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The inside-out defense: Managing cellulitis in broiler chickens
Picture a flock at day 32. The birds look fine. Feed intake is normal. Mortality is within range. There is nothing on that farm to suggest a problem. Then the batch goes to slaughter and a significant portion of carcasses come back condemned, yellow fibrinous plaques beneath the skin, subcutaneous tissue already destroyed. The producer asks what went wrong. The honest answer is: it went wrong weeks ago, and there was no way to see it.
That is the defining feature of avian cellulitis, and the reason it remains one of the most underestimated conditions in broiler production. It does not announce itself. It accumulates quietly, and by the time the processing plant measures it, the window for intervention has long closed. Across Europe and North America, cellulitis accounts for 20 to 40% of carcass rejections.1 In the United Kingdom, condemnations have tripled since 2010.2 In the United States, annual losses are estimated at $40 million.3 These are not processing failures. They are farm problems that only become visible once it is too late to address them.
Figure 1. How avian pathogenic Escherichia coli (APEC) causes cellulitis

A short journey from gut to skin
Understanding why cellulitis is so hard to identify starts with understanding how fast it moves. Avian pathogenic Escherichia coli (APEC), the organism isolated in up to 90% of cases, is not an exotic pathogen. It lives in the gut. It reaches the litter through faeces. And once it is in the litter, it exploits every vulnerability in the skin barrier: a scratch from a pen mate at peak stocking density, an ammonia burn on a wet patch of litter, a stretch of poor feathering leaving the skin exposed. Any of these is enough. Subcutaneous inflammation develops within 18 hours.
Characteristic plaques will be formed within 24 hours. The infection has already won before anyone knew the game had started.
Fast-growing genetics raise the stakes further. Modern birds have weaker connective tissue and a higher skin surface pH than slower-growing lines, both of which make the subcutaneous environment more permissive to E. coli once the barrier is breached. Higher final body weight correlates with higher prevalence. The productivity gains are real. So is the trade-off.
Working upstream, not downstream
If the damage is done on farm but only visible at slaughter, then the only meaningful strategy is to work upstream. That means addressing three things at once: the integrity of the gut, the microbial load accumulating in the litter and the physical resilience of the skin that stands between the bird and infection. None of these alone is sufficient. Together, they close the window through which cellulitis enters.
The gut-to-litter pathway is where we would focus first. A largescale French field trial across 18 commercial farms showed that feeding Saccharomyces cerevisiae boulardii CNCM I-1079 (marketed as LEVUCELL SB) reduced cellulitis frequency by 7.2% overall, and by up to 30% in flocks experiencing early digestive disturbances. The mechanism is not mysterious: stronger gut barrier function means less E. coli shed into the litter, and less E. coli in the litter means fewer successful infections when skin is scratched. The action happens in the gut, its benefit shows up at the processing plant.4
Competitive exclusion addresses the same pathway from a different angle and at an earlier moment. Day-old chicks sprayed with a competitive exclusion microbial product such as AVIGUARD showed reduced cellulitis prevalence at slaughter and lower mortality across all feeding phases. Establishing protective flora at placement limits APEC colonization before litter exposure becomes meaningful. The logic is simple: a gut that is already occupied by the right organisms is harder for pathogens to take hold in. The earlier that protection is in place, the less environmental pressure accumulates over the grow-out cycle.
Then there is the skin itself. This is where selenium, provided in a highly bioavailable organic form as selenized yeast, commercially known as ALKOSEL, can help shift the balance. In a controlled E. coli challenge trial, birds fed with 0.30mg/kg selenium showed higher live weight, better feed conversion ratio and measurably stronger and more elastic skin than birds on sodium selenite only. The mechanism runs through glutathione peroxidase activity and collagen integrity. What that means practically is a skin barrier that resists the microlesions through which infection can enter. You cannot avoid every scratch. But you can make the skin harder to breach.5
Cellulitis will not be solved with a single solution. But producers who are still waiting for symptoms to appear on farm are already too late. The science is clear enough now to act on. The question is when in the chain you choose to act.
Figure 2. Risk factors that have direct impacts on the skin health of broilers

Three levers. One connected problem
Gut, litter, skin. Each plays a role in how cellulitis takes hold. If I could give producers one piece of advice, it would be this: these three as a single system, because cellulitis certainly does.
- Establish a robust defense at placement using a competitive exclusion microbial product (marketed as AVIGUARD). Shape gut colonization before undesirable bacteria can. It is the narrowest and most valuable window in the cycle.
- Prioritize early gut colonization with Saccharomyces cerevisiae boulardii CNCM I-1079 (marketed as LEVUCELL SB) to stabilise gut flora, help birds be resilient and reduce fecal E. coli through the grow-out cycle.
- Invest in structural resilience through organic selenium such as ALKOSEL. Trial data shows that antioxidant protection strengthens the skin barrier, helping it remain resilient against external challenges.
References
- 1European Food Safety Authority, Scientific Report submitted to EFSA: Statistical analysis of the results of the survey on the prevalence of Salmonella in laying hens in the European Union, EFSA Supporting Publication 2012:EN-298 (Parma, Italy: EFSA, 2012), 24–25, https://doi. org/10.2903/sp.efsa.2012.EN-298.
- 2Food Standards Agency. Annual Animal Welfare Report 2023/24. London: Food Standards Agency, 2024. https://www.food.gov.uk/ board-papers/annual-animal-welfare-report-202324.
- 3Benito Guimarães de Brito, Luiz Carlos J. Gaziri, and Marilda C. Vidotto, “Virulence Factors and Clonal Relationships among Escherichia coli Strains Isolated from Broiler Chickens with Cellulitis,” Infection and Immunity 71, no. 7 (July 2003): 4175–77, https://doi.org/10.1128/ IAI.71.7.4175-4177.2003.
- 4Delpont, M., J. Garet, X. Gautier, Y. Le Treut, V. Demey, and A. Sacy. 2015. “Effet d’une levure vivante Saccharomyces cerevisiae boulardii sur les lésions cutanées infectieuses en poulets de chair.” Poster presented at the 11 Journées de la Recherche Avicole et Palmipèdes à Foie Gras (JRAJRPG), Tours, France.
- 5Boulianne, M., and G. Roch. 2005. “Effect of Organic Selenium on Broiler Chicken Feathering, Skin Strength, and Cellulitis Prevalence.” Poster presented at the Annual Meeting of the American Association of Avian Pathologists (AAAP), United States.
Published Apr 29, 2026