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Topic:Fecal Egg Count

Fecal Egg Count (FEC) is a diagnostic tool used to quantify the number of parasite eggs present in a horse's feces. This measure is primarily employed to assess the burden of gastrointestinal parasites, such as strongyles and ascarids, in equine populations. FEC is instrumental in informing parasite management strategies, including the timing and effectiveness of anthelmintic treatments. The process involves collecting a fecal sample from the horse, preparing it in a laboratory setting, and examining it under a microscope to count the eggs. This page compiles peer-reviewed research studies and scholarly articles that explore the methodologies, applications, and implications of fecal egg count in equine parasitology.
Biphasic appearance of corticated and decorticated ascarid egg shedding in untreated horse foals.
Veterinary parasitology    September 11, 2015   Volume 214, Issue 1-2 114-117 doi: 10.1016/j.vetpar.2015.09.003
Donoghue EM, Lyons ET, Bellaw JL, Nielsen MK.Parascaris spp. infects foals worldwide and may cause airway inflammation in addition to small intestinal impaction and rupture. It is observed that acquired immunity eliminates ascarid burdens beginning at about 6 months of age, and current evidence suggests that a single parasite generation propagates in each foal crop. The purpose of this study was to monitor natural parasitic infections in untreated mixed breed horse foals over the course of 0-300 days of age. Fecal samples were collected monthly from all foals born in 2014 (n=13), beginning July 2014 through February 2015. Fecal egg count...
Efficacy of selected anthelmintic drugs against cyathostomins in horses in the federal state of Brandenburg, Germany.
Parasitology research    September 4, 2015   Volume 114, Issue 12 4441-4450 doi: 10.1007/s00436-015-4685-7
Fischer JK, Hinney B, Denwood MJ, Traversa D, von Samson-Himmelstjerna G, Clausen PH.Cyathostomins are currently the most common internal parasites of horses. With the intensive use of anthelmintic drugs over the past decades, resistance of cyathostomins to anthelmintics is becoming a growing problem in many countries. The aim of this study was to assess the current situation on horse farms in the German federal state of Brandenburg. A pre-selected population of horses from 24 premises that had shown a prevalence of cyathostomins higher than the average in a previous study was examined for anthelmintic efficacy. Faecal egg count reduction tests (FECRTs) were performed for iver...
Suspected ivermectin resistance in a south-east Queensland Parascaris equorum population.
Australian veterinary journal    August 28, 2015   Volume 93, Issue 9 305-307 doi: 10.1111/avj.12352
Beasley A, Coleman G, Kotze AC.There have been several international reports of macrocyclic lactone (ML)-resistant Parascaris equorum over the past decade, but the resistance status of Australian P. equorum populations is largely unknown. A case of apparent reduced efficacy of ivermectin against P. equorum in Australia was investigated. Results: A faecal egg count reduction test carried out on a group of weanling foals in south-east Queensland showed the efficacy of ivermectin to be 65%. Conclusions: The case highlights the need to review current worm control strategies, especially for young horses.
Prevalence, intensity and risk factors of infestation with major gastrointestinal nematodes in equines in and around Shashemane, Southern Ethiopia.
Tropical animal health and production    July 24, 2015   Volume 47, Issue 8 1515-1521 doi: 10.1007/s11250-015-0893-5
Seyoum Z, Tesfaye M, Derso S.Prevalence, intensity and risk factors of major gastrointestinal nematode infestation in equines were studied through a cross-sectional survey in 384 equids from October 2013 to April 2014 in and around Shashemane, southern Ethiopia. Three hundred and fifteen equids (82 %) were demonstrated harbouring one or more gastrointestinal (GIT) nematodes using the faecal flotation technique. The prevalence of GIT nematode infestation was 73.4, 85 and 86.5 % for horses, mules and donkeys, respectively. The identified nematodes were strongyle type (73.4 %), Parascaris equorum (21.4 %) and Oxyuris equ...
Duddingtonia flagrans in the control of gastrointestinal nematodes of horses.
Experimental parasitology    July 22, 2015   Volume 159 1-4 doi: 10.1016/j.exppara.2015.07.006
Buzatti A, de Paula Santos C, Fernandes MA, Yoshitani UY, Sprenger LK, dos Santos CD, Molento MB.Horses can harbor a large amount of parasites that may cause serious clinical signs even death. The aim of this study was to evaluate the predatory activity of the fungus Duddingtonia flagrans against infective larvae (L3) of gastrointestinal nematodes of horses in fecal culture. The experimental design was completely randomized with three treated groups (G1, G2 and G3) and one control (CG), using eight animals/group. The treated animals received G1: 1.5 × 10(5); G2: 3 × 10(5) and G3: 6 × 10(5) chlamydospores of D. flagrans/kg body weight during 21 days. The fungi preparation was give...
A comparison of the efficacy and pharmacokinetics of ivermectin after spring and autumn treatments against Cyathostominae in horses.
Polish journal of veterinary sciences    July 15, 2015   Volume 18, Issue 2 371-377 doi: 10.1515/pjvs-2015-0048
Sokół R, Raś-Noryńska M, Michalczyk M, Jasiecka A, Ziółkowski H, Jaroszewski J.The aim of the present study was to determine the efficacy of ivermectin against Cyathostominae infections and to describe the drug's pharmacokinetic parameters during two seasonal deworming treatments in horses. The study was performed on warm-blooded mares aged 3-12 years weighing 450-550 kg. A single bolus of an oral paste formulation of ivermectin was administered at a dose of 0.2 mg/kg BW in spring and autumn. Fecal samples were tested before treatment and 1, 2, 3, 4, 6, 10, 20, 30, 40, 50, 60, 75 days after treatment. Ivermectin concentrations in blood samples collected before treatment,...
Development of the larval migration inhibition test for comparative analysis of ivermectin sensitivity in cyathostomin populations.
Veterinary parasitology    June 20, 2015   Volume 212, Issue 3-4 292-298 doi: 10.1016/j.vetpar.2015.06.019
McArthur CL, Handel IG, Robinson A, Hodgkinson JE, Bronsvoort BM, Burden F, Kaplan RM, Matthews JB.Cyathostomins are the most prevalent parasitic pathogens of equids worldwide. These nematodes have been controlled using broad-spectrum anthelmintics; however, cyathostomin resistance to each anthelmintic class has been reported and populations insensitive to more than one class are relatively commonplace. The faecal egg count reduction test (FECRT) is considered the most suitable method for screening anthelmintic sensitivity in horses, but is subject to variation and is relatively time-consuming to perform. Here, we describe a larval migration inhibition test (LMIT) to assess ivermectin (IVM)...
Resistance of gastrointestinal nematodes to the most commonly used anthelmintics in sheep, cattle and horses in Spain.
Veterinary parasitology    June 4, 2015   Volume 211, Issue 3-4 228-233 doi: 10.1016/j.vetpar.2015.05.024
Martínez-Valladares M, Geurden T, Bartram DJ, Martínez-Pérez JM, Robles-Pérez D, Bohórquez A, Florez E, Meana A, Rojo-Vázquez FA.The objective of this study was to evaluate the status of anthelmintic resistance (AR) in ruminants and horses in Spain. The efficacy of commonly used macrocyclic lactones (MLs) - ivermectin (IVM) and moxidectin (MOX) - was measured in sheep, cattle and horses. In addition, albendazole (ABZ) and levamisole (LEV) were evaluated in sheep and oxibendazole (OXI) and pyrantel (PYR) in horses. Efficacy was evaluated based on the difference between the arithmetic mean pre- and post-treatment faecal egg count (in cattle and horses), or compared to an untreated control group (in sheep). AR was present ...
A model for the dynamics of the free-living stages of equine cyathostomins.
Veterinary parasitology    March 11, 2015   Volume 209, Issue 3-4 210-220 doi: 10.1016/j.vetpar.2015.02.031
Leathwick DM, Donecker JM, Nielsen MK.Anthelmintic resistance in strongyle nematode parasites of horses is an expanding global problem and steps need to be taken to slow its development before control becomes more problematic. A move away from traditional deworming programmes, involving frequent whole-herd treatments with broad spectrum anthelmintics, to a more strategic or targeted use of chemicals is required. However, anthelmintic resistance management strategies which also maintain effective control are invariably more complicated and often require a greater understanding of both nematode epidemiology and grazing management, t...
Questionnaire study on parasite control practices on Thoroughbred and Standardbred breeding farms in New Zealand.
Veterinary parasitology    February 20, 2015   Volume 209, Issue 1-2 62-69 doi: 10.1016/j.vetpar.2015.02.011
Bolwell CF, Rosanowski SM, Scott I, Sells PD, Rogers CW.Against a global background of increasing anthelmintic resistance in parasites, little is known about the current parasite control strategies adopted within the equine industry in New Zealand. The aim of the study was to describe and compare the current parasite management and control practices used on Thoroughbred and Standardbred stud farms in New Zealand. An online questionnaire was used to collect data on the demographics of respondents, parasite control methods, grazing management, and use of faecal egg counts. Questions regarding parasite control strategy, how often horses were dewormed,...
Estimation of genetic parameters for resistance to gastro-intestinal nematodes in pure blood Arabian horses.
International journal for parasitology    January 12, 2015   Volume 45, Issue 4 237-242 doi: 10.1016/j.ijpara.2014.11.003
Kornaś S, Sallé G, Skalska M, David I, Ricard A, Cabaret J.Equine internal parasites, mostly cyathostomins, affect both horse welfare and performance. The appearance of anthelmintic-resistant parasites creates a pressing need for optimising drenching schemes. This optimization may be achieved by identifying genetic markers associated with host susceptibility to infection and then to drench carriers of these markers. The aim of our study was to characterise the genetics of horse resistance to strongyle infection by estimating heritability of this trait in an Arabian pure blood population. A population of 789 Arabian pure blood horses from the Michałó...
Screening for anthelmintic resistance in equid strongyles (Nematoda) in Romania.
Folia parasitologica    January 1, 2015   Volume 62 2015.023 doi: 10.14411/fp.2015.023
Cernea M, Cristina RT, Stefanut LC, Madeira de Carvalho LM, Taulescu MA, Cozma V.Resistance to anthelmintic medication of equid strongyles is a worldwide phenomenon and for this reason systematic investigations of resistant parasite populations are necessary. The purpose of the present study was to investigate the presence and distribution of equid strongyles resistant to the anthelmintics used in Romania, as well as the pre-treatment and post-treatment prevalence of species of strongylid nematodes. The Faecal Egg Count Reduction Test was performed between 2010 and 2013 on a total number of 588 horses and 23 donkeys from 26 locations (subgroups). Animals of the first group...
Cylicocyclus species predominate during shortened egg reappearance period in horses after treatment with ivermectin and moxidectin.
Veterinary parasitology    December 3, 2014   Volume 206, Issue 3-4 246-252 doi: 10.1016/j.vetpar.2014.10.004
van Doorn DC, Ploeger HW, Eysker M, Geurden T, Wagenaar JA, Kooyman FN.The normal time interval between treatment of horses with a macrocyclic lactone (ML) and reappearance of strongyle eggs in the feces, or 'Egg Reappearance Period (ERP)', is at its shortest 8 weeks for ivermectin (IVM) and 12 weeks for moxidectin (MOX). Nowadays, it is not uncommon to find shorter ERPs, potentially indicating the beginning of the development of drug resistance. Whether all cyathostomin species contribute equally to a shortened ERP is not known. In the present study a Reverse Line Blot (RLB) on individual infective larvae was used to compare species composition before and after ...
Strongyle infections and parasitic control strategies in German horses – a risk assessment.
BMC veterinary research    November 12, 2014   Volume 10 262 doi: 10.1186/s12917-014-0262-z
Schneider S, Pfister K, Becher AM, Scheuerle MC.As a consequence of the increasing levels of anthelmintic resistance in cyathostomes, new strategies for equine parasite control are being implemented. To assess the potential risks of these, the occurrence of strongyles was evaluated in a group of 1887 horses. The distribution of fecal egg counts (FECs), the frequency of anthelmintic drug use, and the deworming intervals were also analyzed. Between June 2012 and May 2013, 1887 fecal samples from either selectively or strategically dewormed horses were collected at 195 horse farms all over Germany and analyzed quantitatively with a modified Mc...
Anthelmintic resistance in equine nematodes.
International journal for parasitology. Drugs and drug resistance    October 25, 2014   Volume 4, Issue 3 310-315 doi: 10.1016/j.ijpddr.2014.10.003
Matthews JB.Anthelmintics have been applied indiscriminately to control horse nematodes for over 40 years. Three broad-spectrum anthelmintic classes are currently registered for nematode control in horses: benzimidazoles (fenbendazole, oxibendazole), tetrahydropyrimidines (pyrantel) and macrocyclic lactones (ivermectin, moxidectin). Generally, control strategies have focused on nematode egg suppression regimens that involve the frequent application of anthelmintics to all horses at intervals based on strongyle egg reappearance periods after treatment. The widespread use of such programmes has substantial...
Comparison of a single dose of moxidectin and a five-day course of fenbendazole to reduce and suppress cyathostomin fecal egg counts in a herd of embryo transfer-recipient mares.
Journal of the American Veterinary Medical Association    October 7, 2014   Volume 245, Issue 8 944-951 doi: 10.2460/javma.245.8.944
Mason ME, Voris ND, Ortis HA, Geeding AA, Kaplan RM.To compare larvicidal regimens of fenbendazole and moxidectin for reduction and suppression of cyathostomin fecal egg counts (FEC) in a transient herd of embryo transfer-recipient mares. Methods: Randomized, complete block, clinical trial. Methods: 120 mares from 21 states, residing on 1 farm. Methods: An initial fecal sample was collected from each mare; mares with an FEC ≥ 200 eggs/g were assigned to treatment groups. Eighty-two horses received fenbendazole (10.0 mg/kg [4.5 mg/lb], PO, q 24 h for 5 days) or moxidectin (0.4 mg/kg [0.18 mg/lb], PO, once); FEC data were analyzed 14, 45, and 9...
Multiple hypersensitivities including recurrent airway obstruction, insect bite hypersensitivity, and urticaria in 2 warmblood horse populations.
Journal of veterinary internal medicine    September 30, 2014   Volume 29, Issue 1 320-326 doi: 10.1111/jvim.12473
Kehrli D, Jandova V, Fey K, Jahn P, Gerber V.Multiple hypersensitivities (MHS) have been described in humans, cats, and dogs, but not horses. Objective: Horses suffering from recurrent airway obstruction (RAO), insect bite hypersensitivity (IBH), or urticaria (URT) will have an increased risk of also being affected by another one of these hypersensitivities. This predisposition for MHS also will be associated with decreased shedding of strongylid eggs in feces and with a single nucleotide polymorphism (SNP BIEC2-224511), previously shown to be associated with RAO. Methods: The first population (P1) included 119 randomly sampled horses re...
The efficacy of ivermectin, pyrantel and fenbendazole against Parascaris equorum infection in foals on farms in Australia.
Veterinary parasitology    September 6, 2014   Volume 205, Issue 3-4 575-580 doi: 10.1016/j.vetpar.2014.08.028
Armstrong SK, Woodgate RG, Gough S, Heller J, Sangster NC, Hughes KJ.This study was performed to estimate the prevalence of patent Parascaris equorum infections and determine the efficacy of ivermectin, pyrantel and fenbendazole against P. equorum infection in foals on farms in southern Australia. Foals aged >3 months on five farms in the south-western slopes region of New South Wales were used. Faeces were collected from each foal and foals with a P. equorum faecal egg count (FEC) of >100 eggs per gram (EPG) were used to measure anthelmintic efficacy using the FEC reduction (FECR) test, after random allocation to a control group or an ivermectin, pyrante...
Deep amplicon sequencing of preselected isolates of Parascaris equorum in β-tubulin codons associated with benzimidazole resistance in other nematodes.
Parasites & vectors    August 29, 2014   Volume 7 410 doi: 10.1186/1756-3305-7-410
Tydén E, Dahlberg J, Karlberg O, Höglund J.The development of anthelmintic resistance (AR) to macrocyclic lactones in the equine roundworm Parascaris equorum has resulted in benzimidazoles now being the most widely used substance to control Parascaris infections. However, over-reliance on one drug class is a risk factor for the development of AR. Consequently, benzimidazole resistance is widespread in several veterinary parasites, where it is associated with single nucleotide polymorphisms (SNPs) in drug targets encoded by the β-tubulin genes. The importance of these SNPs varies between different parasitic nematodes, but it has been h...
Profiles of strongyle EPG values for Thoroughbred mares on 14 farms in Kentucky (2012-2013).
Veterinary parasitology    August 28, 2014   Volume 205, Issue 3-4 646-652 doi: 10.1016/j.vetpar.2014.08.001
Lyons ET, Tolliver SC, Kuzmina TA, Dzeverin II, Nielsen MK, McDowell KJ.The main purpose of the research was to determine if three weekly samplings would produce consistent results for low strongyle egg shedders, generally associated with older horses. Strongyle egg counts per gram of feces (EPG) were done for 661 Thoroughbred mares on 14 farms in 2012-2013 once a week for three consecutive weeks. None of the mares had been treated with ivermectin or moxidectin for more than 90 days and with fenbendazole, oxibendazole, or pyrantel pamoate for more than 60 days. Strongyle EPG count data indicated that 38.3% of the mares were positive at first and second sampling, a...
Anthelmintic resistance of intestinal nematodes to ivermectin and pyrantel in Estonian horses.
Journal of helminthology    July 9, 2014   Volume 89, Issue 6 760-763 doi: 10.1017/S0022149X14000510
Lassen B, Peltola SM.There is evidence of resistance in horses to anthelmintic treatment using ivermectin and pyrantel. However, little information is available about the parasites, treatment practices or anthelmintic resistance in the horse population in Estonia. In the present study, we examined 41 trotting and riding horses aged < 3 years from four stables in Estonia. Faecal samples were collected, and horses were selected for treatment if the nematode egg count per gram faeces exceeded 200. Horses (n= 32) that shed strongyle-type eggs were treated with pyrantel, whereas Parascaris equorum-positive animals...
How does the suppression of energy supplementation affect herbage intake, performance and parasitism in lactating saddle mares?
Animal : an international journal of animal bioscience    June 2, 2014   Volume 8, Issue 8 1290-1297 doi: 10.1017/S175173111400127X
Collas C, Fleurance G, Cabaret J, Martin-Rosset W, Wimel L, Cortet J, Dumont B.Agroecology opens up new perspectives for the design of sustainable farming systems by using the stimulation of natural processes to reduce the inputs needed for production. In horse farming systems, the challenge is to maximize the proportion of forages in the diet, and to develop alternatives to synthetic chemical drugs for controlling gastrointestinal nematodes. Lactating saddle mares, with high nutritional requirements, are commonly supplemented with concentrates at pasture, although the influence of energy supplementation on voluntary intake, performance and immune response against parasi...
Effects of daily pyrantel tartrate on strongylid population dynamics and performance parameters of young horses repeatedly infected with cyathostomins and Strongylus vulgaris.
Veterinary parasitology    May 27, 2014   Volume 204, Issue 3-4 229-237 doi: 10.1016/j.vetpar.2014.05.034
Reinemeyer CR, Prado JC, Andersen UV, Nielsen MK, Schricker B, Kennedy T.Strongylid infections are ubiquitous in grazing horse populations. Infections with cyathostomin (small strongyle) and strongylin (large strongyle) nematodes have long been associated with clinical disease in horses, but little is known about their subclinical impact. A masked, randomized, controlled study was conducted to evaluate the effects of daily administration of pyrantel tartrate on body condition scores, weight gain, fecal egg counts, and total worm counts of young horses repeatedly inoculated with strongylid larvae. Twenty eight immature horses were treated with larvicidal anthelminti...
Characterisation of the inflammatory cytokine response to anthelmintic treatment in ponies.
Equine veterinary journal    May 26, 2014   Volume 47, Issue 2 240-244 doi: 10.1111/evj.12280
Betancourt A, Lyons ET, Horohov DW.Anthelmintic treatments have been associated with local inflammatory reactions. Since each class of anthelmintic has unique mechanisms of action affecting different subpopulations of parasites, we hypothesised that they will also induce characteristic proinflammatory responses. Objective: To determine the effect of anthelmintic class on the proinflammatory response post treatment. Methods: Ponies naturally infected with cyathostomins and other parasites after pasture grazing were left untreated or treated with representatives of 3 different classes of anthelmintics: fenbendazole (benzimidazole...
Effects of sub-zero storage temperatures on endoparasites in canine and equine feces.
Veterinary parasitology    May 16, 2014   Volume 204, Issue 3-4 310-315 doi: 10.1016/j.vetpar.2014.05.008
Schurer J, Davenport L, Wagner B, Jenkins E.Fecal samples from wild and domestic carnivores are routinely frozen for three days at -80°C to kill eggs of Echinococcus spp., following recommendations from the World Health Organization (WHO) and World Organization for Animal Health (OIE). This is done to decrease the risk of zoonotic infection with these pathogenic cestodes. In addition, it is often necessary to freeze fecal samples collected for research prior to batch processing by a limited number of personnel, especially large numbers of samples or those collected in remote locations. The effect of freezing on the recovery of endopara...
Decreased strongyle egg re-appearance period after treatment with ivermectin and moxidectin in horses in Belgium, Italy and The Netherlands.
Veterinary parasitology    April 26, 2014   Volume 204, Issue 3-4 291-296 doi: 10.1016/j.vetpar.2014.04.013
Geurden T, van Doorn D, Claerebout E, Kooyman F, De Keersmaecker S, Vercruysse J, Besognet B, Vanimisetti B, di Regalbono AF, Beraldo P, Di Cesare A....The objective of the present study was to evaluate the efficacy of an oral treatment with ivermectin (IVM) or moxidectin (MOX) against gastro-intestinal strongyles in naturally infected horses by performing a faecal egg count reduction test (FECRT) and by monitoring the egg reappearance period (ERP) after treatment. Therefore, a field efficacy study with a randomised complete block design for each study site was conducted, with the individual animal as the experimental unit. At least 10 study sites in Italy, Belgium and The Netherlands were selected and animals were allocated to one of the two...
Anthelmintic efficacy on UK Thoroughbred stud farms.
International journal for parasitology    April 15, 2014   Volume 44, Issue 8 507-514 doi: 10.1016/j.ijpara.2014.03.006
Relf VE, Lester HE, Morgan ER, Hodgkinson JE, Matthews JB.Anthelmintic drugs have been applied indiscriminately to control horse nematodes for over 40 years. We undertook a comprehensive study to investigate efficacy of the four available broad-spectrum anthelmintic drugs on 16 Thoroughbred stud farms using the faecal egg count reduction test. Efficacy against strongyles was determined by calculating the percentage of reduction in faecal egg count between the group mean at Day 0 and Days 14-17 post-treatment and the 95% lower confidence intervals estimated by non-parametric bootstrapping. Individual strongyle faecal egg count reduction tests (n=429) ...
Selective therapy in equine parasite control–application and limitations.
Veterinary parasitology    March 22, 2014   Volume 202, Issue 3-4 95-103 doi: 10.1016/j.vetpar.2014.03.020
Nielsen MK, Pfister K, von Samson-Himmelstjerna G.Since the 1960s equine parasite control has relied heavily on frequent anthelmintic treatments often applied with frequent intervals year-round. However, increasing levels of anthelmintic resistance in cyathostomins and Parascaris equorum are now forcing the equine industry to change to a more surveillance-based treatment approach to facilitate a reduction in treatment intensity. The principle of selective therapy has been implemented with success in small ruminant parasite control, and has also found use in horse populations. Typically, egg counts are performed from all individuals in the pop...
[Helminth control in the adult horse: the need for a re-orientation].
Schweizer Archiv fur Tierheilkunde    January 28, 2014   Volume 156, Issue 2 61-70 doi: 10.1024/0036-7281/a000552
Hertzberg H, Schwarzwald CC, Grimm F, Frey CF, Gottstein B, Gerber V.The epidemiological situation of strongyle infections in adult horses in Switzerland is characterized by a strong dominance of small strongyles (Cyathostominae) and an overall low level of egg shedding in the faeces. The prevailing attitude towards anthelmintic therapy considers neither husbandry conditions nor pasture hygiene measures. Instead, calendar-based routine medication, comprising usually 3 to 4 annual treatments, is the typical strategy. Such an approach, however, often results in an excessive administration of anthelmintics. With respect to the continuous spread of drug resistant c...
The effectiveness of faecal removal methods of pasture management to control the cyathostomin burden of donkeys.
Parasites & vectors    January 24, 2014   Volume 7 48 doi: 10.1186/1756-3305-7-48
Corbett CJ, Love S, Moore A, Burden FA, Matthews JB, Denwood MJ.The level of anthelmintic resistance within some cyathostomin parasite populations has increased to the level where sole reliance on anthelmintic-based control protocols is not possible. Management-based nematode control methods, including removal of faeces from pasture, are widely recommended for use in association with a reduction in anthelmintic use to reduce selection pressure for drug resistance; however, very little work has been performed to quantitatively assess the effectiveness of such methods. Methods: We analysed data obtained from 345 donkeys at The Donkey Sanctuary (Devon, UK), m...
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