Use of Antibiotics in Ornamental Fish Aquaculture1 Introduction
the rate of bacterial infection so total loss of fish will be reduced.
Antibiotics are very useful additions to any
fish-health manager's toolbox, but they are only tools
Gram-positive Bacteria versus
and not 'magic bullets.' The ability of antibiotics to
Gram-negative Bacteria
help eliminate a fish disease depends on a number of factors: 1) Does the problem actually have a bacterial
Most bacteria that infect fish fall into one of two
component? 2) Are the bacteria involved sensitive to
groups - gram-positive or gram-negative. These
the antibiotic chosen? 3) Are the proper dosage and
groups are named based on their response to a
treatment intervals being used? 4) Have other
protocol called gram staining. Gram-positive bacteria
contributing stresses been removed or reduced?
stain blue, and gram-negative bacteria stain pink. They stain differently because each group has a
Antibiotics, in and of themselves, do not cure a
different type of outer structure known as the cell
fish. Antibiotics merely control the population
wall. This difference is important for the producer
growth of bacteria in a fish long enough for its
and aquaculturist because some antibiotics work
better against gram-positive bacteria and others work better against gram-negative bacteria. Most bacteria
Before antibiotics are even considered, sources
that infect fish are gram-negative, including
of stress such as poor water quality (including drastic
Aeromonas hydrophila, Aeromonas salmonicida,
temperature change), nutrition, genetics, and
Flavobacterium columnare (which causes
handling or transport must be removed or reduced.
columnaris), Vibrio, and Pseudomonas species. (See
Affected fish should also be examined for parasites.
UF/IFAS Fact Sheets FA-14 Aeromonas Infections,
Any of these factors may be the primary cause of
FA-31 Vibrio Infections of Fish and FA-11
disease, as bacterial infections are often secondary
responses to such management problems. Contacting
gram-positive bacteria that cause disease in fish are
a fish health specialist early during the disease
Streptococcus. (See UF/IFAS Circular 57
outbreak will help identify contributing stressors and
1. This document is Circular 84, one of a series from the Department of Fisheries and Aquatic Sciences, Florida Cooperative Extension Service, Institute of
Food and Agricultural Sciences, University of Florida. First published: January 2003. Major Revision: July 2006. Please visit the EDIS Web Site at http://edis.ifas.ufl.edu.
2. Roy P.E. Yanong, Associate Professor, Tropical Aquaculture Laboratory, Ruskin, Department of Fisheries and Aquatic Sciences, Florida Cooperative
Extension Service, Institute of Food and Agricultural Sciences, University of Florida, FL 32611. The Institute of Food and Agricultural Sciences is an equal opportunity/affirmative action employer authorized to provide research, educational information and other services only to individuals and institutions that function without regard to race, color, sex, age, handicap, or national origin. For information on obtaining other extension publications, contact your county Cooperative Extension Service office. Florida Cooperative Extension Service/Institute of Food and Agricultural Sciences/University of Florida/Christine Taylor Waddill, Dean.
Use of Antibiotics in Ornamental Fish Aquaculture
A third group, the acid-fast bacteria, which
includes Mycobacterium species, will not be
selecting antibiotics. Producers of food fish have
discussed in this publication because they are
fewer options than producers working with
considerably different from most other bacteria (see
ornamental fish because the FDA has elected to use
UF/IFAS Fact Sheet VM-96 Mycobacteriosis in Fish).
regulatory discretion to keep products intended for the treatment of aquarium fish available. Your fish
Optimal Approach to Fighting
health specialist will be able to provide information
Bacterial Infections
on legal constraints for specific antibiotics, information for correct dosages, proper methods of
Most bacteria that cause diseases in fish are
administration, and concerns about effluent from
normal inhabitants of aquatic systems and, ordinarily,
they do not cause a problem. However, fish that are stressed by one or more factors (such as temperature
Proper Dosages and Treatment
changes, poor water quality, recent transport or
Regimens: Pharmacokinetics
handling), may have compromised (less effective) immune systems, making them more susceptible to
Although selecting the correct antibiotic is an
bacterial infections. In addition, stress factors that
important first step in controlling bacterial disease,
compromise the immune system of fish may actually
proper administration of any antibiotic for the
favor bacterial growth, further increasing the risk of a
recommended number of days is equally important.
Your fish health specialist should provide you with instructions on the dose (amount of antibiotic to use),
The ideal solution to bacterial diseases involves
the frequency (how often) and duration (how long) it
working with a fish health specialist to culture the
should be administered (given), withdrawal time (if
organism and to run sensitivity tests. 'Culture' refers
applicable - this is the length of time required, after
to growing the infective bacteria on a special type of
the last dose of antibiotic has been given, that a
media (or 'food'; usually agar or gelatin based), and
producer must wait before selling the fish, and is
'sensitivity' refers to treating the bacteria with a
usually more of a concern in food fish species) and
series of antibiotics to determine which one will work
any other relevant information. The technical term for
best. Although culture and sensitivity tests generally
the branch of medical science that determines all of
take two or three days, they are, by far, the best
these variables is 'pharmacokinetics'; defined as the
methods for selecting an antibiotic that will
study of how drugs are absorbed by, distributed
successfully and economically treat an infection.
within, chemically altered within, and eventually excreted by the body (in this case, the body of a
A fish health specialist should be contacted and
given a complete history of the problem during the initial stages of the disease. The specialist will
How are the pharmacokinetics of a specific
provide instructions on submitting samples to a
antibiotic scientifically determined? Firstly, different
diagnostic laboratory (see UF/IFAS Fact Sheet
concentrations of the selected antibiotic are tested
against various bacteria in order to determine what
concentration will work best against these bacteria. Next, the antibiotic is administered (given) in one of
Affected fish should not be treated with any
three ways: 1) by injection, 2) mixed in feed, or 3) in
antibiotic until after a sample has been analyzed. The
a bath treatment. Then, antibiotic levels in the body
sample should include at least 3 to 5 fish showing
(usually in the blood) are measured at different time
typical signs of the disease. Fish that are submitted
intervals after treatment. The purpose of these
after they have been given antibiotics often provide
measurements is to determine how long the antibiotic
poor culture results. While waiting for the culture
stays active in the body of the fish and whether or not
results, the fish health specialist may suggest a
the concentration in the body is high enough to kill or
broad-spectrum antibiotic that can be used until
culture and sensitivity tests have been completed.
Use of Antibiotics in Ornamental Fish Aquaculture
mortalities. It is a good idea to train fish to eat a
antibiotics have not been scientifically determined for
prepared diet (i.e., one that can be used to incorporate
most species of fish (and especially not for most
antibiotics), so that, should it becomes necessary to
ornamental species), good estimations of the activity
use antibiotics, the fish will be more likely to eat the
of many antibiotics have been determined from
medicated food as it is familiar to them.
clinical experience and from work with food fish. Following such guidelines for dosages and their
Bath treatments: Although bath treatments are
corresponding treatment intervals (e.g., Table 1 )
a popular method of administering antibiotics, much
more drug is required to achieve the desired result as compared to oral treatments or injections. In many
Percent Active Ingredient
cases, even a large amount of antibiotic in the water does not guarantee that enough of it will get into the
Many antibiotics commonly used for ornamental
fish to be an effective treatment. At the same time,
fish are sold by different companies; therefore, the
excessive amounts of antibiotic in the water can
percent of active ingredient will vary from product to
increase the likelihood of water-borne bacteria
product. This means that you may not have 100% of
developing resistance to that drug. Furthermore, to
pure antibiotic required for disease control. You need
avoid poor water quality and any potential toxicity,
to ask your supplier to provide you with the actual
between 70% and 100% of the water should be
percentage of antibiotic that is active in the product
changed at the end of each daily treatment and also
you have purchased and calculate your dosage
prior to redosing. Finally, bath treatments are not
accordingly. For example, if your product contains
recommended in recirculating systems or in any
less than 100% of active ingredient, your dosage
aquarium system where the treated water will contact
needs to be increased to bring the level up to the
the biological filter, because the antibiotics may kill
equivalent 100% active ingredient. (See Equation 1)
or inhibit the nitrifying bacteria in the biological
If you are unsure how to do this calculation, call your
filters (see UF/IFAS Fact Sheet FA-16 Ammonia). If
treating fish in a bath, ideally a separate container should be used, or tanks and vats should be taken
Major Routes of Administration
off-line during treatment. In summary, bath treatments should be considered only when the
Injection: Injection is the most direct and
majority of the fish are not eating or when treating
effective method for getting antibiotics into the blood
primarily external bacterial infections and fish should
stream. Unfortunately, this process is very labor
be switched to oral medications as soon as they
intensive and impractical for fish grown on a
commercial scale. However, for small numbers of fish, or for important or expensive fish, injection may
Consequences of Improper Dosage and Treatment Time Mixed in food: In aquaculture production, the
If the dose is too high or treatment times are too
most cost effective and commonly used method to
long, there is a danger of toxicity to the fish,
deliver antibiotics is orally by mixing them into food.
frequently causing liver, kidney, or other organ
The proper dose of antibiotic is mixed into the feed
damage that may or may not be reversible.
during production, or else it is added after production, using fish oil or canola oil as a binding agent. The
On the other hand, if the dose of antibiotic is too
mixture is then fed to the fish for the prescribed
low or treatment time is too short, the bacteria will
number of days. Oral administration of antibiotics
not be killed or weakened enough for the immune
requires that most of the fish are still eating, so every
system of the fish to remove them, and this greatly
attempt should be made to catch bacterial diseases
increases the risk of the bacteria developing
early, before the majority of fish stop eating. Only
resistance to the antibiotic. When bacteria become
fish that are eating will be treated. Very sick fish that
resistant to a specific antibiotic, even high
are no longer eating will contribute to ongoing
concentrations of that drug will not be effective.
Use of Antibiotics in Ornamental Fish Aquaculture
Antibiotic resistance can also occur when
greatly reduced efficacy at best and, at worst, they
antibiotics are used improperly, such as the
'shot-gunning' method. 'Shot-gunning' involves administering one antibiotic after another to a
Notes on Specific Antibiotics
population of fish, frequently at improper dosages,
The following are some notes on specific
for shortened treatment times, and without the aid of
antibiotics used in the ornamental fish trade. Many of
proper diagnosis (i.e., without culture and sensitivity
them are strictly forbidden for use by food fish
tests). If shot-gunning is used frequently at a facility,
producers or are otherwise of concern to the Food
resistance is almost certain to occur. In some cases,
and Drug Administration (FDA). The FDA has
the problem may not be due to bacteria, but rather
elected to use regulatory discretion to keep products
poor water quality or other management issues that
intended for the treatment of aquarium fish available.
have not been properly investigated.
Officially there are no FDA-approved antibiotics for
While shot-gunning may work occasionally,
treating ornamental fish. Therefore, should you have
over time, it introduces too great a risk of producing
any questions regarding the legalities of using any
populations of bacteria that are resistant to multiple
antibiotics, consult a fish health specialist. For
antibiotics, which can result in the very real
information on antibiotic use in channel catfish,
possibility of a 'superinfection,' where the bacteria
including specifics on use of oxytetracycline
cannot be controlled with antibiotics. Once a system
(Terramycin®) and Romet B®, see UF/IFAS Fact
has a superinfection, it is usually necessary to
Sheet VM-70 Use of Medicated Feed in Channel
sacrifice the entire affected population, completely
break down and disinfect the affected system, and
Erythromycin is most effective against
start over. This is obviously not a desirable outcome.
gram-positive bacteria, such as Streptococcus species.
The importance of using antibiotics wisely (running
The vast majority of bacteria that cause disease in
culture and sensitivity tests, using proper dosages and
fish are gram-negative, so erythromycin should only
adhering to proper treatment times) cannot be
be used after culture and sensitivity test results
confirm it will be effective. Also, erythromycin is not
Combining Antibiotics
very effective in a bath treatment, and it should only be administered by injection or in feed. Erythromycin
Combining different antibiotics is generally not
is not FDA-approved for use with food fish.
recommended. Antibiotics work at many different sites on and in the targeted bacterial cell. Using more
The penicillins, including penicillin,
than one antibiotic can result in interference between
amoxicillin, and ampicillin, are most effective
them and, as a worst case scenario, the antibiotics can
against gram-positive bacteria such as Streptococcus
essentially 'cancel each other out.' Most bacterial
species; therefore, for the same reasons as those given
infections can be treated effectively with a single
above, these antibiotics are not a good first choice for
most bacterial infections in fish. None of the penicillins are FDA-approved for use in food fish. Proper Handling of Antibiotics Oxytetracycline and related antibiotics are
When preparing or administering any type of
considered broad-spectrum antibiotics (effective
medication, it is always a good idea to wear gloves in
against a wide variety of bacteria), and they work
order to avoid unnecessary exposure to the user.
well when mixed with food. (See UF/IFAS Fact Sheet VM-70 Use of Medicated Feed in Channel
It is important to use antibiotics that are as fresh
Catfish.) However, bath treatments may not be as
as possible and that have been stored properly.
effective for all species. One study (Nusbaum and
Antibiotics used after their expiration date or after
Shotts, 1981) demonstrated that channel catfish
being stored in hot and humid conditions will have
absorbed approximately 15-17% of the oxytetracycline added to water with hardness of 20
Use of Antibiotics in Ornamental Fish Aquaculture
mg/L and pH of 6.7. However, at least two freshwater
None of the aminoglycosides are approved by
fish species (yellow perch and hybrid tilapia) did not
have the expected levels of this antibiotic in their blood when exposed experimentally to
The quinolones, including nalidixic acid and
oxytetracycline as a bath treatment for up to 8 hours
oxolinic acid are considered broad-spectrum
(K. Hughes, unpublished data; S.A. Smith, Virginia
antibiotics, like the tetracyclines, and they work
Tech, pers. comm. 2002; and R.P.E. Yanong,
against a wide variety of bacteria. These antibiotics
University of Florida, unpublished data). In addition,
work best at acidic pHs of 6.9 or less, and they are
calcium and magnesium bind to tetracycline and
inhibited by hard water. Although they appear to
oxytetracycline rendering them inactive. This means
work well in both bath and oral treatments, some fish
that with increasing water hardness (i.e., increases in
may sink to the bottom and appear lethargic after bath
calcium and magnesium levels), it is necessary to
increase the dosages of these drugs in bath
These antibiotics have been shown to damage the
treatments. Tetracyclines are ineffective when used as
nervous system of other animals and none are
approved by the FDA for use with fish. Quinolones
Tetracyclines are light sensitive, and they turn
are closely related to a category of antibacterials
brown when decomposing. This contributes to poor
known as 'fluoroquinolones,' which are categorized
water quality and may be harmful to the fish. Water
as 'of high regulatory concern' by the FDA. Use of
should be changed immediately after the bath
fluoroquinolones or quinolones to treat any food
treatment period is concluded. Due to years of
animal is illegal and completely irresponsible.
misuse, several bacteria in many different facilities
The nitrofurans, including nitrofurantoin,
are now resistant to tetracyclines. Oxytetracycline
nitrofurazone, furanace, and furazolidone, are
still works adequately against most cases of
commonly used in the ornamental fish trade, but the
Flavobacterium columnare (columnaris disease).
FDA strictly forbids their use by producers of food
Terramycin ® is a brand of oxytetracycline
fish. Nitrofurazone is specifically categorized as 'of
manufactured by Pfizer that is FDA approved for use
high regulatory concern' by the FDA and should not
in the production of salmonids, channel catfish and
be present at any facility where food species are
lobsters (See UF/IFAS Fact Sheet VM-70 Use of
Although nitrofurans are commonly used in bath
The aminoglycosides, including gentamicin,
treatments, they are probably most effective against
neomycin, kanamycin, and amikacin, are very
superficial infections and, in at least one study,
effective against gram-negative bacteria infections
nitrofurazone was not readily absorbed into the body
when administered by injection. Unfortunately, this
of either gilthead sea bream (Sparus aurata) or tilapia
group has also been shown to cause kidney damage in
(Oreochromis mossambicus) in experimental trials
fish when administered by this technique.
(Colorni and Paperna, 1983). Within the group, furanace appears to be the most effective for use in
As a group, these antibiotics are not considered
effective when used in oral or bath treatments. A couple of exceptions may be kanamycin and
To achieve the most effective result when using
neomycin, both of which may be effective against
a nitrofuran in a bath treatment, either some sort of
external infections if used in bath treatments. In
cover or a darkened treatment location should be
addition, kanamycin is also believed to be effective
considered, as the nitrofurans can be inactivated by
when mixed with feed to treat gastrointestinal
light. Nitrofurans as oral treatments may not be as
bacterial infections (Gilmartin, Camp and Lewis,
effective as previously believed, although the proper
pharmacokinetic research needs to be performed to verify this conclusion.
Use of Antibiotics in Ornamental Fish Aquaculture
The sulfa drugs, including Romet®, are also
Carpenter, J.W., Mashima, T.Y. and Rupiper,
considered to be broad-spectrum antibiotics. There
D.J. 1996. Exotic animal formulary. First ed.
are many different types of sulfa drugs. The more
Greystone Publications, Manhattan, KS. 310 pp.
common sulfas are not as effective as they once were, due to their misuse or overuse resulting in the
Colorni, A. and Paperna, I. 1983. Evaluation of
creation of many bacteria that are now resistant to
nitrofurazone baths in the treatment of bacterial
them. On the other hand, the potentiated sulfas,
infections of Sparus aurata and Oreochromis
including Romet®, are still very effective.
mossambicus. Aquaculture 35: 181-186.
Romet® works well when mixed with feed, but it
does not work well as a bath treatment. It is
Laboratory efficacy of amoxicillin for the control of
FDA-approved for use with channel catfish and
Streptococcus iniae infection in blue tilapia. Journal
of Aquatic Animal Health 17(2):197-202.
Laboratory efficacy of amoxicillin for the control of
Many bacterial infections in ornamental fish are
Streptococcus iniae infection in sunshine bass.
avoidable with proper management. However, if a
Journal of Aquatic Animal Health 15:209-214.
population does become infected, it is important to
Gilmartin, W.G., Camp, B.J. and Lewis, D.H.
eliminate or reduce all contributing stresses. A fish
1976. Bath treatment of channel catfish with three
health specialist should be consulted to assist with
broad spectrum antibiotics. Journal of Wildlife
proper diagnosis, to run culture and sensitivity tests,
and to provide the best information regarding dosages and treatment intervals.
Kitzman, J.V. and Holley, J.H. 1989. Drug
distribution and tissue concentration of gentamicin in
Misuse of any antibiotic can lead to the creation
the channel catfish. Proceedings, 29th Annual
of resistant bacteria in a facility. In an attempt to
Conference, International Association for Aquatic
avoid this, some farms will rotate the antibiotics they
Animal Medicine, San Antonio, TX. pp. 18-22.
use every few months or every year. However, the best solution is to positively identify the bacteria by
Noga, E.J. 1996. Fish disease: diagnosis and
running culture and sensitivity tests, and thereby
treatment. Mosby-Year Book, Inc., St. Louis, MO.
avoid unnecessary, costly and potentially harmful
Absorption of selected antimicrobic drugs from water
'shot-gunning' can result in 'superinfections' in fish.
by channel catfish, Ictalurus punctatus. Canadian
These infections are caused by bacteria that are
Journal of Fisheries and Aquatic Sciences 38:
resistant to most of the commonly used antibiotics.
Obviously, this situation is not desirable, and it is completely avoidable in most cases. Once it occurs,
Post, G. 1987. Textbook of fish health. TFH
however, little can be done to reverse the situation,
Publications, Inc., Neptune City, NJ. 288 pp.
and the farmer is left with no treatment options other than depopulation of the fish followed by sterilization
Stoskopf, M.K. 1993. Fish medicine. W.B.
of the culture system and equipment or scrupulously
Saunders Co., Philadelphia, PA. 882 pp.
Francis-Floyd, R., Petty, B.D., Pouder D.B.,
References
Yanong, R.P.E., and Watson, C.A. 2005. Two-day fish health management workshop. University of
Florida/IFAS, Departments of Fisheries and Aquatic
Sciences, CALS and Large Animal Clinical Sciences, CVM.
Use of Antibiotics in Ornamental Fish Aquaculture
Stoskopf, M.K. 1988. Fish chemotherapeutics In
Veterinary clinics of North America, Small Animal Practice: Tropical Fish Medicine, March. M. Stoskopf (ed). W.B. Saunders Co., Philadelphia, PA. pp. 331-348. ANTIBIOTIC ORAL (food) DOSE BATH DOSE (water change recommended prior to each
189-378 mg per gallon every 3 days for 3 treatments
2.5 grams per 10 gallons every 3 days for up to 3 treatments
38 mg per 10 gallons for 24 hours, repeat as needed
95 mg per gallon for 15 minutes, repeat twice daily for 3 days
750-3,780 mg per 10 gallons for 6-12 hours, repeat daily for 10
days (dose will depend on hardness of water)
Note: As a rule, oral/food treatments are more effective, more efficient, less detrimental to water quality, and preferable to bath treatments; remember, bath treatments may hurt biological filtration. Also, some of these drugs are available locally in premixed medicated foods.
Dosage references: Carpenter et al. 1996; Darwish and Hobbs 2005; Darwish and Ismaiel 2003; Noga 1996; Post 1987; Stoskopf 1988; and University of Florida.
Use of Antibiotics in Ornamental Fish Aquaculture
Equation 1.
To determine the correction factor for an antibiotic that is not pure (i.e., is not 100% active ingredient) use the following:
Where P is the percentage of active ingredient. Example:
To calculate the correct oral dose of tetracycline with 50% active ingredient using Equation 1Dosage rate (from Table 1 above) is 1.12 grams/lb of food and P is 50Therefore, Correction factor = 1.12 x 100/50First divide 100 by 50, which gives you 2Then multiply 1.12 by 2 to get 2.24This means with 50% active ingredient of tetracycline, you need to dose with 2.24 grams/lb of foodThis makes sense- you have to use twice as much since your antibiotic is only half strength (50%)
University Care Advantage (HMO SNP) Step Therapy Webfile EFFECTIVE DATE: 04/01/2013 STEP THERAPY GROUP DESCRIPTION GLP-1 ANALOGS DRUG NAME BYDUREON STEP THERAPY CRITERIA PRIOR CLAIM FOR EITHER METFORMIN, METFORMIN ER, A SULFONYLUREA AGENT (E.G. GLYBURIDE, GLIPIZIDE), COMBINATION OF A SULFONYLUREA AND METFORMIN, A THIAZOLIDINEDIONE (E.G. PIOGLITAZONE, ROSIGLITAZONE),
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