ORIGINAL RESEARCH article
Sec. Veterinary Infectious Diseases
Volume 7 - 2020 | https://doi.org/10.3389/fvets.2020.00090
Investigation of a Reduction in Tylosin on the Prevalence of Liver Abscesses and Antimicrobial Resistance in Enterococci in Feedlot Cattle
- 1Food and Human Nutritional Sciences Department, University of Manitoba, Winnipeg, MB, Canada
- 2Lethbridge Research and Development Centre, Agriculture and Agri-Food Canada, Lethbridge, AB, Canada
- 3Feedlot Health Management Services, Okotoks, AB, Canada
- 4Public Health Agency of Canada, Saskatoon, SK, Canada
Recent concerns over linkages between antimicrobial resistance in human pathogens and antimicrobial use in livestock have prompted researchers to investigate management strategies that reduce the current reliance on in-feed tylosin to control liver abscesses in feedlot cattle. A total of 7,576 crossbred yearlings were allocated to the study (~253 animals/pen, 10 replicate pens per treatment) and individually randomized to one of three treatments. Tylosin phosphate (11 ppm) was included in-feed (1) for the first 125 days on feed (DOF) (FIRST-78%), (2) for DOF 41 to 161 (LAST-75%), or (3) for the entire feeding period (CON; day 0–161). Fecal composites were collected from the pen floor on days 0, 81, and 160 of the finishing period. Serial dilutions were spread plated for enumeration of enterococci on Bile Esculin Azide (BEA) agar and BEA amended with 8 μg/ml erythromycin. Results indicated that although the proportion of EryR enterococci increased with DOF (P < 0.01), neither treatment (P = 0.34) or treatment × DOF (P = 0.37) affected antimicrobial resistance. Of the 538 isolates, 97% were enterococci, with mixed species isolated early in the feeding period and only Enterococcus hirae isolated at the end. Isolates were most frequently resistant to tylosin (86%), erythromycin (84%), and doxycycline (31%). Macrolide and tetracycline resistant isolates harbored erm(B), msrC, and tet(L), tet(M), tet(O) genes, respectively. Overall, the proportion of EryR enterococci increased (P < 0.05) in all three treatments over the feeding period. Compared to the control cattle, FIRST-78% cattle had more severe (P < 0.05) liver abscesses, while there was a trend (P < 0.08) for this response in LAST-75% cattle. There was no difference (P > 0.05) in total liver abscesses, growth performance, carcass traits, morbidity, or mortality among treatments. These results support the potential to reduce the duration and therefore quantity of tylosin administered to feedlot cattle during the feeding period without impacting animal productivity.
Liver abscesses have a major economic impact on the North American beef cattle industry, with an average prevalence in feedlot cattle ranging from 12 to 32% (1), but it has been reported to be as high as 95% (2). Cattle with severely abscessed livers can exhibit compromised growth performance as a result of reduced feed intake and carcass weight (3, 4). In Canada, economic losses as a result of condemned and discounted livers are estimated at $60 million annually (5).
Antimicrobials are the primary tool used to prevent liver abscesses in cattle fed high-grain finishing diets. The macrolide, tylosin phosphate, is the most common antimicrobial included in feed to control liver abscess in beef cattle in North America (6), as it targets the causative agents, Fusobacterium necrophorum and Trueperella pyogenes (7). However, despite its use, the prevalence of liver abscesses in slaughter cattle still often exceeds 15% (5).
The use of antimicrobials in-feed has come under scrutiny by both the public and regulators over concerns that their use selects for antimicrobial resistance and poses a risk to public health (8). Tylosin belongs to the MLSB superfamily (macrolide-lincosamide-streptogramin B) which are classified as a category II antimicrobial in terms of their importance for use in human medicine (9). Although tylosin is not used in human medicine, it cross-selects for resistance to other antimicrobials within this superfamily, including erythromycin, a macrolide widely used in humans (10).
It is essential to evaluate new strategies to manage liver abscesses in feedlot cattle while reducing reliance on medically important antimicrobials in livestock production. According to recently implemented restrictions in the United States (11) and Canada (12), all medically important antimicrobials require a veterinary prescription and cannot be used for growth promotion.
Enterococci are commensal bacteria of humans and animals that are often associated with serious hospital acquired infections (13). The most prevalent species associated with infections in human are E. faecium and E. faecalis (14), whereas E. hirae is the predominant species in cattle (15). Few studies have investigated the link between tylosin administration and antimicrobial resistance in enterococci in cattle. The most recent study in Canada, withdrew tylosin 28 days prior to slaughter in a small-scale (100 steers) trial and found a reduction in macrolide resistance in enterococci (16). Another feedlot study in the United States investigated the impact of intermittent (1 week on, 2 weeks off) and continuous administration vs. no tylosin on erythromycin resistance (EryR) in enterococci. They found no difference in the occurrence of liver abscesses between intermittent and continuous treatments, but there were more liver abscesses in cattle that did not receive tylosin (17). As such, it is important to continue to investigate ways to optimize tylosin use while promoting antimicrobial stewardship, supporting productivity, and working to minimize use of antimicrobials in livestock that are of importance in human medicine.
The present study investigated and compared the effect of tylosin administration in the first 78 or last 75% of the feeding period on antimicrobial resistance, liver abscess score, animal health, feedlot performance, and carcass traits of feedlot cattle.
Materials and Methods
All procedures involving cattle were reviewed and approved by the Feedlot Health Management Services Ltd. (Okotoks, Alberta) and Lethbridge Research Center Animal Care Committees in accordance with guidelines of the Canadian Council on Animal Care (18). Informed consent for use of the cattle was received from the owners of the cattle.
This study was conducted at a large commercial feedlot in southern Alberta over an 161-day finishing period. Cattle (n = 7,576) for this study were crossbred beef yearling steers and heifers (394 ± 5.49 kg) that arrived between June 11, 2018 and July 7, 2018. Upon arrival, cattle were randomly assigned to one of three treatments; FIRST-78%, LAST-75%, or CON. The experimental unit was the pen, with 10 pens (six steer, four heifer) allocated to each treatment. Average pen capacity was 253 ranging from 246 to 280 head/pen. Upon arrival, individual animals were managed as per standardized commercial Canadian feedlot practices, receiving an ear tag for identification, a hormonal growth promoter implant, a parenteral respiratory vaccine, a parenteral clostridial disease bacterin, and topical parasite control. No antimicrobials were administered to the cattle upon arrival. Cattle were randomly assigned to one of the three treatments and placed into a corresponding pen. Once a pen was full, then newly arrived cattle were allocated to a new pen for a second replicate of that treatment with this process continuing until all 10 pens per treatment were full.
Cattle were fed tylosin phosphate (Tylosin 40, Bio Agri Mix LP, Mitchell, ON) at an inclusion level of 11 ppm [100% dry matter basis [DM]] for: (1) the first 125 days of the 161-days feeding period (FIRST-78%), (2) the last 120 days of the feeding period (LAST-75%), starting at an average of 41 days on feed (DOF) and continuing to slaughter at an average of 161 DOF, or (3) continuously throughout the 161-days feeding period (CON). Tylosin was administered at the concentration approved for the prevention of liver abscesses in beef cattle in Canada (19).
All diets were fed twice daily, and cattle were offered ad libitum access to feed and water. Using a series of four step-up diets, cattle were gradually transitioned to a high-concentrate finishing diet (dry matter basis) consisting of 85.8% concentrate, 11.5% roughage, and 2.8% supplement. The concentrate portion consisted of 70% corn with the remainder being tempered rolled barley / wheat. Monensin sodium was also included in diets at 33 ppm DM over the feeding period (Monensin Premix; Bio-Agri Mix LP, Mitchell, Ontario) according to the medicating ingredient brochure (19).
Sample Collection and Processing
Composite, fresh, pen-floor fecal samples from 20 different pats were collected from each pen using a standardized pen sampling plan. Samples were collected at allocation (0 DOF) before any tylosin was administered, in the middle of the feeding period (avg. 81 DOF), and just prior to shipment for slaughter (avg. 160 DOF). Samples were collected in sterile Whirl Pak bags and stored at 4°C for an average of 1 day prior to transport to the Agriculture and Agri-Food Canada Lethbridge Research Center, Lethbridge, Alberta for microbial analysis. Samples were processed within 1 day of arrival at Lethbridge.
At the lab, each fecal sample was thoroughly mixed, weighed (1.0 g) and diluted 1:5 into 4.0 mL of sterile phosphate buffered saline and vortexed for 30 s. Samples were then 10-fold serially diluted and 100 μL of the appropriate dilution were plated in duplicate onto Bile Esculin Azide (BEA) agar containing no antimicrobials and BEA amended with erythromycin (8 μL/mL; BEAE). The concentration of erythromycin added into the BEA plates was set at the breakpoint standards for defining resistance as described by the Clinical and Laboratory Standards Institute (CLSI) guidelines (20). After incubation for 48 h at 37°C, colonies that exhibited esculin hydrolysis (black precipitate) and morphology typical of enterococci were enumerated. Isolates that grew on BEAE were considered resistant to erythromycin. The percentage of enterococci resistant to erythromycin was calculated according to Alexander et al. (21), in which: [(number of colonies on selective BEAE plates / total colonies on non-selective BEA plates) × 100%].
For each sample, three enterococci colonies each from BEA and BEAE plates (6 colonies in total) were subcultured onto their respective media and incubated for 48 h at 37°C, for purification and further characterization. To prepare template DNA for PCR, one colony from each plate was suspended in 100 μL of TE (10 mM Tris, 1 mM EDTA, pH 8.0) and heat lysed for 5 min at 98°C with shaking at 1000 RPM in an Eppendorf thermomixer (VWR, Missisauga, ON). Heat lysed cell suspensions were stored at −80°C for later use. Growth from subcultures was suspended in brain heart infusion (BHI) broth containing 15% glycerol and archived at −80°C for subsequent use.
Characterization of Enterococcus Species
A total of 538 presumptive enterococci isolates representing approximately six isolates from each pen on each sampling day were saved in TE as mentioned above. Tubes containing heat lysed cells were thawed and centrifuged at 10,000 × g for 5 min. The supernatant was used as the template DNA in a multiplex PCR to identify Enterococcus species. Enterococcus-specific groES-EL primers Ent-ES-211-233-F and Ent-EL-74-95-R (22) were used along with Enterococcus hirae muramidase gene (23) mur2-specific mur2h_F1 (5′-TATGGATACACTCGAATATCTT-3′) and mur2h_R (5′-ATTATTCCATTCGATTAACTGC-3′) primers were used in a multiplex PCR assay to distinguish E. hirae from other Enterococcus spp. Two microliters of template DNA was used in a 25 μL PCR reaction volume using HotStarTaq Master Mix Kit (Qiagen Canada, Inc., Mississauga, ON, Canada) as per manufacturer's instructions and with the following thermocycler conditions: 5 min at 95°C, followed by 45 cycles of 30 s at 94°C, 30 s at 49°C, 30 s at 72°C and a final extension for 10 min at 72°C. The PCR products were resolved on a 1.8% agarose gel. Isolates that were positive for both primer sets generated two PCR product bands and were identified as E. hirae, while single PCR products presumably originating from groES-EL positive, but mur-2 negative (non-E. hirae) enterococci isolates were sent to Eurofins Genomics (Toronto, ON) for Sanger sequencing of the groES-EL intergenic region to identify species.
Antimicrobial Susceptibility Testing
A subset of 176 speciated isolates were randomly chosen to represent one isolate from each media type from all samples, with the exception of four isolates from the BEA plates that were not enterococci. Antimicrobial susceptibility testing for enterococci was performed against 12 antibiotics using disc diffusion methodology according to the CLSI guidelines for Enterococcus spp., documents M02-A12, M100-S26, and VET-01S (20, 24, 25). The panel covers medically important antibiotics that are classified as either medium, high or very high importance in human medicine (9). The antimicrobial panel, supplier, disk content, and zone diameter for determining break points are listed in Supplementary Table 1. Staphylococcus aureus ATCC® 25923 and Enterococcus faecalis ATCC® 29212 were used as standards and were included in each assay. Zone diameters were read using the BioMic V3 imaging system (Giles Scientific, Inc., Santa Barbara, CA, USA), and each enterococci isolate was classified as either susceptible, intermediate or resistant according to CLSI guidelines for 10 antimicrobials, or EUCAST for tigecycline (26). Tylosin does not have established interpretive criteria for Enterococcus spp., although there is an acceptable quality control range for 30 μg tylosin discs for S. aureus ATCC® 25923 set at 18–26 mm (24). For tylosin, previously published minimum inhibitory concentration (MIC) established in our lab (16) were used as breakpoints in the current study. Isolates that were resistant to three or more antimicrobials were defined as multidrug resistant.
Resistant Gene Determinants
The isolates displaying intermediate resistance or resistance to erythromycin or tylosin were screened by PCR for macrolide resistance genes erm(B), and msrC (27), using the primers of Chen et al. (28), and Beukers et al. (16), respectively. Reactions were processed as a multiplex PCR with an initial denaturation for 5 min at 95°C, followed by 35 cycles of denaturation for 30 s at 94°C, annealing for 30 s at 58°C and a final extension for 10 min at 72°C. Isolates displaying intermediate resistance or resistance to doxycycline were also screened by PCR for tet(L), tet(M), and tet(O) as previously described (29). All PCRs were prepared as a 20 μL reaction with 2 μL DNA template and resolved on a 1.5% agarose gel. Conventional PCR was performed using HotStarTaq Master Mix Kit, and multiplex reactions using the Mulitplex Master Mix Kit (Qiagen Canada, Inc., Mississauga, ON).
Animal Performance, Liver Abscesses, and Carcass Traits
Upon allocation, initial body weight (BW) and hip height were measured as baseline variables for each individual animal to assess homogeneity across treatments. Animal performance variables (final BW; daily dry matter intake, DDMI; average daily gain, ADG; feed-to-gain ratio, F:G) were calculated for each pen to describe feedlot performance. Final BW represented the average net (shrink accounted for gut fill) live weight of cattle sold for slaughter. The DDMI was calculated by the total quantity of feed consumed divided by the number of days on feed and animals within a pen. The ADG was determined by the total net slaughter weight plus total weight of cattle shipped for salvage slaughter plus total weight of animals that died minus total allocation weight; divided by the number of days in the trial. Feed efficiency (F:G) was determined as DDMI divided by ADG on a live weight basis. Cattle were monitored twice daily by animal health personnel for evidence of disease. Individual cattle that were deemed “sick” were separated out of the pen and moved to a hospital facility for diagnosis and treatment. If cattle were housed in hospital pens, the feed was accounted for by proration to the home pen record as per standard procedures. An effort was made to avoid treating “sick” cattle with macrolides and they were returned directly to their home pen whenever possible. When this was not possible, their removal from the home pen was accounted for. Overall mortality was defined as the number of mortalities divided by the number of animals allocated.
All animals from this study were slaughtered at a single processing plant. Cattle from assigned pens were shipped for slaughter as a single lot as per finishing time as assessed by standard feedlot production practices. At slaughter, all livers were scored for severity and prevalence of liver abscesses by trained personnel, using a modified Elanco Liver Check System (Elanco, Greenfield, IN, USA). Livers that had no abscesses (normal healthy liver) were assigned a liver score of 0. Livers with one or two small active abscesses/scars or up to four abscesses with a diameter of < 2.5 cm were assigned a liver score of A. Livers with one or more large abscesses (diameter > 2.5 cm) or more than four small/old abscesses of a diameter < 2.5 cm were assigned a liver score of A+ (severe).
Canadian quality grade (QG), yield grade (YG), and weight of each carcass were collected using the data capture system at the processing plant. The average carcass weight was determined by the total carcass weight at slaughter divided by the number of cattle sold for slaughter. The dressing percentage was calculated by the total carcass weight at slaughter divided by the total weight at slaughter expressed as a percentage.
Data were analyzed using SAS® for Windows, Release 9.4 (SAS Institute Inc., Cary, North Carolina). Prior to analysis, microbial enumeration data were normalized by a log10 transformation and analyzed using the MIXED procedure of SAS with a completely randomized factorial arrangement with repeated measures. The treatments (FIRST-78%, LAST-75%, CON) and sampling days (0, 81, 160) and their interaction were analyzed as fixed effects with replicate as a random effect.
The baseline (initial BW and hip height), liver abscess score, feedlot performance, and carcass trait variables were analyzed using GLIMMIX in SAS. Baseline variables were tested as covariates of the feedlot performance variables and included in the model if statistically significant. Sex (steers or heifers) was included as a fixed effect in the models for feedlot performance and liver abscess score. Morbidity and mortality data were analyzed using the GENMOD procedure in SAS with Poisson regression in a log linear model for treatment effects and adjusted for clustering of disease (pen nested within replicate) with generalized estimating equations. For all tests, level of significance was set at P < 0.05.
CFU Counts of Enterococci and Proportion of Erythromycin Resistance
Enterococci were isolated from fecal composite samples from all 30 pens on all sampling days with the exception of four pens on day 81, where selected colonies were not enterococci. No difference (P > 0.05) was observed between FIRST-78%, LAST-75%, and CON cattle with regard to total enterococci, EryR enterococci (Table 1), or proportion of EryR enterococci within the total enterococci population (Figure 1A). However, there was a decrease (P < 0.01) in total enterococci with increasing days on feed. The proportion of EryR was highest on day 81 (P < 0.01) for all treatments. Compared to arrival, the proportion of EryR enterococci isolated just prior to slaughter increased by 52, 187, and 89% (P < 0.01) in the FIRST-78%, LAST-75%, and CON, respectively (Figure 1A).
Table 1. Enterococci counts of the total population and EryR enterococci isolated from feedlot cattle feces from cattle fed tylosin for the FIRST-78%, LAST-75%, or continuously (CON) during the feeding period.
Figure 1. Erythromycin resistance (A) and species prevalence (B) of enterococci isolated from the feces (sample 0, 81, 160 days) of feedlot cattle administered tylosin in the FIRST-78%, LAST-75%, or continuously (CON) during a 160 days feeding period. (A) Treatment group, P = 0.34; Treatment group X Days on feed, P = 0.37; Days on feed, P < 0.01. (B) Isolates are pooled across all pens, treatment groups and media type.
Characterization of Enterococci
Of the 538 isolates collected throughout the trial, 97% were confirmed as enterococci by PCR. Speciation of 522 enterococci isolates revealed that 93.9% were E. hirae (n = 490), 3.3% were E. villorum (n = 17), 2.5% were E. faecium (n = 13), and 0.4% were E. durans (n = 2). Out of the 32 non-hirae enterococci isolated, 41% (n = 13) were collected from non-selective BEA, whereas 59% (n = 19) were isolated from selective BEAE. The diversity of enterococci tended to be greater at arrival than later during the feeding period (Figure 1B), with E. hirae being the only species identified on day 81 and 160.
Antimicrobial Susceptibility Testing
Across all treatments, a total of 86% (n = 151), 84% (n = 147), and 31% (n = 54) of isolates displayed intermediate resistance or resistance to tylosin, erythromycin and doxycycline, respectively (Table 2). Ninety-five percent of the isolates (n = 145/153) that were not susceptible to macrolides displayed either intermediate resistance or resistance to both erythromycin and tylosin. In total, 16 antibiogram phenotypes were observed, ranging from no resistance (A1) to resistance to six antimicrobials (A16) (Table 2). No isolates displayed intermediate resistance or resistance to ampicillin, gentamicin, levofloxacin, or vancomycin; but at least one isolate was resistant to each of the other antimicrobials tested. The three most common antimicrobial resistance phenotypes across all treatments and days were A1 (No resistance), A5 (ERY-TYL), and A7(dox-ERY-TYL), representing 82% of all observed susceptibility patterns. Multidrug resistance (≥ 3 antimicrobials) occurred in 9.7% (n = 17) of isolates, and did not appear to be influenced by treatment.
Table 2. Antibiograms of enterococci (n = 176) isolated from feedlot cattle feces from cattle fed tylosin for the FIRST-78%, LAST-75%, or continuously (CON) during the feeding period.
Identification of Resistant Gene Determinants
Of the 153 enterococci isolates displaying intermediate resistance (nEry = 8; nTyl =7) or resistance (nEry = 139; nTyl = 144) to erythromycin or tylosin, the erm(B) gene was detected in 144 (Table 3) with representatives of E. hirae, E. faecium, and E. villorum. Within these isolates, six [E. hirae (n =1), and E. faecium (n = 5)] collected on day 0 were also positive for msrC. Nine isolates from BEA displayed intermediate resistance to either erythromycin or tylosin, but were negative for both macrolide resistance genes.
Table 3. Distribution of enterococci isolates from feedlot cattle feces grouped according to macrolide (n = 153) and tetracycline (n= 54) resistance genes and by cattle fed tylosin for the FIRST-78%, LAST-75%, or continuously (CON) during the feeding period.
Within the 153 isolates screened for macrolide resistance genes, 39 displayed intermediate resistance and 15 were resistant to doxycycline. These isolates were further screened for tetracycline resistance genes, with 41 positive for both tet(M) and tet(L), and one positive for tet(M). Eleven isolates were positive for tet(O), with only one intermediate doxycycline resistant isolate being negative for all tet genes.
Liver Abscesses, Animal Performance, and Carcass Traits
Although the prevalence of severe liver abscesses (A+) for the FIRST-78% (P < 0.05) was or tended to be greater LAST-75% (P < 0.08) than CON (Table 4), the overall prevalence of liver abscesses (A and A+) was similar among treatments.
Table 4. Growth performance, liver abscesses, and carcass traits of feedlot cattle from cattle fed tylosin for the FIRST-78%, LAST-75%, or continuously (CON) during the feeding period.
There were no significant differences detected between the FIRST-78% or LAST-75% and the CON for any of the morbidity or mortality outcomes (Supplementary Table 2). The incidence of morbidity was <3% and the overall mortality rate ranged from 0.9 to 1.4% for all treatments.
The treatments were homogenous (P ≥ 0.05) at allocation with respect to average initial weight (kg) and average hip height (m) (Table 4). Growth performance of feedlot cattle did not differ (P > 0.05) between the FIRST-78% and CON or LAST-75% and CON for ADG or F:G (Table 4). Carcass weight was greater (absolute difference of 3.3 kg; P = 0.04) for cattle in the FIRST-78% compared to CON (Table 4). There was no difference detected between the FIRST-78% or LAST-75% and CON for dressing percentage (Table 4). Yield and quality grade also did not differ among treatments (Table 4).
For the purpose of this study, enterococci were chosen as the fecal indicator bacteria for assessing macrolide resistance, as Escherichia coli is intrinsically resistant to this antimicrobial family (30). Enterococci, notably E. faecalis and E. faecium are seen with increasing prevalence in clinical infections in humans (14). In the present study, E. faecalis was not detected, and E. faecium was only isolated from cattle upon arrival. Consistent with previous reports (16, 31, 32), there was a decrease in the diversity of enterococci over the feeding period, with E. hirae being the predominant species isolated from beef cattle feces, a species seldom associated with infections in humans (33). Beukers et al. (16) proposed that this shift in fecal enterococci species may arise from the transition of cattle from a forage-based to a grain-based finishing diet during the finishing period. Others have proposed that it may also be influenced by age of the host (34, 35). In the present study, cattle were transitioned from a high (40%) to low (11.5%) forage diet over the first 20 days of the feeding period. Therefore, cattle pens sampled upon allocation had less concentrate in their diets compared to those sampled on days 81 and 160 when the high concentrate diet was fed.
Tylosin was administered to cattle at the concentration approved for the prevention of liver abscesses (19). Since this study revolved around the feeding regime of tylosin, the main focus was on EryR enterococci isolated from beef cattle feces. Antimicrobial susceptibility testing of enterococci indicated that all isolates initially collected from the selective BEAE were resistant to erythromycin.
A small-scale study in Southern Alberta demonstrated that although tylosin did not reduce the overall prevalence of liver abscesses, severely abscessed livers tended to be lower in cattle fed tylosin (6.7%) than in those that did not receive it (negative control; 53.3%) (36). Due to the large number of animals enrolled in this study, and the importance of tylosin in liver abscess control (37, 38), a negative control group of cattle that did not receive tylosin was not economically feasible. As in the present study, several studies have shown that in-feed tylosin increases EryR enterococci in cattle as compared to those that do not receive this antimicrobial (16, 31, 39).
The amount of EryR enterococci did not differ among treatments at any of the three sampling days. However, between the time of allocation and mid-sampling, the proportion of EryR enterococci increased and then subsequently decreased at the end of the feeding period, an observation that coincides with Beukers et al. (16). In a smaller scale study, Beukers et al. (16) compared macrolide resistance in fecal enterococci in cattle fed tylosin for the first 197 days and after withdrawal 28 days prior to slaughter. They observed a reduction in macrolide resistance, just prior to and after the removal of tylosin. Müller et al. (17) explored the intermittent use (1 week on, 2 weeks off) of tylosin compared to continuous or no tylosin and found no difference in EryR enterococci between tylosin treatment at each time point. However, these researchers did record a higher percentage of EryR enterococci with increasing days on feed between day 20 and day 118. The beneficial effect of reducing tylosin in-feed on the degree of resistance is difficult to predict because antimicrobial resistant bacteria are present in nearly all environments (40). However, shortening the duration of tylosin administered could help reduce the selection pressure that exacerbates the occurrence of antimicrobial resistance (16). In relation to the present study, to realize the impact of the removal of tylosin on the reduction in macrolide resistance, a much longer duration than 25% of the feeding period may be required.
Cattle feces are a natural vector for the transmission of bacteria and their antimicrobial resistance genes into the environment (41). Enterococci are known as antimicrobial resistance gene traffickers because they can readily transfer and acquire antimicrobial resistance genes (42). Enterococci have emerged as a major public health concern, especially vancomycin resistant E. faecalis and E. faecium which are more difficult to treat (43). Of the 176 isolates screened for antimicrobial resistance, all were susceptible to vancomycin, a result that agrees with previous studies that have suggested that cattle feces are not a major source of vancomycin-resistant enterococci (16, 44). In the present study, resistance to tylosin, erythromycin and doxycycline was most prevalent among isolated enterococci. It has been proposed that the administration of tylosin may co-select for enterococci with resistance to tetracycline, even in the absence of tetracycline use (45). Müller et al. (17) reported increased proportion of TetR enterococci in cattle feces with increasing days on feed, but found no relationship between TetR occurrence and the administration of tylosin in feed. Although tetracycline was absent in the diet, Müller et al. (17) observed an initially high proportion of TetR enterococci in cattle feces at approximately 10% on day 0, with increases between day 20 (~20%) and day 118 (~40%). These results coincide with the present study, where initially a high number of enterococci isolates with intermediate or resistant phenotypes to doxycycline (23%) was detected, with this level only increasing slightly between days 81 (34%) and 160 (31%).
Resistance of enterococci to erythromycin and tetracycline are commonly encoded by erm(B), msrC, and tet (L), tet(M), tet(O) resistance genes, respectively (16, 44). The resistance gene msrC, is universally present in all E. faecium (27) and was detected in all isolates of this species as well as in one E. hirae isolate. Other EryR genes in enterococci include erm(A) and erm(C) (27), but we did not screen for these genes as they are infrequent in enterococci isolated from beef cattle (16, 31, 46). Nine isolates were negative for both macrolide resistance genes, suggesting that these isolates contained unknown or other known macrolide resistance genes that were not screened (40, 46).
The occurrence of multiple resistance genes within a single isolate may suggest the presence of mobile genetic elements (MGE). Both tet(M) and erm(B) are known to be frequently associated with the Tn916 family of MGE that are common in enterococci (47). Therefore, feeding tylosin may create selective pressure for not only macrolide resistance, but also tetracycline resistance (45). Although erythromycin and tetracycline are seldom used to treat enterococcal infections, they are used to treat other bacterial infections in humans (48). If resistant enterococci serve as a reservoir of these MGE-associated antimicrobial resistance genes, they could present a public health risk (44).
Previous studies noted that liver abscesses, especially livers scored as severe (A+) result in reduced feed intake, and a lower final body weight (1). Tylosin is frequently administered in-feed throughout the entire feeding period and in the past was found to lower the prevalence of liver abscesses 40–70% (37). However, the incidence of liver abscesses in feedlot cattle has increased over time, even with the inclusion of tylosin in the diet (5). Brink (1) evaluated 12 experiments involving 566 cattle and found that on average, cattle finished at a final weight of 473.0 kg over 131 DOF had a prevalence of severe liver abscesses of 6% (Range 0–19%). Their study suggested that the risk of severe liver abscesses increase with increasing finishing weight and duration on feed. The reasons why tylosin does not completely control liver abscesses are unknown, but there are speculations it may promote the growth of opportunistic pathogens, select for resistance strains, or that its concentration in the rumen is too low to be affective against the causative bacteria (49). Although previous work has shown little evidence that exposure of F. necrophorum or T. pyogenes to tylosin promotes macrolide resistance (49–51).
In the current study, the proportion of severely abscessed (A+) livers was greater in the FIRST-78% (P < 0.05) and tended to be higher in the LAST-75% (P < 0.08) compared to the CON. However, the proportion of total liver abscesses was not affected when tylosin was administered for shorter durations during the feeding period. Despite the greater prevalence of severe liver abscesses with shorter duration tylosin programs, there was no difference (P < 0.05) between the FIRST-78% or LAST-75% and the CON for any of the morbidity or mortality outcomes. Overall, the mortality rate for the present study was <2% which is within the lower range (0–15%) of feedlot cattle in North America (52). The primary causes of mortality included bovine respiratory disease, lameness, metabolic disorders including bloat and acidosis. With the exception of metabolic disorders, all of the other causes of mortality were not treated with tylosin and the use of other macrolides was avoided.
Walter et al. (53) evaluated liver abscess prevalence in cattle (n = 3,360) fed tylosin during the first 42, first 84, last 84, and first 126 out of 162 days on feed compared to continuous or no tylosin administration. They observed a linear total decrease in abscessed and A+ livers as days of tylosin feeding increased. Cattle that were fed tylosin in the first 84 d had fewer A+ livers than cattle fed tylosin for the last 84 d, suggesting that a greatest risk of liver abscess formation and subsequent greatest efficacy if tylosin is administered early in the feeding period (53). However, in our study, the marginal difference of A+ liver score between LAST-75% and the CON suggests that there is still risk of severe liver abscess formation later in the feeding period. Similar to our study, Walter et al. (53) found a decrease in overall edible/healthy livers (score 0) with reduced tylosin administration. In the present study, the origin of the cattle was not recorded, but they were older yearling cattle. Therefore, the cattle may have had pre-existing or increased susceptibility to developing liver abscesses prior to their arrival at the feedlot. This or the fact that the feedlot diet contained a mixture of wheat and barley may account for the much higher prevalence of liver abscesses observed in our study as compared to Walter et al. (53). Using feedlot performance as a secondary indicator of animal health and welfare, no differences in mortality, ADG, F:G, hot carcass weight, marbling score or other carcass traits were observed.
Few studies have investigated the effect of reduced tylosin feeding in feedlot cattle. Based on the results of our study, shortening the duration of tylosin feeding is likely to result in slightly more severe liver abscesses, but the overall impacts on morbidity and mortality, animal performance and carcass traits may be minimal in cattle fed for ~160 days. This study demonstrates that reduced feeding of tylosin either at the beginning or end of the feeding period is unlikely to significantly change the proportion of resistant enterococci in the feces at the time of slaughter. The measured levels of EryR and antimicrobial susceptibility patterns in enterococci only exhibited a modest relationship to the intermittent administration of tylosin to feedlot cattle. Additionally, E. hirae, was the predominant species of enterococci associated with feedlot cattle fed a high grain finishing diet, a species that is not commonly associated with infections in humans. Findings of this study support the potential for producers to reduce the administration of tylosin, a member of the macrolide class of antimicrobials that are considered important to public health. However, such practices are unlikely to reduce the amount of macrolide resistant enterococci excreted in beef cattle feces.
Data Availability Statement
The datasets generated for this study are available on request to the corresponding author.
All procedures involving cattle were reviewed and approved by the Feedlot Health Management Services Ltd (Okotoks, Alberta) and Lethbridge Research Center Animal Care Committees in accordance with guidelines of the Canadian Council on Animal Care (18). Written informed consent was obtained from the owners for the participation of their animals in this study.
TM, RZ, SG, CB, SH, and CK conceived the project idea and devised a plan. TD coordinated laboratory level study implementation and conduced laboratory bench work with support from HS. TM, RZ, and CN-B were involved in planning and supervising the work. AB and CK coordinated feedlot-level study implementation and collected and delivered samples to the lab. AR-G performed the statistical analysis on the bacterial data. AB compiled animal health and performance data. CB and SH helped to verify final animal health and performance data and were involved in results interpretation. TD wrote the manuscript. All authors provided critical feedback and helped shape the research, analysis and manuscript.
This project was fully supported by a research grant from Alberta Beef Producers ANH 13.16, Calgary, Alberta. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.
Conflict of Interest
CB is part owner and managing partner of Feedlot Health Management Services Ltd. and Southern Alberta Veterinary Services Ltd.
The remaining authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
The reviewer MW declared a past co-authorship with one of the author TM to the handling editor.
We thank the management and staff of MCF Feedyards, Brooks, Alberta for their assistance and cooperation in conducting this study.
The Supplementary Material for this article can be found online at: https://www.frontiersin.org/articles/10.3389/fvets.2020.00090/full#supplementary-material
1. Brink DR, Lowry SR, Stock RA, Parrott JC. Severity of liver abscesses and efficiency of feed utilization of feedlot cattle. J Anim Sci. (1990) 68:1201–7. doi: 10.2527/1990.6851201x
2. Nagaraja TG, Lechtenberg KF. Liver abscesses in feedlot cattle. Vet Clin North Am Food Anim Pract. (2007) 23:351–69. doi: 10.1016/j.cvfa.2007.05.002
3. Brown H, Bing RF, Grueter HP, McAskill JW, Cooley CO, Rathmacher RP. Tylosin and chloretetracycline for the prevention of liver abscesses, improved weight gains and feed efficiency in feedlot cattle. J Anim Sci. (1975) 40:207–13. doi: 10.2527/jas1975.402207x
4. Booker CW, Jim GK, Wildman BK, Perrett T, Burciaga-Bobles LO, Fenton RK, et al. A Pilot Epidemiologic Investigation to Quantify the Individual Animal Risk Factors for Liver Abscesses in Alberta Feedlot Cattle. Calgary, AB: Sponsored by Canadian Cattlemen's Association (2015).
5. Beef Cattle Research Council. National Beef Quality Audit: 2016/17 Plant Carcass Audit. (2018). Available online at: https://www.beefresearch.ca/files/pdf/NBQA-Carcass-Audit-Mar-27-2018-F.pdf
6. Pagel SW, Gautier P. Use of antimicrobial agents in livestock. Rev Sci Tech. (2012) 31:145–88. doi: 10.20506/rst.31.1.2106
7. Amachawadi RG, Nagaraja TG. Liver abscesses in cattle: a review of incidence in Holsteins and of bacteriology and vaccine approaches to control in feedlot cattle. J Anim Sci. (2016) 94:1620–32. doi: 10.2527/jas.2015-0261
8. Hoelzer K, Wong N, Thomas J, Talkington K, Jungman E, Coukell A. Antimicrobial drug use in food-producing animals and associated human health risks: what, and how strong, is the evidence? BMC Vet Res. (2017) 13:211. doi: 10.1186/s12917-017-1131-3
9. Health Canada. Categorization of Antimicrobial Drugs Based on Importance in Human Medicine. (2009). Available online at: https://www.canada.ca/en/health-canada/services/drugs-health-products/veterinary-drugs/antimicrobial-resistance/categorization-antimicrobial-drugs-based-importance-human-medicine.html
10. Roberts MC. Update on macrolide-lincosamide-streptogramin, ketolide, and oxazolidinone resistance genes. FEMS Microbiol Lett. (2008) 282:147–59. doi: 10.1111/j.1574-6968.2008.01145.x
11. US Food and Drug Administration. Fact Sheet: Veterinary Feed Directive Final Rule and Next Steps. (2015). Available online at: https://www.fda.gov/animalveterinary/developmentapprovalprocess/ucm449019.htm
12. Health Canada. Responsible Use of Medically Important Antimicrobials in Animals. (2018). Available online at: https://www.canada.ca/en/public-health/services/antibiotic-antimicrobial-resistance/animals/actions/responsible-use-antimicrobials.html
13. Giraffa G. Enterococci from foods. FEMS Microbiol Rev. (2002) 26:163–71. doi: 10.1111/j.1574-6976.2002.tb00608.x
14. Poh CH, Oh HM L, Tan AL. Epidemiology and clinical outcome of enterococcal bacteraemia in an acute care hospital. J Infect. (2006) 52:383–6. doi: 10.1016/j.jinf.2005.07.011
15. Anderson JF, Parrish TD, Akhtar M, Zurek L, Hirt H. Antibiotic resistance of enterococci in American bison (Bison bison) from a nature preserve compared to that of Enterococci in pastured cattle. Appl Environ Microbiol. (2008) 74:1726. doi: 10.1128/AEM.02164-07
16. Beukers AG, Zaheer R, Cook SR, Stanford K, Chaves AV, Ward MP, et al. Effect of in-feed administration and withdrawal of tylosin phosphate on antibiotic resistance in enterococci isolated from feedlot steers. Front Microbiol. (2015) 6:483. doi: 10.3389/fmicb.2015.00483
17. Müller HC, Van Bibber-Krueger CL, Ogunrinu OJ, Amachawadi RG, Scott HM, Drouillard JS. Effects of intermittent feeding of tylosin phosphate during the finishing period on feedlot performance, carcass characteristics, antimicrobial resistance, and incidence and severity of liver abscesses in steers. J Anim Sci. (2018) 96:2877. doi: 10.1093/jas/sky166
18. Canadian Council on Animal Care. Guide to the Care and Use of Farm Animals in Research, Teaching and Testing. (2009). Available online at: https://www.ccac.ca/en/training/modules/farm-animals-stream.html
19. Canadian Food Inspection Agency. Index of Medicating Ingredients Approved by Livestock Species. (2019). Available online at: http://inspection.gc.ca/animals/feeds/medicating-ingredients/mib/livestock-species/eng/1522783196554/1522783196850#a4
20. Clinical and Laboratory Standards Institute. Performance Standards for Antimicrobial Susceptibility Testing; Twenty-Sixth Informational Supplement M100-S26. Wayne, PA: Clinical and Laboratory Standards Institute (2016).
21. Alexander TW, Inglis GD, Yanke LJ, Topp E, Read RR, Reuter T, et al. Farm-to-fork characterization of Escherichia coli associated with feedlot cattle with a known history of antimicrobial use. Int J Food Microbiol. (2009) 137:40–8. doi: 10.1016/j.ijfoodmicro.2009.11.008
22. Zaheer R, Yanke LJ, Church D, Topp E, Read RR, McAllister TA. High-throughput species identification of Enterococci using pyrosequencing. J Microbiol Meth. (2012) 89:174–8. doi: 10.1016/j.mimet.2012.03.012
23. Arias CA, Robredo B, Singh KV, Torres C, Panesso D, Murray BE. Rapid identification of Enterococcus hirae and Enterococcus durans by PCR and detection of a homologue of theE. hirae mur-2 Gene in E. durans. J Clin Microbiol. (2006) 44:1567. doi: 10.1128/JCM.44.4.1567-1570.2006
24. Clinical and Laboratory Standards Institute. Performance Standards for Antimicrobial Disk and Dilution Susceptibility Tests for Bacteria Isolated From Animals. 3rd Edn. Wayne, IL: Clinical and Laboratory Standards Institute (2015.
25. Clinical and Laboratory Standards Institute. Performance Standards for Antimicrobial Disk Susceptibility Tests; Approved Standard- Twelfth Edition M02-A12. Wayne, PA: Clinical and Laboratory Standards Institute (2015).
26. The European Committee on Antimicrobial Susceptibility Testing E. Breakpoint Tables for Interpretation of MICs and Zone Diameters. Version 9.0. (2019). Availablie online at: www.eucast.org
27. Portillo A, Ruiz-Larrea F, Zarazaga M, Alonso A, Martinez JL, Torres C. Macrolide resistance genes in Enterococcus spp. Antimicrob Agents Chemother. (2000) 44:967–71. doi: 10.1128/AAC.44.4.967-971.2000
28. Chen J, Yu Z, Michel FC Jr, Wittum T, Morrison M. Development and application of real-time PCR assays for quantification of erm genes conferring resistance to macrolides-lincosamides-streptogramin B in livestock manure and manure management systems. Appl Environ Microbiol. (2007) 73:4407. doi: 10.1128/AEM.02799-06
29. Ng LK, Martin I, Alfa M, Mulvey M. Multiplex PCR for the detection of tetracycline resistant genes. Mol Cell Probes. (2001) 15:209–15. doi: 10.1006/mcpr.2001.0363
30. Mao JCH, Putterman M. Accumulation in gram-positive and gram-negative bacteria as a mechanism of resistance to erythromycin. J Bacteriol. (1968) 95:1111. doi: 10.1128/JB.95.3.1111-1117.1968
31. Zaheer R, Cook SR, Klima CL, Stanford K, Alexander T, Topp E, et al. (2013). Effect of subtherapeutic vs. therapeutic administration of macrolides on antimicrobial resistance in Mannheimia haemolytica and enterococci isolated from beef cattle. Front Microbiol. 4:133. doi: 10.3389/fmicb.2013.00133
32. Tymensen L, Booker CW, Hannon SJ, Cook SR, Zaheer R, Read R, et al. Environmental growth of enterococci and Escherichia coli in feedlot catch basins and a constructed wetland in the absence of fecal input. Environ Sci Technol. (2017) 51:5386–95. doi: 10.1021/acs.est.6b06274
33. Chan TS, Wu S-M, Suk M-F, Chen N-C, Chen F-Y, Hou H-Y, et al. Enterococcus hirae-related acute pyelonephritis and cholangitis with bacteremia: an unusual infection in humans. Kaohsiung J Med Sci. (2011) 28:111–4. doi: 10.1016/j.kjms.2011.06.027
34. Devriese LA, Laurier L, De Herdt P, Haesebrouck F. Enterococcal and streptococcal species isolated from faeces of calves, young cattle and dairy cows. J Appl Bacteriol. (1992) 72:29. doi: 10.1111/j.1365-2672.1992.tb05182.x
35. Shanks OC, Kelty CA, Archibeque S, Jenkins M, Newton RJ, McLellan SL, et al. Community structures of fecal bacteria in cattle from different animal feeding operations. Appl Environ Microbiol. (2011) 77:2992. doi: 10.1128/AEM.02988-10
36. Shen YZ, Davedow T, Ran T, Saleem AM, Yoon I, Narvaez C, et al. Ruminally protected and unprotected Saccharomyces cerevisiae fermentation products as alternatives to antibiotics in finishing beef steers. J Anim Sci. (2019) 97:4323–33. doi: 10.1093/jas/skz270
37. Nagaraja TG, Chengappa MM. Liver abscesses in feedlot cattle: a review. J Anim Sci. (1998) 76:287–98. doi: 10.2527/1998.761287x
38. Meyer NF, Erickson GE, Klopfenstein TJ, Greenquist MA, Luebbe MK, Williams P, et al. Effect of essential oils, tylosin, and monensin on finishing steer performance, carcass characteristics, liver abscesses, ruminal fermentation, and digestibility. J Anim Sci. (2009) 87:2346. doi: 10.2527/jas.2008-1493
39. Jacob ME, Fox JT, Narayanan SK, Drouillard JS, Renter DG, Nagaraja TG. Effects of feeding wet corn distillers grains with solubles with or without monensin and tylosin on the prevalence and antimicrobial susceptibilities of fecal foodborne pathogenic and commensal bacteria in feedlot cattle1. J Anim Sci. (2008) 86:1182–90. doi: 10.2527/jas.2007-0091
40. Vikram A, Rovira P, Agga GE, Arthur TM, Bosilevac JM, Wheeler TL, et al. Impact of “Raised without antibiotics” beef cattle production practices on occurrences of antimicrobial resistance. Appl Environ Microbiol. (2017) 83:e01682-17. doi: 10.1128/AEM.01682-17
41. Durso LM, Harhay GP, Bono JL, Smith TPL. Virulence-associated and antibiotic resistance genes of microbial populations in cattle feces analyzed using a metagenomic approach. J Microbiol Meth. (2011) 84:278–82. doi: 10.1016/j.mimet.2010.12.008
42. Werner G, Coque TM, Franz CMA P, Grohmann E, Hegstad K, Jensen L, et al. Antibiotic resistant enterococci—Tales of a drug resistance gene trafficker. Int J Med Microbiol. (2013) 303:360–79. doi: 10.1016/j.ijmm.2013.03.001
43. Public Health Agency of Canada. Canadian Antimicrobial Resistance Surveillance System- Update 2018: Executive Summary. (2018). Available online at: https://www.canada.ca/en/public-health/services/publications/drugs-health-products/canadian-antimicrobial-resistance-surveillance-system-2018-report-executive-summary.html
44. Ngbede E, Raji M, Kwanashie C, Kwaga J. Antimicrobial resistance and virulence profile of enterococci isolated from poultry and cattle sources in Nigeria. Trop Anim Health Pro. (2017) 49:451–8. doi: 10.1007/s11250-016-1212-5
45. Amachawadi RG, Scott HM, Aperce C, Vinasco J, Drouillard JS, Nagaraja TG. Effects of in-feed copper and tylosin supplementations on copper and antimicrobial resistance in faecal enterococci of feedlot cattle. J Appl Microbiol. (2015) 118:1287–97. doi: 10.1111/jam.12790
46. Chen J, Fluharty F, St-Pierre N, Morrison M, Yu Z. Technical note: occurrence in fecal microbiota of genes conferring resistance to both macrolide-lincosamide-streptogramin B and tetracyclines concomitant with feeding of beef cattle with tylosin1. J Anim Sci. (2008) 86:2385–91. doi: 10.2527/jas.2007-0705
47. Jurado-Rabadan SR, de La Fuente J, Ruiz-Santa-Quiteria Orden J, de Vries L, Agerso Y. Detection and linkage to mobile genetic elements of tetracycline resistance gene tet(M) in Escherichia coli isolates from pigs. BMC Vet Res. (2014) 10:155. doi: 10.1186/1746-6148-10-155
48. Arias CA, Contreras GA, Murray BE. Management of Multidrug-Resistant Enterococcal Infections Oxford: Blackwell Publishing Ltd. (2010). p. 555–62. doi: 10.1111/j.1469-0691.2010.03214.x
49. Nagaraja TG, Beharka AB, Chengappa MM, Carroll LH, Raun AP, Laudert SB, et al. Bacterial flora of liver abscesses in feedlot cattle fed tylosin or no tylosin. J Anim Sci. (1999) 77:973–8. doi: 10.2527/1999.774973x
50. Jost BH, Field AC, Trinh HT, Songer JG, Billington SJ. Tylosin resistance in Arcanobacterium pyogenes is encoded by an erm X determinant. Antimicrob Agents Chemother. (2003) 47:3519–24. doi: 10.1128/AAC.47.11.3519-3524.2003
51. Amachawadi RG, Purvis TJ, Lubbers BV, Homm JW, Maxwell CL, Nagaraja TG. Bacterial flora of liver abscesses in crossbred beef cattle and Holstein steers fed finishing diets with or without tylosin. J Anim Sci. (2017) 95:3425. doi: 10.2527/jas2016.1198
52. Kelly AP, Janzen ED. A review of morbidity and mortality rates and disease occurrence in North American feedlot cattle. Can Vet J. (1986) 27:496–500.
53. Walter L, Maxwell C, Brown M, Vogel G, Hagenmaier J, Pyatt N, et al. Evaluation of the strategic use of Tylan® to control liver abscess condemnation in finishing beef cattle. J Anim Sci. (2018) 96:405–6. doi: 10.1093/jas/sky404.889
Keywords: Enterococci, antimicrobial resistance, tylosin, erythromycin, tetracycline, beef cattle
Citation: Davedow T, Narvaez-Bravo C, Zaheer R, Sanderson H, Rodas-Gonzalez A, Klima C, Booker CW, Hannon SJ, Bras AL, Gow S and McAllister T (2020) Investigation of a Reduction in Tylosin on the Prevalence of Liver Abscesses and Antimicrobial Resistance in Enterococci in Feedlot Cattle. Front. Vet. Sci. 7:90. doi: 10.3389/fvets.2020.00090
Received: 11 November 2019; Accepted: 07 February 2020;
Published: 28 February 2020.
Edited by:Moussa S. Diarra, Agriculture and Agri-Food Canada (AAFC), Canada
Reviewed by:Maggie Weinroth, United States Department of Agriculture (USDA), United States
Md. Tanvir Rahman, Bangladesh Agricultural University, Bangladesh
Copyright © 2020 Davedow, Narvaez-Bravo, Zaheer, Sanderson, Rodas-Gonzalez, Klima, Booker, Hannon, Bras, Gow and McAllister. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
*Correspondence: Tim McAllister, firstname.lastname@example.org