Pivotal Dose-titration Studies to Evaluate the Efficacy of Oxytetracycline-HCL Bath Immersion to Control Mortality Associated with External Flavobacter Infections on Cool- and Warmwater Fish Cultured at Hatcheries External bacterial infections (bacterial gill disease and columnaris) have caused major problems in the culture of finfish. All known agents are gram-negative bacteria including flavobacteria, aeromanads, and pseudomonads. If flavobacteria diseases are not diagnosed and treated early, significant mortality may occur within a 24-h period. Mortality is the result of damage caused by massive bacterial infection on the gill or epitheal tissue. Stressing factors associated with intensive culture such as crowding and low concentrations of dissolved oxygen, not only predispose fish to infection, but also increase mortality. Therapeutic agents are needed to maintain healthy stocks of fish in the intensive culture systems of federal, state, and private hatcheries. Preliminary research indicates that oxytetrcycline-hydrochloride (OTC-HCL) applied in a bath may be effective in controlling external flavobacter infections. Immersion therapy with OTC-HCL may be an effective means of treating certain external fish diseases, especially with small fish reared on feed that cannot be medicated or fish that go off feed during a disease outbreak. One criterion to gain a New Animal Drug Application (NADA) for OTC-HCL immersion therapy is pivotal efficacy data. An efficacy report that summarizes call-in data for OTC-HCL immersion therapy with cool and warm water fish has been submitted to the Center for Veterinary Medicine (CVM). The successful use of OTC immersion therapy will depend on attainment of adequate concentrations of OTC-HCL. The draft label claim for OTC- HCL, based on the results of the data call-in, proposed that the daily treatment dose for OTC-HCL immersion therapy be from 10 to 20 mg/L as an immersion bath for a period of 1 to 4 hours with the treatment period lasting from 1 to 10 consecutive days. Definitive data on the effective concentrations of OTC-HCL to control mortalities resulting from external flavobacter infections is limited. Data on the efficacy of OTC-HCL to control mortalities associated with flavobacter infections on fish is difficult to obtain without methods to induce the disease state in the laboratory. One alternative is to determine efficacy in situ by treatment of disease outbreaks at hatcheries under experimental conditions of use. There is a need to conduct scientifically sound studies to verify these initial results so that these data may be used to support a NADA. These studies will be conducted using guidelines recommended by CVM for protocol development and the conduct of efficacy studies. The objective of this study was to conduct pivotal dose-titration studies to determine the efficacy of OTC-HCL bath immersion to control mortality associated with external bacterial infections (flavobacters) on cool- and warmwater fish cultured at state or federal hatcheries.