Antimicrobial Susceptibility Profiles of Staphylococcus aureus and Streptococcus spp. Isolates from Clinical Cases of Waterfowl in Hungary Between 2022 and 2023.

Background: Antimicrobial resistance (AMR) is an escalating concern in both human and veterinary medicine, particularly in the poultry sector, where antibiotic usage is substantial. Streptococcus spp. and Staphylococcus aureus are important pathogens in waterfowl, causing systemic infections. However, there is a significant lack of data regarding their antimicrobial susceptibility patterns in waterfowl populations. This study aims to address this gap by determining the minimum inhibitory concentrations (MICs) of isolates from Hungarian waterfowl farms and evaluating resistance patterns in clinical isolates. Methods: A total of eight S. aureus and 19 Streptococcus isolates were collected from ducks and geese between 2022 and 2023. Antimicrobial susceptibility testing was performed for 15 antimicrobials using the broth microdilution method. Potential associations between MIC values were analyzed using Spearman's rank correlation test. Results: High MIC values were observed for tetracyclines, phenicols, and fluoroquinolones, in the case of Streptococcus, with 89.5% of isolates exhibiting resistance to doxycycline, 63.2% to florfenicol, and in the case of S. aureus, 25.0% to enrofloxacin. In the case of Streptococcus, a strong positive correlation was identified between tylosin and tiamulin (0.88, p < 0.001), as well as between tylosin and lincomycin (0.75, p < 0.001). A moderate correlation was observed between doxycycline and spectinomycin (0.72, p = 0.03), suggesting potential co-selection mechanisms. Conclusions: Our findings emphasize the necessity of continuous AMR surveillance in the waterfowl industry, particularly for multidrug-resistant strains. Understanding cross-resistance patterns is crucial for developing targeted control measures, and future studies should incorporate whole-genome sequencing to elucidate resistance determinants and co-selection mechanisms. This study highlights the potential public health and veterinary risks associated with AMR in waterfowl and reinforces the importance of responsible antibiotic use and the development of alternative therapeutic strategies in veterinary practice.