<?xml version="1.0" encoding="utf-8" ?>
<article xml:lang="en" article-type="research-article" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink">
    <front>
        <journal-meta>
            <journal-id journal-id-type="publisher-id">PSJFS</journal-id>
            <journal-title-group>
                <journal-title>Potravinarstvo Slovak Journal of Food Sciences</journal-title>
                <abbrev-journal-title abbrev-type="pubmed">Potr. S. J. F. Sci.</abbrev-journal-title>
            </journal-title-group>
            <issn pub-type="ppub">1338-0230</issn>
            <issn pub-type="epub">1337-0960</issn>
            <publisher>
                <publisher-name>Association HACCP Consulting</publisher-name>
            </publisher>
        </journal-meta>
        <article-meta>
            <article-id pub-id-type="publisher-id">PSJFS-13-1-258</article-id>
            <article-id pub-id-type="doi">10.5219/1067</article-id>
            <article-categories>
                <subj-group subj-group-type="heading">
                    <subject>ARTICLE</subject>
                </subj-group>
            </article-categories>
            <title-group>
                <article-title>OCCURENCE AND ANTIMICROBIAL RESISTANCE OF COMMON UDDER PATHOGENS ISOLATED FROM SHEEP MILK IN SLOVAKIA</article-title>
            </title-group>
            <contrib-group>
                <contrib contrib-type="author">
                    <name>
                        <surname>Holko</surname>
                        <given-names>Ivan</given-names>
                    </name>
                    <xref ref-type="corresp" rid="cor1">&#x002A;</xref>
                </contrib>
                <contrib contrib-type="author">
                    <name>
                        <surname>Tan&#x010D;in</surname>
                        <given-names>Vladim&#x00ED;r</given-names>
                    </name>
                    <xref ref-type="aff" rid="aff2" />
                </contrib>
                <contrib contrib-type="author">
                    <name>
                        <surname>Tvaro&#x017E;kov&#x00E1;</surname>
                        <given-names>Krist&#x00ED;na</given-names>
                    </name>
                    <xref ref-type="aff" rid="aff3" />
                </contrib>
                <contrib contrib-type="author">
                    <name>
                        <surname>Supuka</surname>
                        <given-names>Peter</given-names>
                    </name>
                    <xref ref-type="aff" rid="aff4" />
                </contrib>
                <contrib contrib-type="author">
                    <name>
                        <surname>Supukov&#x00E1;</surname>
                        <given-names>Anna</given-names>
                    </name>
                    <xref ref-type="aff" rid="aff5" />
                </contrib>
                <contrib contrib-type="author">
                    <name>
                        <surname>Ma&#x010D;uhov&#x00E1;</surname>
                        <given-names>Lucia</given-names>
                    </name>
                    <xref ref-type="aff" rid="aff6" />
                </contrib>
                <aff id="aff2">
                    <institution>Vladim&#x00ED;r Tan&#x010D;in, Slovak University of Agriculture, Faculty of Agrobiology and Food Resources, Department of veterinary science, Tr. A. Hlinku 2, 949 76 Nitra, Slovakia; NPPC-Research Institute for Animal Production Nitra, Hlohoveck&#x00E1; 2, 95141 Lu&#x017E;ianky Slovakia, Tel., +421376414461, E-mail: tancin@vuzv.sk</institution>
                </aff>
                <aff id="aff3">
                    <institution>Krist&#x00ED;na Tvaro&#x017E;kov&#x00E1;, Slovak University of Agriculture, Faculty of Agrobiology and Food Resources, Department of Veterinary Disciplines, Trieda A. Hlinku 2, 949 76 Nitra, Slovakia, Tel.: +421944385272, E-mail: kristina.tvarozkova@gmail.com</institution>
                </aff>
                <aff id="aff4">
                    <institution>Peter Supuka, VETSERVIS, s.r.o., Kalv&#x00E1;ria 3, 94901 Nitra, Slovakia, Tel.: +421905748041, E-mail: supuka.peter@gmail.com</institution>
                </aff>
                <aff id="aff5">
                    <institution>Anna Supukov&#x00E1;, VETSERVIS, s.r.o., Kalv&#x00E1;ria 3, 94901 Nitra, Slovakia, Tel.: +421915986733, E-mail: supukova@vetservis.sk</institution>
                </aff>
                <aff id="aff6">
                    <institution>Lucia Ma&#x010D;uhov&#x00E1;, NPPC-Research Institute for Animal Production Nitra, Hlohoveck&#x00E1; 2, 95141 Lu&#x017E;ianky, Slovakia, Tel.: +421376545171, E-mail: macuhova@vuzv.sk</institution>
                </aff>
            </contrib-group>
            <author-notes>
                <corresp id="cor1">
                    <label>&#x002A;</label>Corresponding author: Ivan Holko, VETSERVIS, s.r.o., Kalv&#x00E1;ria 3, 94901 Nitra, Slovakia, Tel.: <phone>+421905139876</phone>, E-mail: <email xmlns:xlink="http://www.w3.org/1999/xlink" xlink:href="holko@vetservis.sk">holko@vetservis.sk</email></corresp>
            </author-notes>
            <pub-date pub-type="ppub">
                <month>1</month>
                <year>2019</year>
            </pub-date>
            <volume>13</volume>
            <issue>1</issue>
            <fpage>258</fpage>
            <lpage>261</lpage>
            <history>
                <date date-type="received">
                    <day>11</day>
                    <month>2</month>
                    <year>2019</year>
                </date>
                <date date-type="accepted">
                    <day>11</day>
                    <month>3</month>
                    <year>2019</year>
                </date>
            </history>
            <permissions>
                <copyright-statement>&#x00A9; Association HACCP Consulting. All rights reserved.</copyright-statement>
                <copyright-year>2019</copyright-year>
                <license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">
                    <license-p>This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<uri xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0</uri>) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
                </license>
            </permissions>
            <abstract>
                <p>The aim of this work is to identify the spectrum, frequency and antimicrobial resistance of bacterial pathogens occurring in sheep dairy herds in Slovakia. Of a total of 310 samples of sheep's milk coming from three breeds during two seasons (2017 and 2018), at least one potential pathogen was isolated from 102 samples (32.9%). A total of 131 microbial isolates were isolated. The most represented species were coagulase negative staphylococci CoNS (75.6%), followed by <italic>Streptococcus agalactiae</italic> (10.7%), <italic>Staphylococcus aureus</italic> (6.9%), <italic>Streptococcus dysgalactiae</italic> (4.6%), <italic>Escherichia coli</italic> (1.5%), <italic>Enterococcus faecium</italic> (1.5%), and others (<italic>Streptococcus uberis</italic>, <italic>Streptococcus parauberis</italic>, <italic>Candida</italic> sp., <italic>Klebsiella</italic> sp., moulds) below 1%. A total of 99 isolates of CoNS were tested for antimicrobial resistance. Of these, 63.6% were resistant to at least one antibiotic. A total of 24.2% of the tested isolates were resistant to 3 groups of antimicrobials simultaneously (multi-drug resistance). The highest resistance was observed to lincomycin (57.6%) and neomycin (36.4%), the lowest to sulfamethoxazolum+trimethoprim (0%) and enrofloxacin (3.0%). Based on the results of this work, it is possible to assume a similar spectrum of pathogens and their antimicrobial resistance described in the literature also within the Slovak sheep farms focused on milk production.</p>
            </abstract>
            <kwd-group>
                <kwd>sheep</kwd>
                <kwd>milk</kwd>
                <kwd>mastitis</kwd>
                <kwd>pathogen</kwd>
                <kwd>antibiotic</kwd>
            </kwd-group>
        </article-meta>
    </front>
    <body>
        <sec sec-type="intro">
            <title>INTRODUCTION</title>
            <p>Public health problems associated with consumption of unpasteurized cow&#x2019;s milk and raw-milk products have been well documented (<xref ref-type="bibr" rid="b9">De Buyser et al., 2001;</xref> <xref ref-type="bibr" rid="b14">Harrington et al., 2002</xref>). There is no evidence that the risk from unpasteurized ewe&#x2019;s milk is any lower (<xref ref-type="bibr" rid="b1">Allerberger et al., 2001;</xref> <xref ref-type="bibr" rid="b19">McIntyre et al., 2002</xref>). Pathogenic microorganisms can gain access to milk either by faecal contamination or by direct excretion from the udder into the milk.</p>
            <p>The importance of subclinical mastitis as a limiting factor in sheep&#x27;s milk production is well-known. In addition to decreased milk yield, decreased viability of lambs, subclinical mastitis also greatly reduces the hygienic quality of milk as well as its technological properties.</p>
            <p>Current knowledge of mastitis in small ruminants has been reviewed by some authors (<xref ref-type="bibr" rid="b4">Bergonier et al., 1999;</xref> <xref ref-type="bibr" rid="b3">Bergonier and Berthelot, 2003;</xref> <xref ref-type="bibr" rid="b17">Lafi et al., 1998;</xref> <xref ref-type="bibr" rid="b8">Contreras et al., 2007</xref>). The causative organisms of mastitis are categorized as major or minor pathogens (<xref ref-type="bibr" rid="b13">Harmon, 1994</xref>). The most common major pathogens include <italic>Staphylococcus aureus</italic>, <italic>Streptococcus agalactiae</italic>, coliforms and enterococci, while other pathogens such as <italic>Streptococcus</italic> spp., <italic>Pseudomonas aeruginosa</italic>, <italic>Mannheimia hemolytica</italic>, <italic>Corynebacteria</italic>, Coagulase negative staphylococci and fungi, are considered to be minor pathogens which can produce intramammary infection in small ruminants, but occurrence rates are lower (<xref ref-type="bibr" rid="b8">Contreras et al., 2007</xref>).</p>
            <p>Differences in climatic conditions, production patterns, breeding management and breeding practices influence the different epidemiology and clinical manifestation of sheep milk. The aim of this work is to identify the spectrum, frequency and antimicrobial resistance of bacterial pathogens occurring in sheep dairy herds in Slovakia.</p>
            <sec>
                <title>Scientific hypothesis</title>
                <p>Staphylococci and streptococci are the most common cause of mastitis in milk sheep and their occurrence in milk is frequent. Antibiotics are not used in sheep as often as in dairy cows, but antimicrobial resistance can occur as the environmental impact to farm animals.</p>
            </sec>
        </sec>
        <sec sec-type="materials|methods">
            <title>MATERIAL AND METHODOLOGY</title>
            <sec>
                <title>Sampling and culture</title>
                <p>During two seasons, samples of milk from 3 sheep farms were withdrawn repeatedly in the number 160 (season 2017) and 150 (season 2018). The animals for collection were selected by random selection. The breeding organization was the following: farm 1 – Slovak Tsigaya, farm 2 – Lacaune, farm 3 – Slovak Walachian/Lacaune. Milk samples of volume 10 mL were collected into sterile tubes from both halves after disinfection and two streaks. After sampling, the samples were cooled to 5 – 10 &#xB0;C, then frozen and transported to the laboratory. Bacteriological examination was performed within 5 days after collection. Milk samples (10 &#x3BC;L inoculum) were cultured on a selective diagnostic PM test (Lab-Media-Servis, CZ) at 37 &#xB0;C for 24 hours. Isolated strains of pathogens were subsequently verified by typing with BBL Crystal<sup>&#xAE;</sup> (Becton, Dickinson &#x0026; Co., New Jersey, USA). A milk sample was classified as positive if at least one colony-forming unit (CFU) of <italic>S. aureus</italic> or <italic>Streptococcus</italic> (<italic>Str</italic>.) <italic>agalactiae</italic> was isolated. For other agents, the presence of at least three CFUs was needed for positive classification. Samples were classified as contaminated if three or more bacterial types were isolated from one milk sample and growth of a major udder pathogen was not identified. If growth of a major udder pathogen was found in combination with contaminating species, the sample would be diagnosed as positive for growth of the major udder pathogen.</p>
            </sec>
            <sec>
                <title>Susceptibility testing</title>
                <p>
                    <italic>In vitro</italic> susceptibility of the isolates against antimicrobial agents was determined by the standard disk diffusion procedure (<xref ref-type="bibr" rid="b6">CLSI 2008;</xref> <xref ref-type="bibr" rid="b7">2013</xref>).</p>
                <p>Coagulase-negative staphylococci (n = 99) were tested for susceptibility to 6 antimicrobial agents from the following groups: penicillin (amoxicillin+clavulanic acid 2:1 AMC), tetracyclines (tetracycline TET), aminoglycosides (neomycin NEO), lincosamides (lincomycin LCM), sulphonamides (sulfametoxazolum-trimethoprim SXT), and quinolones (enfofloxacin EFX). The isolates were tested by disc diffusion method according to the CLSI manual (<xref ref-type="bibr" rid="b6">CLSI 2008;</xref> <xref ref-type="bibr" rid="b7">2013</xref>) using the following antimicrobial discs (Oxoid, Basingstoke, England): AMC (30 &#x3BC;g), NEO (30 &#x3BC;g), TET (30 &#x3BC;g), LCM (2 &#x3BC;g), SXT (25 &#x3BC;g), EFX (5 &#x3BC;g). The diameters of the inhibition zones were evaluated (susceptible, intermediate, resistant) according to CLSI breakpoints. Appropriate quality control tests were performed using reference strains of <italic>E. coli</italic> ATCC 25922, <italic>Staphylococcus aureus</italic> ATCC 29213 and <italic>Enterococcus faecalis</italic> ATCC 29212.</p>
            </sec>
            <sec>
                <title>Statistic analysis</title>
                <p>Simple descriptive statistics was used. The results of cultivation were processed into a percentage of individual microbial species. The results of antimicrobial resistance were also expressed as the percentage of resistant isolates in each type of antimicrobial.</p>
            </sec>
        </sec>
        <sec sec-type="results|discussion">
            <title>RESULTS AND DISCUSSION</title>
            <p>Of a total of 310 samples of sheep&#x27;s milk coming from three farms, at least one potential pathogen was isolated from 102 samples (32.9%). The results are shown in the Table <xref ref-type="table" rid="T1">1</xref>. The most represented pathogens were coagulase negative staphylococci CoNS, namely <italic>Staphylococcus chromogenes</italic>, <italic>Staphylococcus epidermidis</italic>, <italic>Staphylococcus xylosus</italic> (75.6%), followed by <italic>Streptococcus agalactiae</italic> (10.7%), <italic>Staphylococcus aureus</italic> (6.9%), <italic>Streptococcus dysgalactiae</italic> (4.6%), <italic>Escherichia coli</italic> (1.5%), <italic>Enterococcus faecium</italic> (1.5%) and others (<italic>Streptococcus uberis</italic>, <italic>Streptococcus parauberis</italic>, <italic>Candida</italic> sp., <italic>Klebsiella</italic> sp.). The cause of the sheep&#x27;s mastitis may be a number of microorganisms, according to the literature, they are mainly representatives of the genus <italic>Staphylococcus</italic> (<xref ref-type="bibr" rid="b3">Bergonier and Berthelot, 2003;</xref> <xref ref-type="bibr" rid="b27">Zigo et al., 2011</xref>). The results of this work also confirm this bacterial genus as dominant in the farming conditions included in our observation, in both consecutive seasons.</p>
            <table-wrap id="T1" position="float">
                <label>Table 1</label>
                <caption>
                    <p>The numbers of microbial pathogens isolated from three sheep farms during two seasons in 2017 and 2018.</p>
                </caption>
                <table frame="hsides" rules="none" width="100%">
                    <thead>
                        <tr>
                            <th rowspan="5">Pathogen</th>
                            <th colspan="6">No. of isolates in the season</th>
                            <th rowspan="3">Total</th>
                        </tr>
                        <tr>
                            <th colspan="6">
                                <hr/>
                            </th>
                        </tr>
                        <tr>
                            <th colspan="3">2017</th>
                            <th colspan="3">2018</th>
                        </tr>
                        <tr>
                            <th colspan="7">
                                <hr/>
                            </th>
                        </tr>
                        <tr>
                            <th>Farm 1</th>
                            <th>Farm 2</th>
                            <th>Farm 3</th>
                            <th>Farm 1</th>
                            <th>Farm 2</th>
                            <th>Farm 3</th>
                            <th/>
                        </tr>
                        <tr>
                            <th colspan="8">
                                <hr/>
                            </th>
                        </tr>
                    </thead>
                    <tbody>
                        <tr align="center">
                            <td><italic>Staphylococcus chromogenes</italic></td>
                            <td>13</td>
                            <td>6</td>
                            <td>7</td>
                            <td>4</td>
                            <td>2</td>
                            <td>8</td>
                            <td>40</td>
                        </tr>
                        <tr align="center">
                            <td><italic>Staphylococcus epidermidis</italic></td>
                            <td>3</td>
                            <td>4</td>
                            <td>3</td>
                            <td>3</td>
                            <td>4</td>
                            <td>3</td>
                            <td>20</td>
                        </tr>
                        <tr align="center">
                            <td><italic>Staphylococcus xylosus</italic></td>
                            <td>8</td>
                            <td>14</td>
                            <td>5</td>
                            <td>4</td>
                            <td>3</td>
                            <td>5</td>
                            <td>39</td>
                        </tr>
                        <tr align="center">
                            <td><italic>Staphylococcus aureus</italic></td>
                            <td>0</td>
                            <td>4</td>
                            <td>2</td>
                            <td>2</td>
                            <td>1</td>
                            <td>0</td>
                            <td>9</td>
                        </tr>
                        <tr align="center">
                            <td><italic>Streptococcus agalactiae</italic></td>
                            <td>9</td>
                            <td>1</td>
                            <td>4</td>
                            <td>0</td>
                            <td>0</td>
                            <td>0</td>
                            <td>14</td>
                        </tr>
                        <tr align="center">
                            <td><italic>Streptococcus dysgalactiae</italic></td>
                            <td>1</td>
                            <td>1</td>
                            <td>2</td>
                            <td>2</td>
                            <td>0</td>
                            <td>0</td>
                            <td>6</td>
                        </tr>
                        <tr align="center">
                            <td><italic>Streptococcus uberis</italic></td>
                            <td>1</td>
                            <td>0</td>
                            <td>0</td>
                            <td>0</td>
                            <td>0</td>
                            <td>0</td>
                            <td>1</td>
                        </tr>
                        <tr align="center">
                            <td><italic>Streptococcus parauberis</italic></td>
                            <td>1</td>
                            <td>0</td>
                            <td>0</td>
                            <td>0</td>
                            <td>0</td>
                            <td>0</td>
                            <td>1</td>
                        </tr>
                        <tr align="center">
                            <td><italic>Escherichia coli</italic></td>
                            <td>0</td>
                            <td>2</td>
                            <td>0</td>
                            <td>0</td>
                            <td>0</td>
                            <td>0</td>
                            <td>2</td>
                        </tr>
                        <tr align="center">
                            <td><italic>Klebsiella</italic>sp<italic>.</italic></td>
                            <td>0</td>
                            <td>0</td>
                            <td>0</td>
                            <td>0</td>
                            <td>1</td>
                            <td>0</td>
                            <td>1</td>
                        </tr>
                        <tr align="center">
                            <td><italic>Enterococcus faecium</italic></td>
                            <td>1</td>
                            <td>1</td>
                            <td>0</td>
                            <td>0</td>
                            <td>0</td>
                            <td>0</td>
                            <td>2</td>
                        </tr>
                        <tr align="center">
                            <td><italic>Candida</italic>sp.</td>
                            <td>0</td>
                            <td/>
                            <td/>
                            <td>0</td>
                            <td>0</td>
                            <td>0</td>
                            <td>1</td>
                        </tr>
                        <tr align="center">
                            <td>Micromycetes</td>
                            <td>0</td>
                            <td>0</td>
                            <td>1</td>
                            <td>0</td>
                            <td>0</td>
                            <td>0</td>
                            <td>1</td>
                        </tr>
                    </tbody>
                </table>
            </table-wrap>
            <p>Several authors state that CoNS are most frequent pathogens responsible for subclinical mastitis of dairy sheep (<xref ref-type="bibr" rid="b10">Fthenakis, 1994;</xref> <xref ref-type="bibr" rid="b5">Burriel, 1997;</xref> <xref ref-type="bibr" rid="b17">Lafi et al., 1998;</xref> <xref ref-type="bibr" rid="b21">Pengov, 2001;</xref> <xref ref-type="bibr" rid="b2">Ariznabarreta, Gonzalo and San Primitivo, 2002;</xref> <xref ref-type="bibr" rid="b11">Gonzalo et al., 2002</xref>) and <italic>Staphylococcus aureus</italic> is more frequent in meat sheep (<xref ref-type="bibr" rid="b15">Jones, 1991;</xref> <xref ref-type="bibr" rid="b26">Watson et al., 1990;</xref> <xref ref-type="bibr" rid="b12">Hariharan et al., 2004;</xref> <xref ref-type="bibr" rid="b20">Mork et al., 2007</xref>). The farms included in this work are focused on the production of sheep&#x27;s milk and CoNS represent a significant prevalence of all isolated pathogens. <italic>Staphylococcus aureus</italic> represented less than 7% of isolates.</p>
            <p>Streptococci are probably the second most common cause of ovine mastitis (<xref ref-type="bibr" rid="b4">Bergonier et al., 1999</xref>). The most commonly isolated species are <italic>Streptococcus agalactiae</italic>, <italic>Streptococcus uberis</italic> and <italic>Streptococcus dysgalactiae</italic> (<xref ref-type="bibr" rid="b18">Las Heras et al., 2002</xref>). In this work streptococci were mainly represented by <italic>Streptococcus agalactiae</italic>, but only in the first of the monitored seasons. In the second year of follow-up, the occurrence of streptococci in the samples taken decreased significantly. This difference could have been caused by certain breeding measures in the context of milk management and overall hygiene in the farm. The presence of other pathogens in the isolates obtained in this work was negligible.</p>
            <p>Antibiotic resistance pattern for staphylococci isolated from subclinical mastitis refers mainly to cattle, and little is known about dairy sheep.</p>
            <p>A total of 99 isolates of CoNS were tested for antimicrobial resistance. Of these, 63.6% were resistant to at least one antibiotic. A total of 24.2% of the tested isolates were resistant to 3 antimicrobials simultaneously. The highest resistance was observed to lincomycin (57.6%) and neomycin (36.4%), the lowest to sulfamethoxazolum+trimethoprim (0%) and enrofloxacin (3.0%). The results are shown in Table <xref ref-type="table" rid="T2">2</xref>.</p>
            <table-wrap id="T2" position="float">
                <label>Table 2</label>
                <caption>
                    <p>The results of antimicrobial resistance testing of coagulase negative staphylococci.</p>
                </caption>
                <table frame="hsides" rules="none" width="100%">
                    <thead>
                        <tr>
                            <th rowspan="3">Antimicrobials</th>
                            <th rowspan="3">Zone diameters (mm) S &#x2013; I &#x2013; R</th>
                            <th colspan="3">No. of isolates/percentage (n = 99)</th>
                        </tr>
                        <tr>
                            <th colspan="3">
                                <hr/>
                            </th>
                        </tr>
                        <tr>
                            <th>Sensitive</th>
                            <th>Intermediate</th>
                            <th>Resistant</th>
                        </tr>
                        <tr>
                            <th colspan="5">
                                <hr/>
                            </th>
                        </tr>
                    </thead>
                    <tbody>
                        <tr align="center">
                            <td>Amoxicillin+clavul.</td>
                            <td>&#x2265;30, 29&#x2013;28, &le;27</td>
                            <td>81/81.8</td>
                            <td>3/3.0</td>
                            <td>15/15.2</td>
                        </tr>
                        <tr align="center">
                            <td>Tetracycline</td>
                            <td>&#x2265;19, 18&#x2013;15, &le;14</td>
                            <td>72/72.7</td>
                            <td>0/0</td>
                            <td>27/27.3</td>
                        </tr>
                        <tr align="center">
                            <td>Lincomycin</td>
                            <td>&#x2265;20, 19&#x2013;17, &le;16</td>
                            <td>33/33.3</td>
                            <td>9/9.1</td>
                            <td>57/57.6</td>
                        </tr>
                        <tr align="center">
                            <td>Enrofloxacin</td>
                            <td>&#x2265;25, 24&#x2013;21, &le;20</td>
                            <td>81/81.8</td>
                            <td>15/15.2</td>
                            <td>3/3.0</td>
                        </tr>
                        <tr align="center">
                            <td>Sulphametoxazolum+trimet.</td>
                            <td>&#x2265;19, 18&#x2013;16, &le;15</td>
                            <td>96/97.0</td>
                            <td>3/3.0</td>
                            <td>0/0</td>
                        </tr>
                        <tr align="center">
                            <td>Neomycin</td>
                            <td>&#x2265;23, 22&#x2013;20, &le;19</td>
                            <td>36/36.4</td>
                            <td>27/27.3</td>
                            <td>36/36.4</td>
                        </tr>
                    </tbody>
                </table>
            </table-wrap>
            <p>The high multidrug resistance rates observed in CoNS are in accordance with previous reports (<xref ref-type="bibr" rid="b16">Kumar, Yadav and Singh, 2009;</xref> <xref ref-type="bibr" rid="b22">Sawant, Gillespie and Oliver, 2009;</xref> <xref ref-type="bibr" rid="b24">Vasi&#x13E; et al., 2018</xref>) and support the hypothesis that CoNS might play an important role as a source of genes resistant to <italic>S. aureus</italic> (<xref ref-type="bibr" rid="b23">Taponen and Py&#xF6;r&#xE4;l&#xE4;, 2009</xref>). Considering such an assumption, studies about host specificity in <italic>Staphylococcus aureus</italic> and other pathogenic agents could provide useful information about the epidemiological importance of CoNS as reservoirs of genes resistant to pathogenic strains for humans. However, because CoNS are the major mastitis causing agents in small ruminants, the high frequency of resistant genes in such species reported here is worth noting.</p>
            <p>The drugs showing the lowest resistance rates were enrofloxacin and sulphonamides, which are in accordance with other studies on mastitis in several ruminant species (<xref ref-type="bibr" rid="b16">Kumar et al., 2009</xref>). <xref ref-type="bibr" rid="b25">Virdis et al. (2010)</xref> reported high sensitivity to quinolones, but not to aminoglycoside in subclinical mastitis-causing staphylococci.</p>
            <p>From the point of view of epizootology, CoNS are frequently found to be a pathogenic especially in the case of subclinical mastitis. They do not represent a major specific pathogen but can potentially cause infections that tend to have a mild clinical manifestation but cause losses in the milk production, in quantity and quality of milk.</p>
        </sec>
        <sec sec-type="conclusion">
            <title>CONCLUSION</title>
            <p>Based on the results of this work, it is possible to assume a similar spectrum of pathogens and their antimicrobial resistance described in the literature also within the Slovak sheep farms focused on milk production. Coagulase negative staphylococci, as the most common pathogen, poses a risk in the form of a subclinical course of inflammatory changes in the mammary gland that often escape the attention of breeders, but can have a significant impact on the quality of milk production.</p>
        </sec>
    </body>
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            <title>Acknowledgments:</title>
            <p>This work was supported by grant APVV-15-0072.</p>
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