "healthy" birds was achieved. The results of the correlation analysis were what was expected for "healthy" broilers, with these birds having positive correlations with skin color and size of the bursa of Fabricius. The average age of broilers included in this analysis ranged from 26.2 days in 2008 to 33.7 days in 2013. The percentage of "normal" broilers (those without visible lesions or abnormalities) varied from 5.63% in 2012 to 28.33% in 1999. The results of this study identified four areas of opportunity for improving poultry health: 1) coccidiosis, 2) oral lesions and gizzard erosions, 3) retained yolks, and 4) pododermatitis.

Encuesta retrospectiva sobre la salud de los pollos de engorde: alcance, parámetros y tendencias generales. Se realizó un análisis retrospectivo que abarcó 18 años (1999-2016) de encuestas de salud de pollo de engorde de complejos de producción en los Estados Unidos para identificar tendencias y áreas de oportunidad. El análisis utilizó datos de necropsia de 19,577 pollos de engorde considerados "saludables" o "clínicamente normales" mediante evaluación visual. La incidencia muy baja de pollos de engorde deshidratados (0.01%) o de tamaño pequeño (0.02%) es evidencia de que se logró el objetivo de examinar aves "sanas". Los resultados del análisis de correlación fueron los esperados para pollos de engorde "sanos", ya que estas aves tuvieron correlaciones positivas con el color de la piel y el tamaño de la bolsa de Fabricio. La edad promedio de los pollos de engorde incluidos en este análisis osciló entre 26.2 días en 2008 y 33.7 días en 2013. El porcentaje de pollos de engorde "normales" (aquellos sin lesiones o anomalías visibles) varió del 5.63% en 2012 al 28.33% en 1999. Los resultados de este estudio identificaron cuatro áreas de oportunidad para mejorar la salud de las aves: 1) coccidiosis, 2) lesiones orales y erosiones de la molleja, 3) retención de saco vitelino y 4) pododermatitis.

Animal drug shortages limit veterinary therapeutic options and introduce artifacts in antimicrobial sales reporting.

Supply chain issues disrupt veterinary care and cause downstream consequences that alter the practice of veterinary medicine. Antimicrobials are just 1 class of pharmaceuticals that have been impacted by supply chain issues over the last couple of years. Since February 2021, 2 sponsors/manufacturers of penicillin products have reported shortages in the active pharmaceutical ingredient. With the release of the 2021 Summary Report on Antimicrobials Sold or Distributed for Use in Food-Producing Animals by the FDA, a key finding was a 19% decrease in penicillin sales and distribution from 2020 to 2021. Herein, we provide our clinicians' professional perspective regarding how drug shortages, specifically that of penicillin, might contribute to misconstrued patterns in antimicrobial use and what can be done by veterinarians and the FDA to minimize the impact of an antimicrobial drug shortage on animal health and well-being.

The use of Anticoccidial Sensitivity Tests (ASTs) by the Poultry Industry.

Anticoccidial drug resistance in coccidia has been known since the 1960s, and experimental selection for resistance in the laboratory has been done for most available products. However, routine testing for sensitivity in field isolates has only begun in recent years. Poultry producers are faced with greater challenges because of consumer preferences for 'antibiotic-free' products and a lack of new products for disease control. The classification of some of our most effective anticoccidials as 'antibiotics' has severely limited their use, causing us to rely on older products that are prone to resistance development. The interaction between coccidiosis and other diseases such as necrotic enteritis places more importance on routine testing for drug sensitivity. In this review, we have summarized the use of the anticoccidial sensitivity test (AST) as it is conducted and interpreted by poultry health specialists.

Estudio recapitulativo- El uso de pruebas de susceptibilidad para anticoccidianos (ASTs) en la industria avícola. La resistencia a los fármacos anticoccidianos se ha reconocido desde los años 1960s y la selección experimental para resistencia en el laboratorio se ha demostrado para la mayoría de los productos disponibles. Sin embargo, las pruebas rutinarias de susceptibilidad a los agentes anticoccidianos con aislamientos de campo solo se han generalizado en los últimos años. Los productores avícolas enfrentan desafíos mayores debido a la preferencia de los consumidores por productos "libres de antibióticos" y la falta de nuevos productos para el control de enfermedades. La clasificación como "antibióticos" de algunos de los anticoccidianos más efectivos ha limitado su uso enormemente, causando la dependencia de anticoccidianos más antiguos que en general tienen una mayor predisposición al desarrollo de resistencia. La interacción entre la coccidiosis y otras enfermedades como la enteritis necrótica dan mayor relevancia a las pruebas rutinarias de susceptibilidad a los fármacos anticoccidianos. En esta revisión, hemos resumido el uso de la prueba de susceptibilidad a los anticoccidianos (AST) tal y como es realizada e interpretada por los especialistas en la salud aviar.

The AVMA's definitions of antimicrobial uses for prevention, control, and treatment of disease.

Recent state and federal legislative actions and current recommendations from the World Health Organization seem to suggest that, when it comes to antimicrobial stewardship, use of antimicrobials for prevention, control, or treatment of disease can be ranked in order of appropriateness, which in turn has led, in some instances, to attempts to limit or specifically oppose the routine use of medically important antimicrobials for prevention of disease. In contrast, the AVMA Committee on Antimicrobials believes that attempts to evaluate the degree of antimicrobial stewardship on the basis of therapeutic intent are misguided and that use of antimicrobials for prevention, control, or treatment of disease may comply with the principles of antimicrobial stewardship. It is important that veterinarians and animal caretakers are clear about the reason they may be administering antimicrobials to animals in their care. Concise definitions of prevention, control, and treatment of individuals and populations are necessary to avoid confusion and to help veterinarians clearly communicate their intentions when prescribing or recommending antimicrobial use.