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Table 31.1. Antimicrobial drug selection for common conditions of sheep and goats. Condition Species Affected Etiological Agent(s) Recommended Treatment Comments Infectious abortion Enzootic abortion of ewes (EAE) Campylobacter abortion (Vibrionic) Sheep and goats Chlamydophila abortus Tetracycline Oxytetracycline Tylosin Sheep C. jejuni C. fetus spp. fetus Penicillin G-streptomycin; tetracycline Oxytetracycline (resistance commonly reported) Tylosin Sulfamethazine Prophylaxis in high-risk flocks: tetracycline in feed for 6 8 weeks prior to breeding at a dose of 200 400 mg/head/day until lambed. Outbreak: 400 500 mg/head/day tetracycline in feed until lambing finished. Poor efficacy if placental damage already present. Not recommended for dairy goats because of milk withdrawal. Vaccination or biosecurity should be considered. Outbreak or previous diagnosis: long-acting oxytetracycline at label dosage starting 6 8 weeks before start of lambing every 10 14 days until finished. Prophylaxis: injections of penicillin-streptomycin for 2 5 days. Antimicrobial susceptibility patterns should be established from any isolates. Vaccination in the face of an outbreak also very successful. Listeria abortion Sheep and goats L. monocytogenes Oxytetracycline Injectable long-acting tetracycline to all animals at risk in the face of an outbreak. Toxoplasma abortion Sheep and goats T. gondii Monensin Mixed in feed at a dose of 15 mg/head/day from breeding to lambing. Decoquinate Mixed in feed or premix to feed at a dose of 2 /day for last 14 weeks of gestation. Salmonella abortion Sheep and goats S. typhimurium, S. abortus ovis, S. montevideo, S. dublin IM or SC broad-spectrum antimicrobials Leptospira abortion Sheep and goats L. hardjo, L. pomona Penicillin G-streptomycin; tetracyclines Coxiellosis (Q fever) Sheep and goats C. burnetii Tetracycline; (fluoroquinolone where permitted) Other infectious reproductive disorders Metritis Sheep and goats Trueperella pyogenes, E. coli, mixed anaerobes including Clostridium spp. Lamb epididymitis Sheep H. somni, A. seminis, Corynebacterium pseudotuberculosis Penicillin G; ceftiofur; broad-spectrum antimicrobials Often widespread by the time diagnosis is made. Requires culture and susceptibility testing. Antimicrobials may not eliminate organism; consider culling and environmental management. Treat all pregnant animals at risk with injections. Abortions are more common in goats than in sheep. Long-acting injectable oxytetracycline (IM or SC) to all pregnant does every 10 14 days until kidded. Watch withdrawal for milk in dairy goats. Treat for 3 4 days after clinically normal. Uterine evacuation with prostaglandins and tetanus vaccination should also be considered. Oxytetracycline Prophylaxis: low levels in feed in situations where rams intensively managed, or injectable long-acting oxytetracycline (IM or SC). Responds poorly to treatment. Enzootic posthitis Sheep and goats C. renale group Penicillin G; oxytetracycline Remove from high-protein diet and treat locally with antibiotic ointments. May treat systemically for severe cases.

Brucella ovis ram epididymitis Sheep Brucella ovis Oxytetracycline with dihydrostrepto-mycin Infectious diseases of lambs and kids, systemic Enterotoxemia/pulpy Sheep and goats C. perfringens type C kidney and D Omphalophlebitis Sheep and goats T. pyogenes, E. coli, mixed anaerobes Oral virginiamycin, penicillin G, or bacitracin Penicillin G; broad-spectrum antimicrobialsa 20 oxytetracycline at 3-day intervals for 5 treatments and 12.5 streptomycin 2 x/day for 7 days decreases shedding of bacteria and improves semen quality but may not cure. Should consider culling. Vaccinate all animals at risk. Withdraw carbohydrate source in diet, give C&D antitoxin and a balanced electrolyte solution (BES) parenterally. Antibiotic therapy alone not often effective. Local drainage and treatment and possibly surgical removal should be considered. Watery mouth (lambs) Sheep Probable E. coli endotoxin Oral amoxicillin; apramycin Prevention by ensuring clean environment and good colostrum ingestion. Early prophylactic treatment with oral antibiotics. Metabolic acidosis without Goats Unknown Broad-spectrum antimicrobials Isotonic bicarbonate solutions to correct acid-base deficit followed by dehydration (kids) balanced electrolyte solution (BES). Tickborne fever (tick Sheep Anaplasma Long-acting oxytetracycline At 1 3 weeks of age and repeated at 5 7 weeks, in addition to pyemia) phagocytophilum and/or dipping with an acaricide at those times. S. aureus Erysipelothrix Sheep E. rhusiopathiae Penicillin G Treat minimum of 3 days. polyarthritis Infectious diseases of lambs and kids, digestive Colibacillosis Sheep and goats Enterotoxigenic E. coli Broad-spectrum anti microbials parenterally Appropriate diagnosis is necessary (culture and susceptibility testing), also treat with BES. Clean environment and adequate colostrum is important. Consider vaccination. Resistance to antimicrobials is common. Salmonella dysentery Sheep and goats S. typhimurium and others Broad-spectrum antimicrobials Often poor efficacy due to unpredictable susceptibility patterns. May not eliminate carriers if host-adapted species. Abomasitis/abomasal hemorrhage Sheep and goats Clostridium spp. Oral penicillins Rarely effective. Should treat symptomatically with antitoxins, non-steroidal anti- inflammatory drugs, and BES. Use polyvalent clostridial vaccine. Coccidiosis Sheep and goats Eimeria spp. Monensin; lasalocid; decoquinate; salinomycin; amprolium; or sulfonamides Infectious conditions of lambs and kids, respiratory Pneumonic pasteurellosis Sheep and goats M. haemolytica, P. multocida Tilmicosin; oxytetracycline; ceftiofur; florfenicol Mixing should be done at a feed mill and all feeds pelleted. Some products can be mixed with salt. Dose varies with feed management. Artificially raised lambs/kids can be medicated via milk replacer. Feed from 2 weeks of age until market age. Ionophores toxic to horses and dogs. Long-acting oxytetracycline, tilmicosin, or florfenicol can be used as a prophylaxis and during an outbreak therapeutically. Tilmicosin should not be used in goats (therapeutic dose very close to toxic dose). Ceftiofur for daily treatment of affected animals when meat or milk withdrawal is an issue (e.g., market lambs close to slaughter, lactating dairy sheep). Pasteurella septicemia Sheep Bibersteinia trehalosi As with M. haemolytica B. trehalosi shows more resistance and because the disease is peracute, vaccination is recommended for susceptible animals. (continued )

Table 31.1. Antimicrobial drug selection for common conditions of sheep and goats. (continued ) Condition Species Affected Etiological Agent(s) Recommended Treatment Comments Necrotic laryngitis Sheep and goats Fusobacterium necrophorum Mycoplasma pneumonia Sheep and goats M. ovipneumoniae, M. arginini Mycoplasma mycoides Goats M. mycoides ss. mycoides large colony type Infectious conditions of the integument Pinkeye (infectious Sheep and goats C. psittaci, keratoconjunctivitis) M. conjunctivae, R. conjunctivae, Neisseria Secondary infection of contagious ecthyma (Orf) Penicillin G; oxytetracycline Oxytetracycline; tylosin Often seen in conjunction with pasteurellosis (atypical pneumonia) or alone. Oxytetracycline; lincomycin; or tylosin Spiramycin; oxytetracycline; tiamulin IM Sheep and goats S. aureus Tilmicosin; oxytetracycline; ampicillin Dermatomycosis (lumpy Sheep Dermatophilus wool) congolensis Caseous lymphadenitis Sheep and goats Corynebacterium pseudotuberculosis Infectious conditions of the foot and musculoskeletal system Contagious foot rot Sheep and goats D. nodosus F. necrophorum Treatment of peracute septicemia often ineffective. If goat survives, it will probably be a carrier. Spiramycin or oxytetracycline repeated days 1, 5, and 10; tiamulin repeated days 1, 3, 6, and 9. Oxytetracycline eye ointment. Conjunctival injection of penicillin (least effective). May also try local antimicrobials but wear gloves, as is a zoonosis. Long-acting oxytetracycline Decrease humidity (ventilation) if possible, and protect from rain. Powder sheep with powdered alum to help prevent reinfection. No effective treatment Although susceptible to penicillin, not effective because of the thick abscess wall. Recommend cull infected animals and avoid opening abscesses as it spreads the pathogen. Long-acting oxytetracycline 10 20% zinc sulphate with 2% w/v sodium lauryl sulphate, as a foot bath with or without foot trimming. Must remain in bath 20 minutes. Repeat in 5 7 days. Can use in conjunction with systemic antimicrobials and/or vaccination. Cull chronic non- responders. Foot scald Sheep and goats F. necrophorum Zinc sulfate foot bath as above. Strawberry foot rot Sheep and goats D. congolensis As with lumpy wool Verify that condition is not chorioptic mange. Polyarthritis Sheep and goats Chlamydophila pecorum Oxytetracycline Poor response, may relapse. Polyarthritis Goats Mycoplasma mycoides subsp.mycoides,lc other Mycoplasma spp. Infectious conditions of the mammary gland Gangrenous mastitis Sheep and goats S. aureus, M. haemolytica Contagious agalactia Sheep and goats M. agalactiae, M. mycoides ss mycoides (goats) Oxytetracycline; tylosin Poor response, may relapse. Tilmicosin; broad-spectrum antimicrobials Gland will be lost if animal survives, so should probably be culled. Tetracyclines; tylosin Probably ineffective, so animal should be culled. Carrier state likely.

Subclinical and clinical mastitis Sheep and goats S. aureus, M. haemolytica, environmental streptococci, coagulasenegative Staphylococcus spp. Tilmicosin; cloxacillin; cephapirin benzathine; oxytetracycline Infectious conditions of the oral cavity Periodontal disease Sheep Many species No effective treatment Tooth root abscess Sheep and goats Many species Oxytetracycline; florfenicol; broad-spectrum antimicrobials Dry treatment to be used at the end of lactation in dairy goats or at weaning for prevention of new infections in high-risk sheep flocks. Do not split tubes. Tilmicosin should not be used in goats (therapeutic dose very close to toxic dose). 4 6 weeks of therapy. Consider surgical intervention if antimicrobials fail. Actinobacillosis Sheep Actinobacillus lignieresii Sodium iodide 70 as 10 20% solution every 2 weeks for 2 3 doses. Actinomycosis Sheep Actinomyces bovis Sodium iodide; As for actinobacillus. Treat for weeks to months. Prognosis poor. sulfadimethoxine; isoniazid Infectious conditions of the urinary tract Leptospirosis Sheep and goats Leptospira interrogans Dihydrostreptomycin; oxytetracycline Cystitis Sheep and goats Corynebacterium renale, other species Drugs are potentially nephrotoxic, questionable efficacy. Broad-spectrum antimicrobials Therapy should be based on culture and sensitivity and should be given for 10 14 days. Infectious conditions of the nervous system Bacterial meningitis Sheep and goats Many species Broad-spectrum antimicrobials Anti-inflammatory drugs important. Listeriosis Sheep and goats L. monocytogenes Oxytetracycline; penicillin G Injectable long-acting formulation. 22,000 44,000 IU/ kg IM twice per day. Broad-spectrum antimicrobials include: ampicillin-sulbactam, ceftiofur, fluoroquinolones, trimethoprim-sulfamethazine, or other potentiated sulfonamide combinations.

Table 31.2 Common antimicrobial dosage regimens for sheep and goats. Many of the drugs listed are not approved for use in sheep and goats in the United States and elsewhere, so that their use constitutes extra-label drug use (ELDU). ELDU of feed additives is prohibited in the United States and fluoroquinolones are banned from ELDU in food-producing animals in the United States. Drug Route Species Dose Rate Units Frequency (h) Amoxicillin clavulanic acid IV, IM Sheep and goats 20 8 Amoxicillin trihydrate IM Sheep and coats 10 8 Ampicillin sodium IV, IM Sheep and goats 10 20 12 Amprolium PO in feed or water Sheep and goats 10 60 10 24, for 5 21 days for control; high dose 5 days for treatment Ceftiofur sodium IM Sheep* 1.1 2.2 24, for 3 days Goats* 1.1 2.2 24, for 3 days Chlortetracycline PO Sheep* 22 Daily during late gestation to prevent infectious abortion Goats 22 Daily during late gestation to prevent infectious abortion Decoquinate PO in feed Sheep and goats 25 100 0.5 Danofloxacin IM, SC Sheep and goats 1.25 24 3 5 days Enrofloxacin IV, IM Sheep and goats 5 24 Erythromycin IM Sheep and goats 3 5 8 12 up to 5 days Florfenicol IM, SC Sheep and goats 20 (IM), 40 (SC) 48(IM) 96(SQ) Gamithromycin SQ Sheep and goats 6 Lasalocid PO in feed Sheep and goats 30 Lincomycin hydrochloride IM Sheep and goats 10 20 12 24 Marbofloxacin SC, IM Sheep and goats 2 24 Monensin PO in feed Sheep and goats 11 22 1 1 Daily in feed for period of coccidiosis risk Daily during gestation to prevent T. gondii abortion Daily in feed for period at risk Neomycin sulfate PO in feed or water Sheep and goats 22 24 for up to 14 days Daily in feed for period of coccidiosis risk Daily during gestation for prevention of T.gondii

Oxytetracycline PO in feed Sheep* and goats 22 Oxtetracycline IV, IM Sheep* and goats 10 12 24 hydrochloride Oxytetracycline long-acting Penicillin G potassium or sodium IM Sheep and goats 20 48 72 IV Sheep and goats 20,000 40,000 IU/ kg 6 Penicillin G procaine IM Sheep* and goats 20,000 40,000 IU/ kg 12 Salinomycin PO in feed Sheep and goats 11 16 In feed for period of risk 24 Sulfonamides PO in water Sheep* and goats 50 (loading 100) Tilmicosin SC Sheep* 10 Single treatment Goats Do not use due to toxicity Trimethoprim-sulfonamide IM Sheep and goats 24 30 24 Tulathromycin SC Sheep and goats 2.5 Single treatment Tylosin IM Sheep and goats 20 12 *Indicates that this product is licensed for use in some areas of North America. For withdrawal times consult the product label or the U.S. FARAD or Canadian gfarad.