تنوع گونه های آیروموناس مقاوم به آنتی بیوتیک جداسازی شده از گربه ماهی پرورشی در استخرهای خاکی

Introduction
Aquaculture offers a substitute method of producing fish for human use and fulfilling the expanding population’s demand for protein, which has resulted in a rise in fish production levels (Boyd et al., 2022; Mirsadeghi et al., 2022). To close the fish supply and demand gap, an excellent choice for aquaculture in Africa, particularly Nigeria, is Clarias gariepinus because of its hardiness and widespread acceptance (Adeleke et al., 2021; Adah et al., 2022).  
Fish farming activities must be intensified to keep up with the rising demand for fish for human consumption. This condition has resulted in challenges with water quality and increased stocking density, facilitating a higher incidence of disease outbreaks (Opiyo et al., 2018; Mzula et al., 2021). 
The economic viability of fish production at any stage of fish culture is significantly impacted by the occurrence of various diseases, mainly caused by bacteria and of particular importance, including those of the genus Aeromonas (Chandrarathn et al., 2018; Fowoyo & Achimugu, 2019; Adah et al., 2021; Mzula et al., 2021).
Aeromonas species are ubiquitous Gram-negative rod, facultatively anaerobic, non-spore-forming motile bacilli that are pathogenic to fish and are responsible for varying clinical signs and mortality of cultured C. gariepinus leading to huge losses in fish farms globally (Fernández-Bravo & Figueras, 2020; Raj et al., 2021).  
As a result, antibiotics are used to treat and prevent disease and promote growth (Mulyani et al., 2018; Okocha et al., 2018; Zdanowicz et al., 2020). More so, the emergence and spread of antibiotic-resistant bacteria have been linked to the marked increase in the utilization of antimicrobials in fish farming in many countries (Manyi-Loh et al., 2018; Pepi & Focardi, 2021; Okeke et al., 2022). This condition can ultimately decrease the effectiveness of antimicrobial agents used for treatment and encourage the growth and spread of resistant bacteria in aquaculture (Stratev & Odeyemi, 2016; Pepi & Focardi, 2021).
Additionally, the increased antibiotic resistance confers Aeromonas species with an additional virulent trait, which increases morbidity and mortality in fish farms (Scarano et al., 2018; Chen et al., 2019). Consequently, it is necessary to frequently assess and track antibiotic-resistant Aeromonas species from fish intended for human consumption from various regions of the world to evaluate and detect the occurrence, trends, and changes in the resistance pattern toward antimicrobial drugs (Borella et al., 2020; Grilo et al., 2022). Therefore, this study aims to isolate and identify Aeromonas species from C. gariepinus cultured in earthen ponds from fish farms in Kwara State, Nigeria, and determine their antibiogram and resistance pattern in 10 commonly used antibiotics on the fish farms.

Materials and Methods 

Study area and design 
The research was carried out in Kwara State, Northcentral Nigeria. This state connects Nigeria’s northern and southern regions. With geographic coordinates of longitude 5° 00’E, latitude 8° 30’N, and a total size of 13947.27 sq. miles. The state is in Nigeria’s north-central geopolitical zone (35705 km2). The state is bordered by the states of Oyo, Osun, and Ekiti to the south, Niger State to the north, Kogi State to the east, and the Benin Republic to the west (NBS, 2016; Adam et al., 2022). Based on the farms’ availability and willingness to participate, a cross-sectional study involved a multistage random sampling of 24 operational grovw-out farms of C. gariepinus reared in an earthen pond. 

Fish sample collection and examination 
A total of 192 C. gariepinus, 8 fish per farm (length of 15 cm to 38 cm and weights of 352 g to 1000 g) were randomly selected and used from active operational farms within the research area. Between 6:00 AM and 8:00 AM, fish from the earthen pond were caught with a fishnet. To ensure the survival of the fish samples, the fish were placed in a plastic bucket with water from the ponds, with a perforated lid, and transported alive to the Fish Clinic Unit, Veterinary Teaching Hospital University of Ilorin, Kwara State, for examination. Samples were taken following the international standards for animal welfare and aquatic animal health surveillance and the guidelines for identifying fish diseases (Austin & Newaj- Fyzul, 2017; Abdulrahman, 2022).

 
Aeromonas species isolation and identification
Portions of the kidney and liver were aseptically sampled and seeded into separate labeled kryo bottles containing 20 mL of alkaline peptone water (Oxoid, UK) as the pre-enrichment broth and incubated at 370C for 24 hours. Growth in the selective enrichment cultures was transferred with a loop and inoculated into Aeromonas agar supplemented with ampicillin (10 mg/L) (Austin & Austin, 2016; Monir et al., 2017). The dark green, opaque with dark centers colonies were picked from Aeromonas agar supplemented with ampicillin (10 mg/L) as presumptive Aeromonas species were streaked on MacConkey agar (Ahammed et al., 2016; Austin & Austin, 2016). 
Aeromonas isolates were biochemically characterized using standard biochemical tests such as citrate test, hydrogen sulfide, indole test, methyl red test, motility test, sugar (glucose, inositol, and mannitol) urease test, Voges Proskauer test (Austin & Austin, 2016), and confirmed using Oxoid rapid microbat identification test kits for gram-negative bacteria, Microbact 24E (MB24E) (Oxoid Ltd, Basingstoke, England. United Kingdom). The kit contained 24 biochemical substrates, acid production from (arabinose, adonitol, arginine dihydrolase, lactose, inositol, raffinose, rhamnose, salicin, sorbitol, and sucrose) citrate, β-galactosidase, gelatin liquefaction, glucose, hydrogen sulfide, indole production, lysine decarboxylase, malonate utilization, mannitol, ornithine decarboxylase, tryptophan deaminase, urea hydrolysis, Voges Proskauer, and xylose (Khan et al., 2018). 

Antibiotic susceptibility and multiple antibiotic resistance (MAR) index 
The Clinical and Laboratory Standards Institute’s recommendations for the standard disk diffusion method were utilized to test the isolated Aeromonas species’ resistance to 10 commonly used antibiotics comprising of amoxicillin (30 µg), ampicillin (10 µg), ciprofloxacin (5 µg), colistin sulfate (10 µg), florfenicol (30 µg), gentamycin (10 µg), neomycin (30 µg), oxytetracycline (30 µg), penicillin (10 IU ), and trimethoprim/sulfamethoxazole  (SXT) (25 µg) (Oxoid, UK). By measuring the diameter of the zones of inhibition (in mm) around the disk, the antibiotics were interpreted as sensitive, resistant, and intermediate (CLSI, 2020). The multiple antibiotic resistance (MAR) index was calculated as the ratio of resistant phenotypes to the total number of antibiotics the strains were exposed (Dhanapala et al., 2021).

Statistical analysis
A Microsoft Excel 2016 spreadsheet was used to first enter the data gathered from this study. The SPSS software, version 20 for Windows was used to conduct the statistical analysis to determine the prevalence rates of the Aeromonas species. The percentage of Aeromonas species resistance was also determined for each antibiotic. The degree of each antibiotic of resistance from the earthen ponds was compared using the chi-squared test. Values of P<0.05 were considered significant.

Results 
Inappetence, sluggish movements, and dead and dying fish were all seen during the spot inspection of fish on the farm. Physical examination revealed the following symptoms: skin discoloration, exophthalmia, erosions, and severe hemorrhages on the skin, eyes, and barbels. Oedema, petechiae hemorrhages on fin rot, and abdominal hyperemia postmortem examination revealed enlarged and necrotic foci on the liver, the gallbladder was distended, the intestines were hemorrhagic and fluid-filled, and the liver, kidney, and spleen were all enlarged and congested (Figure 1). 

A total of 77 Aeromonas species with a prevalence of 40.1% were isolated with 4 different phenospecies with the highest prevalence of 46(24%) for Aeromonas hydrophila followed by 15(7.8%) for Aeromonas caviae, then 10(5.2%) Aeromonas veronii sobria, and the least 6(3.1%) for A. veronii veronii from C. gariepinus reared in earthen ponds in the study area. There was a significant difference (P=0.001) in the prevalence rates of Aeromonas species isolated in this study (Table 1). 

Multiple variations of antimicrobial resistance to more than 8 antibiotics were recorded among the isolated Aeromonas species. The highest resistance for A. caviae was recorded for oxytetracycline and colistin (80%), followed by ampicillin (73.3%), amoxicillin, and penicillin (66.7%), then neomycin and trimethoprim/sulfamethoxazole (53.3%). The least resistance was observed for ciprofloxacin (20%), gentamycin (26.7%), and florfenicol (33.3%). More so, there was a higher significant resistance (P≤0.01) of A. caviae to the different antibiotics used (Figure 2). A. hydrophila displayed a high resistance level to all the antibiotics used, with colistin sulfate having the highest resistance (82.6%), followed by oxytetracycline (80.4%), then ampicillin (65.2%), penicillin (60.9%), amoxicillin and trimethoprim/sulfamethoxazole (58.7%). However, the least resistance was observed for ciprofloxacin (15.2%), followed by gentamycin (17.4%) florfenicol (30.4 %), and neomycin (32.6%). The resistance of A. hydrophila in this study differed significantly (P<0.01) (Figure 2). There was the highest resistance for A. veronii sobria recorded for amoxicillin, oxytetracycline, and colistin sulfate (80%), followed by ampicillin, neomycin, and penicillin (70%), then florfenicol (40%). The least resistance was recorded for ciprofloxacin (10%) and gentamycin (30%). In addition, the resistance of A. veronii sobria to the various antibiotics differed significantly (P<0.01) (Figure 2). In A. veronii veronii, the highest resistance was recorded for amoxicillin, trimethoprim/sulfamethoxazole, and penicillin (83.3%), followed by ampicillin, neomycin, and colistin sulfate (66.7%). The least resistance was recorded for ciprofloxacin, oxytetracycline (16.7%), then gentamycin, and florfenicol (33.3%) (Figure 2). There was also a significant difference in this species.

Although there were similar susceptibility patterns within the Aeromonas species as they were susceptible to ciprofloxacin, gentamycin, and florfenicol, the susceptibility of Aeromonas species to the antibiotics used differed significantly (P<0.00). Multiple antibiotics resistance index (MAR), resistance pattern, and prevalence of specific patterns among different phenospecies of Aeromonas from C. gariepinus sampled from the earthen ponds (Table 2). Regardless of the other species, Aeromonas showed MDR patterns of 3-8 antibiotics. The three antibiotic combinations with a MAR value of 0.3 had the highest prevalence of multidrug resistance patterns (36%), and the least was observed for 8 combinations of the antibiotics (4%). Our results indicated a tendency towards a higher number of resistances among A. veronii sobria and A. veronii veronii compared to the other 2 phenotypes. However, multidrug resistance patterns varied significantly (P<0.05; Table 2).

Discussion 
Outbreaks of Aeromonas disease are one of the most important drawbacks in fish farms. In this present study, the overall prevalence of Aeromonas species isolated from C. gariepinus reared in earthen ponds was 40.1%; this is, however, higher than the findings of Perretta et al. (2018), who isolated a prevalence of 35.5% from fish in Uruguay, El-Gohary et al. (2020) from Egypt with a prevalence of 33.3% and Adah et al. (2021), with a prevalence of 19.6% in Kaduna State. However, our findings were lower than the prevalence obtained by Kishk et al. (2020), who got a prevalence of 64% of Aeromonas species isolated from fish farms in Egypt. The variability in the prevalence of Aeromonas species observed may be due to the different fish species, holding facilities, sampling methods, geographic locations, and management practices.
This study isolated 4 Aeromonas species (A. hydrophila, A. caviae, A. veronii sobria, and A. veronii veronii), with A. hydrophila being the most dominant species. This finding is consistent with the findings of Perretta et al. (2018), Borella et al., (2020), Kishk et al. (2020), and Salem et al. ( 2020). However, it differs from the results of Ashiru et al. (2017) and Grilo et al., (2022), who opined differences in the most prevalent phenospecies of Aeromonas from the fish farm. This finding is most likely a result of the diverse Aeromonas species present and their ability to adapt to the aquatic environment, leading to their widespread distribution. It is worthy of note that these Aeromonas species isolated in this study are important pathogens of fish associated with varying diseases in fish farms and also of public health interest (El-Gohary et al., 2020; Borella et al., 2020, Adah et al., 2021). 
Multiple variations of antimicrobial susceptibility have been recorded among Aeromonas species, hence the need for antibiotic susceptibility testing, which is crucial for determining the extent of antimicrobial resistance and choosing the right drugs to treat diseases in fish farms, thereby reducing the risk to human health. In this study, Aeromonas species isolated showed a high resistance level to the various antibiotic used regardless of the different phenospecies; high resistance was recorded for β-lactam antibiotics (amoxicillin, ampicillin, and penicillin). A similar high resistance to these β-lactamases has been recorded by Borella et al., (2020) and Salem et al. ( 2020), which could be due to the production of multiple, inducible, chromosomally encoded β-lactamases. Furthermore, the resistance of Aeromonas species to oxytetracycline, neomycin, sulfamethoxazole, and colistin sulfate has also been recorded (Sarder et al., 2016; Borella et al., 2020; El-Gohary et al., 2020; Dhanapala et al., 2021). This could be attributed to the extensive use of these drugs as they are readily available over the counter, given either in feeds or baths (Adah et al., 2022). 
The Aeromonas species were susceptible to gentamycin, ciprofloxacin, and florfenicol, similar to the findings of (Rahman et al., 2021; Woo et al., 2022). These findings could be attributed to the less frequent use of these drugs in aquaculture than other antibiotics. However, this is contrary to the reports of Ahmed et al. (2018), El-Gohary et al. (2020), and Lin et al. (2022), who reported resistance of Aeromonas species to ciprofloxacin, gentamycin, and florfenicol. The varying resistance patterns of Aeromonas species isolated among C. gariepinus may be due to variations in the frequency, duration, quantity, and usage of antimicrobial drugs in various fish farms sampled. Furthermore, diverse antibiotic resistance patterns may exist based on the environment and selective pressure; these patterns can quickly change. 
The patterns displayed by various species indicate how complicated the understanding of antibiotic resistance is in the studied area. This result has also been previously reported by (Borella et al., 2020; Nhinh et al., 2021). 
The MAR index of Aeromonas species of >0.2 recorded in this study is consistent with the findings of Salem et al. ( 2020) and Saleh et al. (2021), suggesting that the Aeromonas species from C. gariepinus from earthen ponds have been exposed to indiscriminate use of antibiotics during culture consequently has resulted in the development of antibiotic resistance as noted in this study which subsequently affects the outcome of therapy in the fish farms (Salem et al., 2020).

Conclusion 
In conclusion, this study revealed several antibiotic-resistant Aeromonas species with different multiple resistance patterns. This finding suggests the indiscriminate use of antibiotics on the fish farm resulted in a MAR index greater than 0.02. This issue has led to a significant public health issue. Therefore, using available antibiotics in Nigeria’s aquatic industry must be closely examined and periodically monitored to ascertain the growth and spread of bacterial resistance, necessitating biosecurity measures.

Ethical Considerations

Compliance with ethical guidelines
All procedures were performed based on the ethical approval of the Ethics Committee of University of Ilorin.

Funding
This research did not receive any grant from funding agencies in the public, commercial, or non-profit sectors. 

Authors' contributions
All authors equally contributed to preparing this article.

Conflict of interest
The authors declared no conflict of interest.

Acknowledgments
The authors wish to appreciate the fish farmers and handlers who allowed us access to their farms and the laboratory technologists who helped in the laboratory analyses. 

References

Abdulrahman, N. M. (2022). Effect of germinated barely and earth apple (Helianthus tuberosus) powders in some physio-biological indices of common carp (Cyprinus carpio L.). Iranian Journal of Veterinary Medicine, 16(2), 119-125. [Link]

Adah, A. D., Lawal, S., Oniye, S., Adah, S. A., David, S. M., & Obisesan, O. O. (2022). Antibiotic resistance patterns of bacteria isolated from Clarias gariepinus farms in Kaduna state, Nigeria. Iranian Journal of Veterinary Science and Technology, 14(1), 29-38. [Link]

Adah, A. D., Saidu, L., Oniye, S. J., Kazeem, H. M., & Adah, S. A. (2021). Prevalence and risk factors associated with aeromonas hydrophila infection in clarias gariepinus and pond Water from Fish Farms in Kaduna State, Nigeria. Jordan Journal of Biological Sciences, 14(3), 477-484. [DOI:10.54319/jjbs/140313]

Adam, M., Bakare, R A., Ola-Fadunsin, S. D., Akanbi, O. B., Kigir, E. S., & Barka, S A. (2022). Pathological changes of fasciola species infection in cattle slaughtered in Ilorin Abattoir Kwara State, Nigeria. Iranian Journal of Veterinary Medicine, 16(4), 356-363. [DOI:10.22059/IJVM.2022.342551.1005270]

Adeleke, B., Robertson-Andersson, D., Moodley, G., & Taylor, S. (2021). Aquaculture in Africa: A comparative review of Egypt, Nigeria, and Uganda Vis-À-Vis South Africa. Reviews in Fisheries Science & Aquaculture, 29(2), 167-197. [DOI:10.1080/23308249.2020.1795615]

Ahammed, T., Borty, S., Monir, S., Begum, N., Islam, A., & Kabir, L. (2016). Isolation, identification and molecular detection of Aeromonas hydrophila from diseased stinging catfish Shing (Heteropneustes fossilis). Asian Australasian Journal of Bioscience and Biotechnology, 1(1), 125-133. [DOI:10.3329/aajbb.v1i1.61545]

Ahmed, H. A., Mohamed, M. E., Rezk, M. M., Gharieb, R. M., & Abdel-Maksoud, S. A. (2018). Aeromonas hydrophila in fish and humans; Prevalence, virulotyping and antimicrobial resistance. Slovenian Veterinary Research, 55(20 Suppl), 113-124. [Link]

Ashiru, A. W., Uaboi-Egbeni, P. O., Oguntowo, J. E., & Idika, C. N. (2011). Isolation and antibiotic profile of Aeromonas species from tilapia fish (Tilapia nilotica) and catfish (Clarias betrachus). Pakistan Journal of Nutrition, 10(10), 982-986. [DOI:10.3923/pjn.2011.982.986]

Austin, B., & Austin, D. A. (2016). Bacterial fish pathogens: Disease of farmed and wild fish. Dordrecht: Springer. [Link]

Austin, B., & Newaj-Fyzul, A. (2017). Diagnosis and control of diseases of fish and shellfish. New Jersey: John Wiley & Sons, Ltd; [DOI:10.1002/9781119152125]

Borella, L., Salogni, C., Vitale, N., Scali, F., Moretti, V. M., & Pasquali, P., et al. (2020). Motile aeromonads from farmed and wild freshwater fish in northern Italy: An evaluation of antimicrobial activity and multidrug resistance during 2013 and 2016. Acta Veterinaria Scandinavica, 62(1), 6. [DOI:10.1186/s13028-020-0504-y] [PMID] [PMCID]

Boyd, C. E., McNevin, A. A., & Davis, R. P. (2022). The contribution of fisheries and aquaculture to the global protein supply. Food Security, 14(3), 805-827. [DOI:10.1007/s12571-021-01246-9] [PMID] [PMCID]

Chandrarathna, H. P. S. U., Nikapitiya, C., Dananjaya, S. H. S., Wijerathne, C. U. B., Wimalasena, S. H. M. P., & Kwun, H. J., et al. (2018). Outcome of co-infection with opportunistic and multidrug resistant Aeromonas hydrophila and A. veronii in zebrafish: Identification, characterization, pathogenicity and immune responses. Fish & Shellfish Immunology, 80, 573-581. [DOI:10.1016/j.fsi.2018.06.049] [PMID]

Chen, F., Sun, J., Han, Z., Yang, X., Xian, J. A., & Lv, A., et al. (2019). Isolation, identification and characteristics of aeromonas veronii from diseased crucian carp (Carassius auratus gibelio). Frontiers in Microbiology, 10, 2742. [DOI:10.3389/fmicb.2019.02742] [PMID] [PMCID]

CLSI. (2020). Performance standards for antimicrobial susceptibility testing. Wayne: Clinical and Laboratory Standards Institute. [Link]

Dhanapala, P. M., Kalupahana, R. S., Kalupahana, A. W., Wijesekera, D. P. H., Kottawatta, S. A., & Jayasekera, N. K., et al. (2021). Characterization and antimicrobial resistance of environmental and clinical aeromonas species isolated from fresh water ornamental fish and associated farming environment in Sri Lanka. Microorganisms, 9(10), 2106. [DOI:10.3390/microorganisms9102106] [PMID] [PMCID]

El-Gohary, F. A., Zahran, E., Abd El-Gawad, E. A., El-Gohary, A. H., M Abdelhamid, F., El-Mleeh, A., & Elmahallawy, E. K., et al. (2020). Investigation of the Prevalence, Virulence Genes, and Antibiogram of Motile Aeromonads Isolated from Nile Tilapia Fish Farms in Egypt and Assessment of their Water Quality. Animals : An Open Access Journal from MDPI, 10(8), 1432. [DOI:10.3390/ani10081432] [PMID] [PMCID]

Fernández-Bravo, A., & Figueras, M. J. (2020). An update on the genus aeromonas: Taxonomy, epidemiology, and pathogenicity. Microorganisms, 8(1), 129. [DOI:10.3390/microorganisms8010129] [PMID] [PMCID]

Fowoyo, P. T., & Achimugu, F. (2019). Virulence of Aeromonas hydrophila isolated from freshwater catfish. Journal of Biosciences and Medicines, 7(1), 1-12. [DOI:10.4236/jbm.2019.71001]

Grilo, M. L., Isidoro, S., Chambel, L., Marques, C. S., Marques, T. A., & Sousa-Santos, C., et al. (2021). Molecular epidemiology, virulence traits and antimicrobial resistance signatures of aeromonas spp. in the critically endangered iberochondrostoma lusitanicum follow geographical and seasonal patterns. Antibiotics (Basel, Switzerland), 10(7), 759. [DOI:10.3390/antibiotics10070759] [PMID] [PMCID]

Khan, L. B., Swift, S., Kamal, T., & Read, H. M. (2018). Simulation of MICROBACT strip assay using colored liquids to demonstrate identification of unknown gram-negative organisms in undergraduate laboratory. Journal of Microbiology & Biology Education, 19(2), 19.2.76. [DOI:10.1128/jmbe.v19i2.1565] [PMID] [PMCID]

Kishk, D. M., Moustafa, N. Y., & Kirrella, G. A. (2020). Prevalence and virulence characteristics of Aeromonas species isolated from fish farms in Egypt. Kafrelsheikh Veterinary Medical Journal (Fort Sam Houston, Tex.), 18(2), 5-8. [DOI:10.21608/kvmj.2020.115274]

Lin, Y., Yang, J., Wu, Z., Zhang, Q., Wang, S., & Hao, J., et al. (2022). Establishment of epidemiological resistance cut-off values of aquatic aeromonas to eight antimicrobial agents. Microorganisms, 10(4), 776. [DOI:10.3390/microorganisms10040776] [PMID] [PMCID]

Manyi-Loh, C., Mamphweli, S., Meyer, E., & Okoh, A. (2018). Antibiotic use in agriculture and its consequential resistance in environmental sources: Potential public health implications. Molecules (Basel, Switzerland), 23(4), 795. [DOI:10.3390/molecules23040795] [PMID] [PMCID]

Mirsadeghi, H., Alishahi, A. R., Shabanpour, B., Safari, R., & Daneshvar, M. (2022). Effects of salting and refrigerator storage on rainbow trout (Oncorhynchus mykiss) roe quality: Chemical and microbial changes. Iranian Journal of Veterinary Medicine, 17(1), 87-98. [DOI:10.32598/IJVM.17.1.1005059]

Monir, M. S., Bagum, N., Kabir, S. L., Borty, S. C., & Doulah, M. A. U. (2017). Isolation, molecular identification and characterization of Aeromonas hydrophila from infected air-breathing catfish Magur (Clarias batrachus) cultured in Mymensingh, Bangladesh. Asian-Australasian Journal of Food Safety and Security, 1(1), 17-24. [Link]

Mulyani, Y., Aryantha, N. P., Suhandono, S., & Pancoro, A. (2018). Intestinal bacteria common carp (Carpinus carpio L) as a biological control agent for Aeromonas. Journal of Pure & Applied Microbiology, 12(2), 601-610. [DOI:10.22207/JPAM.12.2.18]

Mzula, A., Wambura, P. N., Mdegela, R. H., & Shirima, G. M. (2021). Present status of aquaculture and the challenge of bacterial diseases in freshwater farmed fish in Tanzania; A call for sustainable strategies. Aquaculture and Fisheries, 6(3), 247-253. [DOI:10.1016/j.aaf.2020.05.003]

National Bureau of Statistics (NBS) in 2016. (2017). Annual abstract of statistics. Abuja: National Bureau of Statistics. [Link]

Nhinh, D. T., Le, D. V., Van, K. V., Huong Giang, N. T., Dang, L. T., & Hoai, T. D. (2021). Prevalence, virulence gene distribution and alarming the multidrug resistance of aeromonas hydrophila associated with disease outbreaks in freshwater aquaculture. Antibiotics (Basel, Switzerland), 10(5), 532. [DOI:10.3390/antibiotics10050532] [PMID] [PMCID]

Okeke, E. S., Chukwudozie, K. I., Nyaruaba, R., Ita, R. E., Oladipo, A., & Ejeromedoghene, O., et al. (2022). Antibiotic resistance in aquaculture and aquatic organisms: A review of current nanotechnology applications for sustainable management. Environmental Science and Pollution Research International, 29(46), 69241-69274. [DOI:10.1007/s11356-022-22319-y] [PMID] [PMCID]

Okocha, R. C., Olatoye, I. O., & Adedeji, O. B. (2018). Food safety impacts of antimicrobial use and their residues in aquaculture. Public Health Reviews, 39, 21. [DOI:10.1186/s40985-018-0099-2] [PMID] [PMCID]

Opiyo, M. A., Marijani, E., Muendo, P., Odede, R., Leschen, W., & Charo-Karisa, H. (2018). A review of aquaculture production and health management practices of farmed fish in Kenya. International Journal of Veterinary Science and Medicine, 6(2), 141-148. [DOI:10.1016/j.ijvsm.2018.07.001] [PMID] [PMCID]

Pepi, M., & Focardi, S. (2021). Antibiotic-resistant bacteria in aquaculture and climate change: A challenge for health in the Mediterranean Area. International Journal of Environmental Research and Public Health, 18(11), 5723. [DOI:10.3390/ijerph18115723] [PMID] [PMCID]

Perretta, A., Antúnez, K., & Zunino, P. (2018). Phenotypic, molecular and pathological characterization of motile aeromonads isolated from diseased fishes cultured in Uruguay. Journal of Fish Diseases, 41(10), 1559-1569. [DOI:10.1111/jfd.12864] [PMID]

Rahman, M. Z., Hossain, A., Rahman, M. M., Nasren, S., Mamun, M. M. A., & Khalil, S. M. I., et al. (2021). Molecular identification of Aeromonas hydrophila isolate with sensitivity and resistance to antibiotics for its different strains. Advances in Animal and Veterinary Sciences, 9(12), 2062-2068. [DOI:10.17582/journal.aavs/2021/9.12.2062.2068]

Raj, N. S., Swaminathan, T. R., Dharmaratnam, A., Raja, S. A., Ramraj, D., & Lal, K. K. (2019). Aeromonas veronii caused bilateral exophthalmia and mass mortality in cultured Nile tilapia, Oreochromis niloticus (L.) in India. Aquaculture, 512, 734278. [DOI:10.1016/j.aquaculture.2019.734278]

Saleh, A., Elkenany, R., & Younis, G. (2021). Virulent and multiple antimicrobial resistance aeromonas hydrophila isolated from diseased Nile Tilapia Fish (Oreochromis niloticus) in Egypt with sequencing of some virulence-associated genes. Biocontrol Science, 26(3), 167-176. [DOI:10.4265/bio.26.167] [PMID]

Salem, M., Zahran, E., Saad, R., & Zaki, V. (2020). Prevalence, molecular characterization, virulotyping, and antibiotic resistance of motile Aeromonads isolated from Nile tilapia farms at northern Egypt. Mansoura Veterinary. Medicine Journal, 21(1), 56-67. [DOI:10.21608/mvmj.2020.21.108]

Sarder, H., Khan, T., Saha, M. L., Punom, N. J., Mandal, S. C., & Rahman, M. S. (2016). Prevalence and antibiotic susceptibility of Aeromonas hydrophila isolated from freshwater fishes. Journal of Fisheries, 4(3), 411-419. [DOI:10.17017/j.fish.57]

Scarano, C., Piras, F., Virdis, S., Ziino, G., Nuvoloni, R., & Dalmasso, A., et al. (2018). Antibiotic resistance of Aeromonas ssp. strains isolated from Sparus aurata reared in Italian mariculture farms. International Journal of Food Microbiology, 284, 91-97. [DOI:10.1016/j.ijfoodmicro.2018.07.033] [PMID]

Stratev, D., & Odeyemi, O. A. (2016). Antimicrobial resistance of Aeromonas hydrophila isolated from different food sources: A mini-review. Journal of Infection and Public Health, 9(5), 535-544. [DOI:10.1016/j.jiph.2015.10.006] [PMID]

Woo, S. J., Kim, M. S., Jeong, M. G., Do, M. Y., Hwang, S. D., & Kim, W. J. (2022). Establishment of epidemiological cut-off values and the distribution of resistance genes in aeromonas hydrophila and aeromonas veronii isolated from aquatic animals. Antibiotics (Basel, Switzerland), 11(3), 343. [DOI:10.3390/antibiotics11030343] [PMID] [PMCID]

Zdanowicz, M., Mudryk, Z. J., & Perliński, P. (2020). Abundance and antibiotic resistance of Aeromonas isolated from the water of three carp ponds. Veterinary Research Communications, 44(1), 9-18. [DOI:10.1007/s11259-020-09768-x] [PMID] [PMCID]