Positive Faecal Egg Counts Research Articles

Faecal egg counts in Australian pasture-based dairy herds

In Australian pastoral dairy systems, a variety of ‘routine’ anthelmintic programs are used in lactating cows varying from nil anthelmintic use to bi-annual application. Anthelmintic resistance has been repeatedly diagnosed on dairy farms and studies have indicated variable milk production benefits from anthelmintics internationally. We aimed to identify the predominant gastrointestinal parasites in recently calved dairy cows in south-west Victoria and examined the relationship between individual faecal egg counts (FEC) and other cow and management factors such as body condition score, age, and historical anthelmintic use. This study included 18 pasture-based dairy farms in south-west Victoria. FECs were measured in recently calved primiparous and multiparous cows. Individual FEC tests with a minimum detectable FEC of 2.5 eggs per gram of faeces (epg) and group larval cultures were completed. Farm management data and cow information was recorded for data analysis with the Jamovi statistical package. Overall, 35% of all cows had FEC ≥ 2.5 epg (26% of multiparous and 45% of primiparous). Ostertagi ostertagi was the predominant gastrointestinal nematode in all cohorts. Cooperia pectinata or C. punctata were also present in mixed infestations alongside C. oncophora. Multiparous cows in low body condition score post calving (<4) were more likely to have a FEC of >5 epg. Faecal egg counts at a minimum detectable FEC of 2.5 epg are effective indicators of parasitism in recently calved primiparous and poorly conditioned multiparous dairy cows. Increasing the test sensitivity (minimum detectable count) of FECs from 10 epg to 2.5 epg resulted in increasing the overall positive FEC rate from 15% to 35%. Further investigation of sensitive FECs and their relevance to production along with the timing and value of anthelmintic use in dairy cattle is warranted.

Simultaneous resistance to multiple anthelmintic classes in nematode parasites of cattle in New Zealand

Resistance to the benzimidazole and macrocyclic lactone anthelmintics is widespread in Cooperia spp. on cattle farms in New Zealand. Since this was first documented in 2006 little has changed in cattle farming systems except for the widespread use of levamisole to control Cooperia spp. in young cattle (i.e., parasite control has maintained an almost total reliance on use of anthelmintics). Here we report the emergence of simultaneous resistance to the benzimidazole, macrocyclic lactone and levamisole anthelmintics in Cooperia spp. and in Ostertagia spp. Anthelmintic efficacy against nematode parasites of cattle was investigated on four commercial farms following reports of poor animal growth rates and welfare, and positive faecal egg counts, despite routine treatment with combination anthelmintics, which included levamisole. Faecal egg count reduction tests involved 15 animals per treatment group, individual egg counts (paired samples) conducted pre- and post-treatment, with eggs counted to ≤ 15 eggs per g faeces and larval cultures for morphological identification. Actives tested varied between farms but always included levamisole alone and several combination products containing levamisole. Of the 20 tests conducted (i.e., 5 products on each of 4 farms) only 3 exceeded 90% efficacy against Cooperia spp. even though 8 of the products tested were combinations containing levamisole and at least one other broad-spectrum anthelmintic. Levamisole used alone achieved efficacies between 44% and 71% against Cooperia spp. across the four trials. The only product to exceed 95% efficacy against Cooperia spp. was a combination of monepantel + abamectin which was 100% effective against all parasites. Resistance to oxfendazole in Ostertagia spp. was indicated on 3 farms, while on one farm efficacy of all the tested products was ≤75% against this parasite. All the farms involved in this study were farming intensive cattle operations with an almost total reliance on anthelmintics to control parasitism. The results clearly demonstrate the emergence of simultaneous resistance to oxfendazole, levamisole and the macrocyclic lactone anthelmintics. Despite years of advice and recommendations to change farming practices away from intensive monocultures, many farmers have continued with the practice, and some are now faced with the very real possibility of being unable to control cattle parasites on their farms.

Shortened egg reappearance after ivermectin or moxidectin use in horses in the UK

This study reports ivermectin and moxidectin egg reappearance periods (ERP) from UK horses with persistently positive faecal egg counts (FEC), defined as positive FEC within the ERP of an anthelmintic post-treatment, or with FECs that remained positive after the normal ERP post-anthelmintic treatment. A selected population of UK pleasure horses deemed at high risk of strongyle infection was studied. The earliest ERP recorded after ivermectin or moxidectin, using first positive FEC, was 5 weeks. From 16 premises where moxidectin was used, five had ERP ≥12 weeks using two further metrics. For premises where moxidectin was administered to only one animal (present or tested), and evaluated as one group (n = 61), ERP was ≥10 weeks. For premises where ivermectin was used, the ERP was ≥5 weeks. Premises with only one horse (present or tested), dosed with ivermectin (n = 31), analysed as one group, demonstrated egg reappearance ≥6 weeks. These field data suggest shortened ERPs following macrocyclic lactone treatment compared to previously published values (8–10 and >13 weeks respectively) when these drugs were first marketed.

Field trial on the efficacy of albendazole micronised (single and double treatment) against Dicrocoelium dendriticum in naturally infected sheep: A new strategy for the control of dicrocoeliosis

Dicrocoelium dendriticum is the most common liver fluke in domestic ruminants in Italy, reaching prevalence values of 67% on ovine farms in the southern regions. It causes economic losses and clinical problems. The present paper reviews the results of a controlled field trial conducted in southern Italy to evaluate the efficacy of a single or double administration of albendazole micronised against D. dendriticum in pastured sheep naturally infected by the small liver fluke. The trial was conducted in a sheep farm located in the Campania region, southern Italy. Sixty female crossbreed sheep were selected on the basis of the D. dendriticum positive faecal egg counts (FEC). Ewes were divided into 3 groups, of 20 sheep each, based on D. dendriticum FEC. One group (A-group) was treated once and the other group (B-group) treated twice at an interval of one week, whereas the control group (C-group) was untreated. The efficacy of treatment was evaluated by FEC and necropsy examination for D. dendriticum. Following the WAAVP guidelines for evaluating the efficacy of anthelmintics in ruminants, the double administration of albendazole micronized, showed a high efficacy (up to 99% based on FEC reduction), whereas the single treatment was less effective (up to 96% based on FEC reduction) against D. dendriticum. This difference was significant (P<0–0.05). The results were also confirmed by necropsy examinations. At day 14 the mean D. dendriticum burdens of the slaughtered sheep of the A-group, B-group and C-group were 87, 70 and 1274 adults (P<0.001), respectively following necroscopic examinations.

Spatio-temporal factors influencing the occurrence of Syngamus trachea within release pens in the South West of England

Syngamus trachea is a pathogenic tracheal nematode that causes syngamiasis in wild and game birds, especially when birds are managed at high densities. Despite its pathogenic nature, very little is known about its epidemiology and relationship with ambient temperature and humidity. The spatial and temporal modelling of disease was undertaken on two pheasant estates within the South West of England from April 2014 to August 2014. Significant differences between the mean numbers of eggs per gram of soil were identified between pens at both site 1 and site 2 but did not differ significantly between sites. Egg abundance was significantly associated with soil moisture content, with greater egg survival between years in pens with higher average volumetric soil moisture content. Previous years stocking density and pen age were also associated with greater egg survival between years with more eggs being recovered in pens with greater stocking densities, and pens that had been sited longer. The greatest model to explain the variation in the numbers of eggs per gram of soil per pen was a combination of soil moisture content, stocking density and pen age.Larval recovery differed significantly between sites. Larval abundance was significantly and positively associated with temperature and relative humidity at site 1. Similarly, temperature and humidity were also positively and significantly associated with larval abundance at site 2. Rainfall did not influence larval recovery at either site 1 or site 2. The model with the greatest ability to explain larval abundance at both sites, was a combination of temperature, humidity and rainfall. Infection status (positive faecal egg counts) was significantly and positively associated with larval abundance at both sites, but rainfall was only positively associated at site 1. Temperature and humidity were positively associated with infection status at site 2, but not at site 1. The present study highlights the influence of climatic variables on both egg survival and larval abundance, and could therefore be used to develop more targeted treatment strategies around periods of higher disease risk. The frequent use of release pens is a clear factor in the epidemiology of syngamiasis, and it is recommended that pens be rested and/or rotated in order to reduce infection pressure in subsequent flocks.

Effect of eprinomectin treatment on milk yield and quality in dairy cows in South Tyrol, Italy

The effect of treatment with eprinomectin on milk yield, milk composition and somatic cell counts (SCCs) was studied in 105 dairy cows located on seven farms in South Tyrol, Italy....

Toxocara vitulorum in suckling calves in the Netherlands

A Dutch farmer with beef cattle and suckling calves noticed one of the calves suffering from diarrhoea and observed large white worms near the perineum. In the faeces of this calf, eggs of Toxocara vitulorum were found. The majority of the cows in the herd were of the Piemontese breed previously imported from southern France. Treatment with albendazole was successful. Two other calves had positive faecal egg counts. One month after treatment of these calves with doramectin, no eggs were found. To prevent further infections on the farm and dissemination of this uncommon infection to other farms, the farmer decided to have all his cattle slaughtered.

W1815 Immunologic Responses to Hookworm Infection in Crohn's Disease

Introduction Helminths such as hookworms survive by modulating host immune responses as a strategy to escape the host9s defence mechanisms.1 Hookworm infection is demonstrated by a polarised Th2 response, releasing characteristic cytokines (IL-4, IL-5, IL-10, IL-13). Conversely, Crohn9s disease is characterised by a Th1 response, releasing pro-inflammatory cytokines (TNF, IFN, IL-2)2. The reciprocal inhibition of cytokine products between distinct T helper cell responses, has led to studies of hookworms as adjuncts to immunosuppressants in Crohn9s disease.2 The Nottingham Digestive Diseases Centre recently completed a placebo-controlled trial on the effect of hookworms on disease activity in Crohn9s disease, providing an opportunity to study changes in T cell populations. Methods Blood samples were obtained at four time points during the trial. Hookworm specific IgG was measured using ELISA methodology and confirmed by Western blot analysis. Cytokine ELISAs were carried out on IL-4, IL-5, IL-10, TNF, IFN and IL17. Regulatory T cells were measured by flow cytometry utilising CD4, CD25 and Foxp3 antibodies. Results Hookworm infection was indicated by the presence of IgG–reactive 33-kDa bands on Western Blots, and was confirmed by an eosinophilia and positive faecal egg counts. Cytokine ELISAs demonstrated a statistically significant increase in IL5 in the intervention group. After 6 weeks of inoculation with hookworm larvae, the mean IL5 increase from baseline in the intervention group was 515% compared to 90% in controls. Trends of reduced levels of TNF and IL-17 were observed alongside increased levels of IL-10 in the intervention group. Patients on azathioprine and steroids were found to have significantly lower IFN and IL-10 levels compared to patients not on these drugs. Conclusion Successful establishment of hookworms in patients with active Crohn9s disease is haematologically demonstrated by a heightened eosinophilic response, and supported by Western Blot analyses and faecal egg counts. Raised IL-5 levels in patients treated with hookworms also suggest a switch to an anti-helminthic Th2 response. Insights into possible collaborative effects of hookworms and immunosuppressive drugs have been demonstrated. Individual patient cytokine profiles will be correlated against CDAI scores in order to clarify whether the Th2 response confers benefits in Crohn9s disease.

PTU-035 Immunologic responses to hookworm infection in Crohn's disease

<h3>Introduction</h3> Helminths such as hookworms survive by modulating host immune responses as a strategy to escape the host9s defence mechanisms.1 Hookworm infection is demonstrated by a polarised Th2 response, releasing characteristic cytokines (IL-4, IL-5, IL-10, IL-13). Conversely, Crohn9s disease is characterised by a Th1 response, releasing pro-inflammatory cytokines (TNF, IFN, IL-2)2. The reciprocal inhibition of cytokine products between distinct T helper cell responses, has led to studies of hookworms as adjuncts to immunosuppressants in Crohn9s disease.2 The Nottingham Digestive Diseases Centre recently completed a placebo-controlled trial on the effect of hookworms on disease activity in Crohn9s disease, providing an opportunity to study changes in T cell populations. <h3>Methods</h3> Blood samples were obtained at four time points during the trial. Hookworm specific IgG was measured using ELISA methodology and confirmed by Western blot analysis. Cytokine ELISAs were carried out on IL-4, IL-5, IL-10, TNF, IFN and IL17. Regulatory T cells were measured by flow cytometry utilising CD4, CD25 and Foxp3 antibodies. <h3>Results</h3> Hookworm infection was indicated by the presence of IgG–reactive 33-kDa bands on Western Blots, and was confirmed by an eosinophilia and positive faecal egg counts. Cytokine ELISAs demonstrated a statistically significant increase in IL5 in the intervention group. After 6 weeks of inoculation with hookworm larvae, the mean IL5 increase from baseline in the intervention group was 515% compared to 90% in controls. Trends of reduced levels of TNF and IL-17 were observed alongside increased levels of IL-10 in the intervention group. Patients on azathioprine and steroids were found to have significantly lower IFN and IL-10 levels compared to patients not on these drugs. <h3>Conclusion</h3> Successful establishment of hookworms in patients with active Crohn9s disease is haematologically demonstrated by a heightened eosinophilic response, and supported by Western Blot analyses and faecal egg counts. Raised IL-5 levels in patients treated with hookworms also suggest a switch to an anti-helminthic Th2 response. Insights into possible collaborative effects of hookworms and immunosuppressive drugs have been demonstrated. Individual patient cytokine profiles will be correlated against CDAI scores in order to clarify whether the Th2 response confers benefits in Crohn9s disease.

Anthelmintic Activity of Extracts of Spondias mombin Against Gastrointestinal Nematodes of Sheep: Studies In Vitro and In Vivo

This study was carried out to validate the efficacy of Spondias mombin, used locally as an anthelmintic, and to standardize the effective dose of the plant extract required for worm control in livestock. In vitro and in vivo studies were conducted to determine the direct anthelmintic effect of ethanolic and aqueous extracts of S. mombin towards different ovine gastrointestinal nematodes. A larval development assay (LDA) was used to investigate the in vitro effect of extracts on strongyle larvae. Another study was conducted in vivo to evaluate the therapeutic efficacy of the extracts administered orally at dose rates of 125, 250, 500 mg/kg to sheep naturally infected with gastrointestinal nematodes. Twenty sheep were selected on the basis of positive faecal egg counts (750 epg). The sheep were allocated randomly to a non-medicated control group (A) or to groups given 125 mg/kg (B), 250 mg/kg (C) or 500 mg/kg (D) of extract, respectively. Sheep in groups B-D were given extracts orally on two days. Individual faecal egg counts were performed on days 0, 3, 6, 9 and 12. The presence of S. mombin extracts in in vitro cultures of larvae decreased the survival of L3 larvae. The LC50 of the aqueous extract of S. mombin was 0.907 mg/ml, while the LC50 of the ethanolic extract was 0.456 mg/ml. This difference in LC50 was statistically significant (p > 0.05). The mean percentage faecal egg reduction of sheep drenched with 500 mg/kg S. mombin extracts was 15.0%, 27.5%, 65.0%, 65.0%, 100.0% against Haenmonchus spp., Trichostrongylus spp., Oesophagostomunm spp., Strongyloides spp. and Trichuris spp. respectively, on day 12. Extracts of S. mombin could find application in the control of helminths in livestock.

Identification of strongyle eggs from anthelmintic-treated horses using a PCR-ELISA based on intergenic DNA sequences

The efficacy of five daily fenbendazole (FBZ) treatments was tested against benzimidazole-resistant cyathostomins in naturally infected horses (n=13). Horses were treated with pyrantel embonate (PYR) to remove adult strongyles followed, 7 days later, by a 5-day course of FBZ. The PYR treatment produced an average faecal egg count reduction of 98%. All samples were negative by faecal egg count 7 days after the start of the FBZ treatment. Positive egg counts were observed from 28 days after the start of FBZ treatment and all horses displayed positive faecal egg counts by 77 days after treatment. Strongyle eggs were harvested from the faeces of the horses prior to treatment and then weekly from 42 to 70 days post-treatment. DNA was obtained from eggs in groups of ten. A PCR-ELISA, based on species-specific differences in intergenic DNA sequences, was used to identify the presence of six cyathostomin species. In pre-treatment samples, Cyathostomum catinatum was detected in nine out of the 13 horses and Cylicostephanus longibursatus, Cylicostephanus goldi and Cylicocyclus nassatus, were found in samples from eight animals. Cylicocyclus ashworthi and Cylicocyclus insigne were not detected pre-treatment. After anthelmintic treatment, C. catinatum and C. longibursatus were most frequently detected, followed by C. nassatus, C. goldi and C. ashworthi. C. insigne was detected at only one time point in a sample from a single horse.

Efficacy of doramectin injectable against Oestrus ovis and gastrointestinal nematodes in sheep in the southwestern region of France

A study was conducted to evaluate the therapeutic efficacy of doramectin administered intramuscularly at a dose rate of 200 μg/kg to sheep harbouring naturally acquired infections of gastrointestinal nematodes and Oestrus ovis in the southwestern region of France. On day 0, 24 sheep were selected on the basis of positive faecal egg counts (>100 EPG) and positive assessment of O. ovis infection (including positive O. ovis antibody level and positive clinical score). The sheep were randomly allocated to a non-medicated control group (T1) or a doramectin-treated group (T2) of 12 animals each. On day 0, sheep in group T2 received a single intramuscular injection of doramectin (200 μg/kg), whereas those in group T1 received an intramuscular injection of saline solution (sodium chloride, 0.02 ml/kg). Individual faecal egg counts were performed on days 0, 1, 2, 3, 4, 5, 6, 7, and 14. Between days 14 and 16, all sheep were slaughtered, and worm and O. ovis burdens were determined. In doramectin-treated sheep, faecal egg counts had decreased to zero by day 4 for all recovered types of nematode eggs: strongyles, Nematodirus sp., Trichuris sp., and Rhabditidae sp. For strongyles, Nematodirus sp., and Rhabditidae, the percentage reductions in faecal egg counts (geometric means) of doramectin-treated sheep, compared to the non-medicated control sheep were 100% from days 4–7. For Trichuris sp., they were 100, 99.7, 99.9, and 100% on days 4, 5, 6, and 7, respectively. On day 14, percentage reductions were 100% for Nematodirus sp. and Rhabditidae, and 99.8 and 99.1% for strongyles and Trichuris sp., respectively. At necropsy, only adult nematodes and mainly first-stage O. ovis larvae were recovered. Doramectin was highly efficacious against the adult stages of Teladorsagia circumcincta (100%), Nematodirus battus (100%), Nematodirus filicollis (99.9%), Oesophagostomum venulosum (99.8%), and Trichuris sp. (99.3%). It was also 100% efficacious against first-stage larvae of O. ovis. No abnormal clinical signs or adverse reactions in any of the sheep treated with doramectin were observed.

Selection for drug-resistant nematodes during and following extended exposure to anthelmintic.

Five groups of ten 7-month-old Romney lambs were challenged twice-weekly (2 x 3,000) with either Ostertagia circumcincta (Groups 1-3) or Trichostrongylus colubrifornzis (Groups 4 and 5) infective-stage larvae (L3) following administration of controlled release capsules (CRC) containing either albendazole (ABZ-CRC) (Groups 2 and 5) or ivermectin (IVM-CRC) (Group 3). Larval challenge comprised a mixture of equal numbers of drug-susceptible and -resistant L3 (OR/TR:OS/TS) during the 14-week period of drug release. Positive faecal egg counts (FEC) were recorded in each group during this period. Eggs recovered from faeces were used in an egg hatch assay (EHA) utilizing different concentrations of ABZ. O. circumcincta eggs from Groups 2 and 3 had significantly higher LC50 values than Group 1; eggs of T. colubriformis from the ABZ-CRC treated Group 5 had a higher LC50 than control Group 4. Following the exhaustion of drug release, larval challenge was changed to consist of only susceptible parasites and EHA performed wveekly to determine whether LC50 declined, which would indicate dilution or replacement of drench survivors. In those animals challenged with O. circumcincta, LC50 values were still significantly higher in Groups 2 and 3 at week 19 than in the previously untreated Group 1. For T. colubriformis, LC50 values declined steadily following exhaustion of drug release and were not significantly different between Groups 4 and 5 by week 20. This decline in LC50, and corresponding rise in FEC, was largely the result of 3 animals which dominated with high FEC. The remaining 6 animals showed little decline in LC50 or rise in FEC. The results demonstrate the ability of persistent drugs to screen for resistant parasites and establish that the period of selective advantage for drug-resistant parasites of both species is significantly longer than the period of drug release from CRCs.

The immune response of sheep to larval challenge with O stertagia circumcincta and O. ostertagi

One of three groups of sheep was challenged twice-weekly with infective-stage larvae (L3) of the sheep parasite O. circumcincta, another with the cattle parasite O. ostertagi while the third received no larval challenge. Positive faecal egg counts (FEC) and a rise in plasma pepsinogen levels were observed only in those animals given O. circumcincta. Anti– O. circumcincta L3 IgG titres were rapidly elevated during parasite challenge with either O. circumcincta or O. ostertagi. Throughout the experiment, no rise in anti-adult IgG titres or eosinophil numbers was observed in peripheral blood in any group. On evidence of self-cure of the trickle-infection, determined by a reduction in FEC, all groups were drenched and challenged with 15,000 O. circumcincta L3. No effect of previous challenge on parasite establishment or FEC was observed, although egg viability was significantly reduced in both groups given prior challenge. Significant differences in adult female worm length were observed between groups. Those recovered from animals previously challenged with O. circumcincta were shorter than from those given O. ostertagi which were in turn shorter than those from previously unchallenged animals. In utero egg counts were significantly lower in worms from animals previously challenged with O. circumcincta than in those from unchallenged control animals. The results indicate that a level of immunity to O. circumcincta can be conferred by exposure to O. ostertagi.

Pathogenicity and immunogenicity of different isolates of Teladorsagia circumcincta

The effects on liveweight gain and development of immunity were studied in lambs trickle infected for 8 weeks with either a benzimidazole-resistant isolate (Moredun ovine resistant isolate, MORI), a multiple benzimidazole+ivermectin-resistant isolate (Moredun caprine resistant isolate, MCRI) or an unselected susceptible isolate (Moredun ovine susceptible isolate, MOSI) of Teladorsagia circumcincta. Plasma pepsinogen concentrations of infected groups were significantly elevated compared to an uninfected control group ( P<0.001) by day 14. The liveweight gains varied markedly but there were no statistical differences between the infected and uninfected control groups at any point in time during the study. Lambs infected with the MORI had significantly lower faecal consistency scores than the other challenged groups on days 7 and 14 ( P<0.05) but from day 21 onwards, faecal consistencies were similar in all of the groups. There was a notable difference in the pre-patent periods of the different isolates with the MOSI producing positive faecal egg counts (FECs) by day 14 of the study. The FECs remained reasonably low once infections had reached patency and there were no further differences between the groups. Following administration of anthelmintic to remove residual worms from the trickle infection, no differences between the infected groups in terms of worm burden or mucosal mast cell numbers were evident as a consequence of a single challenge infection. The changes in genetic code associated with enhanced resistance against anthelmintics do not appear to have resulted in any fundamental alteration of the pathogenicity and immunogenicity of these three isolates of Teladorsagia.

Different patterns of faecal egg output following infection of Scottish Blackface lambs with Ostertagia circumcincta

Faecal nematode egg counts were monitored in 184 Scottish Blackface lambs during natural exposure to a mixed, predominantly Ostertagia circumcincta infection and 12 lambs were selected which showed consistently zero (low count group; nine lambs) or consistently positive faecal egg counts (high count group; three lambs). These lambs were then treated with anthelmintic and challenged with 50 000 infective larvae of O. circumcincta and monitored thrice-weekly for 38 weeks; they were then re-challenged with another 50 000 infective larvae of O. circumcincta and monitored for a further 8 weeks. All sheep gave positive egg counts following deliberate infection. However, there was considerable variation among sheep in the size and timing of the peak in egg production. In particular, the pattern of mean values for faecal egg counts was different in the two groups. Egg counts were lower in the later periods of the extended infection in both groups of sheep. During the first half of the extended infection, egg counts were lower in sheep from the low count group, but during the second half of the infection the pattern was reversed and egg counts were lower in sheep from the high count group. There was a weak positive correlation between egg counts following anthelmintic treatment and 28 days exposure to natural infection and egg counts 28 days after a deliberate infection. Egg counts in the later stages of the deliberate infection were strongly but negatively correlated with egg counts following natural infection. The results of these studies show that differences in egg count following natural infection can be reproduced in experimental infections and that there is substantial variation in the pattern of egg production over time in different sheep. They also suggest that naturally resistant lambs are better able to delay worm development than naturally susceptible lambs.