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Role of antibiotics as growth
enhancers in livestock
ANTIBIOTICS-
An antibiotic is a type of antimicrobial substance active against bacteria and is the most
important type of antibacterial agent for fighting bactrial infections. Antibiotic medications are
widely used in the treatment and prevention of such infections.They may either kill or inhibit
the growth of bacteria. A limited number of antibiotics also possess antiprotozoal
activity.Antibiotics are powerful medicines that fight certain infections and can save lives
when used properly. They either stop bacteria from reproducing or destroy them.Before
bacteria can multiply and cause symptoms, the immune system can typically kill them. White
blood cells (WBCs) attack harmful bacteria and, even if symptoms do occur, the immune
system can usually cope and fight off the infection.Sometimes, however, the number of
harmful bacteria is excessive, and the immune system cannot fight them all. Antibiotics are
useful in this scenario.The first antibiotic was penicillin. Penicillin-based antibiotics, such as
ampicillin, amoxicillin, and penicillin G, are still available to treat a variety of infections and
have been around for a long time.Antibiotics can be use in following manners in animals-
1. As a preventive measure against diseases.
2. To overcome bacterial infection.
3. As growth promoters in food animals.
ANTIBIOTICS AS GROWTH PROMOTERS
The term “antibiotic growth promoter” is used to describe any medicine that destroys or
inhibits bacteria and is administered at a low, sub therapeutic dose. The use of antibiotics for
growth promotion has arisen with the intensification of livestock farming. Infectious agents
reduce the yield of farmed food animals and, to control these, the administration of
sub-therapeutic antibiotics andantimicrobial agents has been shown to be effective. The use of
growth-promoters is largely a problem of intensive farming methods and the problems caused
by their use are largely those of developed rather than developing countries.According to the
National Office of Animal Health (NOAH, 2001), antibiotic growth promoters are used to
“help growing animals digest their food more efficiently, get maximum benefit from it and
allow them to develop into strong and healthy individuals”. Although the mechanism
underpinning their action is unclear, it is believed that the antibiotics suppress sensitive
populations of bacteria in the intestines. It has been estimated that as much as 6 percent of the
net energy in the pig diet could be lost due to microbial fermentation in the intestine (Jensen,
1998). If the microbial population could be better controlled, it is possible that the lost energy
could be diverted to growth.Thomke & Elwinger (1998) hypothesize that cytokines released
during the immune response may also stimulate the release of catabolic hormones, which
would reduce muscle mass. Therefore a reduction in gastrointestinal infections would result in
the subsequent increase in muscle weight.
CURRENT USE OF ANTIBIOTIC GROWTH
PROMOTERS
Global Trends-
On a world scale, the use of antibiotics as animal growth promoters differs dramatically.
Sweden now makes no use of antibiotics for growth promotion purposes; the USA uses a wide
range of antibiotics, including some considered to be “medically important”. The following
information is taken from the Report of the Joint Expert Advisory Committee on Antibiotic
Resistance (JETACAR, 1999) on the use of antibiotics in food producing animals. Pigs are
exposed to the greatest range of growth promoters. In the USA, for example, pigs are exposed
to _-lactam antibiotics, including penicillins, lincosamides and macrolides, including
erythromycin and tetracyclines. All these groups have members that are used to treat infections
in humans. Pigs in the USA are exposed to a range of other compounds intended forgrowth
promotion. These include bacitracin, flavophospholipol, pleuromutilins, quinoxalines,
virginiamycin and arsenical compounds. In the USA, compounds used as growth promoters
for cattle include flavophospholipol and virginiamycin, both also used as growth promoters in
poultry. Cattle are also exposed to ionophores such as monensin to promote growth. Poultry
are given arsenical compounds.The Animal Health Institute of America (AHI, 1995) has
estimated that, without the use of growth promoting antibiotics, the USA would require an
additional 452 million chickens, 23 million more cattle and 12 million more pigs to reach the
levels of production attained by the current practices. In Australia a range of growth promoters
are employed. Pig farmers use arsenical compounds, flavophospholipol, the macrolides
kitasamycin and tylosin, the quinoxaline olaquindox, and also virginiamycin, a streptogramin.
Poultry producers use arsenical compounds, flavophospholipol, bacitracin and virginiamycin.
Australian cattle farmers employ a range of ionophores, namely lasalocid, monensin, narasin
and salinomycin. They also employ flavophospholipol and the macrolide oleandomycin. The
glycopeptide avoparcin was withdrawn from the Australian market in December 1999 and
existing stocks were not permitted to be used after 1 July 2000 when the registration lapsed.
Use of this compound is discussed more fully below.The use of growth promoters in the
European Union (EU) is more limited. The oligosaccharide avilamycin is used in pig and
poultry farming, ionophores, namely monensin and salinomycin are used for cattle and pigs
and flavophospholipol is used with a range of livestock, including cattle, pigs, poultry and
rabbits. In pig production, feed conversion efficiency is improved, along with daily growth
rates, by approximately 2.5 percent. Mortality rates, associated with scouring and proliferative
enteritis, are 10-15 percent lower than in countries, such as Sweden, who do not use
antimicrobial growth promoters. In poultry, growth promoters, such as bacitracin,
virginiamycin and avoparcin, control Clostridium perfringens infections, which are potentially
fatal, in addition to improving feed conversion efficiency. It is estimated that this translated
into an improvement of 1.5 percent, with added economic benefits from the reduction of C.
perfringensinfections (JETACAR, 1999).The cattle industry in the USA is, perhaps, the most
dependent on growth promoters as cattle have energy requirements that are high and that
cannot be met easily without the use of growth promoters. High energy rations increase muscle
growth and fat deposition in beef cattle, and help to improve milk productivity in dairy cattle.
Unfortunately, the use of such rations is associated with side-effects, such as bloat and lactic
acidosis, which can be debilitating or even fatal. These conditions are not a problem in Europe,
where cattle diets contain more forage. To counteract this, monensin is used and, in addition to
preventing the aforementioned conditions, it also significantly reduces ammonia and methane
emissions (Mbanzamihigo et al., 1995). It does not belong to a class of medically important
antibiotics and is not associated with any major resistance problems. In an investigation to
discover the longterm effects of monensin therapy, Rogers et al. (1997) concluded that there is
no real adaptation of rumen microbes af er a period of 96-146 days of monensin treatment and
that most effects disappear within a few hours following monensin withdrawal. In this sense,
monensin is probably one of the safest and most effective antibiotic growth-promoters with
regard to human and animal health and associated bacterial resistance problems.
Virginiamycin is used for similar purposes, such as the prevention of acid lactosis in cattle and
poultry, but use of this compound has led to the selection of bacteria that are resistant to its
effects. It is related to pristinamicin and quinupristin, both of which are used in human
medicine and so there are fears that its continued use may compromise human therapy. Its use
as a growth promoter has now been banned in the EU (Butaye et al., 2000)
Organisation for Economic Cooperation and Deveopment (OECD) estimates that the amount
of antimicrobials used in food animals will escalate globally from 63,151 tons in 2010 to
105,596 tons by 2030 - an increase of 67%. The followings are the estimated global average
annual consumption of antimicrobials to produce one kilogram of meat:-
 45mg of antimicrobials are used to produce 1kg of beef
 148mg of antimicrobials are used to produce 1kg of chicken
 172mg of antimicrobials are used to produce 1kg of pork
Livestock in india-
India’s livestock sector is one of the largest in the world, accounting for 11.6% of the world’s
livestock population. India is the world’s 5th largest meat producer, with an estimated
production of around 7 million tonnes in 2015–16, of which 54% was red meat, the rest being
poultry meat. India is also the world’s largest producer of milk, the third-largest egg producer
after China and USA and the fourth-largest chicken producer after China, Brazil and USA.
Chicken is the most consumed meat in India as it is cheaper than other meats and is subject to
fewer religious prohibitions or cultural taboos. Buffalo meat or carabeef is India’s second most
consumed animal protein after chicken meat due to its affordability. The annual per capita
consumption of carabeef is around 2 kg, whereas for chicken it is 3.6 kg. India’s annual per
capita fish and shrimp consumption is estimated at around 6 Kg, which is low in comparison to
the global average of around 18 Kg.
Antibiotic use in livestock in india-
Currently, there is little accurate data available in India on antimicrobial use in food animals or
resistant infections linked to animals and its impact on public health. It is accepted though, that
there is widespread use of antibiotics in food animals for prevention, treatment of infection as
well as growth promoters. In particular, non-therapeutic usage of antibiotics has been
especially common in poultry production and aquaculture. A recent study estimating global
antibiotic use in poultry, swine and cattle in 2010 indicates that India accounts for 3% of
global consumption and is among the top consumers worldwide, along with China, the United
States, Brazil and Germany. Projections for 2030 estimate an overall increase of about
two-thirds in animal antibiotic consumption worldwide. The use of antibiotics in animal feed,
the study said, will increase by 82% in India by 2030. Their use in chickens, in particular, is
expected to triple in India by 2030. The study found that globally penicillins, tetracyclines and
quinolones are some of the most widely used antibiotics, with the use of these antibiotics
higher in countries with meat-heavy diets. The WHO's list of Critically Important
Antimicrobials is made up of antibiotics which are critically important for human health and
their use should be restricted in the veterinary sector. These include ampicillin, amoxycillin,
cefadroxil, chlortetracycline, doxycycline, erythromycin, flumequinegentamycin, veneomycin,
oxytetracycline, spiramycin, sulfadiazine, sulfadimethoxine.
HUMAN HEALTH AND THE CONSEQUENCES OF USING
ANTIBIOTIC GROWTH PROMOTERS
Human health can either be affected directly through residues of an antibiotic in meat, which
may cause side-effects, or indirectly, through the selection of antibiotic resistance determinants
that may spread to a human pathogen. In general, the effect of antibiotic residues in meat is
insignificant when compared with the issue of selection and amplification of antibiotic
resistant strains of bacteria. Antibiotic resistance determinants selected in this manner may
have various routes by which they may compromise the therapeutic use of antibiotics.
Selection may occur in microbes that are pathogenic for humans. Alternatively, resistance may
be selected in zoonotic bacteria that subsequently cause human disease. On another level, the
resistance determinant may be selected in a bacterium that is a member of the commensal flora
of the animal being fed a growth promoter If such a resistance determinant is mobilisable, it
may subsequently transfer to human or animal pathogens. The consequences of selection of
resistance can range from prolonged illness and side effects, due to the use of alternative, and
possibly more toxic, drugs, to death, following complete treatment failure.
Spread of antibiotic resistance through food animals
Many classes of antimicrobials that are used for humans are also being used in food animals.
Apart from the use of these medicines for treatment of sick animas many food-animal
producers also use them to promote growth or for routine disease prevention in crowded and
unsanitary industrial conditions. Such indiscriminate use of antibiotics accelerates the
development of antibiotic resistant bacteria, which then escape and spread into communities.
Farm and slaughterhouse workers, and veterinarians, who come in close contact with
colonised or infected animals, are also at risk of carrying such resistant bacteria and passing
them on to others. Bacteria as well as antibiotic residues from foodanimal production are also
spread widely in the environment, mainly through manure, where it affects bacteria in the
environment as well as in wild fauna. When people are exposed to these resistant bacteria from
animals, this leads to resistant infections in humans. Multiple studies show an association
between the use of antibiotics in animals and the spread of antibiotic resistancerelated bacteria
in humans.
THE ALTERNATIVES TO ANTIBIOTIC GROWTH
PROMOTERS
In considering phasing out or banning antibiotic growth promoters, the quality of any
alternatives, either on the market, that could be developed or that are available illegally, must
be assessed. Essentially, there are two main ways in which we can reduce our dependence on
antibiotic use in animals. An obvious choice is the development of alternatives to antibiotics
that work via similar mechanisms, promoting growth whilst enhancing the efficiency of feed
conversion. A more difficult route would be to improve animal health. Growth promoters have
been shown (Prescott & Baggot, 1993) to perform best when conditions are worst: i.e. when
the animal is in poor health and the living conditions unhygienic. If their local environment is
improved, with overcrowding reduced and infection control techniques introduced, then the
actual need for growth promoters may be removed.
In-feed enzymes
In-feed enzymes are routinely added to pig and poultry feeds and work by helping to break
down certain components of the feed, such as _-glucans, proteins and phytates, that the animal
may have problems digesting. They are produced as fermentation products from fungi and
bacteria and seem to only have a positive effect on the animal. Some ethicists, however, have
argued that adding enzymes to animals merely shows that we think of them as “factory beasts”.
Apart from ethical objections, in-feed enzymes are very effective at maximising feed
conversion efficiency and have few drawbacks. As a result, current research is focussed on
improving the quality of existing enzymes; whilst broadening the range of feed ingredients that
they may be used to digest. The Scientific Committee for Animal Nutrition (2001) concluded
that conditions of use evaluated so far are acceptable as regards to consumers, users and
animals.
Competitive exclusion products
Competitive exclusion products are in-feed microbes consisting of a variety of species of
bacteria that are marketed as being “friendly”. The mechanism of action is believed to be that,
by allowing such bacteria to colonise the gastrointestinal tract, potential pathogens are
prevented from colonising the gut and thus causing infection. This is the competitive exclusion
principle. These products are often administered to newborn animals, especially poultry, to
colonise the gastrointestinal tract and prevent Salmonella and Campylobacterinfections. It is
not known how effective the treatment is but it is believed to reduce diarrhoea and reduce
levels of mortality. These products are also given to animals that have been treated
therapeutically with antibiotics, to re-colonise a gut that may have been depopulated by the ant
microbial action of the drugs.
Probiotics
Probiotics are similar to competitive exclusion products. They are believed to improve the
overall health of an animal by improving the microbial balance in its gut. The way they work
has not been established, although it has been hypothesized that their action can be
summarised in three ways. The first proposal is a reiteration of the competitive exclusion
principle: by colonising the gut in large numbers, the probiotic bacteria exclude pathogens and
thus prevent them from causing infection. The second possibility is that they act as a stimulus
for the immune system. As the immune system is engaged following exposure to probiotic
bacteria, any hostile bacteria are also noticed, following increased surveillance by leukocytes,
and thus potential pathogens are eliminated. The third suggestion proposes that probiotics have
a strong, positive influence on intestinal metabolic activities, such as increased production of
vitamin B12, bacteriocins, and propionic acid.
CONCLUSION
The best alternative to Antibiotic growth-promoters is a general improvement of conditions for
animals that produce our food.In order to start a reformationof the Industry as a whole, it’s
essential that attitudes to the use of antibiotic growth promoters be changed. While the greatest
threat to the continued use of antibiotics comes from human medicine, selection of resistance
is a problem that affects everyone. It matters very little to someone whose antibiotic treatment
is failing if selection of the resistant strain resulted from clinical overuse of the antibiotic or
from other sources.
References
1. Antibiotic growth promotors in food animals - Peter Hughes, John Heritage
2. Prescott, J. F., & Baggot, J. D. (1993). Miscellaneous antibiotics: ionophores,
nitrofurans, nitroimidazoles, rifampin, and others. Antimicrobial therapy in
veterinary medicine, Iowa State University Press, Ames, 288-289.
3. Laximinarayan, R., Van Boeckel, T., Teillant, A. 2015. Global Antimicrobial Use in the
Livestock Sector. Organisation for Economic Co-operation and Development.
TAD/CA/APM/WP(2014)34/FINAL.
4. Van Boeckel T.P. et. al. Global trends in antimicrobial use in food animals. PNAS. 2015:
112 (18); 5649 - 5654.
5. Antibiotic use in food animals - India overview
6. Health Action International Asia Pacific (HAIAP), Third World Network Penang,
Consumers' Association of Penang. Antibiotic Use and Antibiotics Resistance in Food
Animals in Malaysia: A Threat to Human And Animal Health. 10 October 2013.
7. Wikipedia
Role of antibiotics as growth enhancers in livestock

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Role of antibiotics as growth enhancers in livestock

  • 1. Role of antibiotics as growth enhancers in livestock ANTIBIOTICS- An antibiotic is a type of antimicrobial substance active against bacteria and is the most important type of antibacterial agent for fighting bactrial infections. Antibiotic medications are widely used in the treatment and prevention of such infections.They may either kill or inhibit the growth of bacteria. A limited number of antibiotics also possess antiprotozoal activity.Antibiotics are powerful medicines that fight certain infections and can save lives when used properly. They either stop bacteria from reproducing or destroy them.Before bacteria can multiply and cause symptoms, the immune system can typically kill them. White blood cells (WBCs) attack harmful bacteria and, even if symptoms do occur, the immune system can usually cope and fight off the infection.Sometimes, however, the number of harmful bacteria is excessive, and the immune system cannot fight them all. Antibiotics are useful in this scenario.The first antibiotic was penicillin. Penicillin-based antibiotics, such as ampicillin, amoxicillin, and penicillin G, are still available to treat a variety of infections and have been around for a long time.Antibiotics can be use in following manners in animals- 1. As a preventive measure against diseases. 2. To overcome bacterial infection. 3. As growth promoters in food animals.
  • 2. ANTIBIOTICS AS GROWTH PROMOTERS The term “antibiotic growth promoter” is used to describe any medicine that destroys or inhibits bacteria and is administered at a low, sub therapeutic dose. The use of antibiotics for growth promotion has arisen with the intensification of livestock farming. Infectious agents reduce the yield of farmed food animals and, to control these, the administration of sub-therapeutic antibiotics andantimicrobial agents has been shown to be effective. The use of growth-promoters is largely a problem of intensive farming methods and the problems caused by their use are largely those of developed rather than developing countries.According to the National Office of Animal Health (NOAH, 2001), antibiotic growth promoters are used to “help growing animals digest their food more efficiently, get maximum benefit from it and allow them to develop into strong and healthy individuals”. Although the mechanism underpinning their action is unclear, it is believed that the antibiotics suppress sensitive populations of bacteria in the intestines. It has been estimated that as much as 6 percent of the net energy in the pig diet could be lost due to microbial fermentation in the intestine (Jensen, 1998). If the microbial population could be better controlled, it is possible that the lost energy could be diverted to growth.Thomke & Elwinger (1998) hypothesize that cytokines released during the immune response may also stimulate the release of catabolic hormones, which
  • 3. would reduce muscle mass. Therefore a reduction in gastrointestinal infections would result in the subsequent increase in muscle weight. CURRENT USE OF ANTIBIOTIC GROWTH PROMOTERS Global Trends- On a world scale, the use of antibiotics as animal growth promoters differs dramatically. Sweden now makes no use of antibiotics for growth promotion purposes; the USA uses a wide range of antibiotics, including some considered to be “medically important”. The following information is taken from the Report of the Joint Expert Advisory Committee on Antibiotic Resistance (JETACAR, 1999) on the use of antibiotics in food producing animals. Pigs are exposed to the greatest range of growth promoters. In the USA, for example, pigs are exposed to _-lactam antibiotics, including penicillins, lincosamides and macrolides, including erythromycin and tetracyclines. All these groups have members that are used to treat infections in humans. Pigs in the USA are exposed to a range of other compounds intended forgrowth promotion. These include bacitracin, flavophospholipol, pleuromutilins, quinoxalines, virginiamycin and arsenical compounds. In the USA, compounds used as growth promoters for cattle include flavophospholipol and virginiamycin, both also used as growth promoters in poultry. Cattle are also exposed to ionophores such as monensin to promote growth. Poultry are given arsenical compounds.The Animal Health Institute of America (AHI, 1995) has estimated that, without the use of growth promoting antibiotics, the USA would require an additional 452 million chickens, 23 million more cattle and 12 million more pigs to reach the levels of production attained by the current practices. In Australia a range of growth promoters are employed. Pig farmers use arsenical compounds, flavophospholipol, the macrolides kitasamycin and tylosin, the quinoxaline olaquindox, and also virginiamycin, a streptogramin. Poultry producers use arsenical compounds, flavophospholipol, bacitracin and virginiamycin. Australian cattle farmers employ a range of ionophores, namely lasalocid, monensin, narasin and salinomycin. They also employ flavophospholipol and the macrolide oleandomycin. The glycopeptide avoparcin was withdrawn from the Australian market in December 1999 and existing stocks were not permitted to be used after 1 July 2000 when the registration lapsed. Use of this compound is discussed more fully below.The use of growth promoters in the European Union (EU) is more limited. The oligosaccharide avilamycin is used in pig and poultry farming, ionophores, namely monensin and salinomycin are used for cattle and pigs and flavophospholipol is used with a range of livestock, including cattle, pigs, poultry and rabbits. In pig production, feed conversion efficiency is improved, along with daily growth rates, by approximately 2.5 percent. Mortality rates, associated with scouring and proliferative enteritis, are 10-15 percent lower than in countries, such as Sweden, who do not use antimicrobial growth promoters. In poultry, growth promoters, such as bacitracin, virginiamycin and avoparcin, control Clostridium perfringens infections, which are potentially fatal, in addition to improving feed conversion efficiency. It is estimated that this translated into an improvement of 1.5 percent, with added economic benefits from the reduction of C. perfringensinfections (JETACAR, 1999).The cattle industry in the USA is, perhaps, the most dependent on growth promoters as cattle have energy requirements that are high and that cannot be met easily without the use of growth promoters. High energy rations increase muscle
  • 4. growth and fat deposition in beef cattle, and help to improve milk productivity in dairy cattle. Unfortunately, the use of such rations is associated with side-effects, such as bloat and lactic acidosis, which can be debilitating or even fatal. These conditions are not a problem in Europe, where cattle diets contain more forage. To counteract this, monensin is used and, in addition to preventing the aforementioned conditions, it also significantly reduces ammonia and methane emissions (Mbanzamihigo et al., 1995). It does not belong to a class of medically important antibiotics and is not associated with any major resistance problems. In an investigation to discover the longterm effects of monensin therapy, Rogers et al. (1997) concluded that there is no real adaptation of rumen microbes af er a period of 96-146 days of monensin treatment and that most effects disappear within a few hours following monensin withdrawal. In this sense, monensin is probably one of the safest and most effective antibiotic growth-promoters with regard to human and animal health and associated bacterial resistance problems. Virginiamycin is used for similar purposes, such as the prevention of acid lactosis in cattle and poultry, but use of this compound has led to the selection of bacteria that are resistant to its effects. It is related to pristinamicin and quinupristin, both of which are used in human medicine and so there are fears that its continued use may compromise human therapy. Its use as a growth promoter has now been banned in the EU (Butaye et al., 2000) Organisation for Economic Cooperation and Deveopment (OECD) estimates that the amount of antimicrobials used in food animals will escalate globally from 63,151 tons in 2010 to 105,596 tons by 2030 - an increase of 67%. The followings are the estimated global average annual consumption of antimicrobials to produce one kilogram of meat:-  45mg of antimicrobials are used to produce 1kg of beef  148mg of antimicrobials are used to produce 1kg of chicken  172mg of antimicrobials are used to produce 1kg of pork Livestock in india-
  • 5. India’s livestock sector is one of the largest in the world, accounting for 11.6% of the world’s livestock population. India is the world’s 5th largest meat producer, with an estimated production of around 7 million tonnes in 2015–16, of which 54% was red meat, the rest being poultry meat. India is also the world’s largest producer of milk, the third-largest egg producer after China and USA and the fourth-largest chicken producer after China, Brazil and USA. Chicken is the most consumed meat in India as it is cheaper than other meats and is subject to fewer religious prohibitions or cultural taboos. Buffalo meat or carabeef is India’s second most consumed animal protein after chicken meat due to its affordability. The annual per capita consumption of carabeef is around 2 kg, whereas for chicken it is 3.6 kg. India’s annual per capita fish and shrimp consumption is estimated at around 6 Kg, which is low in comparison to the global average of around 18 Kg. Antibiotic use in livestock in india- Currently, there is little accurate data available in India on antimicrobial use in food animals or resistant infections linked to animals and its impact on public health. It is accepted though, that there is widespread use of antibiotics in food animals for prevention, treatment of infection as well as growth promoters. In particular, non-therapeutic usage of antibiotics has been especially common in poultry production and aquaculture. A recent study estimating global antibiotic use in poultry, swine and cattle in 2010 indicates that India accounts for 3% of global consumption and is among the top consumers worldwide, along with China, the United States, Brazil and Germany. Projections for 2030 estimate an overall increase of about two-thirds in animal antibiotic consumption worldwide. The use of antibiotics in animal feed, the study said, will increase by 82% in India by 2030. Their use in chickens, in particular, is expected to triple in India by 2030. The study found that globally penicillins, tetracyclines and quinolones are some of the most widely used antibiotics, with the use of these antibiotics higher in countries with meat-heavy diets. The WHO's list of Critically Important Antimicrobials is made up of antibiotics which are critically important for human health and their use should be restricted in the veterinary sector. These include ampicillin, amoxycillin, cefadroxil, chlortetracycline, doxycycline, erythromycin, flumequinegentamycin, veneomycin, oxytetracycline, spiramycin, sulfadiazine, sulfadimethoxine.
  • 6. HUMAN HEALTH AND THE CONSEQUENCES OF USING ANTIBIOTIC GROWTH PROMOTERS Human health can either be affected directly through residues of an antibiotic in meat, which may cause side-effects, or indirectly, through the selection of antibiotic resistance determinants that may spread to a human pathogen. In general, the effect of antibiotic residues in meat is insignificant when compared with the issue of selection and amplification of antibiotic resistant strains of bacteria. Antibiotic resistance determinants selected in this manner may have various routes by which they may compromise the therapeutic use of antibiotics. Selection may occur in microbes that are pathogenic for humans. Alternatively, resistance may be selected in zoonotic bacteria that subsequently cause human disease. On another level, the resistance determinant may be selected in a bacterium that is a member of the commensal flora of the animal being fed a growth promoter If such a resistance determinant is mobilisable, it may subsequently transfer to human or animal pathogens. The consequences of selection of resistance can range from prolonged illness and side effects, due to the use of alternative, and possibly more toxic, drugs, to death, following complete treatment failure. Spread of antibiotic resistance through food animals Many classes of antimicrobials that are used for humans are also being used in food animals. Apart from the use of these medicines for treatment of sick animas many food-animal producers also use them to promote growth or for routine disease prevention in crowded and unsanitary industrial conditions. Such indiscriminate use of antibiotics accelerates the development of antibiotic resistant bacteria, which then escape and spread into communities. Farm and slaughterhouse workers, and veterinarians, who come in close contact with colonised or infected animals, are also at risk of carrying such resistant bacteria and passing
  • 7. them on to others. Bacteria as well as antibiotic residues from foodanimal production are also spread widely in the environment, mainly through manure, where it affects bacteria in the environment as well as in wild fauna. When people are exposed to these resistant bacteria from animals, this leads to resistant infections in humans. Multiple studies show an association between the use of antibiotics in animals and the spread of antibiotic resistancerelated bacteria in humans. THE ALTERNATIVES TO ANTIBIOTIC GROWTH PROMOTERS In considering phasing out or banning antibiotic growth promoters, the quality of any alternatives, either on the market, that could be developed or that are available illegally, must be assessed. Essentially, there are two main ways in which we can reduce our dependence on antibiotic use in animals. An obvious choice is the development of alternatives to antibiotics that work via similar mechanisms, promoting growth whilst enhancing the efficiency of feed conversion. A more difficult route would be to improve animal health. Growth promoters have been shown (Prescott & Baggot, 1993) to perform best when conditions are worst: i.e. when the animal is in poor health and the living conditions unhygienic. If their local environment is improved, with overcrowding reduced and infection control techniques introduced, then the actual need for growth promoters may be removed. In-feed enzymes
  • 8. In-feed enzymes are routinely added to pig and poultry feeds and work by helping to break down certain components of the feed, such as _-glucans, proteins and phytates, that the animal may have problems digesting. They are produced as fermentation products from fungi and bacteria and seem to only have a positive effect on the animal. Some ethicists, however, have argued that adding enzymes to animals merely shows that we think of them as “factory beasts”. Apart from ethical objections, in-feed enzymes are very effective at maximising feed conversion efficiency and have few drawbacks. As a result, current research is focussed on improving the quality of existing enzymes; whilst broadening the range of feed ingredients that they may be used to digest. The Scientific Committee for Animal Nutrition (2001) concluded that conditions of use evaluated so far are acceptable as regards to consumers, users and animals. Competitive exclusion products Competitive exclusion products are in-feed microbes consisting of a variety of species of bacteria that are marketed as being “friendly”. The mechanism of action is believed to be that, by allowing such bacteria to colonise the gastrointestinal tract, potential pathogens are prevented from colonising the gut and thus causing infection. This is the competitive exclusion principle. These products are often administered to newborn animals, especially poultry, to colonise the gastrointestinal tract and prevent Salmonella and Campylobacterinfections. It is not known how effective the treatment is but it is believed to reduce diarrhoea and reduce levels of mortality. These products are also given to animals that have been treated therapeutically with antibiotics, to re-colonise a gut that may have been depopulated by the ant microbial action of the drugs. Probiotics Probiotics are similar to competitive exclusion products. They are believed to improve the overall health of an animal by improving the microbial balance in its gut. The way they work has not been established, although it has been hypothesized that their action can be summarised in three ways. The first proposal is a reiteration of the competitive exclusion principle: by colonising the gut in large numbers, the probiotic bacteria exclude pathogens and thus prevent them from causing infection. The second possibility is that they act as a stimulus for the immune system. As the immune system is engaged following exposure to probiotic bacteria, any hostile bacteria are also noticed, following increased surveillance by leukocytes, and thus potential pathogens are eliminated. The third suggestion proposes that probiotics have a strong, positive influence on intestinal metabolic activities, such as increased production of vitamin B12, bacteriocins, and propionic acid. CONCLUSION The best alternative to Antibiotic growth-promoters is a general improvement of conditions for animals that produce our food.In order to start a reformationof the Industry as a whole, it’s essential that attitudes to the use of antibiotic growth promoters be changed. While the greatest threat to the continued use of antibiotics comes from human medicine, selection of resistance is a problem that affects everyone. It matters very little to someone whose antibiotic treatment
  • 9. is failing if selection of the resistant strain resulted from clinical overuse of the antibiotic or from other sources. References 1. Antibiotic growth promotors in food animals - Peter Hughes, John Heritage 2. Prescott, J. F., & Baggot, J. D. (1993). Miscellaneous antibiotics: ionophores, nitrofurans, nitroimidazoles, rifampin, and others. Antimicrobial therapy in veterinary medicine, Iowa State University Press, Ames, 288-289. 3. Laximinarayan, R., Van Boeckel, T., Teillant, A. 2015. Global Antimicrobial Use in the Livestock Sector. Organisation for Economic Co-operation and Development. TAD/CA/APM/WP(2014)34/FINAL. 4. Van Boeckel T.P. et. al. Global trends in antimicrobial use in food animals. PNAS. 2015: 112 (18); 5649 - 5654. 5. Antibiotic use in food animals - India overview 6. Health Action International Asia Pacific (HAIAP), Third World Network Penang, Consumers' Association of Penang. Antibiotic Use and Antibiotics Resistance in Food Animals in Malaysia: A Threat to Human And Animal Health. 10 October 2013. 7. Wikipedia