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Topic:Cyathostomins

Cyathostomins, commonly referred to as small strongyles, are parasitic nematodes that inhabit the gastrointestinal tract of horses. They are among the most prevalent internal parasites affecting equine populations globally. These parasites undergo a direct life cycle, with larvae developing in the environment and being ingested by horses, where they mature into adult worms within the large intestine. Cyathostomins are known for their ability to encyst in the intestinal wall, which can complicate treatment and management strategies. This page compiles peer-reviewed research studies and scholarly articles that explore the biology, epidemiology, and control measures of cyathostomins in horses, as well as their impact on equine health and well-being.
Comparison of the host response to larvicidal and nonlarvicidal treatment of naturally acquired cyathostomin infections in horses.
Parasite immunology    August 2, 2022   Volume 44, Issue 10 e12941 doi: 10.1111/pim.12941
Steuer AE, Scoggin K, Stewart JC, Barker VD, Adams AA, Loynachan AT, Nielsen MK.This study aimed to collect information on local and systemic inflammatory responses, and goblet cell-associated components, following anthelmintic treatment with moxidectin and ivermectin in horses naturally infected with cyathostomin parasites. Thirty-six horses aged 2-5 years of age were randomly allocated to three groups. Group 1 received ivermectin/praziquantel (0.2 mg/kg), Group 2 received moxidectin/praziquantel (0.4 mg/kg) and Group 3 were untreated controls. Tissue samples from the Cecum, Dorsal and Ventral Colons were used for histopathological evaluation and preserved for RNA is...
Precision of cyathostomin luminal worm counts: Investigation of storage duration and fixative.
Veterinary parasitology    July 30, 2022   Volume 309 109773 doi: 10.1016/j.vetpar.2022.109773
Smith MA, Carpenter AB, Nielsen MK.Essentially all grazing horses are infected with cyathostomin parasites. Adult cyathostomins reside in the large intestine of the horse and larval stages encyst within intestinal mucosa. Manual worm collection from aliquots of intestinal content is the current gold standard for retrieval and enumeration of luminal parasites, however, no research has been conducted to standardize specific parameters for processing and storage of samples. The aims of this study were (1) to evaluate the precision of current standard operating procedures for enumeration of luminal adult cyathostomin populations, (...
Genome-wide association study in thoroughbred horses naturally infected with cyathostomins.
Animal biotechnology    July 20, 2022   1-13 doi: 10.1080/10495398.2022.2099880
Dias De Castro LL, Oliveira Júnior GA, Perez BC, Carvalho ME, De Souza Ramos EA, Ferraz JBS, Molento MB.Cyathostomins are considered one of the most important parasites of horses. A group of horses within a herd can be responsible for eliminating the majority of parasite eggs. This phenotype might be explained by genetic factors. This study aimed to identify genomic regions associated with fecal egg count (FEC) and hematological parameters by performing a genomic-wide association study (GWAS) in Thoroughbred horses naturally infected with cyathostomins. Packed cell volume (PCV), differential leukocyte, and FEC were determined from 90 horses. All animals were genotyped using the Illumina Equine 7...
Effect of sainfoin (Onobrychis viciifolia) on cyathostomin eggs excretion, larval development, larval community structure and efficacy of ivermectin treatment in horses.
Parasitology    June 23, 2022   Volume 149, Issue 11 1439-1449 doi: 10.1017/S0031182022000853
Malsa J, Courtot É, Boisseau M, Dumont B, Gombault P, Kuzmina TA, Basiaga M, Lluch J, Annonay G, Dhorne-Pollet S, Mach N, Sutra JF, Wimel L....Alternative strategies to chemical anthelmintics are needed for the sustainable control of equine strongylids. Bioactive forages like sainfoin () could contribute to reducing drug use, with the first hints of activity against cyathostomin free-living stages observed in the past. We analysed the effect of a sainfoin-rich diet on cyathostomin population and the efficacy of oral ivermectin treatment. Two groups of 10 naturally infected horses were enrolled in a 78-day experimental trial. Following a 1-week adaptation period, they were either fed with dehydrated sainfoin pellets (70% of their die...
Helminths and their management in Swiss Army horses: differences between riding horses and pack horses evidence the need of improvement.
Schweizer Archiv fur Tierheilkunde    May 5, 2022   Volume 164, Issue 5 385-399 doi: 10.17236/sat00355
Spieler N, Schnyder M.Intestinal helminth management in horses has both clinical and epidemiologic relevance, in additional association with anthelmintic resistance. The Swiss Army employs military owned riding horses and privately owned pack horses, which are brought together for service periods up to 12 weeks. We compared husbandry conditions and intestinal helminth management of both groups via questionnaire and analysed faecal samples of 53 riding horses and 130 pack horses using combined sedimentation/flotation, the McMaster method and larval cultures. Riding horses only had cyathostomin infections (prevalence...
Effect of temperature on the development of the free-living stages of horse cyathostomins.
Veterinary parasitology, regional studies and reports    January 14, 2022   Volume 28 100687 doi: 10.1016/j.vprsr.2022.100687
Merlin A, Ravinet N, Sévin C, Bernez-Romand M, Petry S, Delerue M, Briot L, Chauvin A, Tapprest J, Hébert L.Cyathostomins are considered as the most prevalent and pathogenic parasites of grazing horses. The development on pastures of the free-living stages of these gastrointestinal worms is particularly influenced by outdoor temperature. Understanding the bionomics of free-living stages is an important prerequisite to implement mathematical models designed to assess the parasitic risk for grazing equids. The aim of this study was to assess the effect of 3 constant temperatures under laboratory conditions (10 ± 1 °C, 23 ± 2 °C, 30 ± 2 °C) and one fluctuating temperature under outdoor c...
Cyathostomin resistance to moxidectin and combinations of anthelmintics in Australian horses.
Parasites & vectors    December 4, 2021   Volume 14, Issue 1 597 doi: 10.1186/s13071-021-05103-8
Abbas G, Ghafar A, Hurley J, Bauquier J, Beasley A, Wilkes EJA, Jacobson C, El-Hage C, Cudmore L, Carrigan P, Tennent-Brown B, Gauci CG, Nielsen MK....Cyathostomins are the most important and common parasitic nematodes of horses, with > 50 species known to occur worldwide. The frequent and indiscriminate use of anthelmintics has resulted in the development of anthelmintic resistance (AR) in horse nematodes. In this study we assessed the efficacy of commonly used anthelmintics against cyathostomins in Australian thoroughbred horses. Methods: Two drug efficacy trials per farm were conducted on two thoroughbred horse farms in the state of Victoria, Australia. In the first trial, the horses on Farm A were treated with single and combinations ...
A Survey of Control Strategies for Equine Small Strongyles in Lithuania.
Helminthologia    September 30, 2021   Volume 58, Issue 3 225-232 doi: 10.2478/helm-2021-0031
Dauparaitė E, Kupčinskas T, Hoglund J, Petkevičius S.Anthelmintic resistance (AR) in equine cyathostomins is being reported all over the world. In Lithuania, however, the last study on this subject was published more than fifteen years ago, thus little is known about the current situation. The aim of this study was to determine the factors that may associated with the development of AR on equine studs in Lithuania. A questionnaire containing seven open-ended and nine closed multiple-choice questions about worm control strategies, use of anthelmintic substances and stable management practices was posted to 71 randomly selected horse establishment...
Prevalence of anthelmintic resistant cyathostomins in Prince Edward Island, Canada.
Veterinary parasitology, regional studies and reports    August 30, 2021   Volume 26 100629 doi: 10.1016/j.vprsr.2021.100629
Butler AJ, Greenbank H, Parrish R, Nielsen MK, Stoughton WB.Cyathostomins are the most common parasites of adult horses worldwide. Currently, the three classes of anthelmintics used to treat cyathostomin infections includes benzimidazoles, pyrimidines and macrocyclic lactones. However, due to widespread overuse, cyathostomins have developed varying degrees of resistance to all classes of anthelmintics. Fecal egg count reduction tests (FECRT) are currently used to determine the presence of anthelmintic resistance (AR), while egg reappearance periods (ERP) are used to investigate early macrocyclic lactone resistance. The objective of this study was to in...
Intestinal parasites in Przewalski’s horses (Equus ferus przewalskii): a field survey at the Hortobágy National Park, Hungary.
Journal of helminthology    August 6, 2021   Volume 95 e39 doi: 10.1017/S0022149X21000274
Jota Baptista C, Sós E, Szabados T, Kerekes V, Madeira de Carvalho L.The Pentezug Wildhorse Reserve, located in the Hortobágy National Park, Hungary, has one of the biggest ex situ populations of Przewalski's horses and aims to preserve its landscape and to study this subspecies. Between September and November 2018, 79 faecal samples were collected from Przewalski's horses. The McMaster, Willis flotation, natural sedimentation and coproculture methods were applied to all the samples. Results showed an average level of 1287 eggs per gram (EPG), which is a high faecal egg-shedding level. All the samples were positive for strongyle-type eggs (100%). There were no...
Three-year study to evaluate an anthelmintic treatment regimen with reduced treatment frequency in horses on two study sites in Belgium.
Veterinary parasitology    July 30, 2021   Volume 298 109538 doi: 10.1016/j.vetpar.2021.109538
Geurden T, De Keersmaecker F, De Keersmaecker S, Claerebout E, Leathwick DM, Nielsen MK, Sauermann CW.In the present study, an anthelmintic treatment regimen with reduced treatment frequency was evaluated in horses on two study sites in Belgium during three consecutive summer pasture seasons. Historically, the horses on both study sites were treated up to 6 times a year with ivermectin (IVM) or up to 4 times a year with moxidectin (MOX), and previous efficacy evaluations indicated a reduced egg reappearance period in some of the treated horses for both IVM (28 days) and MOX (42 days). In the present study, all horses were treated with IVM or MOX in the spring and in autumn. Faecal egg counts (...
The Use of Molecular Profiling to Track Equine Reinfection Rates of Cyathostomin Species Following Anthelmintic Administration.
Animals : an open access journal from MDPI    May 9, 2021   Volume 11, Issue 5 1345 doi: 10.3390/ani11051345
Johnson ACB, Biddle AS.Cyathostomins are a multispecies parasite ubiquitous in Equids. Cyathostomins have developed resistance to all but one class of anthelmintics, but species-level sensitivity to anthelmintics has not been shown. This study measured reinfection rates of cyathostomin species following the administration of three commercial dewormers. Nine treated horses were compared with 90 untreated controls during June-September 2017-2019. Ivermectin (IVM) (n = 6), Moxidectin (MOX) (n = 8) or Pyrantel (PYR) (n = 8) were orally administered. Fecal samples were collected every 14 d for 98 d. Fecal egg count reduc...
Survey of anthelmintic resistance in a Romanian horse stud using three different methods.
Polish journal of veterinary sciences    April 14, 2021   Volume 24, Issue 1 145-149 doi: 10.24425/pjvs.2021.136803
Dărăbuş G, Badea C, Oprescu I, Morariu S, Mederle N, Ilie M, Suici T, Imre M.Resistance of cyathostomins to benzimidazole (BZ) anthelmintics is widespread in horses in many parts of the world. This study compared three methods for the determination of benzimidazole resistance of Cyathostominae in 18 horses from a stud farm in Romania. The horses were treated with Fenbendazole. The resistance test was performed by FECRT, ERP and PCR. On Day 0, larvae of species belonging to the Cyathostominae subfamily, types A, B, C, D and Gyalocephalus, as well as Strongylus vulgaris species of the Strongylinae subfamily, were identified. At 42 days post treatment with fenbendazole on...
Precision and spatial variation of cyathostomin mucosal larval counts.
Veterinary parasitology    January 7, 2021   Volume 290 109349 doi: 10.1016/j.vetpar.2021.109349
Nielsen MK, Martin AN, Scare JA, Steuer AE.Cyathostomins are pervasive parasites of equids across the world. Larval stages encyst in the mucosa of the cecum, ventral and dorsal colon and can induce an inflammatory response leading to larval cyathostominosis, a life-threatening generalized typhlocolitis. Mucosal digestion is the only gold standard procedure for identifying and quantifying all larval stages. There is a lack of standardization of this technique and several aspects are ambiguous, such as precision of the method and the possibility of spatial variation of mucosal larval counts. The aim of this study was to estimate precisio...
No Worm Is an Island; The Influence of Commensal Gut Microbiota on Cyathostomin Infections.
Animals : an open access journal from MDPI    December 5, 2020   Volume 10, Issue 12 2309 doi: 10.3390/ani10122309
Walshe N, Mulcahy G, Hodgkinson J, Peachey L.The importance of the gut microbiome for host health has been the subject of intense research over the last decade. In particular, there is overwhelming evidence for the influence of resident microbiota on gut mucosal and systemic immunity; with significant implications for the outcome of gastrointestinal (GI) infections, such as parasitic helminths. The horse is a species that relies heavily on its gut microbiota for GI and overall health, and disturbances in this complex ecosystem are often associated with life-threatening disease. In turn, nearly all horses harbour parasitic helminths from ...
Nutritional Supplements Containing Cardus mariano, Eucalyptus globulus, Gentiana lutea, Urtica urens, and Mallotus philippinensis Extracts Are Effective in Reducing Egg Shedding in Dairy Jennies (Equus asinus) Naturally Infected by Cyathostomins.
Frontiers in veterinary science    November 5, 2020   Volume 7 556270 doi: 10.3389/fvets.2020.556270
Arfuso F, Bazzano M, Brianti E, Gaglio G, Passantino A, Tesei B, Laus F.The increasing levels of anthelmintic resistance together with the restrictions in the use of drugs in food producing animals have enforced the search for sustainable alternative approaches for parasite control. The current study aimed to investigate the safety and the efficacy of a commercially available phytotherapic formulation against gastrointestinal strongyles in donkeys. Twenty-two Ragusana jennies (2.6 ± 0.5 years old) were assigned to two equal groups. One group was treated with two doses of a phytotherapic supplement Paraxitebio® containing , and , 14 days apart (Group A). One grou...
Meta-analysis of cyathostomin species-specific prevalence and relative abundance in domestic horses from 1975-2020: emphasis on geographical region and specimen collection method.
Parasites & vectors    October 12, 2020   Volume 13, Issue 1 509 doi: 10.1186/s13071-020-04396-5
Bellaw JL, Nielsen MK.Cyathostomins infect virtually all horses, and concomitant infections with 10 or more species per horse is standard. Species-specific knowledge is limited, despite potential species bias in development of disease and anthelmintic resistance. This is the first meta-analysis to examine effects of geographical region and cyathostomin collection method on reported composition of cyathostomin communities. Methods: Thirty-seven articles published in English in 1975 or later, in which adults of individual species were systematically enumerated, were included. Seven regions; North America, South Ameri...
Outbreak of acute larval cyathostominosis – A “perfect storm” of inflammation and dysbiosis.
Equine veterinary journal    October 6, 2020   Volume 53, Issue 4 727-739 doi: 10.1111/evj.13350
Walshe N, Mulcahy G, Crispie F, Cabrera-Rubio R, Cotter P, Jahns H, Duggan V.Cyathostomins are prevalent and pathogenic intestinal helminths of horses, causing acute and chronic disease, including acute larval cyathostominosis, which has a mortality rate of 50%. Factors determining individual susceptibility to acute larval cyathostominosis are unknown. Investigation of these factors could lead to novel treatment and prevention strategies. Objective: To investigate clinicopathological and faecal microbiota changes associated with disease in individual horses in an acute larval cyathostominosis outbreak. Methods: Case series. Methods: The study population was a herd of 2...
Importation of macrocyclic lactone resistant cyathostomins on a US thoroughbred farm.
International journal for parasitology. Drugs and drug resistance    September 30, 2020   Volume 14 99-104 doi: 10.1016/j.ijpddr.2020.09.004
Nielsen MK, Banahan M, Kaplan RM.Anthelmintic resistance in equine cyathostomins is both widespread and highly prevalent in the benzimidazole and tetrahydropyrimidine classes; however, reports of resistance to macrocyclic lactone (ML) drugs are sparse and sporadic. This study reports a case of clear ML resistance in a group of Thoroughbred yearlings imported from Ireland to the US in 2019. Fecal egg count reduction (FECR) following ivermectin administered in February 2020 demonstrated 100% reduction in the US bred yearlings, but 93.5%, 70.5%, and 74.5% reduction in three groups of the imported yearlings. The two former groups...
Multiple resistance in equine cyathostomins: a case study from military establishments in Rio Grande do Sul, Brazil. Flores AG, Osmari V, Ramos F, Marques CB, Ramos DJ, Botton SA, Vogel FSF, Sangioni LA.Semi-intensive equine breeding system favors gastrointestinal nematode infections. The treatment of these infections is based on the use of anthelmintics. However, the inappropriate use of these drugs has led to parasitic resistance to the available active principles. The objective of this study was to evaluate the efficacy of the main classes of antiparasitic (ATP) used in control in adult and young animals, including: benzimidazoles (fenbendazole), pyrimidines (pyrantel pamoate), macrocyclic lactones (ivermectin and moxidectin), as well as the combination of active ingredients (ivermectin + ...
Climate change is likely to increase the development rate of anthelmintic resistance in equine cyathostomins in New Zealand.
International journal for parasitology. Drugs and drug resistance    September 17, 2020   Volume 14 73-79 doi: 10.1016/j.ijpddr.2020.09.001
Sauermann CW, Leathwick DM, Lieffering M, Nielsen MK.Climate change is likely to influence livestock production by increasing the prevalence of diseases, including parasites. The traditional practice of controlling nematodes in livestock by the application of anthelmintics is, however, increasingly compromised by the development of resistance to these drugs in parasite populations. This study used a previously developed simulation model of the entire equine cyathostomin lifecycle to investigate the effect a changing climate would have on the development of anthelmintic resistance. Climate data from six General Circulation Models based on four di...
Anthelmintic Efficacy and Pharmacokinetics of Ivermectin Paste after Oral Administration in Mules Infected by Cyathostomins.
Animals : an open access journal from MDPI    May 28, 2020   Volume 10, Issue 6 934 doi: 10.3390/ani10060934
Ivermectin (IVM) is an anthelmintic compound commonly used off-label in mules due to its broad-spectrum of activity. Despite the general use of IVM in mules with the same dose and route of administration licensed for horses, significant pharmacokinetic differences might exist between horses and mules, as already observed for donkeys. The aim of the present study was to evaluate the pharmacokinetic profile and anthelmintic efficacy of an oral paste of IVM in mules naturally infected with cyathostomins. Fifteen adult mules with fecal egg counts (FEC) ≥200 eggs per gram (EPG), with exclusive pr...
Anthelmintic resistance in strongylids (Nematoda: Strongylidae) parasitizing wild and domestic equids in the Askania Nova Biosphere Reserve, Ukraine.
Annals of parasitology    March 22, 2020   Volume 66, Issue 1 49–60 doi: 10.17420/ap6601.237
Kuzmina ТА, Zvegintsova NS, Yasynetska NI, Kharchenko VA.Resistance of strongylids in domestic horses to benzimidazole anthelmintics (BZ) has been detected worldwide; however, information on the presence of BZ-resistance in wild equids has not been published to date. The purpose of this study was to analyze the manifestations of the BZ resistance in strongylids in domestic and wild equids kept in the Askania Nova Biosphere Reserve, Ukraine. Four species of equids: domestic horses and Shetland ponies (Equus caballus), donkeys (E. asinus), plains zebras (E. burchelli) and Grévy’s zebras (E. grevyi) kept under semi-free conditions were examined usin...
Cytokine and goblet cell gene expression in equine cyathostomin infection and larvicidal anthelmintic therapy.
Parasite immunology    March 20, 2020   Volume 42, Issue 6 e12709 doi: 10.1111/pim.12709
Steuer AE, Stewart JC, Barker VD, Adams AA, Nielsen MK.The role of the immune response to cyathostomin infections in horses remains unknown. Intestinal goblet cell hyperplasia has previously been noted as a component in cyathostomin infection; however, the function is unclear. The goal of this study was to evaluate the local and systemic gene expression to cyathostomin infections following larvicidal treatment and explore their relation to goblet cells. Thirty-six ponies with naturally acquired cyathostomin infections were randomly allocated into three groups: fenbendazole-treated (10 mg/kg PO 5 days), moxidectin-treated (0.4 mg/kg PO once) and...
Characterisation of serum IgG(T) responses to potential diagnostic antigens for equine cyathostominosis.
International journal for parasitology    March 12, 2020   Volume 50, Issue 4 289-298 doi: 10.1016/j.ijpara.2020.01.004
Tzelos T, Geyer KK, Mitchell MC, McWilliam HEG, Kharchenko VO, Burgess STG, Matthews JB.Cyathostomins are ubiquitous parasitic nematodes of horses. These worms spend substantial periods as intestinal wall stage encysted larvae, which can comprise up to 90% of the total burden. Several million larvae have been reported in individuals. Emergence of these larvae from the gut wall can lead to life-threatening colitis. Faecal egg count tests, increasingly used by horse owners to inform anthelmintic treatments, do not correlate with the intra-host burden of cyathostomins; this represents a key gap in the diagnostic toolbox. Previously, a cyathostomin Gut Associated Larval Antigen was i...
Eficacy of ivermectin, moxidectin and febendazole in equine in Brazil.
Veterinary parasitology, regional studies and reports    February 19, 2020   Volume 20 100374 doi: 10.1016/j.vprsr.2020.100374
Vera JHS, Fachiolli DF, Ramires LM, de Lima Saes I, Yamada PH, Gonçalves JA, de Oliveira K, do Amarante AFT, de Soutello RVG.The objectives of the present study were to evaluate the efficacy of three anthelmintic drugs, i.e. fenbendazole, ivermectin and moxidectin; to determine the genera and species of the most abundant strongyles; and to investigate parasite control measures used in herds of horses in the western region of the state of São Paulo, Brazil. This study was onducted between February and December 2013 on 10 farms in this region. Coprological evaluations were conducted for counting the numbers of eggs per gram of feces (EPG) and coprocultures were made in order to identify third-stage larvae (L3) of str...
Not playing by the rules: Unusual patterns in the epidemiology of parasites in a natural population of feral horses (Equus caballus) on Sable Island, Canada.
International journal for parasitology. Parasites and wildlife    February 5, 2020   Volume 11 183-190 doi: 10.1016/j.ijppaw.2020.02.002
Jenkins E, Backwell AL, Bellaw J, Colpitts J, Liboiron A, McRuer D, Medill S, Parker S, Shury T, Smith M, Tschritter C, Wagner B, Poissant J....Sable Island, Nova Scotia, Canada hosts one of few natural populations of feral horses (Equus caballus) never exposed to anthelmintics. Coproculture revealed cyathostomes, Strongylus equinus, S. edentatus, and S. vulgaris, with S. equinus (unusually) dominating in adult horses and cyathostomes dominating in young horses (<3 years of age). We examined 35 horses found dead in the springs of 2017 and 2018, as well as fecal samples from live horses in spring (n = 45) and summer 2018 (n = 236) using McMaster fecal flotation and Baermann larval sedimentation on fresh samples, and modified Wiscon...
Compilation of 29 years of postmortem examinations identifies major shifts in equine parasite prevalence from 2000 onwards.
International journal for parasitology    January 23, 2020   Volume 50, Issue 2 125-132 doi: 10.1016/j.ijpara.2019.11.004
Sallé G, Guillot J, Tapprest J, Foucher N, Sevin C, Laugier C.Horses are infected by a wide range of parasite species that form complex communities. Parasite control imposes significant constraints on parasite communities whose monitoring remains, however, difficult to track through time. Postmortem examination is a reliable method to quantify parasite communities. Here, we compiled 1,673 necropsy reports accumulated over 29 years, in the reference necropsy centre from Normandy (France). The burden of non-strongylid species was quantified and the presence of strongylid species was noted. Details of horse deworming history and the cause of death were reg...
Parasites in Horses Kept in A 2.5 Year-Round Grazing System in Nordic Conditions without Supplementary Feeding.
Animals : an open access journal from MDPI    December 17, 2019   Volume 9, Issue 12 doi: 10.3390/ani9121156
Tydén E, Jansson A, Ringmark S.Horse grazing can be favorable from a biological diversity perspective. This study documented the occurrence of endo- and ectoparasites and sought to reduce parasite egg excretion with the anthelmintic drug pyrantel in 12 Gotlandsruss stallions maintained in a year-round grazing system for 2.5 years. Feces samples were collected monthly and all horses were treated with pyrantel, the anthelmintic drug of choice in biological diversity preservation, at study population mean cyathostomin eggs per gram (EPG) of >200. The relationship between cyathostomin EPG and body condition was studied, as was ...
Dealing with double trouble: Combination deworming against double-drug resistant cyathostomins.
International journal for parasitology. Drugs and drug resistance    December 16, 2019   Volume 12 28-34 doi: 10.1016/j.ijpddr.2019.12.002
Scare JA, Leathwick DM, Sauermann CW, Lyons ET, Steuer AE, Jones BA, Clark M, Nielsen MK.An alternative control regimen for drug-resistant parasites is combination deworming, where two drugs with different modes of action are administered simultaneously to target the same parasite. Few studies have investigated this in equine cyathostomins. We previously reported that an oxibendazole (OBZ) and pyrantel pamoate (PYR) combination was not sustainable against a cyathostomin population with high levels of OBZ and PYR resistance. This study consisted of a field study and two computer simulations to evaluate the efficacy of a moxidectin-oxibendazole (MOX-OBZ) combination against the same...