Evaluation of Fecal Egg Count Tests for Effective Control of Equine Intestinal Strongyles.
Abstract: The American Association of Equine Practitioners strongly advocates evidence-based intestinal strongyle control in horses. It recommends targeted treatment of all heavy egg shedders (>500 eggs per gram (EPG) of feces), while the low shedders (0-200 EPG) are left untreated. As 50-75% of adult horses in a herd are low shedders, preventing them from unnecessary anthelmintic exposure is critical for tackling resistance. There are various fecal egg count (FEC) techniques with many modifications and variations in use, but none is identified as a gold standard. The hypothesis of the study was that the diagnostic performance of 12 commonly used quantitation methodologies (three techniques with four variants) differs. In this regard, method comparison studies were performed using polystyrene beads as proxy for intestinal strongyle eggs. Mini-FLOTAC-based variants had the lowest coefficient of variation (CV%) in bead recovery, whereas McMaster variants had the highest. All four variants of Mini-FLOTAC and the NaNO 1.33 specific gravity variant of modified Wisconsin followed a linear fit with R > 0.95. In contrast, the bead standard replicates for modified McMaster variants dispersed from the regression curve, causing a lower R. The Mini-FLOTAC method seems less influenced by the choice of floatation solution and has better repeatability parameters and linearity for bead standard recovery. For FEC tests with high R (>0.95) but that underestimated the true bead count, a correction factor (CF) was determined to estimate the true count. Finally, the validity of CF was analyzed for 5 tests with R > 0.95 to accurately quantify intestinal strongyle eggs from 40 different horses. Overall, this study identified FEC methodologies with the highest diagnostic performance. The limitations in standardizing routine FEC tests are highlighted, and the importance of equalization of FEC results is emphasized for promoting uniformity in the implementation of parasite control guidelines.
Publication Date: 2023-10-26 PubMed ID: 38003748PubMed Central: PMC10674696DOI: 10.3390/pathogens12111283Google Scholar: Lookup
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Summary
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The research paper discusses a study on the efficacy of various methods used for fecal egg count (FEC) tests in managing intestinal strongyles in horses. The paper emphasizes the importance of identifying diagnostic tests with high performance for managing resistance to anthelmintic treatment and promoting consistency in implementing parasite control guidelines.
Study Objective
- The paper’s main aim is to evaluate the performance of twelve commonly used fecal egg count (FEC) methodologies (three techniques with four variants) for managing intestinal strongyles in horses.
Methodology
- Method comparison studies were performed using polystyrene beads as a surrogate for actual intestinal strongyle eggs.
- Various methodologies were compared, including the Mini-FLOTAC and McMaster methods, both with four variants each.
- The research analyzed both the repeatability parameters and linearity of the bead standard recovery for each method.
Results
- The Mini-FLOTAC-based variants exhibited the lowest coefficient of variation in bead recovery, signifying high precision of the method.
- McMaster-based methodologies exhibited the highest coefficient of variation, indicating less precision.
- All Mini-FLOTAC variants and the NaNO 1.33 specific gravity variant of the modified Wisconsin technique showed strong linear fit with R values exceeding 0.95. This indicates a high predictive accuracy in measuring strongyle eggs.
- For methods that had a high R value but underestimated the true bead count, a correction factor (CF) was determined to estimate the true count.
- The validity of the CF was analyzed using five tests with R values over 0.95 on intestinal strongyle eggs from 40 different horses.
- The study identifies methods with the highest diagnostic abilities, highlights the limitations of standardizing routine FEC tests, and underscores the significance of FEC results’ equalization.
Importance of the Study
- The research findings aim to support veterinarians in selecting the most efficacious FEC test methodologies. This contributes to the development of evidence-based approaches for managing intestinal strongyles in horses.
- It also sheds light on the need for promoting uniformity in the implementation of parasite control guidelines, especially in the context of managing resistance to anthelmintic treatment.
Cite This Article
APA
Lejeune M, Mann S, White H, Maguire D, Hazard J, Young R, Stone C, Antczak D, Bowman D.
(2023).
Evaluation of Fecal Egg Count Tests for Effective Control of Equine Intestinal Strongyles.
Pathogens, 12(11), 1283.
https://doi.org/10.3390/pathogens12111283 Publication
Researcher Affiliations
- Animal Health Diagnostic Center, Department of Population Medicine and Diagnostic Sciences, Cornell University, 240 Farrier Rd., Ithaca, NY 14853, USA.
- Department of Population Medicine and Diagnostic Sciences, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853, USA.
- Animal Health Diagnostic Center, Department of Population Medicine and Diagnostic Sciences, Cornell University, 240 Farrier Rd., Ithaca, NY 14853, USA.
- Animal Health Diagnostic Center, Department of Population Medicine and Diagnostic Sciences, Cornell University, 240 Farrier Rd., Ithaca, NY 14853, USA.
- Animal Health Diagnostic Center, Department of Population Medicine and Diagnostic Sciences, Cornell University, 240 Farrier Rd., Ithaca, NY 14853, USA.
- Animal Health Diagnostic Center, Department of Population Medicine and Diagnostic Sciences, Cornell University, 240 Farrier Rd., Ithaca, NY 14853, USA.
- College of Veterinary Medicine, Cornell University, Ithaca, NY 14853, USA.
- Department of Microbiology and Immunology, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853, USA.
- Department of Microbiology and Immunology, College of Veterinary Medicine, Cornell University, Ithaca, NY 14853, USA.
Grant Funding
- Oklahoma State University Foundation #321805; OSP 91096 / National Center for Veterinary Parasitology (NCVP) - research grant program 2019 (Oklahoma State University Foundation)
Conflict of Interest Statement
The authors declare no conflict of interest. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript; or in the decision to publish the results.
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