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Topic:Strongyles

Strongyles are parasitic nematodes that commonly infect horses, residing primarily in the large intestine. They are classified into two groups: large strongyles (Strongylus spp.) and small strongyles (cyathostomins). These parasites are a significant concern in equine health due to their potential to cause gastrointestinal disturbances. Large strongyles can lead to severe damage by migrating through the horse's tissues during their life cycle, whereas small strongyles remain within the intestinal lining and can cause inflammation and colic. Diagnosis and management of strongyle infections involve fecal egg counts and strategic deworming programs. This page compiles peer-reviewed research studies and scholarly articles that explore the biology, epidemiology, and control strategies of strongyles in horses.
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...
Physiologic and systemic acute phase inflammatory responses in young horses repeatedly infected with cyathostomins and Strongylus vulgaris.
Veterinary parasitology    January 28, 2014   Volume 201, Issue 1-2 67-74 doi: 10.1016/j.vetpar.2014.01.011
Andersen UV, Reinemeyer CR, Toft N, Olsen SN, Jacobsen S, Nielsen MK.Migrating Strongylus vulgaris and encysted cyathostomin larvae cause a localized inflammatory response in horses. It is unknown whether these larvae elicit a systemic acute phase response (APR), evidenced by changes in serum amyloid A (SAA), haptoglobin (Hp), iron (Fe), albumin, or albumin/globulin (A/G) ratio. In this study, 28 horses were randomly allocated to receive either pyrantel tartrate or a pelleted placebo formulation in their daily feed. Concurrent with treatment, all the horses were administered 5000 pyrantel-susceptible cyathostomin infective larvae once daily, 5 days a week, for ...
Development of Strongylus vulgaris-specific serum antibodies in naturally infected foals.
Veterinary parasitology    December 31, 2013   Volume 200, Issue 3-4 265-270 doi: 10.1016/j.vetpar.2013.12.024
Nielsen MK, Vidyashankar AN, Gravatte HS, Bellaw J, Lyons ET, Andersen UV.Strongylus vulgaris is regarded as the most pathogenic helminth parasite infecting horses. Migrating larvae cause pronounced endarteritis and thrombosis in the cranial mesenteric artery and adjacent branches, and thromboembolism can lead to ischemia and infarction of large intestinal segments. A recently developed serum ELISA allows detection of S. vulgaris-specific antibodies during the six-month-long prepatent period. A population of horses has been maintained at the University of Kentucky without anthelmintic intervention since 1979, and S. vulgaris has been documented to be highly prevalen...
Anthelmintic resistance in equine parasites–current evidence and knowledge gaps.
Veterinary parasitology    December 31, 2013   Volume 204, Issue 1-2 55-63 doi: 10.1016/j.vetpar.2013.11.030
Nielsen MK, Reinemeyer CR, Donecker JM, Leathwick DM, Marchiondo AA, Kaplan RM.Anthelmintic resistance is becoming increasingly prevalent among equine nematode parasites. The first reports documenting resistance were published in the 1960s, just a short time after introduction of the first modern anthelmintics phenothiazine and thiabendazole. Several factors are known to influence development of resistance, but evidence specific to equine parasites is limited. Most current knowledge and applications have been extrapolated from research with trichostrongylid parasites of sheep. The number of cyathostomin species co-infecting horses adds to the complexity of investigating ...
Faecal worm egg count analysis for targeting anthelmintic treatment in horses: points to consider.
Equine veterinary journal    December 10, 2013   Volume 46, Issue 2 139-145 doi: 10.1111/evj.12199
Lester HE, Matthews JB.Equine gastrointestinal nematodes are ubiquitous; in horses that graze contaminated pasture and that are not treated appropriately, large numbers of worms can accumulate, which can lead to serious clinical disease. Nematode control has traditionally followed interval treatment regimens, which involve regular anthelmintic administration to all horses based on the strongyle egg reappearance periods of each drug, usually defined around the time of licensing. Interval treatment programmes have resulted in substantial reductions in large strongyle disease, but have made major contributions to the d...
Sub-optimal efficacy of ivermectin against Parascaris equorum in foals on three Thoroughbred stud farms in the Manawatu region of New Zealand.
New Zealand veterinary journal    October 24, 2013   Volume 62, Issue 2 91-95 doi: 10.1080/00480169.2013.843146
Bishop RM, Scott I, Gee EK, Rogers CW, Pomroy WE, Mayhew IG.To ascertain whether resistance was present in Parascaris equorum to the macrocyclic lactone anthelmintic ivermectin, using faecal egg count reduction tests. Methods: Thirty-nine foals aged between 11 and 28 weeks on three Thoroughbred stud farms (Farms A; n=20, B; n=5 and C; n=14) were treated with ivermectin (Day 0) and faecal egg counts (FEC) were monitored before and for 21 (Farms A and B) or 14 (Farm C) days after treatment. On Farms A and B, the foals were treated with a macrocyclic lactone/benzimidazole/praziquantel combination on Day 21 and FEC assessed on Day 35. The three farms were ...
Epidemiological study of gastrointestinal helminths of equines in Damot-Gale district, Wolaita zone, Ethiopia.
Journal of parasitic diseases : official organ of the Indian Society for Parasitology    September 3, 2013   Volume 39, Issue 2 315-320 doi: 10.1007/s12639-013-0352-z
Sheferaw D, Alemu M.The prevalence of equines helminthosis studied from November 2011 to May 2012 in two agroecological zones Damot-Gale district, Wolaita zone, Southern Ethiopia. The objective of the study was to estimate the prevalence, and to see the distribution of internal helminth parasites of equines. A total of 500 faecal samples collected for coprological examination of gastrointestinal helminth ova. From each species of studied animals 200 positive faecal samples were pooled and cultured, and then the larvae recovered and identified. The coprological examination revealed 100 % Strongyle, 16.6 % Fascio...
Anthelmintic efficacy against cyathostomins in horses in Southern England.
Veterinary parasitology    June 10, 2013   Volume 197, Issue 1-2 189-196 doi: 10.1016/j.vetpar.2013.06.009
Lester HE, Spanton J, Stratford CH, Bartley DJ, Morgan ER, Hodgkinson JE, Coumbe K, Mair T, Swan B, Lemon G, Cookson R, Matthews JB.Cyathostomins are considered to be the most important group of helminths to affect equids due to their high prevalence, potential pathogenicity and ability to develop anthelmintic resistance. Their control relies almost exclusively on frequent anthelmintic use. Currently, fenbendazole (FBZ), pyrantel embonate (PYR), ivermectin (IVM) and moxidectin (MOX) are licensed for use in horses in the UK. With no new anthelmintics likely to be licensed in the near future, it is essential that investigations into the efficacy of current anthelmintics in different locations are performed to help inform con...
Prevalence of gastrointestinal helminth parasites of equids from organized farms of Mumbai and Pune.
Journal of parasitic diseases : official organ of the Indian Society for Parasitology    June 7, 2013   Volume 39, Issue 2 179-185 doi: 10.1007/s12639-013-0315-4
Matto TN, Bharkad GP, Bhat SA.A total of 1,304 faecal samples of different species of equids were examined for presence of helminthic eggs from five different centres in Mumbai and Pune regions of Maharashtra state from October 2011 to June 2012. Overall prevalence of helminthic infestation was found to be 20.63 % with higher rate of occurrence in monsoon (31.29 %) followed by winter (20.40 %) and summer (14.23 %). Four species of nematodes viz. strongyles (10.81 %), Strongyloides westeri (13.19 %), Parascaris equorum (0.23 %) and Dictyocaulus arnfieldi (0.23 %); two species of trematodes viz. amphistomes (1.38 %)...
Association between large strongyle genera in larval cultures–using rare-event poisson regression.
Parasitology    June 4, 2013   Volume 140, Issue 10 1246-1251 doi: 10.1017/S0031182013000589
Cao X, Vidyashankar AN, Nielsen MK.Decades of intensive anthelmintic treatment has caused equine large strongyles to become quite rare, while the cyathostomins have developed resistance to several drug classes. The larval culture has been associated with low to moderate negative predictive values for detecting Strongylus vulgaris infection. It is unknown whether detection of other large strongyle species can be statistically associated with presence of S. vulgaris. This remains a statistical challenge because of the rare occurrence of large strongyle species. This study used a modified Poisson regression to analyse a dataset fo...
An investigation of anthelmintic efficacy against strongyles on equine yards in Scotland.
Equine veterinary journal    May 15, 2013   Volume 46, Issue 1 17-24 doi: 10.1111/evj.12079
Stratford CH, Lester HE, Pickles KJ, McGorum BC, Matthews JB.Cyathostomins comprise 50 helminth species, considered the most problematic equine endoparasites. Three classes of anthelmintic are currently licensed for their control, namely the benzimidazoles (fenbendazole), tetrahydropyrimidines (pyrantel) and macrocyclic lactones (ivermectin and moxidectin). Anthelmintic resistance in cyathostomins is common. With no new classes expected in the near future, it is essential to determine the efficacy of the available anthelmintics to inform future control programmes. Objective: To determine the efficacy of all 3 anthelmintic classes against strongyles in e...
Hierarchical model for evaluating pyrantel efficacy against strongyle parasites in horses.
Veterinary parasitology    April 26, 2013   Volume 197, Issue 3-4 614-622 doi: 10.1016/j.vetpar.2013.04.036
Nielsen MK, Vidyashankar AN, Hanlon BM, Diao G, Petersen SL, Kaplan RM.Anthelmintic resistance is an increasing challenge for the control of equine parasites. The fecal egg count reduction test (FECRT) is the practical gold standard method for evaluating reduction in anthelmintic efficacy, but the interpretation is complicated due to high levels of variability. A hierarchical statistical model was described for analysis of FECRT data from multiple farms to evaluate the role of biological factors in determining the strongyle efficacy of pyrantel pamoate in a study performed in Denmark. The model was then used to describe two notions of farm efficacy, namely condit...
SvSXP: a Strongylus vulgaris antigen with potential for prepatent diagnosis.
Parasites & vectors    April 4, 2013   Volume 6 84 doi: 10.1186/1756-3305-6-84
Andersen UV, Howe DK, Dangoudoubiyam S, Toft N, Reinemeyer CR, Lyons ET, Olsen SN, Monrad J, Nejsum P, Nielsen MK.Strongyle parasites are ubiquitous in grazing horses. Strongylus vulgaris, the most pathogenic of the large strongyles, is known for its extensive migration in the mesenteric arterial system. The lifecycle of S. vulgaris is characterised by a long prepatent period where the migrating larvae are virtually undetectable as there currently is no test available for diagnosing prepatent S. vulgaris infection. Presence of S. vulgaris larvae in the arterial system causes endarteritis and thrombosis with a risk of non-strangulating intestinal infarctions. Emergence of anthelmintic resistance among cyat...
Helminth egg excretion with regard to age, gender and management practices on UK Thoroughbred studs.
Parasitology    January 25, 2013   Volume 140, Issue 5 641-652 doi: 10.1017/S0031182012001941
Relf VE, Morgan ER, Hodgkinson JE, Matthews JB.Few studies have described the combined effect of age, gender, management and control programmes on helminth prevalence and egg shedding in grazing equines. Here, fecal samples collected from 1221 Thoroughbred horses, residing at 22 studs in the UK, were analysed. The distribution of strongyle eggs amongst individuals in relation to age, gender and management practices was investigated. Fecal worm egg counts (FWECs), described as the number of eggs per gramme (epg) of feces, were determined using a modification of the salt flotation method. The FWEC prevalence (mean%) of strongyles, Parascaris...
Recent advances in diagnosing pathogenic equine gastrointestinal helminths: the challenge of prepatent detection.
Veterinary parasitology    November 12, 2012   Volume 192, Issue 1-3 1-9 doi: 10.1016/j.vetpar.2012.11.003
Andersen UV, Howe DK, Olsen SN, Nielsen MK.Parasites infecting horses are ubiquitous and clinically important across the world. The major parasitic threats to equine health are cyathostomins, Parascaris equorum, Anoplocephala perfoliata, and Strongylus vulgaris. Increasing levels of anthelmintic resistance reported world wide in equine parasites have led to recommendations of constructing sustainable parasite control programmes based on systematic surveillance of parasite levels. Regulations at the European Union level now make anthelmintics available on prescription-only basis and disallow prophylactic treatment. This emphasizes the n...
Prevalence, intensity and seasonality of gastrointestinal parasites in abattoir horses in Germany.
Parasitology research    October 11, 2012   Volume 112, Issue 1 407-413 doi: 10.1007/s00436-012-3150-0
Rehbein S, Visser M, Winter R.Prevalence and intensity of gastrointestinal parasites were studied through a longitudinal survey in 400 horses over a 17-month period in an abattoir in Germany. Three hundred and ten horses (77.5 %) were demonstrated harbouring endoparasites either by direct recovery of parasites from the digestive tract and/or in terms of faecal egg counts (strongyles). The following parasites were found (percentage prevalence, range of counts): Gasterophilus intestinalis larvae (2.25 %, 1-154), Gasterophilus nasalis larvae (0.25 %, 44), Trichostrongylus axei (11.0 %, 1-3,620), Habronema majus (8.0 %; 1...
The Strongylidae belonging to Strongylus genus in horses from southeastern Poland.
Parasitology research    September 8, 2012   Volume 111, Issue 4 1417-1421 doi: 10.1007/s00436-012-3087-3
Studzińska MB, Tomczuk K, Demkowska-Kutrzepa M, Szczepaniak K.Postmortem parasitic examinations of the large intestines of 725 slaughtered horses from individual farmers in southeastern Poland were carried out. The examinations were carried out monthly since February 2006 until January 2007 (except for August 2007 because of a technological stoppage in the slaughterhouse). The examinations included the intensiveness and extensiveness of the infestation of the Strongylidae belonging to the Strongylus genus. The Strongylidae were found in 26.5% of the examined horses. Strongylus vulgaris was the most dominant nematode and had a 22.8% prevalence, Strongylus...
Developmental stage of strongyle eggs affects the outcome variations of real-time PCR analysis.
Veterinary parasitology    September 5, 2012   Volume 191, Issue 1-2 191-196 doi: 10.1016/j.vetpar.2012.08.018
Andersen UV, Haakansson IT, Roust T, Rhod M, Baptiste KE, Nielsen MK.Strongyle and trichostrongyle parasites are ubiquitous nematodes of grazing livestock. Several molecular diagnostic tests are based upon measuring and quantifying DNA obtained from parasite eggs. It is well known that such eggs undergo development during storage, but it remains unknown to which extent developmental stages can affect the variation of diagnostic test results. This study investigated the influence of developmental stages of strongyle eggs on the variation real-time polymerase chain reaction (PCR) results. Mixed species strongyle eggs were obtained from the faeces of a naturally i...
Further indication of lowered activity of ivermectin on immature small strongyles in the intestinal lumen of horses on a farm in Central Kentucky.
Parasitology research    September 5, 2012   Volume 112, Issue 2 889-891 doi: 10.1007/s00436-012-3098-0
Lyons ET, Tolliver SC.Critical tests were performed in 2011 in four weanling horses (L-1, L-2, L-29, and L-30) treated with ivermectin paste at 200 μg/kg. They were born in 2011 and raised together on a farm (MC) in Central Kentucky. The horses had not been treated previously with an antiparasitic drug. However, ivermectin had been administered repeatedly to the horse herd for several years and strongyle eggs per gram of feces (EPGs) returned sooner posttreatment than after initial usage. Critical tests in a recent previous study in this horse herd indicated that the reason for the early return of strongyle EPGs a...
[Strongylids (Nematoda: Strongylidae) of domestic horses in Ukraine: modern state of Fauna and structure of the parasite community].
Parazitologiia    July 28, 2012   Volume 46, Issue 2 127-138 
Kuz'mina TA.Species composition and structure of the strongylid community was studies on helminthological material collected from 162 domestic horses from 11 regions of Ukraine by the in vivo method. Animals were treated with anthelmintic drug "Univerm" (0.2% aversectin C, Russia). Faecal samples (200 g each) were collected from every horse at 24, 36, 48 and 60 hours after treatment; all nematodes expelled (90.851 specimens) were collected and identified. Thirty-three strongylid species from 12 genera (8 species of subfamily Strongylinae and 25--of Cyathostominae) were found in domestic horses in Ukraine....
Real-time PCR evaluation of Strongylus vulgaris in horses on farms in Denmark and Central Kentucky.
Veterinary parasitology    July 21, 2012   Volume 190, Issue 3-4 461-466 doi: 10.1016/j.vetpar.2012.07.018
Nielsen MK, Olsen SN, Lyons ET, Monrad J, Thamsborg SM.Strongyle parasites are ubiquitous in grazing horses, and the large strongyle Strongylus vulgaris is considered the most pathogenic helminth parasite of horses. Recent investigations have suggested an association between occurrence of this parasite and usage of selective therapy based on regular fecal egg counts. The established diagnostic method for S. vulgaris involves larval culture and subsequent morphological identification of third stage larvae under the microscope. Recently, a real-time PCR assay was developed and validated for the detection and semi-quantification of S. vulgaris eggs i...
Prevalence and significance of parasites of horses in some States of northern Nigeria.
Journal of equine science    May 25, 2012   Volume 23, Issue 1 1-4 doi: 10.1294/jes.23.1
Ehizibolo DO, Kamani J, Ehizibolo PO, Egwu KO, Dogo GI, Salami-Shinaba JO.This study was conducted to determine the prevalence and significance of parasites of horses in northern Nigeria. Blood and faecal samples were randomly collected from 243 horses from different stables in some states of northern Nigeria for laboratory analyses. Fifty-seven horses (23.5%) were found infected with parasites. The hemoparasites detected, 21 (8.6%), include Theileria equi, Babesia caballi, Trypanosoma vivax and Trypanosoma evansi. The endoparasites encountered, 29 (11.9%) were Strongylus spp., Strongyloides spp., Oxyuris equi, Parascaris equorum, Paragonimus spp. and Dicrocoelium s...
Strongylus vulgaris associated with usage of selective therapy on Danish horse farms-is it reemerging?
Veterinary parasitology    May 9, 2012   Volume 189, Issue 2-4 260-266 doi: 10.1016/j.vetpar.2012.04.039
Nielsen MK, Vidyashankar AN, Olsen SN, Monrad J, Thamsborg SM.Nematodes belonging to the order Strongylida are ubiquitous in grazing horses, and the large strongyle Strongylus vulgaris is considered the most pathogenic. This parasite was originally described widely prevalent in equine establishments, but decades of frequent anthelmintic treatment appears to have reduced the prevalence dramatically. Increasing levels of anthelmintic resistance in cyathostomin parasites have led to implementation of selective therapy to reduce further development of resistance. It has been hypothesized that S. vulgaris could reoccur under these less intensive treatment cir...
Comparative performance of macrocyclic lactones against large strongyles in horses.
Parasitology international    May 8, 2012   Volume 61, Issue 4 550-553 doi: 10.1016/j.parint.2012.05.001
Toscan G, Cezar AS, Pereira RC, Silva GB, Sangioni LA, Oliveira LS, Vogel FS.Several formulations of macrocyclic lactones (abamectin, ivermectin, moxidectin), including ivermectin combined with pyrantel (tetrahydropyrimidine) and ivermectin combined with praziquantel (pyrazinoisoquinolin derivative), were tested regarding their efficacy to control gastrointestinal nematodes of horses on a stud farm in southern Brazil. In addition, we tested a pharmaceutically produced generic paste containing ivermectin 4%. Similar formulations of avermectins had different efficacies measured by reduction of EPG. Levels of efficacy of the tested drugs varied against Strongylus edentatu...
[Effect of distribution of eggs of strongyles and Parascaris equorum in faecal samples of horses on detection with a combined sedimentation-flotation method].
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    February 15, 2012   Volume 40, Issue 1 21-26 
Kuhnert-Paul Y, Schmäschke R, Daugschies A.Results of parasitological examination of faecal aliquots may vary between diagnostic laboratories. To examine whether inhomogeneous distribution of worm eggs in faecal samples is responsible for this observation, horse faeces provided for routine diagnosis of helminth infection were examined. Distribution of worm eggs was assessed by examining aliquots taken from different locations of the faecal sample by a combined sedimentation-flotation method (KSFV). In addition, it was tested, whether the homogenization of a larger amount (minimum of 40 g) of faeces before performing KSFV improved repro...
Investigation of strongyle EPG values in horse mares relative to known age, number positive, and level of egg shedding in field studies on 26 farms in Central Kentucky (2010-2011).
Parasitology research    December 14, 2011   Volume 110, Issue 6 2237-2245 doi: 10.1007/s00436-011-2755-z
Lyons ET, Tolliver SC, Kuzmina TA.A parasite study was done in 1,300 horse mares on 26 farms in Central Kentucky over a 5-month period in 2010 and 2011. The mares included 1,114 Thoroughbreds (TB) on 24 farms, 64 Standardbreds (SB) on 1 farm, and 122 mixed light horse types (MLH) on 1 farm. The objective of this research was to determine strongyle eggs per gram of feces (EPG) counts for evaluation by known age, number positive, and level of egg shedding by the mares. This was done to establish strongyle EPG profiles for the mares to aid in determining whether antiparasitic treatment was necessary. Eggs found were considered th...
Sustainable equine parasite control: perspectives and research needs.
Veterinary parasitology    October 18, 2011   Volume 185, Issue 1 32-44 doi: 10.1016/j.vetpar.2011.10.012
Nielsen MK.Clinically important equine parasites are ubiquitous in managed horse populations. The traditional approach to parasite control is frequent administration of anthelmintics to all horses on a farm. However, increasing levels of anthelmintic resistance is forcing horse owners and veterinarians to shift this control paradigm. Treatment regimens involving routine deworming of all horses throughout the year are now being replaced by more sustainable approaches, which take in to account the importance of maintaining adequate parasite refugia. The selective therapy principle has been recommended for ...
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