Abstract: 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 population, and those exceeding a predetermined cutoff threshold are treated. Several studies document the applicability of this method in populations of adult horses, where the overall cyathostomin egg shedding can be controlled by only treating about half the horses. However, selective therapy has not been evaluated in foals and young horses, and it remains unknown whether the principle is adequate to also provide control over other important parasites such as tapeworms, ascarids, and large strongyles. One recent study associated selective therapy with increased occurrence of Strongylus vulgaris. Studies are needed to evaluate potential health risks associated with selective therapy, and to assess to which extent development of anthelmintic resistance can be delayed with this approach. The choice of strongyle egg count cutoff value for anthelmintic treatment is currently based more on tradition than science, and a recent publication illustrated that apparently healthy horses with egg counts below 100 eggs per gram (EPG) can harbor cyathostomin burdens in the range of 100,000 luminal worms. It remains unknown whether leaving such horses untreated constitutes a potential threat to equine health. The concept of selective therapy has merit for equine strongyle control, but several questions remain as it has not been fully scientifically evaluated. There is a great need for new and improved methods for diagnosis and surveillance to supplement or replace the fecal egg counts, and equine health parameters need to be included in studies evaluating any parasite control program.
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The research article discusses the application and limitations of selective therapy in equine parasite control, with a focus on various equine parasites and potential health risks associated with the strategy.
Overview of the Research
The purpose of the study was to examine the use and boundaries of selective therapy in controlling equine parasites.
Selective therapy requires an assessment of parasite infestation in each horse, with only those having certain predesignated levels of infestation being given treatment.
The paper underlines the urgency to shift from a frequent and intense anthelmintic treatment approach to a more surveillance-based method due to the increasing resistance of certain equine parasites against anthelmintic.
Selective Therapy: Application and Success Rate
Since the 1960s, frequent treatment using anthelmintics has been the mainstay of equine parasite control. However, this is being reassessed due to growing levels of resistance among certain parasites.
Selective therapy has yielded promising results in controlling small ruminant parasites and has been implemented in horse populations.
About half the adult horse population needs treatment under this approach to control cyathostomin egg shedding.
Limitations of Selective Therapy
Selective therapy has not been evaluated in foals and young horses. Hence its effectiveness in this demographic is unknown.
The research highlights that it is unclear if this approach can control other pivotal parasites such as tapeworms, ascarids, and large strongyles.
A recent study linked selective therapy with an increased occurrence of the parasite Strongylus vulgaris, raising concerns about the potential health risks associated with this methodology.
The article underscores the need for further research to evaluate the health risks associated with selective therapy and to ascertain the extent to which this approach can delay the development of anthelmintic resistance.
Selecting Cutoff values and Need for Future Research
The selection of strongyle egg count cutoff value for anthelmintic treatment has traditionally been arbitrary and lacks scientific base.
A recent publication suggested that seemingly healthy horses with egg counts below 100 eggs per gram could harbor as many as 100,000 cyathostomin worms, leading to questions around whether leaving horses untreated might pose a significant risk to their health.
New methods for diagnosis and surveillance to supplement or replace fecal egg counts are urgently needed, and equine health parameters should be included in studies evaluating any parasite control program.
Cite This Article
APA
Nielsen MK, Pfister K, von Samson-Himmelstjerna G.
(2014).
Selective therapy in equine parasite control–application and limitations.
Vet Parasitol, 202(3-4), 95-103.
https://doi.org/10.1016/j.vetpar.2014.03.020
M.H. Gluck Equine Research Center, Department of Veterinary Science, University of Kentucky, Lexington, KY, USA. Electronic address: martin.nielsen@uky.edu.
Pfister, K
Department of Comparative Tropical Medicine & Parasitology, University of Munich, Munich, Germany.
von Samson-Himmelstjerna, G
Institute for Parasitology and Tropical Veterinary Medicine, Freie Universität Berlin, Berlin, Germany.
MeSH Terms
Animals
Anthelmintics / administration & dosage
Anthelmintics / pharmacology
Drug Resistance
Helminthiasis, Animal / drug therapy
Helminths / drug effects
Horse Diseases / drug therapy
Horses
Parasite Egg Count / veterinary
Citations
This article has been cited 15 times.
Brachmann J, Fiedler S, Fischer H, Schmidt JS, Radek R, von Samson-Himmelstjerna G, Krücken J. Old world camels in Germany: parasitic nematode communities characterized by nemabiome analysis showed reduced anthelmintic efficacy according to the fecal egg count reduction test. Parasit Vectors 2025 Jul 24;18(1):294.
Attia MM, Soliman SM, Salaeh NMK, Salem HM, Alkafafy M, Saad AM, El-Saadony MT, El-Gameel SM. Evaluation of immune responses and oxidative stress in donkeys: Immunological studies provoked by Parascaris equorum infection. Saudi J Biol Sci 2022 Apr;29(4):2173-2179.
Vlčková K, Pafčo B, Petrželková KJ, Modrý D, Todd A, Yeoman CJ, Torralba M, Wilson BA, Stumpf RM, White BA, Nelson KE, Leigh SR, Gomez A. Relationships Between Gastrointestinal Parasite Infections and the Fecal Microbiome in Free-Ranging Western Lowland Gorillas. Front Microbiol 2018;9:1202.