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Journal of Aquatic Animal Health Publication details, including instructions for authors and subscription information: http://www.tandfonline.com/loi/uahh20 Improvements are Needed in Reporting of Accuracy Studies for Diagnostic Tests Used for Detection of Finfish Pathogens Ian A. Gardnera, Timothy Burnleyb & Charles Caraguelc a Atlantic Veterinary College, University of Prince Edward Island, 550 University Avenue, Charlottetown, Prince Edward Island C1A 4P3, Canada b Eastern Epidemiological Services, 23 Karen Drive, Cornwall, Prince Edward Island C0A 1H8, Canada c School of Animal and Veterinary Sciences, Roseworthy Campus, University of Adelaide, Roseworthy, South Australia 5371, Australia Published online: 17 Sep 2014.
To cite this article: Ian A. Gardner, Timothy Burnley & Charles Caraguel (2014) Improvements are Needed in Reporting of Accuracy Studies for Diagnostic Tests Used for Detection of Finfish Pathogens, Journal of Aquatic Animal Health, 26:4, 203-209, DOI: 10.1080/08997659.2014.938867 To link to this article: http://dx.doi.org/10.1080/08997659.2014.938867
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Improvements are Needed in Reporting of Accuracy Studies for Diagnostic Tests Used for Detection of Finfish Pathogens
Ian A. Gardner* Atlantic Veterinary College, University of Prince Edward Island, 550 University Avenue, Charlottetown, Prince Edward Island C1A 4P3, Canada Timothy Burnley Eastern Epidemiological Services, 23 Karen Drive, Cornwall, Prince Edward Island C0A 1H8, Canada Charles Caraguel School of Animal and Veterinary Sciences, Roseworthy Campus, University of Adelaide, Roseworthy, South Australia 5371, Australia
Accurate diagnostic tests are central to the detection, control, Abstract and prevention of pathogen spread in aquaculture. The World Indices of test accuracy, such as diagnostic sensitivity and speci- Organization for Animal Health (OIE) specifies that test accu- ficity, are important considerations in test selection for a defined racy in aquatic species should be estimated to assess a test’s purpose (e.g., screening or confirmation) and affect the interpreta- tion of test results. Many biomedical journals recommend that au- “fitness for the intended purpose(s).” Such purposes include the thors clearly and transparently report test accuracy studies follow- demonstration or certification of freedom from disease, the con- ing the Standards for Reporting of Diagnostic Accuracy (STARD) firmation of clinically suspected cases, and the estimation of guidelines (www.stard-statement.org). This allows readers to eval- disease prevalence in a fish population, to list a few. Indices uate overall study validity and assess potential bias in diagnostic of test accuracy, such as diagnostic sensitivity and specificity, sensitivity and specificity estimates. The purpose of the present study was to evaluate the reporting quality of studies evaluating are important considerations when selecting a test for a defined test accuracy for finfish diseases using the 25 items in the STARD purpose and interpreting its results. Regardless of the intended checklist. Based on a database search, 11 studies that included purpose of the test, complete and transparent reporting of the estimates of diagnostic accuracy were identified for independent design elements and the results of a test accuracy study are evaluation by three reviewers. For each study, STARD checklist essential so that readers can appraise the validity of the test, items were scored as “yes,” “no,” or “not applicable.” Only 10 of the 25 items were consistently reported in most (≥80%) pa- including the potential for bias in diagnostic sensitivity and pers, and reporting of the other items was highly variable (mostly specificity estimates.
Downloaded by [Department Of Fisheries] at 00:12 17 November 2014 between 30% and 60%). Three items (“number, training, and ex- The Standards for Reporting of Diagnostic Accuracy pertise of readers and testers”; “time interval between index tests (STARD) statement (www.stard-statement.org) was published and reference standard”; and “handling of indeterminate results, in 2003 to encourage improved reporting of the important fea- missing data, and outliers of the index tests”) were reported in less than 10% of papers. Two items (“time interval between index tests tures of test accuracy studies in human medicine (Bossuyt et al. and reference standard” and “adverse effects from testing”) were 2003). The statement was motivated by widespread evidence of considered minimally relevant to fish health because test samples bias in test accuracy studies and the finding that incomplete re- usually are collected postmortem. Modification of STARD to fit porting or a lack of reporting on items in the STARD checklist finfish studies should increase use by authors and thereby improve was associated with overly optimistic estimates of diagnostic the overall reporting quality regardless of how the study was de- signed. Furthermore, the use of STARD may lead to the improved sensitivity and specificity (Lijmer et al. 1999). The STARD design of future studies. does not prescribe directly how to design a test accuracy study. Rather, it focuses on clear and transparent reporting of its key
*Corresponding author: [email protected] Received September 24, 2013; accepted May 15, 2014 203 204 GARDNER ET AL.
TABLE 1. Reviewer scoring of STARD checklist items for 11 test accuracy studies in finfish that were published between 2006 and 2012. The percentage of yes responses was calculated based on a denominator of the total number of yes and no responses. Abbreviations are as follows: NA = item considered not applicable to the reviewed study and NC = not calculated because of a zero denominator.
Reviewer 1 Reviewer 2 Reviewer 3a
Section, topic, Description Yes Yes Yes Median % and total Item of item (%) No NA (%) No NA (%) No NA yes scores
TITLE, ABSTRACT, 1 Identify the article as a study 7 (64) 4 0 7 (64) 4 0 8 (80) 2 0 64 KEYWORDS of diagnostic accuracy (recommend medical subject headings “sensitivity” and “specificity”). INTRODUCTION 2 State the research questions or 11 (100) 0 0 11 (100) 0 0 10 (100) 0 0 100 study aims, such as estimating diagnostic accuracy or comparing accuracy between tests or across participant groups. METHODS Participants 3 The study population: the 11 (100) 0 0 11 (100) 0 0 10 (100) 0 0 100 inclusion and exclusion criteria, setting, and locations where data were collected. 4 Participant recruitment: was 10 (91) 1 0 10 (91) 1 0 9 (90) 1 0 91 recruitment based on the presenting symptoms, the results from previous tests, or the fact that the participants had received the index tests or the reference standard? 5 Participant sampling: was the 9 (82) 2 0 9 (82) 2 0 9 (90) 1 0 82 study population a consecutive series of participants defined by the selection criteria in items 3 and 4? If not, specify how participants were further selected. 6 Data collection: was data 11 (100) 0 0 11 (100) 0 0 10 (100) 0 0 100 Downloaded by [Department Of Fisheries] at 00:12 17 November 2014 collection planned before the index test and reference standard were performed (prospective study) or after (retrospective study)? Test methods 7 The reference standard and its 7 (100) 0 4 9 (82) 0 2 4 (40) 6 0 82 rationale. 8 Technical specifications of 10 (91) 1 0 10 (91) 1 0 10 (100) 0 0 91 materials and methods involved, including how and when measurements were taken, or cite references for index tests and reference standard. (Continued on next page) COMMUNICATION 205
TABLE 1. Continued.
Reviewer 1 Reviewer 2 Reviewer 3a
Section, topic, Description Yes Yes Yes Median % and total Item of item (%) No NA (%) No NA (%) No NA yes scores 9 Definition of and rationale for 6 (55) 5 0 6 (55) 5 0 5 (50) 5 0 55 the units, cutoffs, and categories of the results of the index tests and the reference standard. 10 The number, training, and 0 (0) 11 0 1 (10) 10 0 0 (0) 10 0 0 expertise of the persons executing and reading the index tests and the reference standard. 11 Whether or not the readers of 2 (22) 9 0 2 (22) 9 0 2 (20) 8 0 22 the index tests and reference standard were blind (masked) to the results of the other test and describe any other clinical information available to the readers. Statistical methods 12 Methods for calculating or 6 (55) 5 0 6 (55) 5 0 7 (70) 3 0 55 comparing measures of diagnostic accuracy and the statistical methods used to quantify uncertainty (e.g., 95% confidence intervals). 13 Methods for calculating test 2 (100) 0 9 2 (100) 0 9 2 (50) 2 6 100 reproducibility, if done. RESULTS Participants 14 When study was performed, 5 (56) 4 2 7 (70) 3 1 6 (60) 4 0 60 including beginning and end dates of recruitment. 15 Clinical and demographic 5 (45) 6 0 4 (36) 7 0 5 (50) 5 0 45 characteristics of the study population (at least information on age, gender, and spectrum of presenting symptoms). 16 The number of participants 3 (38) 8 0 3 (38) 8 0 4 (40) 6 0 38 Downloaded by [Department Of Fisheries] at 00:12 17 November 2014 satisfying the criteria for inclusion who did or did not undergo the index tests or the reference standard; describe why participants failed to undergo either test (a flow diagram is strongly recommended). Test results 17 Time interval between the 0 (NC) 0 11 0 (0) 3 8 1 (10) 9 0 5 index tests and the reference standard and any treatment administered in between.
(Continued on next page) 206 GARDNER ET AL.
TABLE 1. Continued.
Reviewer 1 Reviewer 2 Reviewer 3a
Section, topic, Description Yes Yes Yes Median % and total Item of item (%) No NA (%) No NA (%) No NA yes scores
18 Distribution of severity of 1 (10) 10 0 2 (22) 9 0 4 (40) 6 0 22 disease (define criteria) in those with the target condition; other diagnoses in participants without the target condition. 19 A cross tabulation of the 7 (64) 4 0 7 (64) 4 0 8 (80) 2 0 64 results of the index tests (including indeterminate and missing results) by the results of the reference standard; for continuous results, the distribution of the test results by the results of the reference standard. 20 Any adverse events from 0 (NC) 0 11 0 (NC) 0 11 0 (NC) 0 10 NC performing the index tests or the reference standard. Estimates 21 Estimates of diagnostic 6 (55) 5 0 7 (64) 4 0 6 (60) 4 0 60 accuracy and measures of statistical uncertainty (e.g., 95% confidence intervals). 22 How indeterminate results, 1 (9) 10 0 1 (9) 10 0 1 (10) 9 0 9 missing data, and outliers of the index tests were handled. 23 Estimates of variability of 3 (38) 8 0 5 (45) 6 0 5 (50) 5 0 45 diagnostic accuracy between subgroups of participants, readers, or centers, if done. 24 Estimates of test 2 (100) 0 9 2 (100) 0 9 3 (100) 0 7 100 reproducibility, if done. DISCUSSION 25 Discuss the clinical 10 (91) 1 0 10 (91) 1 0 9 (90) 1 0 91 applicability of the study findings. TOTAL 135 94 46 143 92 40 138 89 23 52 Downloaded by [Department Of Fisheries] at 00:12 17 November 2014 (49) (34) (17) (52) (33) (15) (55) (36) (9)
a Reviewer 3 only evaluated 10 studies; he did not review 1 of the studies (Caraguel et al. 2012) because he is an author.
elements, namely the 25 items in its checklist (see description of STARD specifically directed to ruminant paratuberculosis of items in Table 1). The STARD is endorsed by more than 200 represents the first attempt to make STARD more applicable biomedical journals, but to date endorsement by animal health to animal diseases (Gardner et al. 2011) and was based on the journals has been limited. Although STARD principles apply consensus of an expert group with experience in test accuracy broadly to test accuracy studies in all species, the guidelines studies and paratuberculosis. do not account for unique considerations in animal production, The purpose of the present study was to evaluate the reporting such as the use of experimental challenge studies, varied testing quality of test accuracy studies for finfish diseases based on the purposes, different epidemiological units and sampling designs, 25 items in the STARD checklist and to determine the frequency and latent class analysis methods to account for imperfect refer- of and potential reasons for disagreements among reviewers in ence tests (Branscum et al. 2005; Gardner 2010). A modification classification of author reporting. COMMUNICATION 207
METHODS was recorded if the item was considered not relevant to the We searched PubMed, Scopus, Web of Science, and EBSCO reviewed study. HOST for test accuracy studies published in English between The percentage of yes scores for the 25 items was calculated 2006 and 2012. We chose 2006 as the starting year because, for each reviewer and summarized as the median percentage theoretically, authors would have had the opportunity to read across reviewers. A scoring disagreement for an item was de- the STARD guidelines, which were published 3 years earlier, fined as occurring when at least one reviewer provided a different and follow its recommendations in their submission. The search score from the others. strategy included the use of the recommended medical subject headings of sensitivity and specificity for PubMed searches of RESULTS diagnostic accuracy studies (item 1 in the STARD checklist); the use of the term validation, which is often used in reference Description of Studies to the OIE pathway (OIE 2013); the classification of infectious Out of the 11 studies, 10 were for viral infections (including diseases of finfish as viral, bacterial, or parasitic; and a list of three listed by OIE: infectious salmon anemia, viral hemor- some specific diseases and tests used to diagnose them. The fol- rhagic septicemia, and infectious hematopoietic necrosis) and lowing search terms were used alone or in combination: sensitiv- 1 was for the myxosporean parasite Parvicapsula minibicor- ity, specificity, diagnostic, test agreement, validation, accuracy, nis. All studies involved the evaluation of PCR (sometimes reproducibility, repeatability, viral disease, bacterial disease, with other tests) with or without a reference test. In 7 stud- parasitic disease, infectious salmon anemia, viral hemorrhagic ies, tests were evaluated in Atlantic Salmon Salmo salar, and septicemia, infectious hematopoietic necrosis, infectious pan- 4 studies included other species, such as European Sea Bass creatic necrosis, heart and skeletal muscle inflammation, pan- Dicentrarchus labrax (also known as European Bass Morone creas disease, sleeping disease, Kudoa, PCR, RT-PCR (reverse labrax), Gilthead Seabream Sparus auratus, Rainbow Trout On- transcription PCR), ELISA (enzyme-linked immunosorbent as- corhynchus mykiss, Brown Trout Salmo trutta, Chinook Salmon say), IFAT (indirect fluorescent antibody test), virus isolation, Oncorhynchus tshawytscha, and Arctic Char Salvelinus alpinus. fish, and salmon. There were 8 studies that used field samples only, 2 that used Of the 66 papers identified in the initial screening, 54, 6, and experimental samples, and 1 that used both. All studies evalu- 6 were for viral, bacterial, and parasitic diseases, respectively. ated samples collected postmortem. Out of the 11 studies, 2 in- There were 49 papers that were excluded mostly because they cluded the evaluation of the reproducibility of test results among were descriptions of the development and optimization of tests, laboratories (item 13). the application of tests in observational studies, and the use of existing diagnostic tests in new ways (e.g., nonlethal sampling) Completeness of Reporting and Relevance of Items or with modified protocols (e.g., PCR). None of these studies The frequency of reporting items by reviewer and the median had estimates of test accuracy. Out of the 66 studies, 17 were percentage of yes scores are presented in Table 1. Out of the 25 deemed appropriate for further evaluation because they were items, 10 (items 2–8, 13, 24, and 25 in Table 1) were consistently test accuracy studies that used either experimentally challenged reported in most (≥80%) papers, but the reporting of the other fish or samples from either wild or cultured fish populations. Six items was variable and mostly in the 30–60% range. “Blinding studies were subsequently excluded because they were limited of test readers” (item 11) was only reported in 20% of the stud- to the estimation of analytical characteristics (e.g., repeatability, ies. Three items (item 10 [number, training, and expertise of limit of detection) without estimation of diagnostic sensitivity readers and testers], item 17 [time interval between index tests and specificity. and reference standard], and item 22 [handling of indetermi-
Downloaded by [Department Of Fisheries] at 00:12 17 November 2014 The 11 papers that met the inclusion criteria (Knusel¨ et al. nate results, missing data, and outliers of the index tests]) were 2007; Gustafson et al. 2008; McClure et al. 2008; Nerette´ et al. reported in less than 10% of the papers. For item 22 (missing 2008; True et al. 2009; Abayneh et al. 2010; Jansen et al. 2010; data and outliers), the required information was occasionally Garver et al. 2011; Hodneland et al. 2011; Caraguel et al. 2012; in tables of results but was not mentioned explicitly in the text. Jonstrup et al. 2013) were evaluated by two of us (I.G. and T.B.). Reporting of item 20 (adverse effects from performing the index The third reviewer (C.C.) scored 10 out of 11 papers to avoid po- test or reference standard) was not considered to be applicable tential conflict of interest because of authorship (Caraguel et al. by reviewers because all testing was done on postmortem sam- 2012). All reviewers were familiar with STARD before doing ples, and two out of the three reviewers also considered that the evaluation. Papers were independently evaluated according item 17 was not applicable for the same reason. to the STARD checklist, and the 25 items (Table 1) were scored as “yes,” “no,” or “not applicable” (NA), depending on whether Variability in Reporting Frequency and Disagreements the authors had reported the pertinent information. For the three among Reviewers items on the checklist that have the qualifier “if done” (“methods Reporting frequency (Table 1), which was calculated using for calculating test reproducibility,” “estimates of reproducibil- only yes and no scores, was similar among reviewers for most ity,” and “estimates of variability of diagnostic accuracy”), NA items (22 out of the 25 items) and ranges were mostly less than 208 GARDNER ET AL.
the unit of interest often is a group of fish rather than individ- ual animals. Groups of fish are clustered within the housing unit (net-pen or tank) and within a farm or site when there are multiple housing units. Hence, the assessment of accuracy may be at the population level rather than the individual fish level, necessitating the inclusion of descriptions of the pen and site and the assessment of whether clinical signs, including elevated mortality, were evident at the population level or not. These population-level components have been added to item 14 for paratuberculosis in ruminants (Gardner et al. 2011), but other STARD items (e.g., items 17 and 20) need modification for fin- fish because noninvasive detection methods are rarely used and FIGURE 1. Frequency of disagreements among three reviewers in “yes,” “no,” most testing is based on postmortem samples. and “not applicable” classifications of the STARD checklist items (see Table Experimental challenge studies are not used for test accuracy 1) for 11 test accuracy studies in finfish that were published between 2006 and 2012. studies of infectious diseases in humans, but they may be the only source of samples for similar assessments in finfish. Inter- 20%. Ranges of ≥ 50% among reviewers were evident in two estingly, although challenge studies are not explicitly considered items: item 7 (reference standards and its rationale) had a range in STARD, the most relevant items related to experimental an- of 60% and item 13 (methods for calculating test reproducibility, imals (items 3–6) were well reported even in the absence of if done) had a range of 50%. This high variability was due to specific guidelines about critical information to be included in differences in the frequency of yes and NA scores. For example a manuscript. for item 7, one reviewer scored this item as NA in 4 out of the 11 Findings in the present study indicated highly variable report- studies when latent class analysis (Branscum et al. 2005) was ing (0–100%) of the 25 STARD items in the 11 eligible studies, used for estimation of diagnostic sensitivity and specificity when as evaluated by the median percentage of yes scores. Although the reference standard (e.g., virus isolation) was imperfect. The the three reviewers were familiar with STARD, their classifi- other two reviewers recorded this item as NA in 0 and 2 studies. cation of items was not always consistent. Disagreements were The ranking of disagreement percentages for individual items mostly between the no and NA categories and less frequently on a paper-by-paper basis yielded slightly different findings between yes and no categories. Items for which NA scores were (Figure 1), with the highest percentages of disagreements occur- recorded (items 7, 13, 14, 17, 20, and 24) likely require addi- ring for item 17 (time interval between index tests and reference tional explanation or modification. In the present study, we did standard) at 91% and item 7 (reference standard and its ratio- not attempt to reach a consensus of the reviewers using an it- nale) at 64%. For both items, most disagreements were between erative Delphi technique process or use a pseudo-gold standard no and NA scores, indicating confusion about item relevance. (e.g., two of three reviewers agreeing) as the definitive criterion, Across the 11 papers, three items (6, 20, and 25) had the com- and this approach may have yielded different findings. Dis- plete agreement of the three reviewers and another eight items agreements among reviewers not familiar with STARD may be (2–5, 8, 10, 11, and 24) had a single disagreement. greater because of the lack of awareness of the overall purpose of STARD and the reasons for each of the checklist items. Many of the identified reporting deficiencies in the 11 stud- DISCUSSION ies could be easily rectified without substantial increases in
Downloaded by [Department Of Fisheries] at 00:12 17 November 2014 The OIE Manual describes a pathway, including some design manuscript length (e.g., item 1 [identifying the article as a study considerations, to guide the validation of tests for important in- of diagnostic accuracy], item 10 [number, training, and exper- fectious diseases of aquatic animals (OIE 2013). The estimation tise of readers and testers], item 11 [blinding of readers], and of diagnostic sensitivity and specificity is an important step in item 22 [how indeterminate results, missing data, and outliers the pathway. Additional guidance for quantitative PCR tests is of index tests were handled]). Other changes, such as recom- provided in Purcell et al. (2011). The focus of the present study mendations for reporting diagnostic sensitivity and specificity was the quality of the reporting of the test accuracy or valida- estimates from a latent class analysis, description of the unit of tion study rather than its design. Our inclusion criteria restricted interest, and description of the sampling design, may require evaluation to published studies in which test accuracy (diag- additional paragraphs. nostic sensitivity and specificity) was evaluated, irrespective of In summary, a modified version of STARD is needed to whether the OIE validation pathway was followed or not. improve the reporting quality of finfish test validation studies. The original focus of STARD was the reporting quality of Modified guidelines that are appropriate for finfish, and per- test accuracy studies in individual human patients presenting haps for mollusks and crustaceans, would be helpful for authors with clinical symptoms of disease and whose follow-up testing submitting papers and for reviewers and journal editors during depended on the preceding test results. In finfish aquaculture, the review process. Modifications are also needed to address COMMUNICATION 209
data from both experimental and field studies because the for- Gustafson, L., S. Ellis, D. Bouchard, T. Robinson, F. Marenghi, J. Warg, mer may be an important source of samples for the evaluation and C. Giray. 2008. Estimating diagnostic test accuracy for infectious of test accuracy. The methodological quality of the study, as salmon anaemia virus in Maine, USA. Journal of Fish Diseases 31:117– 125. evaluated using the quality assessment for diagnostic accuracy Hodneland, K., R. Garcia, J. A. Balbuena, C. Zarza, and B. Fouz. 2011. Real-time studies (QUADAS) tool guidelines (Whiting et al. 2011), was RT-PCR detection of betanodavirus in naturally and experimentally infected not assessed in the present study because of the small sample fish from Spain. Journal of Fish Diseases 34:189–202. size and because, to our knowledge, there are no published sys- Jansen, M. D., M. A. Wasmuth, A. B. Olsen, B. Gjerset, I. Modahl, O. 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Journal of Aquatic Animal Health Publication details, including instructions for authors and subscription information: http://www.tandfonline.com/loi/uahh20 Chronic Pathology and Longevity of Drepanocephalus spathans Infections in Juvenile Channel Catfish Matt J. Griffina, Lester H. Khooa, James M. Steadmana, Cynthia Warea, Sylvie M. Quinioub, Charles C. Mischkec, Terrence E. Greenwayc & David J. Wisec a Thad Cochran National Warmwater Aquaculture Center, Aquatic Research and Diagnostic Laboratory, College of Veterinary Medicine, Mississippi State University, Post Office Box 197, Stoneville, Mississippi 38776, USA b U.S. Department of Agriculture, Agricultural Research Service, Thad Cochran National Warmwater Aquaculture Center, Warmwater Aquaculture Research Unit, 127 Experiment Station Road, Post Office Box 38, Stoneville, Mississippi 38776, USA c Thad Cochran National Warmwater Aquaculture Center, Mississippi Agriculture and Forestry Experiment Station, Delta Research and Extension Center, 127 Experiment Station Road, Post Office Box 197, Stoneville, Mississippi 38776, USA Published online: 17 Sep 2014.
To cite this article: Matt J. Griffin, Lester H. Khoo, James M. Steadman, Cynthia Ware, Sylvie M. Quiniou, Charles C. Mischke, Terrence E. Greenway & David J. Wise (2014) Chronic Pathology and Longevity of Drepanocephalus spathans Infections in Juvenile Channel Catfish, Journal of Aquatic Animal Health, 26:4, 210-218, DOI: 10.1080/08997659.2014.938869 To link to this article: http://dx.doi.org/10.1080/08997659.2014.938869
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Chronic Pathology and Longevity of Drepanocephalus spathans Infections in Juvenile Channel Catfish
Matt J. Griffin,* Lester H. Khoo, James M. Steadman, and Cynthia Ware Thad Cochran National Warmwater Aquaculture Center, Aquatic Research and Diagnostic Laboratory, College of Veterinary Medicine, Mississippi State University, Post Office Box 197, Stoneville, Mississippi 38776, USA Sylvie M. Quiniou U.S. Department of Agriculture, Agricultural Research Service, Thad Cochran National Warmwater Aquaculture Center, Warmwater Aquaculture Research Unit, 127 Experiment Station Road, Post Office Box 38, Stoneville, Mississippi 38776, USA Charles C. Mischke, Terrence E. Greenway, and David J. Wise Thad Cochran National Warmwater Aquaculture Center, Mississippi Agriculture and Forestry Experiment Station, Delta Research and Extension Center, 127 Experiment Station Road, Post Office Box 197, Stoneville, Mississippi 38776, USA
Abstract Drepanocephalus spathans (Digenea: Echinostomatidae) is a common parasite of the double-crested cormorant Phalacrocorax auritus. The cercariae of D. spathans have been shown infective to juvenile Channel Catfish Ictalurus punctatus. The developing metacercariae concentrate in the cranial regions, often occluding blood vessels at the base of the branchial arch, occasionally resulting in death. The purpose of this study was to determine how long metacercariae of D. spathans persist in experimentally challenged Channel Catfish. Two separate infectivity trials were conducted. In both trials, metacercariae persisted at least 49 d postinfection, although prevalence and intensity of infection decreased over time. In the first trial, juvenile catfish (1–3 g) were exposed over three consecutive days to 100, 100, and 80 cercariae/fish/d, respectively. Fish were sampled 7 d after the final exposure, and metacercariae were observed in 83.3% (five of six) of challenged fish. At 21 d postexposure, metacercariae were present in only 50% of exposed fish (three of six). No metacercaria were observed in fish sampled at 35 d, however, metacercariae were present in one of six (16.7%) fish sampled 49 and 70 d postexposure, respectively. A second challenge consisted of a 24-h pooled exposure of 500 cercariae per fish. Again, metacercariae were present in most (six of seven; 85.7%) fish Downloaded by [Department Of Fisheries] at 00:13 17 November 2014 at 7 d postexposure. At 21 d postexposure, metacercariae were only evident in one of seven (14.3%) sampled fish. No metacercariae were present in any fish at 35 d postchallenge, yet one of seven (14.3%) fish was positive at 49 d postchallenge. The second study was terminated at 63 d postchallenge, as all fish sampled (n = 14) were negative for metacercariae. These data suggest that cercariae of D. spathans are infective to juvenile Channel Catfish, although the infection appears short lived as metacercariae rarely persisted longer than 2 months.
Trematodes of the subclass Digenea are commonly associ- great egret Ardea alba, the great blue heron Ardea herodias, ated with catfish aquaculture in the southeastern United States the American white pelican Pelecanus erythrorhynchos, and the (Overstreet and Curran 2004). The readily available source of double-crested cormorant Phalacrocorax auritus. In addition, fish attracts large numbers of piscivorous birds, namely the unless routine control measures are employed, most operations
*Corresponding author: griffi[email protected] Received February 14, 2014; accepted May 30, 2014 210 DREPANOCEPHALUS SPATHANS IN CHANNEL CATFISH 211
have an abundance of potential snail intermediate hosts (Glahn used for this study. Snails shedding other trematode cercariae, and King 2004; Wise et al. 2004). As a result, digeneans are or harboring mixed infections, were excluded from the ex- commonly associated with catfish aquaculture and have been posure pool. Prior to challenge, all water was removed from linked to significant production losses since the discovery of each snail vial and replaced with fresh pond water. Snails Bolbophorus damnificus (Digenea: Bolbophoridae) in the late actively shedding cercariae of D. spathans were incubated 1990s (Venable et al. 2000; Levy et al. 2002; Overstreet et al. overnight at 27◦C. Following overnight incubation, all newly 2002; Terhune et al. 2002; Wise et al. 2008b). released cercaria were pooled and counted prior to challenge, The trematode Drepanocephalus spathans (Digenea: ensuring all cercariae used in fish exposures were less than Echinostomatididae) is a common intestinal parasite of the 24-h-old. double-crested cormorant (Flowers et al. 2004; Robinson et al. Longevity trial: 2012.—Fish were challenged in six 3.8-L 2008; Wagner et al. 2012). The parasite is highly prevalent containers (three challenge, three control) holding 3-L filtered within cormorant populations in the catfish farming region of pond water supplied with constant aeration. Twenty juvenile the Mississippi Delta, evident by a recent survey, which found D. Channel Catfish (1–3 g) were placed in each container. Fish spathans in 91% of birds sampled (O’Hear et al. 2014). More- were challenged with 100, 100, and 80 cercariae per fish over 3 over, recent research has shown the cercariae of D. spathans, d, respectively. Each day, cercariae were pooled, counted, and released by the marsh rams-horn snail Planorbella trivolvis, added to each challenge container. After 24 h, a complete water are infective to juvenile Channel Catfish Ictalurus punctatus. exchange was performed before adding new cercariae. On the In experimental challenges, metacercariae were observed in the fourth day, fish from each group were transferred to six differ- cranial region of infected fish, demonstrating an affinity for the ent aquaria and maintained in 20-L well water (27◦C), under branchial chamber, often found within, or adjacent to, blood flow-through conditions (1 L/min), with constant aeration. To vessels of the branchial arch. Metacercariae within or adjacent minimize growth, feeding consisted of a maintenance ration of to blood vessels may inhibit the fish’s ability to carry out nor- commercial feed delivered once weekly. Two fish were ran- mal physiological processes and in heavy infections can result domly sampled from each aquarium on 7, 21, 35, 49, and 70 d in death (Griffin et al. 2012). This would suggest D. spathans after the last challenge dose was administered. may have limiting effects on Channel Catfish production in the Longevity trial: 2013.—Fish were challenged in eight 3.8-L Mississippi Delta, similar to what has been observed for other containers (seven challenge, one control) holding 3-L filtered digeneans (Labrie et al. 2004; Overstreet and Curran 2004; Wise pond water with constant aeration. Twenty juvenile Channel et al. 2008b). Catfish (1–3 g) were placed in each container. Fish were chal- There is substantial variability in how long trematode metac- lenged with 500 cercariae per fish for 24 h. Prior to challenge, ercariae persist in fish hosts, ranging from months to years (Fis- cercariae were pooled, counted, and added to each challenge chthal 1949; Hoffman 1950, 1956, 1958; Hoffman and Putz container. After 24 h, fish from each group were transferred, 1965; Lemly and Esch 1983; Ferguson et al. 2010). In Channel respectively, to aquaria (seven challenge tanks, one control) and Catfish, metacercariae of Clinostomum marginatum were found maintained as above. One fish was randomly sampled from each 45 months postinfection, while those of B. damnificus have been aquarium at 7, 21, 35, and 49 d postchallenge. Two fish were observed for up to 30 months following experimental challenge sampled from each aquarium at 63 d postchallenge to determine (Mitchell et al. 2011). The purpose of this study was to determine if the trial needed to continue. how long metacercariae of D. spathans persist in experimentally Histological analysis.—All fish were initially fixed in a 10% challenged Channel Catfish and how long lesions are associated solution of neutral buffered formalin for at least 24 h. Tissues infections. were then decalcified in Cal-Ex solution (Fisher Scientific, Fair
Downloaded by [Department Of Fisheries] at 00:13 17 November 2014 Lawn, New Jersey) until the calcified portions were pliable upon manipulation. Decalcified tissues were then rinsed in running METHODS water for a minimum of 3 h before being trimmed. Fish were Snail collection.—In 2012 and again in 2013, marsh rams trimmed in ∼5-mm cross sections starting rostrally and moving horn snails (n = 800) were collected from commercial catfish caudally, with small adjustments to thickness to ensure all major ponds with large numbers of snails. Snails were individually organs were sampled. Thinner sections were made for the head placed in glass scintillation vials with 10-mL filtered pond wa- region to ensure multiple sections through the branchial cham- ter and incubated overnight at 27◦C. All pond water used in ber, identified in previous experiments as a predilection site for this study was collected from an enclosed reservoir pond at the metacercariae. Tissues were processed routinely, embedded the Thad Cochran National Warmwater Aquaculture Facility in paraffin, sectioned at approximately 4 µm, stained with hema- in Stoneville, Mississippi, and passed through a 20-micron ny- toxylin and eosin (HE), and examined using light microscopy. lon mesh prior to use. The echinostomatid xiphidiocercariae of Tissue sections were examined with a BX-50 Olympus mi- Drepanocephalus spathans were identified based on the char- croscope (Olympus Optical, Tokyo, Japan), and representative acteristic morphology and motility described by Griffin et al. images were captured with an Olympus DP72 camera and DP2- (2012). Only snails shedding cercariae of D. spathans were TWAIN–cellSens software (Olympus Optical). 212 GRIFFIN ET AL.
Molecular identification.—Morphological identification was purified directly using the QIAquick columns (Qiagen). Purified confirmed by sequencing the cytochrome c oxidase subunit 1 PCR products were then sequenced directly, from both strands, (CO1) gene. Briefly, for each infectivity trial, genomic DNA using ABI BigDye chemistry (Applied Biosystems, Foster City, was isolated from three separate pools of five cercariae using California), alcohol precipitated, and run on an ABI Prism 3730 a commercial DNA isolation kit, following the manufacturer’s automated sequencer (Applied Biosystems). suggested protocol for animal tissues and eluted in 100 µLof Contiguous sequences were assembled using the correspond- elution buffer (DNEasy Blood and Tissue Kit; Qiagen, Valencia, ing chromatograms and the SeqMan utility of the Lasergene California). software package (DNAStar, Madison, Wisconsin). Obtained Initial amplification of the CO1 fragment was performed sequences were compared with published CO1 sequences of D. using the forward primer, JB3 (5-TTT TTT GGG CAT CCT spathans deposited in GenBank (JN993267; JN993266; Griffin GAG GTT TAT-3), and the reverse primer, JB13 (5-TCA TGA et al. 2012). AAA CAC CTT AAT ACC-3; Bowles et al. 1995; Morgan µ and Blair 1998). The 50- L amplification reactions consisted of RESULTS 25 µL EconoTaq PLUS GREEN 2 × master mix, 20 pmol each primer, 5 µL resuspended gDNA, and nuclease-free water to Longevity Trial: 2012 volume. Thermal cycling conditions consisted of an initial de- Minimal mortalities (10/60 fish; 16.7%) occurred sporadi- naturation of 95◦C for 5 min; 45 cycles of 95◦C for 30 s, 48◦C cally throughout the study, with most deaths occurring in the for 30 s, 72◦C for 45 s; and a final extension of 72◦Cfor5min. first 7 d postchallenge. It was assumed post mortem decompo- Aliquots from each amplification reaction were visualized af- sition and tankmate cannibalism would confound subsequent ter electrophoretic migration through a 1.5% agarose gel con- histopathological analysis. As such, dead fish were not exam- taining ethidium bromide (0.5 µg/mL) to confirm the presence ined. At the first sampling, 7 d postexposure, metacercariae of appropriate-sized bands (∼260 bp). The PCR products were were observed in five of six (83.3%) challenged fish. Encysted Downloaded by [Department Of Fisheries] at 00:13 17 November 2014
FIGURE 1. Bilateral metacercariae (arrows) surrounded by a mononuclear inflammatory infiltrate within the medial portion of the branchial chamber (7 d postchallenge). Note the inflammatory infiltrate here is poorly organized at this stage (bar ∼200 µm). [Color figure available online.] DREPANOCEPHALUS SPATHANS IN CHANNEL CATFISH 213
FIGURE 2. Metacercaria (arrow) at the base of the gill arch (7 d postchallenge; bar ∼200 µm). [Color figure available online.]
metacercariae were limited to the cranial region, infecting the tric rings of fibrocytes and flattened epithelioid macrophages, branchial chamber (medial surface at the level of the esophagus; and had a necrotic core with no metacercaria present. At 70 d Figure 1), the base of the gill arch (Figure 2), and the subdermal postchallenge, one fish had mature granulomas at the gill base periocular tissue. These encysted parasites were often accom- (Figure 5). These granulomas, like those described above, were panied by a mild mononuclear inflammatory infiltrate. well circumscribed with concentric rings of fibrocytes, epith- At 21 d postexposure, metacercariae were observed in three eloid macrophages, and other mononuclear inflammatory cells of six (50%) challenged fish. These encysted metacercariae were surrounding the metacercaria or necrotic debris. No signs of Downloaded by [Department Of Fisheries] at 00:13 17 November 2014 in apposition to the external surface of the neurocranium (frontal parasitism were noted in any other challenged fish. At this point, bone) and just beneath the somatic musculature and dermis the study was terminated. Metacercariae were not observed in (Figure 3) as well as in the subdermal tissues just below the any control fish, and no control fish died during the study. operculum at the base of the cleithrum. They were also present at the base of the gill arch and the thin layer of musculature on the inner surface of the urohyal bone at the base of the Longevity Trial: 2013 branchial chamber. Again, these parasites were often accom- Again, mortalities (32/140; 22.9%) occurred sporadically panied by a minimal-to-mild mononuclear inflammatory infil- throughout the study, although most deaths occurred in the trate. No metacercariae were observed in any fish sampled 35 d first 7 d postchallenge. Similar to the earlier challenge, dead postchallenge. At 49 d postchallenge, one of six (16.7%) chal- fish were not examined due to poor post mortem condition. lenged fish had an encysted metacercaria in the suborbital bone At 7 d postchallenge metacercaria were present in six of at the dorsal surface close to the eye (Figure 4). One fish also had seven (85.7%) challenged fish. Developing metacercariae were a mature, well-organized granuloma attached to the outer surface mainly limited to the head (gill base, subdermal, or within of the bulbus arteriosus. This granuloma consisted of concen- bone [intraosseous], and also submucosal in the pharyngeal 214 GRIFFIN ET AL.
FIGURE 3. Metacercaria (arrow) in apposition to the external surface of the neurocranium (frontal bone) and just beneath the somatic musculature and dermis near the eye with minimal associated inflammatory response (21 d postchallenge). The adjacent empty cystic structure is indicative of a metacercaria that has resolved or was lost during processing (bar ∼200 µm). [Color figure available online.]
region). A mild-to-moderate mononuclear inflammatory to determine if the trial needed to proceed. No metacercariae infiltrate was associated with these developing metacercariae, or resolving granulomas were observed in any challenged fish which was sometimes more organized and included epithelioid (n = 14). At this point, the trial was terminated. As before, macrophages to form well-circumscribed granulomas. At 21 d metacercariae were not observed in any control fish, and no postchallenge, developing metacercariae were evident in only control fish died during the study. one (14.2%) experimentally challenged fish. Two metacercariae
Downloaded by [Department Of Fisheries] at 00:13 17 November 2014 were observed in the cranial region together with a mild mononuclear inflammatory infiltrate. There were no metacercariae in any fish sampled 35 d Molecular Identification postchallenge. However, one fish had a granuloma within the The CO1 sequences obtained from cercariae used in these tissue adjacent to the branchial cavity, at the level of the heart. challenges matched (261/261 bp; 100%) the CO1 sequence from Concentric rings of inflammatory cells had filled in the central an adult specimen of D. spathans collected from a double- portion of the granuloma, which appeared to be resolving. There crested cormorant in Yazoo County, Mississippi (GenBank was no metacercaria within this granuloma. At 49 d postchal- JN993266; Griffin et al. 2012). These sequences were also lenge, one metacercaria was observed in one of seven (14.2%) highly similar (260/261 bp; 99.7%) to COI sequences from sampled fish. The metacercaria in this fish appeared to be intact cercaria released by marsh rams horn snails collected from a (nondisrupted tegument and internal structures) and within a commercial catfish operation in Humphrey’s County, Missis- mature granuloma, which was in the space between the olfac- sippi (GenBank JN993267; Griffin et al. 2012). The next most tory lobe and the cartilaginous portion of the skull, at the level similar sequence (221/258; 85.6%) available for comparison of the nares. Based on the observations in experimental trial 1, was from an unidentified Echinostoma sp. from Australia (Gen- two fish were sampled from each tank at 63 d postchallenge Bank AF025827; Morgan and Blair 1998). DREPANOCEPHALUS SPATHANS IN CHANNEL CATFISH 215
FIGURE 4. Metacercaria within the suborbital bone with minimal inflammatory response (49 d postchallenge; bar ∼200 µm). [Color figure available online.]
DISCUSSION persist in the catfish host as long as C. marginatum or B. damnifi- These data support previous findings indicating D. spathans cus, on rare instances the metacercariae were observed as late cercariae are infective to juvenile Channel Catfish, although this as 70 d postchallenge. During early stages of infection, encap- infection appears to be short lived. In both trials, multiple metac- sulated metacercariae and the associated inflammatory process ercariae were observed in challenged fish, confined mainly to were observed in many tissues; however, as the trials progressed, the subdermal connective tissues and muscles around the head, metacercaria were limited to the bones or cartilage of the neu- in close apposition or within the bones of the neurocranium, or rocranium, suggesting bone or cartilage may provide protection in tissues at the base of the gill arch. As the study continued, the against host defenses as immunoprivileged sites, with metacer- Downloaded by [Department Of Fisheries] at 00:13 17 November 2014 number of positive fish, as well as the number of metacercariae, cariae developing in other tissues exposed to the hosts responses decreased. In both studies, parasite presence was limited to just and more readily broken down. 5 weeks postchallenge and by 9 weeks postchallenge was nearly Predilection to the fish host cranial region has been reported nonexistent. for several digenetic trematodes infecting fish. Encystment in The longevity of trematode metacercariae has been well stud- the luminal surfaces of the buccal cavity and the gill arch is not ied for several parasite species and their respective fish hosts limited to D. spathans (Anderson and Cribb 1994; Olsen and (Fischthal 1949; Hoffman 1950, 1956, 1958; Hoffman and Putz Pierce 1997; Velez-Hern´ andez´ et al. 1998; Mitchell et al. 2000), 1965; Lemly and Esch 1983; Ferguson et al. 2010; Boerlage and neither is encystment in the cranial cavity. Metacercaria et al. 2013). In general, metacercaria of digeneans persist for have been reported from the brian ventricles (Mueller 1972); extended periods of time, maximizing the chance for transmis- the interlobular infoldings, ventricular cavities, and external sion to the definitive host by extending the availability to op- meninges (Siegmund et al. 1997); the cerebellum, medulla portunistic predation. In Channel Catfish, the metacerceriae of oblongata, and optic lobes (Barber and Crompton 1997; Dezfuli C. marginatum and B. damnificus persist for several years (Ed- et al. 2007); the cranial fluid surrounding the brain (Johnston ney 1940; Mitchell et al. 2011). Although D. spathans does not and Halton 1981); the neural tissue within and on the surface of 216 GRIFFIN ET AL.
FIGURE 5. Two mature granulomas, close to the base of the gills, one of which contains a metacercaria (70 d postchallenge); this illustrates resolving infection (bar ∼500 µm). [Color figure available online.]
the brain (Heckman 1992); tissues of the optic tecta and valvula 2008b). This study demonstrates the pathology associated with cerebelli (Sandland and Goater 2001); and the adipose tissue D. spathans infection is primarily limited to the acute stages surrounding the brain (Zhokhov et al. 2010). However, no of infection. Consistent with previous findings (Griffin et al. reports list encystment in the neurocranial bone and cartilage, 2012), mortality occurred in fish exposed to D. spathans, while or gill arch base, as reported previously for D. spathans (Griffin no control fish died. However, most mortality occurred within et al. 2012) and observed here. Moreover, there are limited the first 7 d postexposure and the infection appears to start re- reports of intraosseus metacercariae development in fish. Taylor solving as early as 7-21 d postinfection. This would indicate the
Downloaded by [Department Of Fisheries] at 00:13 17 November 2014 et al. (1994) reported associations between the metacercariae observed mortality is associated with acute stages of infection of Apophallus brevis and ectopic ossicles in Yellow Perch with D. spathans and removing the source of infection results Perca flavescens. Similarly, Kent et al. (2004) identified an in recovery of infected fish. This has been demonstrated for Apophallus sp. causing vertebral deformities in cyprinid other parasites associated with farm-raised catfish (Wise et al. fishes in the Willamette River, Oregon, noting the parasite 2008a, 2013). As a result, reducing or limiting the intermediate elicited proliferation of existing bone and actually penetrated snail host in production systems, similar to management prac- vertebrae. Although not unique, intraosseus development of the tices employed to control B. damnificus on farm-raised catfish, metacercariae of D. spathans and predilection to the bones of should also limit the impact of D. spathans on catfish aquacul- the neurocranium and the tissues at the base of the gill arch ture (Wise et al. 2004, 2006). appears to be uncommon among digeneans reported from fish. The Channel Catfish is an important aquaculture species in the southeastern United States, with significant production ACKNOWLEDGMENTS losses attributed to digeneans (Venable et al. 2000; Labrie et al. The authors would like to thank Holly Whitehead and 2004; Overstreet and Curran 2004; Wise et al. 2004; Wise et al. Kyle Christopher for their technical assistance. This work was DREPANOCEPHALUS SPATHANS IN CHANNEL CATFISH 217
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Journal of Aquatic Animal Health Publication details, including instructions for authors and subscription information: http://www.tandfonline.com/loi/uahh20 Observations on Side-Swimming Rainbow Trout in Water Recirculation Aquaculture Systems Christopher Gooda, John Davidsona, Christin Kinmana, P. Brett Kenneyb, Grete Bæverfjordc & Steven Summerfelta a The Conservation Fund's Freshwater Institute, 1098 Turner Road, Shepherdstown, West Virginia 25443, USA b Division of Animal and Nutritional Sciences, West Virginia University, Morgantown, West Virginia 26506-6108, USA c Nofima Marin, Sjølseng N-6600, Sunndalsøra, Norway Published online: 17 Sep 2014.
To cite this article: Christopher Good, John Davidson, Christin Kinman, P. Brett Kenney, Grete Bæverfjord & Steven Summerfelt (2014) Observations on Side-Swimming Rainbow Trout in Water Recirculation Aquaculture Systems, Journal of Aquatic Animal Health, 26:4, 219-224, DOI: 10.1080/08997659.2014.938870 To link to this article: http://dx.doi.org/10.1080/08997659.2014.938870
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Observations on Side-Swimming Rainbow Trout in Water Recirculation Aquaculture Systems
Christopher Good,* John Davidson, and Christin Kinman The Conservation Fund’s Freshwater Institute, 1098 Turner Road, Shepherdstown, West Virginia 25443, USA P. Brett Kenney Division of Animal and Nutritional Sciences, West Virginia University, Morgantown, West Virginia 26506-6108, USA Grete Bæverfjord Nofima Marin, Sjølseng N-6600, Sunndalsøra, Norway Steven Summerfelt The Conservation Fund’s Freshwater Institute, 1098 Turner Road, Shepherdstown, West Virginia 25443, USA
Side swimming is an understudied anomaly occasionally ex- Abstract hibited by various fish species under intensive culture condi- During a controlled 6-month study using six replicated water tions (Branson and Turnbull 2008). Side swimmers swim in a recirculation aquaculture systems (WRASs), it was observed that coordinated manner but are oriented abnormally in the water Rainbow Trout Oncorhynchus mykiss in all WRASs exhibited a higher-than-normal prevalence of side swimming (i.e., controlled, column (Figure 1), such that their dorsal and ventral aspects forward swimming but with misaligned orientation such that the are approximately perpendicular to the direction of gravity. De- fish’s sagittal axis is approximately parallel to the horizontal plane). spite the change in orientation, side swimmers appear to con- To further our understanding of this abnormality, a substudy was sume feed well and grow similarly to normally swimming fish. conducted wherein side swimmers and normally swimming fish The authors have observed side-swimming fish in a variety of were selectively sampled from each WRAS and growth perfor- mance (length, weight), processing attributes (fillet yield, visceral aquaculture settings, including flow-through raceways, circu- index, ventrum [i.e., thickness of the ventral “belly flap”] index), lar tanks in water recirculation aquaculture systems (WRASs), blood gas and chemistry parameters, and swim bladder morphol- and freshwater net-pens. The authors are familiar with several ogy and positioning were compared. Side swimmers were found commonly held beliefs concerning the reason(s) for side swim- to be significantly smaller in length and weight and had less fillet ming, including swim bladder malformation, increased intra- yield but higher ventrum indices. Whole-blood analyses demon- coelomic adipose tissue, increased adipose tissue deposition in Downloaded by [Department Of Fisheries] at 00:14 17 November 2014 strated that, among other things, side swimmers had significantly lower whole-blood pH and higher PCO2. Side swimmers typically the ventral connective tissue (i.e., the “belly-flap”), and pro- exhibited swim bladder malformations, although the positive pre- longed exposure to rotational water currents in circular tanks; dictive value of this subjective assessment was only 73%. Overall, however, very little scientific research has been carried out to this study found several anatomical and physiological differences investigate these theories or to characterize the basic differ- between side-swimming and normally swimming Rainbow Trout. Given the reduced weight and fillet yield of market-age side swim- ences between side-swimming and normally swimming fish. In mers, producers would benefit from additional research to reduce one of the few studies documenting side swimming, Davidson side-swimming prevalence in their fish stocks. et al. (2011a) found that side swimming was exacerbated in Rainbow Trout Oncorhynchus mykiss cultured in WRASs with