Successful Brachyspira hyodysenteriae Eradication Through a Combined Approach of a Zinc Chelate Treatment and Adapted Management Measures

<i>Brachyspira hyodysenteriae</i> is the primary cause of swine dysentery, characterized by bloody to mucoid diarrhea due to mucohaemorhagic colitis in pigs. The disease primarily affects pigs during the growth and finishing stage. The control and prevention of <i>B. hyodysenteriae</i> consists of the administration of antimicrobial drugs, in addition to management and adapted feeding strategies. A worldwide re-emergence of the disease has recently been reported with an increasing number of isolates demonstrating decreased susceptibility to several crucially important antimicrobials in the control of swine dysentery. This compromises the possibilities to eradicate <i>B. hyodysenteriae</i> from infected pig farms. A novel non-antibiotic zinc chelate has been reported to demonstrate positive effects on fecal quality and consistency, general clinical signs, average daily weight gain, and <i>B. hyodysenteriae</i> excretion during and after a 6-day oral treatment. The objective of the present study was to evaluate the zinc chelate (IntraDysovinol^® 499 mg/mL; IntraCare) within an eradication schedule with naturally occurring swine dysentery due to <i>B. hyodysenteriae</i> resistant to pleuromutilins under field conditions in Belgium. We evaluated a 14-day treatment schedule combined with alternative management measures (including partial depopulation of post-weaning facilities and improved external and internal biosecurity measures) and thorough cleaning and disinfection (including 2% NaOH) of the buildings and the sows from day 7 of treatment onwards. This alternative approach for <i>B. hyodysenteriae</i> eradication was evaluated on 18 pig farms over a 5-year period. All enrolled eradication programs were evaluated as successful at least 6-9 months after the finalization of the protocol. In conclusion, the zinc chelate product has an excellent potential for application within an eradication protocol of <i>B. hyodysenteriae</i> that are diagnosed as resistant to pleuromutilins. The combined approach of zinc chelate treatment and alternative management measures is demonstrated to be successful in the eradication of farrow-to-wean, farrow-to-finish, and finishing pig farms under field conditions in Belgium.