Confounding factors affecting faecal egg count reduction as a measure of anthelmintic efficacy

Increasing anthelmintic resistance (AR) in livestock has stimulated growing efforts to monitor anthelmintic effectiveness (AE) on livestock farms. On-farm assessment of AE relies on measuring the reduction in faecal egg count (FEC) following treatment; and if conducted rigorously, qualifies as a for...

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Main Authors: Morgan Eric R., Lanusse Carlos, Rinaldi Laura, Charlier Johannes, Vercruysse Jozef
Format: Article
Language:English
Published: EDP Sciences 2022-01-01
Series:Parasite
Subjects:
Online Access:https://www.parasite-journal.org/articles/parasite/full_html/2022/01/parasite210159/parasite210159.html
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author Morgan Eric R.
Lanusse Carlos
Rinaldi Laura
Charlier Johannes
Vercruysse Jozef
author_facet Morgan Eric R.
Lanusse Carlos
Rinaldi Laura
Charlier Johannes
Vercruysse Jozef
author_sort Morgan Eric R.
collection DOAJ
description Increasing anthelmintic resistance (AR) in livestock has stimulated growing efforts to monitor anthelmintic effectiveness (AE) on livestock farms. On-farm assessment of AE relies on measuring the reduction in faecal egg count (FEC) following treatment; and if conducted rigorously, qualifies as a formal FEC reduction test (FECRT) for AR. Substantial research effort has been devoted to designing robust protocols for the FECRT and its statistical interpretation; however, a wide range of factors other than AR can affect FEC reduction on farms. These are not always possible to control, and can affect the outcome and repeatability of AE measurements and confound the on-farm classification of AR using FECRT. This review considers confounders of FEC reduction, focusing on gastrointestinal nematodes of ruminants, including host and parasite physiology and demography; pharmacokinetic variation between drugs, parasites and hosts; and technical performance. Drug formulation and delivery, host condition and diet, and seasonal variation in parasite species composition, can all affect AE and hence observed FEC reduction. Causes of variation in FEC reduction should be attenuated, but this is not always possible. Regular monitoring of AE can indicate a need to improve anthelmintic administration practices, and detect AR early in its progression. Careful interpretation of FEC reduction, however, taking into account possible confounders, is essential before attributing reduced FEC reduction to AR. Understanding of confounders of FEC reduction will complement advances in FECRT design and interpretation to provide measures of anthelmintic efficacy that are both rigorous and accessible.
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spelling doaj.art-4671ebc2a42c4b87b7803ac74c992c652023-11-02T08:45:59ZengEDP SciencesParasite1776-10422022-01-01292010.1051/parasite/2022017parasite210159Confounding factors affecting faecal egg count reduction as a measure of anthelmintic efficacyMorgan Eric R.0Lanusse Carlos1Rinaldi Laura2Charlier Johannes3Vercruysse Jozef4School of Biological Sciences, Queen’s University BelfastLaboratorio de Farmacología, Centro de Investigación Veterinaria de Tandil (CIVETAN) (UNCPBA-CICPBA-CONICET), Facultad de Ciencias Veterinarias, UNCPBADepartment of Veterinary Medicine and Animal Production, University of Naples Federico IIKreavetFaculty of Veterinary Medicine, University of GentIncreasing anthelmintic resistance (AR) in livestock has stimulated growing efforts to monitor anthelmintic effectiveness (AE) on livestock farms. On-farm assessment of AE relies on measuring the reduction in faecal egg count (FEC) following treatment; and if conducted rigorously, qualifies as a formal FEC reduction test (FECRT) for AR. Substantial research effort has been devoted to designing robust protocols for the FECRT and its statistical interpretation; however, a wide range of factors other than AR can affect FEC reduction on farms. These are not always possible to control, and can affect the outcome and repeatability of AE measurements and confound the on-farm classification of AR using FECRT. This review considers confounders of FEC reduction, focusing on gastrointestinal nematodes of ruminants, including host and parasite physiology and demography; pharmacokinetic variation between drugs, parasites and hosts; and technical performance. Drug formulation and delivery, host condition and diet, and seasonal variation in parasite species composition, can all affect AE and hence observed FEC reduction. Causes of variation in FEC reduction should be attenuated, but this is not always possible. Regular monitoring of AE can indicate a need to improve anthelmintic administration practices, and detect AR early in its progression. Careful interpretation of FEC reduction, however, taking into account possible confounders, is essential before attributing reduced FEC reduction to AR. Understanding of confounders of FEC reduction will complement advances in FECRT design and interpretation to provide measures of anthelmintic efficacy that are both rigorous and accessible.https://www.parasite-journal.org/articles/parasite/full_html/2022/01/parasite210159/parasite210159.htmlhelminthsanthelmintic resistancefaecal egg count reduction testdrug pharmacology related therapeutic failurespharmacokineticsepidemiologyeffectiveness
spellingShingle Morgan Eric R.
Lanusse Carlos
Rinaldi Laura
Charlier Johannes
Vercruysse Jozef
Confounding factors affecting faecal egg count reduction as a measure of anthelmintic efficacy
Parasite
helminths
anthelmintic resistance
faecal egg count reduction test
drug pharmacology related therapeutic failures
pharmacokinetics
epidemiology
effectiveness
title Confounding factors affecting faecal egg count reduction as a measure of anthelmintic efficacy
title_full Confounding factors affecting faecal egg count reduction as a measure of anthelmintic efficacy
title_fullStr Confounding factors affecting faecal egg count reduction as a measure of anthelmintic efficacy
title_full_unstemmed Confounding factors affecting faecal egg count reduction as a measure of anthelmintic efficacy
title_short Confounding factors affecting faecal egg count reduction as a measure of anthelmintic efficacy
title_sort confounding factors affecting faecal egg count reduction as a measure of anthelmintic efficacy
topic helminths
anthelmintic resistance
faecal egg count reduction test
drug pharmacology related therapeutic failures
pharmacokinetics
epidemiology
effectiveness
url https://www.parasite-journal.org/articles/parasite/full_html/2022/01/parasite210159/parasite210159.html
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