Abstract: Fasciola hepatica (liver fluke) affects grazing animals including horses but the extent to which it affects UK horses is unknown. Objective: To define how liver fluke affects the UK horse population. Methods: Descriptive, cross-sectional, observational study. Methods: An F. hepatica excretory-secretory antibody detection ELISA with a diagnostic sensitivity of 71% and specificity of 97% was validated and used to analyse serum samples. An abattoir study was performed to determine prevalence. A case-control study of 269 horses compared fluke exposure between horses with liver disease and controls. Data on clinical signs and blood test results were collected for sero-positive horses. Genotyping of adult fluke was used to produce a multilocus genotype for each parasite. Results: Four (2.2%) of 183 horses registered in the UK, sampled in the abattoir, had adult flukes in the liver, and the sero-prevalence of F. hepatica was estimated as 8.7%. In the case-control study, horses showing signs consistent with liver disease had significantly higher odds of testing positive for F. hepatica on ELISA than control horses. In 23 sero-positive horses, a range of non-specific clinical signs and blood test abnormalities was reported, with a third of the horses showing no signs. Genotypic analysis of liver flukes from horses provided evidence that these came from the same population as flukes from sheep and cattle. Conclusions: Bias could have arisen in the prevalence and case-control studies due to convenience sampling methods, in particular the geographic origin of the horses. Only a small number of horses tested positive so the data on clinical signs are limited. Conclusions: Exposure to liver fluke occurs frequently in horses and may be an under-recognised cause of liver disease. Flukes isolated from horses are from the same population as those found in ruminants. When designing and implementing parasite control plans, fluke should be considered, and horses should be tested if appropriate.
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The study investigates the prevalence and impacts of liver fluke (Fasciola hepatica) infections in UK horses, finding it to be a more common cause of liver disease than previously recognised.
Research Methodology
Researchers employed a cross-sectional, observational study design that utilized both diagnostic tests and abattoir sampling to determine the prevalence of F. hepatica infection in UK horses.
A test known as an F. hepatica excretory-secretory antibody detection ELISA was used to analyse serum samples from the horses. This test has a diagnostic sensitivity of 71% and specificity of 97%, making it a reliable tool for identifying the presence of F. hepatica antibodies in a horse’s bloodstream.
An abattoir study was also conducted to provide a direct estimate of prevalence by visually inspecting horse livers for adult flukes.
A case-control study of 269 horses was then performed to compare fluke exposure between horses with liver disease and those without.
Findings
About 2.2% of the 183 UK horses sampled had adult flukes in their livers, and the sero-prevalence of F. hepatica was estimated to be 8.7%.
In the case-control study, horses showing signs consistent with liver disease showed significantly higher odds of testing positive for F. hepatica than control horses.
Of the sero-positive horses, several showed indications of liver disease while others showed no signs at all.
Genetic analysis pointed to a common source of infection for the horses, sheep, and cattle studied,
Limits and Conclusions
The researchers noted that results could be skewed due to bias in sample selection, particularly related to the geographic origin of the horses.
Furthermore, only a small proportion of horses tested positive, limiting the available data on clinical signs of liver fluke infection.
The main conclusion drawn from this study is that exposure to liver fluke is common in UK horses and might be a more prevalent cause of liver disease than previously recognized.
The authors also suggest that when designing and implementing parasite control plans, consideration and testing for liver fluke infection should be included, as this parasite has been isolated from horses and other livestock animals like cows and sheep.
Cite This Article
APA
Howell AK, Malalana F, Beesley NJ, Hodgkinson JE, Rhodes H, Sekiya M, Archer D, Clough HE, Gilmore P, Williams DJL.
(2019).
Fasciola hepatica in UK horses.
Equine Vet J, 52(2), 194-199.
https://doi.org/10.1111/evj.13149
Institute of Infection and Global Health, University of Liverpool, Liverpool, UK.
Malalana, F
Institute of Veterinary Science, University of Liverpool, Liverpool, UK.
Beesley, N J
Institute of Infection and Global Health, University of Liverpool, Liverpool, UK.
Hodgkinson, J E
Institute of Infection and Global Health, University of Liverpool, Liverpool, UK.
Rhodes, H
Institute of Infection and Global Health, University of Liverpool, Liverpool, UK.
Institute of Veterinary Science, University of Liverpool, Liverpool, UK.
Sekiya, M
School of Veterinary Medicine, University College Dublin, Dublin, Ireland.
Archer, D
Institute of Infection and Global Health, University of Liverpool, Liverpool, UK.
Institute of Veterinary Science, University of Liverpool, Liverpool, UK.
Clough, H E
Institute of Psychology, Health and Society, University of Liverpool, Liverpool, UK.
Gilmore, P
Liverpool Veterinary Parasitology Diagnostics, University of Liverpool, Liverpool, UK.
Williams, D J L
Institute of Infection and Global Health, University of Liverpool, Liverpool, UK.
MeSH Terms
Animals
Case-Control Studies
Cattle
Cross-Sectional Studies
Fasciola hepatica
Fascioliasis / veterinary
Horses
Sheep
United Kingdom
Grant Funding
Animal Welfare Foundation (AWF)
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