Supply of Farmed Fish Needs To Grow Rapidly: Average Annual Growth Rate (%), 1990-2011

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การใช้ยาปฏิชีวนะที่ไม่เหมาะสมกับปัญหา AMR

อ.สพ.ญ.ดร.ปริญทิพย์ วงศ์ ไทย


ภาควิชาเวชศาสตร์ และทรัพยกรการผลิตสั ตว์
คณะสั ตวแพทยศาสตร์ มหาวิทยาลัยเกษตรศาสตร์

Supply of Farmed fish needs to grow rapidly


Global consumption of animal protein

Average annual growth rate


(%), 1990-2011
Pounds of feed to produce one pound of animal protein

6.8

2.9
1.7 1.1

Species
Culture system

Past Present
Culture management

Antimicrobial use & AMR in Aquaculture


Semi-intensive system
Extensive system
Intensive system
Disease
outbreak
Stocking density Nutrient pollution
Use of
antimicrobial
Poor water quality
AMR
eruse

What is drug resistance or AMR?


Microorganisms become resistant to antimicrobial agents.
Kills or inhibits the growth of microorganisms.

Antimicrobial --- Antibiotic---Anti-inflammation


AMR-Aquaculture-One health

Surveillance of antimicrobial resistance

Surveillance of antimicrobial use

Surveillance of antimicrobial resistance

Biological hazard àpresence of


Enterobacteriaceae
An expression of AMR- E.coli

Antimicrobial susceptibility testing :


Disc diffusion method
ENR AMX CEP NEO
ERY AMC COL OTC
E.coli GEN AMP DOX STM

AMR- MDR/XDR/PDR
ID. AMR PATTERN (1st AUG) AMR PATTERN (2nd (OCT))
KS 1.1 AMX-AMP-DOX-ERY-OXT

AMX
KS 2.1 AMX-AMP-DOX-ERY-NEO-OXT
KS 3.1 ERY-NEO
KS 4.1 ERY ERY
KS 5.1
KS 6.1
DOX-ERY-OXT
DOX-ERY-OXT-SXT
AMX-AMP-DOX-ERY-OXT AMP MDR
KS 7.1
KS 8.1 AMX-AMP-DOX-ERY-OXT-SXT
KS 9.1
KS 10.1
KS 11.1
AMP-AMO-AMC-CEP-DOX-ERY-OXT-SXT ERY
ERY
ERY-NEO
DOX
KS 12.1
KS 13.1
ERY
AMX-AMP-DOX-ERY-OXT
OTC XDR
KS 14.1 AMO-AMP-ERY-OXY-SXT AMX-AMP-DOX-ERY-OXT
KS 15.1 AMP-AMO-DOX-ERY-NEO-OXT AMX-AMP-DOX-ERY-OXT
KS 16.1 AMP-AMO-DOX-ERY-GEN-NEO-OXT
KS 17.1
KS 18.1
AMX-AMP-DOX-ERY-OXT
ERY
AMX-AMP-DOX-ENR-ERY-OXT-SXT
ERY
KS 19.1
KS 20.1
AMX-AMP-DOX-ERY-OXT-SXT
AMX-AMP-DOX-ERY-OXT-SXT
STM PDR
KS 21.1 ERY-NEO

NEO
KS 22.1 AMX-AMP-ERY
KS 23.1 ERY
KS 26.1 AMX-AMP-ERY-OXT-SXT
KS 27.1 DOX-ERY-OXT-SXT AMX-AMP-DOX-ERY-OXT-SXT
KS 28.1 AMP-AMO-ERY-NEO DOX-ERY-NEO-OXT-SXT
KS 32.1 ERY
KS 33.1 DOX-ERY-NEO-OXT
KS 34.1 AMX-AMP-ERY-OXT-SXT
KS 35.1 AMX-AMP-DOX-ERY-OXT-SXT
KS 36.1 ERY-NEO
KS 37.1 AMX-AMP-DOX-ERY-OXT
What is AMR?

Microorganisms become resistant to antimicrobial agents.


Kills or inhibits the growth of microorganisms.

Antimicrobial --- Antibiotic---Anti-inflammation


Cell wall inhibitor: block Protein synthesis inhibitor
synthesis and repair acting on ribosome

Cell membrane: loss of


selective permeability Metabolic pathway and products:
block pathway and inhibit metabolism

How is resistance developed?


Transfer of AMR gene

Horizontal gene transfer (HGT)


Vertical gene transfer (VGT)
AMR genes transfer and exchange in
the environment

Aquaculture

The big risk……diseases


IMNV Pseudomonas spp.
Argulus spp.
WSSV
Endemic YHV MBV EMS
Streptococcus spp.
Aspergillus spp. Branchiomyces spp.
Emerging Dactylogyrus spp.
MrNV
Trichodina spp.

TSV ISA Mycobacterium spp.


Re-emerging Ichthiopthrius multifilis
Aeromonas spp.
Gyrodactylus spp.
Chytrid fungi TiLV IHHNV
HPV Yersinia spp.
Flavobacterium spp.
Microsporidia spp. Iridovirus spp.
IHNV
Environmental Challenges: Aquaculture and Environmental Health

Potentially increasing the seafood production


without concerned environment

Effluent discharges Disease transmission between


and water quality Overfishing Chemical used on farms farmed and wild species

Multiple ecologic negative feedback loops linking human health

Use in aquaculture feed

Spreading fish disease Reducing wild fish populations Reduce future aquaculture production

Environmental impact Increase consumption of foods

Promote the development of NCDs

Environmental challenges: Aquaculture and Animal Health

Infectious disease outbreak - lose large amounts of farm raised


seafood

Globalization and Intensification of Introduction of hatchery-


Climate Biosecurit
international hatcheries and production raised species to new change y
trade environments

Although most aquaculture disease do not directly impact human health, the chemicals and
drugs used prevent or treat them can impact the environment and public health
Human impact on AMR
Aquaculture systems have been designated as “Hotspots for AMR genes”
Current & past use
- Antibiotic
Aquaculture systems contain
- Probiotics
high numbers of diverse bacteria
- Prebiotics
- Other treatments

● 700,000 AMR deaths annually and estimated to rise to 10 million deaths per year in 2050
● Economic loss
● Reduce medical treatment options
● Increase deaths from previously curable infections

Control antimicrobial use

1. Biosecurity
2. Improved farm support for diagnostics and treatment
3. Limiting AM access
4. Regulation
5. Certification
6. Improved general public awareness

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