<a href=showthread.php?s=&postid=10085172#post10085172 target=_blank>Originally posted</a> by montrealreef
I agree, I would do anything to save my reef. And Kip has clearly exhausted all run of the mill treatments, But I have a few concerns with using ABX:
1) Bacterial resistance is more than just a theoretical concern. It is a tragic reality. Yes, it is more likely to happen if you don't wipe off all the bacteria, but how will you know? In humans we have tools like blood cultures, WBC counts, fever, etc... that help us decide that the infection is under control, but how does one know that a coral is no longer infected? The necrosis could simply be the extreme end of the spectrum of the illness, so we may be decreasing the severity, but not sterilizing the coral ( almost impossible to achieve). Bacterial resistance is a HUGE problem in medicine. Many diseases are becoming increasingly more difficult to treat, I just watched a 16 year old boy die from a skin infection with a multiple drug resistant bacterium. The liberal use of ABX is what resulted in the emergence of this type of drug resistant organism.
2) Even if Doxycycline (or any other ABX) can completely wipe out Vibrio, it will not kill all the different bacteria living in the aquarium and on the coral surface. So with repeated use you're simply selecting out the bacteria that are not sensitive to that particular ABX
3) Doxycycline causes permanent and disfiguring staining of the bones and teeth of children ( and fetuses) and it is therefore contraindicated in pregnancy and in children under 8 yrs. The major component in bone and teeth is calcium. How do we know that this is not happening to the skeleton of our corals? and what are the long term effects?
4) Chloramphenicol (as someone suggested in the thread) is also a broad spectrum ABX. It is effective, but can have serious side effects including causing your bone marrow to shut down resulting in aplastic anemia. Has anyone studied the effect of this ABX on acropora? I truly doubt it
5) What happens to the beneficial bacteria that is exposed to ABX?
6) and finally, are we really sure that this phenomenon that we have all suffered from is due to a pathogen? and if so are we sure it is bacterial? The condition stopped suddenly in my tank, could the improvement that KIp experienced have simply coincided with the start of ABX ?
Don't get me wrong, I'm not discounting Kip's or anyone else's vast experience in reef keeping, and I'm truly happy that things are working out for him, but I'm seriously concerned about the potential harm of wide spread and routine administration of ABX to corals as preventive treatment. How would you feel if your kids' schools decided to give all the kids ABX once a month just in case? I think you would agree that that would be a bad idea.