Abstract. Porcine colonic spirochetosis is a nonfatal diarrheal disease that affects pigs during the growing and finishing stages of production. The disease is caused by Serpulina pilosicoli, a newly recognized species of pathogenic intestinal spirochete. Antimicrobial therapy aimed at reducing the infection may be helpful in controlling spirochetal diarrhea. In this study, the in vitro antimicrobial susceptibilities of the reference isolate S. pilosicoli P43/6/78 from the United Kingdom and 19 field isolates obtained from pigs in Canada (n ϭ 5) and the United States (n ϭ 14) were determined against the antimicrobial agents carbadox, gentamicin, lincomycin, and tiamulin, all of which are commonly used for control of the related pathogenic intestinal spirochete S. hyodysenteriae. Additionally, the susceptibility or resistance of each isolate against each antimicrobial agent was estimated on the basis of available data on the in vitro antimicrobial susceptibility breakpoints of S. hyodysenteriae. Each isolate was identified on the basis of phenotypic and genotypic markers, and the minimum inhibitory concentration of each antimicrobial agent was determined by the agar-dilution method. All the isolates were susceptible to carbadox and tiamulin. The percentages of isolates susceptible, intermediate, and resistant to lincomycin were 42.1%, 42.1%, and 15.8%, respectively. Slightly less than half of the isolates (47.4%) were susceptible to gentamicin, and the remainder (52.6%) were resistant. Implementation of rational control measures to reduce infection by S. pilosicoli should improve overall health and productivity in swine herds.Until recently, porcine hemolytic intestinal spirochetes consisted of 2 taxonomically recognized species in the genus Serpulina: the strongly -hemolytic spirochete Serpulina hyodysenteriae, the agent of swine dysentery, and the weakly -hemolytic intestinal spirochete (WBHIS) S. innocens, a nonpathogenic spirochete of the swine colon. 7,13,31 However, an association between a WBHIS, recently classified as S. pilosicoli, and a nonfatal diarrheal disease of growing pigs, called porcine intestinal spirochetosis or porcine colonic spirochetosis (PCS), has been recognized. 1,[5][6][7][8][9][10][11][12]19,[24][25][26][27][28][32][33][34][35][36][37] With more intensive swine production, where the efficiency of weight gain is closely monitored, PCS has been recognized as a major contributing factor to reduced performance in growing and finishing pigs. 5,6,8,9,10,12,34 Koch's postulates for S. pilosicoli have been fulfilled using gnotobiotic pigs 25 and conventional pigs. 3,5,[33][34][35] Conventional pigs challenge exposed with S. pilosicoli have diarrhea and reduced performance as a result of colonization and inflammation of the cecum and colon. 3,5,[33][34][35] Clinical signs of S. pilosicoli infection consist of diarrhea, which is transient to persistent. The feces from diarrheic pigs are watery to mucoid in consistency,