Heartworm control in Grenada, West Indies: Results of a field study using imidacloprid 10% + moxidectin 2.5% and doxycycline for naturally-acquired Dirofilaria immitis infections.

Canine heartworm disease (CHD) results from infection with Dirofilaria immitis and while it is of global concern, it is most prevalent in tropical climates where conditions support the parasite and vector life cycles. Melarsomine dihydrochloride is the sole treatment for CHD recommended by the American Heartworm Society. However, in cases where cost or access to melarsomine precludes treatment of an infected dog, therapeutic alternatives are warranted. This randomized, controlled field study evaluated the adulticidal efficacy of a combination therapeutic protocol using 10 % imidacloprid + 2.5 % moxidectin spot-on and a single 28-day course of doxycycline and compared with that of a 2-dose melarsomine dihydrochloride protocol. Of 37 naturally-infected domestic dogs with class 1, 2 or early class 3 CHD enrolled in the study, 30 were evaluated for a minimum of 12 months. Seven dogs were withdrawn due to canine ehrlichiosis, non-compliance, or wrongful inclusion. Dogs were randomly assigned to a control (CP, n = 15) or investigational (IVP, n = 15) treatment group. CP dogs received two injections of melarsomine dihydrochloride (2.5 mg/kg) 24 -hs apart and maintained on monthly ivermectin/pyrantel. IVP dogs were treated with oral doxycycline (10 mg/kg twice daily for 28 days) and topical 10 % imidacloprid + 2.5 % moxidectin once monthly for 9 months. Dogs were evaluated up to 18 months - monthly for the first 9 months, then every 3 months. Parasiticidal efficacy was based on antigen status using the IDEXX PetChek® 34 Heartworm-PF Antigen test. By month 18, antigen was not detected in any study dog except one from the IVP group. One other IVP dog was persistently antigenemic and treated with melarsomine at month 12 according to the initial study protocol. Mean antigen concentration (based on optical density) decreased more rapidly in the CP group and by month 15 was 0.11 for the IVP and 0.07 for CP groups, with equivalent median concentrations (0.04) in both groups. Conversion following heat-treatment of antigen-negative samples occurred frequently and at similar rates in both treatment groups. Based on the bias of diagnostic tests towards detection of female worms, we conclude that monthly application of 10 % imidacloprid + 2.5 % moxidectin for 9 months combined with a course of doxycycline twice daily for 28 days resulted in effective therapy against female adults in CHD. This therapeutic option may be particularly useful in cases where financial constraint or access to melarsomine precludes treatment of an infected individual. This study was supported by Bayer Animal Health.

Prevalence of Angiostrongylus vasorum, Aelurostrongylus abstrusus and Crenosoma vulpis larvae in native slug populations in Germany.

Metastrongyloid parasites represent sparsely studied parasites of dogs and cats in Germany. Recent European surveys indicate that these parasites are spreading in Europe. Actual data on prevalence of Angiostrongylus vasorum in dogs and foxes reveal several endemic foci in Germany. However, actual data on the prevalence of A. vasorum and other metastrongyloid lungworm larvae in a wide range of slug and snail intermediate hosts, such as Arion lusitanicus, are missing for Germany. To fill this gap, we conducted an epidemiological survey on native German slugs in selected regions of Hesse and Rhineland-Palatinate. The focus was on slugs, because in study areas slugs appear to be more abundant than snails. Slugs were collected throughout different seasons of the year in areas that were previously proven to be hyperendemic for A. vasorum fox infections. Overall, a total of 2701 slugs were collected and examined for lungworm larvae via artificial digestion. The number of A. vasorum larvae per slug varied considerably (1-546 larvae per specimen). Some hotspot areas with high A. vasorum prevalence in slugs (up to 19.4%) were identified. The overall A. vasorum prevalence varied with season with largest number of slugs infected in summer (9.1%) and lowest number in winter (0.8%). The current study revealed a total A. vasorum prevalence of 4.7% in slugs based on microscopic analyses. Confirmation of lungworm species was made by specific duplex-real-time PCRs. Hence, these data demonstrate that final hosts are at a permanent risk for A. vasorum infections during all seasons when living in investigated areas. Besides A. vasorum, other lungworm larvae were also detected, such as Crenosoma vulpis (the fox lungworm, 2.3%) and Aelurostrongylus abstrusus (feline lungworm, 0.2%).

Longitudinal study for anthelmintic efficacy against intestinal helminths in naturally exposed Lithuanian village dogs: critical analysis of feasibility and limitations.

The efficacy of anthelmintic treatment at 1, 3, and 6 month intervals was evaluated in a prospective controlled field study with naturally exposed Lithuanian village dogs by monthly coproscopy during 1 year. A placebo-treated control group (C) (n = 202) and groups treated with two broad-spectrum anthelmintics, febantel/pyrantel-embonate/praziquantel (Drontal® Plus, Bayer) (D1, D3, D6; n = 113-117) and emodepside/praziquantel (Profender®, Bayer) (P1, P3, P6; n = 114-119), were included. At the beginning of the study, eggs of Toxocara canis (4.02%) and T. cati (0.44%) identified morphometrically and/or molecularly and eggs of taeniid- (0.78%) and Capillaria-like eggs (5.03%) were present in the feces without significant differences in prevalence between groups. Significant decreases in excretion of T. canis eggs was found 1 month after the treatment with Drontal® Plus in February (D1) and with Profender® in October (P1), November (P1), December (P3), February (P1), and March (P1, P3), as compared to controls in the same months. The incidence of egg excretion per dog at least once a year was significantly lower in group P1 for T. canis (4.24%; p < 0.01) and in groups D1, P1 for taeniid eggs (0%; p < 0.01 and p < 0.001), when compared to controls (16.96 and 6.70%, respectively). A critical analyses of factors possibly responsible for intestinal passage of canine helminth eggs revealed that chained dogs excreted T. canis eggs more frequently 1 month after treatment compared to dogs in pens, particularly from November to March (p = 0.01). The incidence of single detection of T. cati eggs was significantly increased in chained dogs (12.46%) as compared to fenced dogs (1.08%; p = 0.0001).

Regression models to assess the risk factors of canine gastrointestinal parasitism.

Gastrointestinal parasites, protozoa and helminths, remain a common important finding in dogs presented to veterinary medical practices. Moreover, dogs may play an active role in the transmission of enteric parasites to humans, given their cohabitation, making canine gastrointestinal parasitism an issue of major concern for public health. To get an overview of the current state of canine gastrointestinal parasites' prevalence in Greece, a total of 1036 faecal samples were collected from dogs either presented in veterinary clinics or in animal shelters. Samples were examined by a combined sedimentation-flotation technique. Possible risk factors (age, ownership status, co-existence with other animals, coinfection with other parasites) were assessed using binary regression models for each one of the most prevalent parasites. The overall gastrointestinal parasite prevalence in dogs' faecal samples was 39%. A total of 11 intestinal parasitic species were detected and up to five different parasites were isolated in the same faecal sample. Toxocara canis was the most prevalent parasite in the studied population, followed by Isospora spp., Giardia spp., Uncinaria spp., Trichuris vulpis, Ancylostoma spp., Toxascaris leonina, and Dipylidium caninum. Additionally, other genera (Taenia, Capillaria and Angiostrongylus) were also detected in very low percentages. Young, stray, living without other dogs, coinfected with T. vulpis or T. canis and free of Isospora spp. dogs were more likely to be infected by Giardia spp. Likewise, young, stray, coinfected with T. vulpis or T. canis but free of Giardia spp. dogs were more likely to be infected by Isospora spp. T. canis infections were more common in dogs coinfected with Isospora spp., Giardia spp., D. caninum, Τaenia spp., T. vulpis and T. leonina Finally, T. vulpis more often infected older dogs and dogs coinfected with Isospora spp., Giardia spp. and T. canis Consequently, the prevalence of parasitized dogs was high and the diversity of parasites found was notable, which calls for a greater awareness among veterinarians and pet owners. The proposed prediction models should be taken under consideration in diagnostic approach of clinical cases, as well as in planning sustainable antiparasitic strategies.

Seroepidemiological survey for canine angiostrongylosis in dogs from Germany and the UK using combined detection of Angiostrongylus vasorum antigen and specific antibodies.

Dogs infected with Angiostrongylus vasorum, a potentially lethal parasite parasitizing the heart and pulmonary arteries, may present severe respiratory, haematological and neurological signs. In this first large-scale seroepidemiological survey, 4003 sera originating from Germany and 4030 from the UK were tested by an ELISA for the detection of circulating antigen of A. vasorum, and by a separate ELISA detecting specific antibodies. In Germany, where mainly western federal states were sampled, 0·3% (n = 13, CI: 0·2­0·6%) of dogs were positive in both ELISAs, whereas in total 0·5% (n = 20, CI: 0·3­0·8%) were antigen-positive and 2·25% (n = 90, CI: 1·8­2·8%) were positive for specific antibodies. Regions with antigen- and antibody-positive animals were overlapping. In the UK, where mainly the south of the country was sampled, 0·97% (n = 39, CI: 0·7­1·3%) of dogs were antigen- and antibody positive. In total, 1·32% (n = 53, CI: 1·0­1·7%) were antigen-positive, and 3·2% (n = 129, CI: 2·7­3·8%) were positive for specific antibodies, again in overlapping regions. These results confirm the occurrence of A. vasorum in a random dog population originating from large parts of the countries investigated. The use of the tests alone or in combination was considered as a function of their sensitivities and specificities, in order to guide efficient clinical and epidemiological application.

Synergistic effects of pyrantel and the febantel metabolite fenbendazole on adult Toxocara canis.

Pyrantel embonate and febantel are both constituents of Drontal Plus and Drontal Puppy broad spectrum anthelmintics for dogs. The effects of pyrantel and the febantel metabolite fenbendazole were investigated against Toxocara canis in-vitro by studying changes in worm motility and tissue damage. Pyrantel and fenbendazole were added to worms incubated in media for 8 h at the following concentrations: pyrantel: 12.2 microg, 25 microg, or 50 microg; fenbendazole: 50 microg, 100 microg or 200 microg; mixture of pyrantel and fenbendazole: 12.2 microg p + 50 microg f, 25 microg p + 100 microg f, 50 microg p + 200 microg f. Following this 8 h incubation period, one group of the worms was immediately fixed and studied by light- and electron microscopical examination. Other groups have been observed for further 8 h periods up to 56 hours and then studied in the same way.

Endoparasites in dogs and cats in Germany 1999-2002.

Infections with endoparasites in dogs and cats have been determined by analysing the results of faecal examinations (Flotation, MIFC, sedimentation, Baermann, smear, ProSpecT Giardia Microplate Assay). Samples of 8438 dogs and 3167 cats from the years 1999 until 2002 have been included in the investigation. 2717 dogs (32.2%) and 771 cats (24.3%) have been infected with endoparasites. In the infected dogs the following parasites have been identified: Class Nematodea: Toxocara canis: 22.4%, Toxascaris leonina: 1.8%, Ancylostomatidae: 8.6%, Trichuris vulpis: 4.0%, Capillaria spp.: 2.3%, Crenosoma vulpis: 0.9%, Angiostrongylus vasorum: 0.3%; Class Cestodea: Taeniidae: 1.2%, Dipylidium caninum: 0.4%, Diplopylidium/Joyeuxiella: 0.1%, Mesocestoides: 0.2%, Diphyllobothrium latum: < 0.1%; Class Sporozoea: Sarcocystis spp.: 9.0%, Cystoisospora spp.: 22.3%, C. canis: 8.0%, C. ohioensis: 17.0%, Hammondia/Neospora: 1.7%; Class Zoomastigophorea: Giardia spp.: 51.6%. In the 771 infected cats the following prevalences of parasites have been found: Class Nematodea: Toxocara mystax: 26.2%, Ancylostoma tubaeforme: 0.3%, Capillaria spp.: 7.0%, Aelurostrongylus abstrusus: 2.7%; Class Cestodea: Taeniidae: 2.6%, Dipylidium caninum: 0.1%; Class Sporozoea: Sarcocystis spp.: 2.2%, Cystoisospora spp.: 21.9%, C. felis: 15.3%, C. rivolta: 7.9%, Toxoplasma/Hammondia: 4.5%; Class Zoomastigophorea: Giardia spp.: 51.6%.

[The seasonal toxigenicity of different cultured plants for clostridia in relation to so-called wildlife mortality]. / Untersuchungen zur saisonalen Toxigenität verschiedener Kulturpflanzen für Clostridien im Zusammenhang mit dem sog. Wildsterben.

In the juice of plants which could be eaten by hares different amounts of toxins (haemolysin, lecithinase) could be found after the partly addition of a C. perfringens field strain and subsequent anaerobic incubation. Sterile filtrates showed a very pronounced toxigenicity. The presented results proof in tendency that oilseed-rape (00-rape seed), wheat, and barley as green plants can contribute in clostridial toxicosis in hares, whereas grass and beets are involved only partially, and clover is practically completely atoxigenic.

Pastoral accompaniment of the cancer patient.

Cancer confronts a person with his or her mortality. On the inner journey of coming to terms with this, the pastor accompanies the patient in a way analogous to the way in which a musical accompanist supports a soloist, providing attentive relationship and supportive context. Patients in these circumstances raise and explore themes of betrayal-faithfulness, control-surrender, despair-hope, and separation-reconciliation.