Comparison of FECPAKG2, a modified Mini-FLOTAC technique and combined sedimentation and flotation for the coproscopic examination of helminth eggs in horses

Abstract Background Due to high prevalence of anthelmintic resistance in equine helminths, selective treatment is increasingly promoted and in some countries a positive infection diagnosis is mandatory before treatment. Selective treatment is typically recommended when the number of worm eggs per gr...

Full description

Bibliographic Details
Main Authors: Heike Boelow, Jürgen Krücken, Eurion Thomas, Greg Mirams, Georg von Samson-Himmelstjerna
Format: Article
Language:English
Published: BMC 2022-05-01
Series:Parasites & Vectors
Subjects:
Online Access:https://doi.org/10.1186/s13071-022-05266-y
_version_ 1811253216929644544
author Heike Boelow
Jürgen Krücken
Eurion Thomas
Greg Mirams
Georg von Samson-Himmelstjerna
author_facet Heike Boelow
Jürgen Krücken
Eurion Thomas
Greg Mirams
Georg von Samson-Himmelstjerna
author_sort Heike Boelow
collection DOAJ
description Abstract Background Due to high prevalence of anthelmintic resistance in equine helminths, selective treatment is increasingly promoted and in some countries a positive infection diagnosis is mandatory before treatment. Selective treatment is typically recommended when the number of worm eggs per gram faeces (epg) exceeds a particular threshold. In the present study we compared the semi-quantitative sedimentation/flotation method with the quantitative methods Mini-FLOTAC and FECPAKG2 in terms of precision, sensitivity, inter-rater reliability and correlation of worm egg counts to improve the choice of optimal diagnostic tools. Methods Using sedimentation/flotation (counting raw egg numbers up to 200), we investigated 1067 horse faecal samples using a modified Mini-FLOTAC approach (multiplication factor of 5 to calculate epgs from raw egg counts) and FECPAKG2 (multiplication factor of 45). Results Five independent analyses of the same faecal sample with all three methods revealed that variance was highest for the sedimentation/flotation method while there were no significant differences between methods regarding the coefficient of variance. Sedimentation/flotation detected the highest number of samples positive for strongyle and Parascaris spp. eggs, followed by Mini-FLOTAC and FECPAKG2. Regarding Anoplocephalidae, no significant difference in frequency of positive samples was observed between Mini-FLOTAC and sedimentation/flotation. Cohen’s κ values comparing individual methods with the combined result of all three methods revealed almost perfect agreement (κ ≥ 0.94) for sedimentation/flotation and strong agreement for Mini-FLOTAC (κ ≥ 0.83) for strongyles and Parascaris spp. For FECPAKG2, moderate and weak agreements were found for the detection of strongyle (κ = 0.62) and Parascaris (κ = 0.51) eggs, respectively. Despite higher sensitivity, the Mini-FLOTAC mean epg was significantly lower than that with FECPAKG2 due to samples with > 200 raw egg counts by sedimentation/flotation, while in samples with lower egg shedding epgs were higher with Mini-FLOTAC than with FECPAKG2. Conclusions For the simple detection of parasite eggs, for example, to treat foals infected with Parascaris spp., sedimentation/flotation is sufficient and more sensitive than the other two quantitative investigared in this study. Mini-FLOTAC is predicted to deliver more precise results in faecal egg count reduction tests due to higher raw egg counts. Finally, to identify animals with a strongyle epg above a certain threshold for treatment, FECPAKG2 delivered results comparable to Mini-FLOTAC. Grpahical Abstract
first_indexed 2024-04-12T16:46:36Z
format Article
id doaj.art-e5bfaa6730a0457abd6093925c6a28a2
institution Directory Open Access Journal
issn 1756-3305
language English
last_indexed 2024-04-12T16:46:36Z
publishDate 2022-05-01
publisher BMC
record_format Article
series Parasites & Vectors
spelling doaj.art-e5bfaa6730a0457abd6093925c6a28a22022-12-22T03:24:33ZengBMCParasites & Vectors1756-33052022-05-0115111810.1186/s13071-022-05266-yComparison of FECPAKG2, a modified Mini-FLOTAC technique and combined sedimentation and flotation for the coproscopic examination of helminth eggs in horsesHeike Boelow0Jürgen Krücken1Eurion Thomas2Greg Mirams3Georg von Samson-Himmelstjerna4Institute for Parasitology and Tropical Veterinary Medicine, Freie Universität BerlinInstitute for Parasitology and Tropical Veterinary Medicine, Freie Universität BerlinTechion UKTechion New Zealand, Invermay Agriculture CentreInstitute for Parasitology and Tropical Veterinary Medicine, Freie Universität BerlinAbstract Background Due to high prevalence of anthelmintic resistance in equine helminths, selective treatment is increasingly promoted and in some countries a positive infection diagnosis is mandatory before treatment. Selective treatment is typically recommended when the number of worm eggs per gram faeces (epg) exceeds a particular threshold. In the present study we compared the semi-quantitative sedimentation/flotation method with the quantitative methods Mini-FLOTAC and FECPAKG2 in terms of precision, sensitivity, inter-rater reliability and correlation of worm egg counts to improve the choice of optimal diagnostic tools. Methods Using sedimentation/flotation (counting raw egg numbers up to 200), we investigated 1067 horse faecal samples using a modified Mini-FLOTAC approach (multiplication factor of 5 to calculate epgs from raw egg counts) and FECPAKG2 (multiplication factor of 45). Results Five independent analyses of the same faecal sample with all three methods revealed that variance was highest for the sedimentation/flotation method while there were no significant differences between methods regarding the coefficient of variance. Sedimentation/flotation detected the highest number of samples positive for strongyle and Parascaris spp. eggs, followed by Mini-FLOTAC and FECPAKG2. Regarding Anoplocephalidae, no significant difference in frequency of positive samples was observed between Mini-FLOTAC and sedimentation/flotation. Cohen’s κ values comparing individual methods with the combined result of all three methods revealed almost perfect agreement (κ ≥ 0.94) for sedimentation/flotation and strong agreement for Mini-FLOTAC (κ ≥ 0.83) for strongyles and Parascaris spp. For FECPAKG2, moderate and weak agreements were found for the detection of strongyle (κ = 0.62) and Parascaris (κ = 0.51) eggs, respectively. Despite higher sensitivity, the Mini-FLOTAC mean epg was significantly lower than that with FECPAKG2 due to samples with > 200 raw egg counts by sedimentation/flotation, while in samples with lower egg shedding epgs were higher with Mini-FLOTAC than with FECPAKG2. Conclusions For the simple detection of parasite eggs, for example, to treat foals infected with Parascaris spp., sedimentation/flotation is sufficient and more sensitive than the other two quantitative investigared in this study. Mini-FLOTAC is predicted to deliver more precise results in faecal egg count reduction tests due to higher raw egg counts. Finally, to identify animals with a strongyle epg above a certain threshold for treatment, FECPAKG2 delivered results comparable to Mini-FLOTAC. Grpahical Abstracthttps://doi.org/10.1186/s13071-022-05266-yStrongylidaeParascaris spp.AnoplocephalidaeFECPAKG2Mini-FLOTACCombined sedimentation/flotation
spellingShingle Heike Boelow
Jürgen Krücken
Eurion Thomas
Greg Mirams
Georg von Samson-Himmelstjerna
Comparison of FECPAKG2, a modified Mini-FLOTAC technique and combined sedimentation and flotation for the coproscopic examination of helminth eggs in horses
Parasites & Vectors
Strongylidae
Parascaris spp.
Anoplocephalidae
FECPAKG2
Mini-FLOTAC
Combined sedimentation/flotation
title Comparison of FECPAKG2, a modified Mini-FLOTAC technique and combined sedimentation and flotation for the coproscopic examination of helminth eggs in horses
title_full Comparison of FECPAKG2, a modified Mini-FLOTAC technique and combined sedimentation and flotation for the coproscopic examination of helminth eggs in horses
title_fullStr Comparison of FECPAKG2, a modified Mini-FLOTAC technique and combined sedimentation and flotation for the coproscopic examination of helminth eggs in horses
title_full_unstemmed Comparison of FECPAKG2, a modified Mini-FLOTAC technique and combined sedimentation and flotation for the coproscopic examination of helminth eggs in horses
title_short Comparison of FECPAKG2, a modified Mini-FLOTAC technique and combined sedimentation and flotation for the coproscopic examination of helminth eggs in horses
title_sort comparison of fecpakg2 a modified mini flotac technique and combined sedimentation and flotation for the coproscopic examination of helminth eggs in horses
topic Strongylidae
Parascaris spp.
Anoplocephalidae
FECPAKG2
Mini-FLOTAC
Combined sedimentation/flotation
url https://doi.org/10.1186/s13071-022-05266-y
work_keys_str_mv AT heikeboelow comparisonoffecpakg2amodifiedminiflotactechniqueandcombinedsedimentationandflotationforthecoproscopicexaminationofhelmintheggsinhorses
AT jurgenkrucken comparisonoffecpakg2amodifiedminiflotactechniqueandcombinedsedimentationandflotationforthecoproscopicexaminationofhelmintheggsinhorses
AT eurionthomas comparisonoffecpakg2amodifiedminiflotactechniqueandcombinedsedimentationandflotationforthecoproscopicexaminationofhelmintheggsinhorses
AT gregmirams comparisonoffecpakg2amodifiedminiflotactechniqueandcombinedsedimentationandflotationforthecoproscopicexaminationofhelmintheggsinhorses
AT georgvonsamsonhimmelstjerna comparisonoffecpakg2amodifiedminiflotactechniqueandcombinedsedimentationandflotationforthecoproscopicexaminationofhelmintheggsinhorses