ABSTRACT. A total of 159 Thai isolates of Mycoplasma hyopneumoniae isolated from pneumonic lungs of pigs during 2006-2011 were investigated for their in vitro susceptibility to 12 antimicrobial agents. Low activity of chlortetracycline was indicated by the MIC range from 3.12-100 μg/ml and MIC 90 of 50 μg/ml. Seventy-six isolates showed resistance to enrofloxacin, whereas 2 isolates showed resistance to macrolides and lincomycin. In addition, a point mutation at A2058G was revealed by sequence analysis of 23S ribosomal RNA in both isolates. The present results confirmed the rapid increase of resistant M. hyopneumoniae isolates against chlortetracycline, enrofloxacin, macrolides and lincomycin in Thailand. Selection of drugs to control swine diseases in Thailand must be done more prudently in consideration of reducing the antimicrobial resistance. Mycoplasma hyopneumoniae is recognized as one of the most important pathogens in pigs. Management practices, medication and vaccination are control measures of the disease [12]. In Thailand, antimicrobials are generally given to piglets to control diarrhea and respiratory problems during weaning to fattening as well as to gilt and sow during gilt acclimatization and lactation [15]. Excessive medication may cause a decrease of susceptibility of mycoplasmas against antimicrobial agents [11,21,23]. To date, antimicrobial resistance of porcine mycoplasmas has been reported to tetracyclines, macrolides, lincomycin and flumequine, the first generation fluoroquinolone in some countries [1,6,17,21,22]. In Thailand, susceptibility of M. hyopneumoniae to antimicrobial agents was investigated for the isolates collected in 1997-1998, and no resistant isolates were found in that period [14]. In this study, susceptibilities of recent field isolates of M. hyopneumoniae collected during 2006-2011 were examined. M. hyopneumoniae field isolates showing resistance to macrolides and lincomycin were examined for 23S rRNA transition as an evidence of in vivo acquired resistance of M. hyopnuemoniae to macrolides and lincomycin in Thailand.One hundred and fifty-nine Thai isolates of M. hyopneumoniae and the type strain J obtained from National Institute of Animal Health (NIAH), Japan were used. Of the Thai isolates, 7 were isolated from pneumonic lungs of pigs from 5 farms in 2006, and 20, 39, 76, 14 and 3 isolates were isolated from 10, 11, 13, 6 and 1 farms in 2007, 2008, 2009, 2010 and 2011, respectively. The lung samples collected from pneumonic lesions of pigs, either by the farmers whose pigs were clinically affected with respiratory problems or by the veterinarians at the slaughter house to monitor the respiratory diseases in the farms, were submitted to NIAH, Thailand for identification of the causative agents. Focusing on M. hyopneumoniae infection, the primary isolation was carried out in BHL broth and BHL agar medium as described previously [23]. Cultures identified as M. hyopneumoniae by colony characterization and by specific PCR [13] were stocked at −80°C until use.The followin...