This research aimed to investigate the biodiversity of Flavobacterium species and the aetiology of flavobacterial diseases in Slovene farmed rainbow trout (Oncorhynchus mykiss) throughout all seasons, assess the impact of infection on fish health by qualitative and semiquantitative evaluation of gross and histopathological lesions, determine antimicrobial susceptibility of flavobacteria using the standardised broth microdilution method and evaluate associations between water temperature, pH, dissolved oxygen, and flavobacterial infections. A total of 540 rainbow trout were sampled, namely longitudinally across all seasons in two farms and in two additional farms following mortality reports. We confirmed the presence of two known pathogens, Flavobacterium psychrophilum and Flavobacterium branchiophilum, in 23.7% and 2.04% of fish, respectively, and described associated pathological lesions. Our results also show that F. hercynium and F. hydatis can cause pathological lesions in fish. Numerous other lesser-known flavobacteria and 41 putative new species were identified, although their pathogenic potential remains to be clarified. Antimicrobial susceptibility testing revealed that Flavobacterium species were predominantly multidrug-resistant. F. psychrophilum showed high non-wild-type frequencies for oxytetracycline and quinolones and high minimum inhibitory concentrations (MICs) for ceftazidime and trimethoprim/sulfamethoxazole. However, all isolates were wild type for florfenicol. Lesser-known species exhibited high MICs across at least three antimicrobial classes, and some for all 10 antimicrobials tested. Adjustment of the standardised method for F. psychrophilum enabled successful testing of F. branchiophilum and other fastidious flavobacteria. F. psychrophilum infections were associated significantly with elevated water pH at the inlet and winter season. In contrast, F. branchiophilum infections correlated with increased water temperatures, decreased dissolved oxygen at the outlet, and the summer season. This research contributes to a better understanding of flavobacterial infections in Slovene aquaculture, enables informed strategies for disease treatment and control, and provides a foundation for future studies on flavobacterial biodiversity and their impact on fish health.
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