Impact of Parenteral Ceftiofur on Developmental Dynamics of Early Life Fecal Microbiota and Antibiotic Resistome in Neonatal Lambs
Round 1
Reviewer 1 Report
Comments and Suggestions for AuthorsWith reference to manuscript ID: antibiotics-3586328, entitled “Impact of parenteral ceftiofur on developmental dynamics of early life fecal microbiota and antibiotic resistome in neonatal lambs”.
Thanks for giving the opportunity to evaluate the above reference paper, submitted for publication in Antibiotics. The author explores the Impact of parenteral ceftiofur on growth performance, GIT microbiota and antibiotic resistant in lambs. The idea of this paper is interesting for readers and research. Manuscript is well written and scientifically sound, however, need some revision to improve the quality for readers and researchers. I recommend the acceptance after minor corrections.
Specific comments are as under.
- Language throughout the manuscript is mostly clear but could benefit from minor proofreading for grammar and style.
Abstract
- Improve language for conciseness (e.g. conclusion should be clear for readers highlight the outcome of this study for piratical implementation).
- Introduction
- The author generally provides the sufficient background regarding the role of microbiome for the growth and development in animals. Authors not specifically discus the role of microbiome in lamb or small ruminants. Several factors can promote and inhibit the bacterial colonization including nutrition and others. It was recommended to provide the background to address the objective of this study.
- Last para of introduction clearly mentions the hypothesis of this study and highlight the impotence, novelty and applicability of this study.
- environmental sustainability than beef, with lower greenhouse gas emissions and resource use."
Results
- Impact of CCFA on the lamb’s body weight: Where is the data. ?????
- Whole genome shotgun sequencing summary: This chapter is not clear to understand, need to revise and improve readability and fluency.
- Figure 4 only showed the title of figure, however the detail description of table is important to understand the outcomes of study and improve the understanding of readers and researchers. It is advised to add description of all figures in figure legends.
- Minor language and typing errors should be correct during thorough reading
- Discussion should be enriched by providing the scientific reasons, why CCFA alter the GIT microbial population.
Materials and Methods
- In abstract author mentioned that they used 16 animals each group contains 8 animals, but in Materials and Methods section author used 24 animals for experiment. Please clarify why.????.
- This chapter is clear and understandable, however some parts need to cite reference
English is fine, however, minor grammar and typing mistakes should be improved.
Author Response
1. Summary |
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We sincerely thank the reviewer for their thoughtful comments and constructive suggestions, which have significantly improved the quality and clarity of our manuscript. Please find the detailed responses below and the corresponding revisions highlighted in the re-submitted files.
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Reviewer 2 Report
Comments and Suggestions for AuthorsThis is an excellent article which cautions the indiscriminate use of antibiotics in neonatal lambs. This article should be studied by all farm animal veterinarians. One minor concern is the selection of ceftiofur and the single intramuscular administration. In many countries ceftiofur is never used in small ruminants and practitioners in those countries may consider that the consequences of this study do not translate to other antibiotics. If appropriate, comment by the authors on the use of oral antibiotics and their potential consequences would be welcomed.
Line 26 reports 8 lambs in each group with 12 lambs in each group line 335.
Line 70
There are recent surveys reporting antibiotic usage in small ruminants and such work could be referenced here. Prophylactic oral antibiotic, usually neomycin, was commonly used within several hours of birth to control endotoxaemia (watery mouth disease) but this management practice has been greatly reduced in recent years.
Ceftiofur, a critically important antibiotic, may be extensively used in veterinary practice in the U.S.A. but this antibiotic is rarely, if ever, used in farm animals in Europe and many other countries worldwide where procaine penicillin is the drug of choice in such clinical situations. The authors should justify their selection of antibiotic: reference to published studies on the efficacy of this antibiotic in young lambs would be helpful. Further develop reasoning noted in lines 242-245 in the discussion and justify use of ceftiofur in small ruminants. Develop the reasoning noted in lines 329-331 and list recommendations.
Line 87
Brief mention of any clinical signs of ill health such as diarrhoea would also be relevant here.
Lines 134-135
The taxa differences between groups were minimal on day 28 (Parabacteroides (p-value = 0.046), and there were no significant differences between both groups on day 56.
The wording of this sentence could be clearer.
Lines 248-250
The longevity of low-level exposure of the gastrointestinal microbial community to CCFA following a single parenteral injection matches the temporal pattern of change observed in the treated lambs in our study.
Comment upon why only a single intramuscular ceftiofur injection was given in this study and not a 3-5 consecutive days’ course if exposure duration is of critical importance.
Author Response
Response to Reviewer 2 Comments
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1. Summary |
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We sincerely thank the reviewer for their thoughtful comments and constructive suggestions, which have significantly improved the quality and clarity of our manuscript. Please find the detailed responses below and the corresponding revisions highlighted in the re-submitted files.
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2. Questions for General Evaluation |
Reviewer’s Evaluation |
Response and Revisions |
Does the introduction provide sufficient background and include all relevant references? |
Yes/Can be improved/Must be improved/Not applicable |
Thank you again for your constructive comments. We agreed with all the comments, please find the following point by point responses to your valuable comments. |
Are all the cited references relevant to the research? |
Yes/Can be improved/Must be improved/Not applicable |
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Is the research design appropriate? |
Yes/Can be improved/Must be improved/Not applicable |
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Are the methods adequately described? |
Yes/Can be improved/Must be improved/Not applicable |
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Are the results clearly presented? |
Yes/Can be improved/Must be improved/Not applicable |
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Are the conclusions supported by the results? |
Yes/Can be improved/Must be improved/Not applicable
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3. Point-by-point response to Comments and Suggestions for Authors
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Comments 1: Comment #1 : This is an excellent article which cautions the indiscriminate use of antibiotics in neonatal lambs. This article should be studied by all farm animal veterinarians. One minor concern is the selection of ceftiofur and the single intramuscular administration. In many countries ceftiofur is never used in small ruminants and practitioners in those countries may consider that the consequences of this study do not translate to other antibiotics. If appropriate, comment by the authors on the use of oral antibiotics and their potential consequences would be welcomed.
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Response 1: Thank you for your valuable and constructive comment. Firstly, we would like to state that our rationale for selecting ceftiofur in the study is that it is widely used in the USA, as you stated. Secondly, we followed the ceftiofur injection protocol as indicated in the leaflet. It is stated that ceftiofur has a wide spectrum of activity against both Gram-positive and Gram-negative bacteria. It exerts its antibacterial action by inhibiting bacterial cell wall synthesis. Ceftiofur was poorly absorbed after oral administration and rapidly absorbed after intramuscular administration. Finally, we greatly appreciate this comment, and will be taken into consideration in our future studies using commonly used oral antibiotics"
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Comments 2: Line 26 reports 8 lambs in each group with 12 lambs in each group line 335. |
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Response 2: “: The right number of lambs used in this study was 24 lambs, 12 in each group. The right number has been corrected in the manuscript. Page 1 (abstract) Thank you so much for capturing this mistake as I mentioned for reviewer #1 I apologize for this typo mistake as I was writing another paper, and the number of the lambs was mixed up in my head during the abstract revision.
Comments 3: Line 70: There are recent surveys reporting antibiotic usage in small ruminants and such work could be referenced here. Prophylactic oral antibiotic, usually neomycin, was commonly used within several hours of birth to control endotoxemia (watery mouth disease), but this management practice has been greatly reduced in recent years. Response 3: a reference has been added here with recommendations for mitigating antibiotic overeager usage Page 2, line 86-89
Comments 4 Ceftiofur, a critically important antibiotic, may be extensively used in veterinary practice in the U.S.A. but this antibiotic is rarely, if ever, used in farm animals in Europe and many other countries worldwide where procaine penicillin is the drug of choice in such clinical situations. The authors should justify their selection of antibiotic: reference to published studies on the efficacy of this antibiotic in young lambs would be helpful. Further, develop reasoning noted in lines 242-245 in the discussion and justify the use of ceftiofur in small ruminants. Develop the reasoning noted in lines 329-331 and list recommendations. Response 4 “Thank you for this thoughtful comment, a justification has been provided and highlighted in the text, Page 2: line 92 and 93 Also, reasoning in the discussion was added in Page 10, line 288-296 And recommendations in Page12, line 374-378
Comments 5 # Line 87 Brief mention of any clinical signs of ill health such as diarrhoea would also be relevant here. Response 5: thank you for this comment, a clinical sign of ill gut such as diarrhea has been added in Page 2, line 92
Comments 6 Lines 134-135. The taxa differences between groups were minimal on day 28 (Parabacteroides (p-value = 0.046), and there were no significant differences between both groups on day 56. The wording of this sentence could be clearer. Response 6: thank you for this valuable observation, The wording has been corrected to clearly state these significant differences in Page 4, lines 167 to line 170
Comments 7 Lines 248-250 The longevity of low-level exposure of the gastrointestinal microbial community to CCFA following a single parenteral injection matches the temporal pattern of change observed in the treated lambs in our study. Comment upon why only a single intramuscular ceftiofur injection was given in this study and not a 3-5 consecutive days’ course if exposure duration is critical. Response 7: Thank you so much for a such important comment that needed some clarification. The single intramuscular ceftiofur crystalline-free acid (CCFA) injection in sheep/goat studies was justified by its extended-release pharmacokinetics, which maintains therapeutic serum concentrations for up to ~44–48 hours post-administration due to slow absorption from the tissue depot (eliminating the need for multiday dosing)[1].
(Rivera-Garcia et al, 2014)
Also, the repeated injections risked exacerbating localized swelling observed at injection sites by day 8 in sheep, particularly problematic in small ruminants with limited muscle mass. Regulatory concerns also influenced this approach, as CCFA is FDA-approved for cattle but not sheep/goats, and extra-label subcutaneous administration outside the ear (as specified for cattle) risks violative tissue residues. Pharmacokinetic similarities between sheep, goats, and alpacas further support single-dose sufficiency for pathogens like Pasteurella multocida while avoiding residue accumulation and compliance challenges associated with multidose regimens [2,3]. Based on the provided references and to mimic what is being used in the practice, we used the single intramuscular dose in our study
*We really appreciate your valuable comments that enhance the readability and understanding of the manuscript.
Thank you!
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4. Response to Comments on the Quality of English Language |
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Point 1: |
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Response 1: The whole manuscript has been revised for any minor grammar proofreading using Grammarly, offered by the University of Illinois at Urbana-Champaign.)
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5. Additional clarifications |
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References
- Rivera-Garcia, S.; Angelos, J.A.; Rowe, J.D.; Byrne, B.A.; Wetzlich, S.E.; Van Liew, D.B.; Tell, L.A. Pharmacokinetics of ceftiofur crystalline-free acid following subcutaneous administration of a single dose to sheep. American journal of veterinary research 2014, 75, 290-295.
- Martin, K.L.; Clapham, M.O.; Davis, J.L.; Baynes, R.E.; Lin, Z.; Vickroy, T.W.; Riviere, J.E.; Tell, L.A. Extralabel drug use in small ruminants. Journal of the American Veterinary Medical Association 2018, 253, 1001-1009.
- Waraich, G.; Sidhu, P.; Daundkar, P.; Kaur, G.; Sharma, S. Pharmacokinetic and pharmacodynamic characterization of ceftiofur crystalline‐free acid following subcutaneous administration in domestic goats. Journal of Veterinary Pharmacology and Therapeutics 2017, 40, 429-438.