1
|
Becker SD, Hughes DM. Patient weight has diverse effects on the prescribing of different antibiotics to dogs. Front Vet Sci 2024; 11:1358535. [PMID: 38440386 PMCID: PMC10910008 DOI: 10.3389/fvets.2024.1358535] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/19/2023] [Accepted: 02/07/2024] [Indexed: 03/06/2024] Open
Abstract
Introduction Various factors including body weight-associated treatment cost may influence the probability of dispensing antibiotics to dogs in first-opinion practice, but their effect on specific drug choice remains unclear. Methods Multiple membership regression modeling was used to investigate the probability of dispensing 12 different antibiotics to dogs of different weights in the context of various disease presentations, using anonymized data obtained from electronic health records of 18 clinics between 2020 and 2022. Data from 14,259 dogs were analyzed. Results Treatment choice varied significantly with animal weight. Higher body weight was associated with an increased likelihood of dispensing lower cost antimicrobials such as amoxicillin and trimethoprim sulfonamide, while use of higher cost antimicrobials such as cefovecin was strongly biased to smaller animals. However, these effects were limited when restricted treatment options were available for the target condition. Conclusion This work demonstrates that anticipated financial costs may result in different treatment choices for canine patients depending on their body weight. Further work is needed to understand the impact of financial pressures on veterinarians' treatment choices, and the implications for the optimization of antimicrobial stewardship in first opinion practice.
Collapse
Affiliation(s)
- Stuart D. Becker
- Department of Health Data Science, Institute of Population Health, University of Liverpool, Liverpool, United Kingdom
- Pathobiology and Population Sciences, The Royal Veterinary College, Hertfordshire, United Kingdom
| | - David M. Hughes
- Department of Health Data Science, Institute of Population Health, University of Liverpool, Liverpool, United Kingdom
| |
Collapse
|
2
|
Kanski S, Weber K, Busch K. [Feline and canine giardiosis: An Update]. Tierarztl Prax Ausg K Kleintiere Heimtiere 2023; 51:411-421. [PMID: 38056479 DOI: 10.1055/a-2191-1723] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/08/2023]
Abstract
Giardia duodenalis is a facultative pathogenic intestinal parasite. Giardiosis in dogs and cats may appear with or without clinical signs. Typical signs include diarrhea with or without vomiting. The prevalence in young animals is high and may amount to up to 50%. There are 8 different genotypes (A - H), which are called assemblages. Assemblages C and D are most common in dogs and assemblage F most frequent in cats. However, animals may also be infected with the zoonotically effective assemblages A and B or exhibit mixed infections. The immunofluorescence test (IFA), the enzyme-linked immunosorbent assay (ELISA) and fecal centrifugation using zinc sulphate solution are currently recommended as diagnostic methods. Polymerase chain reaction (PCR) may be used to determine the corresponding assemblage. Approved treatments for giardiosis include fenbendazole and metronidazole. In addition, undertaking specific hygiene measures is warranted. Only animals showing clinical signs or those living in the same household with high-risk patients (e. g. immunosuppressed humans) are recommended to receive medication. The aim of treatment is clinical improvement of the diseased dogs and cats. Frequently, complete elimination of Giardia is not attained.
Collapse
Affiliation(s)
- Sabrina Kanski
- Medizinische Kleintierklinik, Ludwig-Maximilians-Universität München
| | - Karin Weber
- Medizinische Kleintierklinik, Ludwig-Maximilians-Universität München
| | - Kathrin Busch
- Medizinische Kleintierklinik, Ludwig-Maximilians-Universität München
| |
Collapse
|
3
|
Joao LM, Proença LR, Loiola SHN, Inácio SV, Dos Santos BM, Rosa SL, Soares FA, Stefano VC, Osaku D, Suzuki CTN, Bresciani KDS, Gomes JF, Falcão AX. Toward automating the diagnosis of gastrointestinal parasites in cats and dogs. Comput Biol Med 2023; 163:107203. [PMID: 37437360 DOI: 10.1016/j.compbiomed.2023.107203] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2023] [Revised: 06/13/2023] [Accepted: 06/25/2023] [Indexed: 07/14/2023]
Abstract
Diagnosing gastrointestinal parasites by microscopy slide examination often leads to human interpretation errors, which may occur due to fatigue, lack of training and infrastructure, presence of artifacts (e.g., various types of cells, algae, yeasts), and other reasons. We have investigated the stages in automating the process to cope with the interpretation errors. This work presents advances in two stages focused on gastrointestinal parasites of cats and dogs: a new parasitological processing technique, named TF-Test VetPet, and a microscopy image analysis pipeline based on deep learning methods. TF-Test VetPet improves image quality by reducing cluttering (i.e., eliminating artifacts), which favors automated image analysis. The proposed pipeline can identify three species of parasites in cats and five in dogs, distinguishing them from fecal impurities with an average accuracy of 98,6%. We also make available the two datasets with images of parasites of dogs and cats, which were obtained by processing fecal smears with temporary staining using TF-Test VetPet.
Collapse
Affiliation(s)
- L M Joao
- Institute of Computing, State University of Campinas, R. Saturnino de Brito, Campinas, 13083-852, São Paulo, Brazil.
| | - Letícia Rodrigues Proença
- School of Medical Sciences, State University of Campinas, R. Tessália Vieira de Camargo, Campinas, 13083-887, São Paulo, Brazil.
| | - Saulo Hudson Nery Loiola
- School of Medical Sciences, State University of Campinas, R. Tessália Vieira de Camargo, Campinas, 13083-887, São Paulo, Brazil.
| | - Sandra Valéria Inácio
- School of Veterinary Medicine, São Paulo State University (UNESP), R. Clóvis Pestana, Araçatuba, 16050-680, São Paulo, Brazil.
| | - Bianca Martins Dos Santos
- School of Medical Sciences, State University of Campinas, R. Tessália Vieira de Camargo, Campinas, 13083-887, São Paulo, Brazil.
| | - Stefany Laryssa Rosa
- School of Medical Sciences, State University of Campinas, R. Tessália Vieira de Camargo, Campinas, 13083-887, São Paulo, Brazil.
| | - Felipe Augusto Soares
- School of Medical Sciences, State University of Campinas, R. Tessália Vieira de Camargo, Campinas, 13083-887, São Paulo, Brazil.
| | - Vitória Castilho Stefano
- Institute of Computing, State University of Campinas, R. Saturnino de Brito, Campinas, 13083-852, São Paulo, Brazil.
| | - Daniel Osaku
- Institute of Computing, State University of Campinas, R. Saturnino de Brito, Campinas, 13083-852, São Paulo, Brazil.
| | - Celso Tetsuo Nagase Suzuki
- Institute of Computing, State University of Campinas, R. Saturnino de Brito, Campinas, 13083-852, São Paulo, Brazil.
| | - Katia Denise Saraiva Bresciani
- School of Veterinary Medicine, São Paulo State University (UNESP), R. Clóvis Pestana, Araçatuba, 16050-680, São Paulo, Brazil.
| | - Jancarlo Ferreira Gomes
- School of Medical Sciences, State University of Campinas, R. Tessália Vieira de Camargo, Campinas, 13083-887, São Paulo, Brazil.
| | - Alexandre Xavier Falcão
- Institute of Computing, State University of Campinas, R. Saturnino de Brito, Campinas, 13083-852, São Paulo, Brazil.
| |
Collapse
|
4
|
Romano F, Lallo MA. Efficacy of a single dose of nitazoxanide in dogs naturally infected with Giardia duodenalis. Res Vet Sci 2023; 159:252-256. [PMID: 37182304 DOI: 10.1016/j.rvsc.2023.04.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2022] [Revised: 04/20/2023] [Accepted: 04/21/2023] [Indexed: 05/16/2023]
Abstract
Giardia duodenalis is a protozoan parasite that infects many mammals, including dogs and cats. This waterborne and foodborne zoonosis is a major problem in one health. Treatment can be challenging because of long regimens and drug resistance. The objective of this study was to evaluate the efficacy of single-dose nitazoxanide (NTZ) for dogs naturally infected by Giardia duodenalis. Although widely used in humans, pharmacological safety is incipient, since the approval of the safe use of nitaxozanide for dogs is not a consensus in the world. Fifty dogs diagnosed with G. duodenalis by zinc sulfate flotation technique (Faust method) and cysts detection by light microscopy. Half of the animals received a dose of 50 mg/kg of NTZ and the other half received 3 doses of 50 mg/kg of fenbendazole (FBZ), both orally. One week after treatment, new fecal exams were done to prove the effectiveness. Of the animals treated with NTZ, 84% were negative for the protozoan, while 76% of the animals treated with FBZ were negative, no significant difference was identified. Side effects such as vomiting and hyporexia were manageable in NTZ treatment and no changes in laboratory tests showed hepatic or renal impairment. We conclude that the use of NTZ in a single dose of 50 mg/kg is effective for canine giardiasis, constituting an option to be considered for dogs with relapses, poor response to conventional drugs and to facilitate administration regimens.
Collapse
Affiliation(s)
- Felipe Romano
- Programa de Pós-Graduação em Patologia Ambiental e Experimental, Universidade Paulista - UNIP, Rua Dr. Bacelar 902, CEP 04057-000 São Paulo, SP, Brazil
| | - Maria Anete Lallo
- Programa de Pós-Graduação em Patologia Ambiental e Experimental, Universidade Paulista - UNIP, Rua Dr. Bacelar 902, CEP 04057-000 São Paulo, SP, Brazil.
| |
Collapse
|
5
|
Vrhovec MG, Alnassan AA, Pantchev N, Bauer C. Is there any change in the prevalence of intestinal or cardiopulmonary parasite infections in companion animals (dogs and cats) in Germany between 2004-2006 and 2015-2017? An assessment of the impact of the first ESCCAP guidelines. Vet Parasitol 2022; 312:109836. [PMID: 36335832 DOI: 10.1016/j.vetpar.2022.109836] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2022] [Revised: 09/16/2022] [Accepted: 10/19/2022] [Indexed: 11/06/2022]
Abstract
Main objective of the present nationwide study was to assess the impact of the ESCCAP guideline for the control of worm infections in dogs and cats 8-10 years after its first publication in Germany. A secondary aim was to determine the prevalence of canine and feline cardiopulmonary nematodes and intestinal protozoa. Faecal samples of 53,693 dogs and 26,491 cats in 2004-2006 as well as of 129,578 dogs and 45,709 cats in 2015-2017 routinely submitted by veterinarians to a private veterinary laboratory were examined using appropriate parasitological methods. In dogs, the prevalence of Toxocara and taeniid egg shedding was significantly lower in 2015-2017 (3.8 % and 0.16 %, respectively) than in 2004-2006 (4.6 % and 0.27 %, respectively). The prevalence of hookworm and Capillaria eggs was higher in the second study period (2.3 % and 0.77 %, respectively) than in the first (1.3 % and 0.6 %, respectively). For Toxascaris leonina (0.55-0.6 %) and Trichuris (0.8-0.9 %), the difference was not significant between the study periods. Dogs shed more often Angiostrongylus vasorum larvae in the second study (3.1 %) than in the first (1.0 %), whereas the prevalence of Crenosoma vulpis did not change significantly (2.2-2.6 %). Cystoisospora canis and C. ohioensis-like infections were less detected in the second study period (1.0 % and 2.1 %, respectively) than in the first (1.8 % and 2.7 %, respectively). Neospora-like oocysts and Sarcocystis sporocysts were more prevalent in the second study period (0.19 % and 0.13 %, respectively) than in the first (0.13 % and 0.06 %, respectively). The percentage of Giardia or Cryptosporidium coproantigen-positive samples was lower in the second study period (18.9 % and 6.7 %, respectively) than in the first (22.8 % and 10.0 %, respectively). In cats, the prevalence of egg shedding of T. cati, Capillaria and taeniids was significantly lower in 2015-2017 (3.5 %, 0.25 % and 0.1 %, respectively) than in 2004-2006 (4.8 %, 0.54 % and 0.22 %, respectively). No difference was recorded for hookworms (0.12-0.13 %) and Ts. leonina (0.04-0.05 %). Aelurostrongylus-like larvae were detected more often in the second study period (6.5 %) than in the first (2.6 %). Infections with Cystoisospora felis, C. rivolta, Toxoplasma-like coccids and Sarcocystis were less prevalent in the second study period (1.9 %, 0.7 %, 0.24 % and 0.02 %, respectively) than in the first (2.7 %, 1.1 %, 0.36 % and 0.1 %, respectively). The percentage of Giardia or Cryptosporidium coproantigen-positive samples was significantly lower in the second study period (10.6 % and 4.8 %, respectively) than in the first (15.4 % and 8.3 %, respectively). Although these results indicate a decline of the occurrence of most canine and feline intestinal parasites in Germany over the years, a transmission risk of zoonotic parasites remains. Therefore, the control of helminth infections in domestic dogs and cats continues to be a challenge for veterinarians and pet owners.
Collapse
|
6
|
Kaufmann H, Zenner L, Benabed S, Poirel MT, Bourgoin G. Lack of efficacy of fenbendazole against Giardia duodenalis in a naturally infected population of dogs in France. Parasite 2022; 29:49. [PMID: 36315102 PMCID: PMC9621113 DOI: 10.1051/parasite/2022048] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/11/2022] [Accepted: 10/05/2022] [Indexed: 11/24/2022] Open
Abstract
Giardiosis is a worldwide intestinal parasitosis, affecting both humans and animals. Treatment in dogs remains limited and the lack of efficacy of the few approved medications is a rising concern. In this study, 23 dogs raised by veterinary students and naturally infected with Giardia duodenalis were treated in home conditions with fenbendazole (50 mg/kg orally for 5 consecutive days). Fecal samples were collected immediately before treatment (FS1), 2-4 days after treatment (FS2) and 8-10 days after treatment (FS3). Giardia duodenalis cyst excretion was measured quantitatively by direct immunofluorescence assay (DFA) at FS1, FS2 and FS3. Molecular typing with a nested PCR targeting the SSU rDNA locus was also performed at FS1 and FS2. Fecal consistency improved in 16/21 dogs (76%) and mean cyst shedding was reduced by 84% after treatment. However, only 8/23 dogs (35%) achieved therapeutic success (≥90% reduction of cysts) and only 4/23 dogs (17%) had complete elimination of G. duodenalis. Molecular typing showed that dogs harbored only canine-specific assemblages, with a high prevalence of assemblage C in analyzed samples (30/39). We also detected different assemblages after treatment and nucleotide substitutions in assemblage C sequences that have not been described previously. Eight to ten days after treatment, high Giardia cyst excretion was measured, suggesting possible reinfection despite hygiene measures and/or multiplication. These data suggest that fenbendazole treatment may improve fecal consistency but has limited therapeutic efficacy against giardiosis in this population of dogs. Further research is still needed to assess the efficacy of fenbendazole against canine giardiosis.
Collapse
Affiliation(s)
- Hugo Kaufmann
- Université de Lyon, VetAgro Sup – Campus Vétérinaire de Lyon, Laboratoire de parasitologie vétérinaire 1 avenue Bourgelat, BP 83 F-69280 Marcy l’Etoile France
| | - Lionel Zenner
- Université de Lyon, VetAgro Sup – Campus Vétérinaire de Lyon, Laboratoire de parasitologie vétérinaire 1 avenue Bourgelat, BP 83 F-69280 Marcy l’Etoile France,Université de Lyon, Université Lyon 1, CNRS, UMR 5558, Laboratoire de Biométrie et Biologie Évolutive F-69622 Villeurbanne France
| | - Slimania Benabed
- Université de Lyon, VetAgro Sup – Campus Vétérinaire de Lyon, Laboratoire de parasitologie vétérinaire 1 avenue Bourgelat, BP 83 F-69280 Marcy l’Etoile France,Université de Lyon, Université Lyon 1, CNRS, UMR 5558, Laboratoire de Biométrie et Biologie Évolutive F-69622 Villeurbanne France
| | - Marie-Thérèse Poirel
- Université de Lyon, VetAgro Sup – Campus Vétérinaire de Lyon, Laboratoire de parasitologie vétérinaire 1 avenue Bourgelat, BP 83 F-69280 Marcy l’Etoile France,Université de Lyon, Université Lyon 1, CNRS, UMR 5558, Laboratoire de Biométrie et Biologie Évolutive F-69622 Villeurbanne France
| | - Gilles Bourgoin
- Université de Lyon, VetAgro Sup – Campus Vétérinaire de Lyon, Laboratoire de parasitologie vétérinaire 1 avenue Bourgelat, BP 83 F-69280 Marcy l’Etoile France,Université de Lyon, Université Lyon 1, CNRS, UMR 5558, Laboratoire de Biométrie et Biologie Évolutive F-69622 Villeurbanne France,Corresponding author:
| |
Collapse
|
7
|
Eppler ME, Hanzlicek G, Londoño-Renteria B, Jesudoss Chelladurai JRJ. Survey of U.S. based veterinarians' knowledge, perceptions and practices about canine giardiasis. Vet Parasitol Reg Stud Reports 2022; 34:100768. [PMID: 36041803 DOI: 10.1016/j.vprsr.2022.100768] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/19/2021] [Revised: 07/20/2022] [Accepted: 07/29/2022] [Indexed: 06/15/2023]
Abstract
Giardia spp. is a protozoal parasite capable of causing diarrhea in mammals. Certain Giardia assemblages are potentially zoonotic. As part of a public health study, a questionnaire-based cross-sectional web survey was distributed among U.S. small and mixed animal veterinarians to assess the perceived prevalence, the preferred testing and treatment methods, the recommended control measures, and the information communicated about the zoonotic potential of canine giardiasis. Between February and June 2021, over 123 veterinarians from 31 U.S. states participated in the survey. 77% of surveyed veterinarians indicated that they are aware of the prevalence of canine giardiasis in their areas of practice. 52% of veterinarians reported that they test all symptomatic dogs for Giardia, while 42.4% test dogs only some of the time. The preferred confirmatory tests were in the following order: commercial diagnostic lab > in-clinic SNAP® Test > in-clinic Direct Smear > in-clinic Fecal Flotation > state/university diagnostic lab. Several combinations of tests are frequently used to confirm diagnosis. Although there are no labelled products available for treating canine giardiasis in the U.S., 54% of respondents preferred using both fenbendazole and metronidazole simultaneously, 15% reported using fenbendazole only, and 20% reported using metronidazole only. 77.0% of respondents indicated they have dealt with treatment refractory cases often or rarely. 92.6% of veterinarians reported mentioning environmental control to pet owners sometimes or always, which included bathing the infected pet, cleaning toys/bowls/bedding, cleaning floors, and bathing other pets. 73.6% of veterinarians communicated to their clients that Giardia was potentially zoonotic. There are conflicting opinions on the importance of zoonotic transmission between humans and canines available to the general veterinary practitioner. Given that children are at a higher risk of developing Giardia infections, it is important for veterinarians to preserve the health of canine companions to protect their human owners. Thus, the contributions of veterinarians in managing canine giardiasis within the framework of One Health initiatives should not be overlooked.
Collapse
Affiliation(s)
- Megan E Eppler
- MPH Program, College of Veterinary Medicine, Kansas State University, 1800 Denison Ave., Manhattan, KS 66506, United States of America
| | - Gregg Hanzlicek
- Kansas State Veterinary Diagnostic Laboratory, College of Veterinary Medicine, Kansas State University, 1800 Denison Ave., Manhattan, KS 66506, United States of America; Department of Diagnostic Medicine/Pathobiology, College of Veterinary Medicine, Kansas State University, 1800 Denison Ave., Manhattan, KS 66506, United States of America
| | - Berlin Londoño-Renteria
- Vector Biology Laboratory, Department of Entomology, Kansas State University, 1603 Old Claflin Place, Manhattan, KS 66506, United States of America
| | - Jeba R J Jesudoss Chelladurai
- Kansas State Veterinary Diagnostic Laboratory, College of Veterinary Medicine, Kansas State University, 1800 Denison Ave., Manhattan, KS 66506, United States of America; Department of Diagnostic Medicine/Pathobiology, College of Veterinary Medicine, Kansas State University, 1800 Denison Ave., Manhattan, KS 66506, United States of America.
| |
Collapse
|
8
|
Jung YH, Lee DC, Kim JO, Kim JH. Untargeted metabolomics-assisted comparative cytochrome P450-dependent metabolism of fenbendazole in human and dog liver microsomes. Xenobiotica 2022; 52:986-996. [PMID: 36533905 DOI: 10.1080/00498254.2022.2160676] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/23/2022]
Abstract
Fenbendazole (FBZ), a benzimidazole carbamate anthelmintic, has attracted attention for its antitumor activity. This study examined the metabolic characteristics of FBZ in humans compared with those in dogs. The phase I metabolites were identified in liver microsomal incubates using liquid chromatography-mass spectrometry (MS)-based untargeted metabolomics approaches. Seven metabolites of FBZ were identified by principal component analysis and orthogonal partial least square-discriminant analysis based on the global ion variables of the FBZ incubation groups. The chemical structure of the FBZ metabolites was suggested by examining the MS/MS spectrum and isotope distribution pattern. Cytochrome P450 (CYP) 1A1, CYP2D6, and CYP2J2 were the major isozymes responsible for the FBZ metabolism. No differences in the types of metabolites produced by the two species were noted. Multivariate analysis of human and dog incubation groups showed that five metabolites were relatively abundant in humans and the other two were not. In summary, the phase I metabolic profile of FBZ and the comparative metabolism between humans and dogs were examined using an untargeted metabolomics approach. This study suggests a successful investigation of FBZ metabolism in humans for conducting safety assessments regarding drug repositioning.
Collapse
Affiliation(s)
| | - Dong-Cheol Lee
- College of Pharmacy, Yeungnam University, Gyeongsan, Korea
| | - Jong Oh Kim
- College of Pharmacy, Yeungnam University, Gyeongsan, Korea
| | - Ju-Hyun Kim
- College of Pharmacy, Yeungnam University, Gyeongsan, Korea
| |
Collapse
|
9
|
Capasso M, Ciuca L, Procesi IG, Zinno F, Berrilli F, Cringoli G, Rinaldi L. Single and Synergistic Effects of Fenbendazole and Metronidazole Against Subclinical Infection by Giardia duodenalis in Non-Human Primates in a Zoological Garden in Southern Italy. Front Vet Sci 2022; 9:929443. [PMID: 35782538 PMCID: PMC9244615 DOI: 10.3389/fvets.2022.929443] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2022] [Accepted: 05/16/2022] [Indexed: 11/13/2022] Open
Abstract
The aim of this study was to assess the single and synergistic effects of fenbendazole (Fenb) and metronidazole (Metro) for the treatment of Giardia duodenalis infection in different species of non-human primates (NHPs) housed in a zoological garden of southern Italy. Moreover, the study also aimed to better define the circulation of G. duodenalis zoonotic assemblages in NHP and the potential occurrence of zoonotic transmission between the staff from the zoo and NHP. Briefly, six species that belonged to four families (Lemuridae, Cercopithecidae, Atelidae, and Hylobatidae) of NHP and housed in six cages (CG) were identified as Giardia positive and divided into two groups. Group F (N = 16 animals) was treated with Fenb (50 mg/kg, every 24 h for 5 consecutive days) and Group M (N = 7 animals) was treated with Metro (25 mg/kg, two times a day for 5 consecutive days). After the first round of therapy, all the animals were retreated for 5 days by inverting the drugs in each group. On each sampling day [study days (SDs) 3–24], the samples were tested for the presence of Giardia cysts using the FLOTAC technique. Multiple fecal tests for the antigen detection of Giardia, such as rapid ELISA and direct immunofluorescence (IFA), were performed at each sampling point only on samples that resulted in positive for Giardia cysts with FLOTAC. The efficacy of Fenb ranged from 30 to 67% and for Metro ranged from 82 to 96%. The results showed the synergistic effects of Metro and Fenb (98–100%) over the combination of Fenb and Metro (52–90%) against the infection by Giardia in NHPs. The overall k agreement between FLOTAC and IFA was reached 0.858 (p = 0.0001). In contrast, all the samples had a negative antigen result when using ELISA. At molecular analysis, six samples were confirmed positive for Giardia by nested PCR. Only two positive samples were successfully sequenced that showed 100% of identity with assemblage B. All the samples from the humans included in the study resulted in negative for Giardia cysts. Overall, the study emphasizes the need for regular monitoring of Giardia infections in NHP housed in zoos by traditional diagnostic tools combined with molecular characterization of the parasite.
Collapse
Affiliation(s)
- Michele Capasso
- Department of Veterinary Medicine and Animal Production, University of Naples Federico II, Naples, Italy
- Zoo Delle Maitine, Naples, Italy
| | - Lavinia Ciuca
- Department of Veterinary Medicine and Animal Production, University of Naples Federico II, Naples, Italy
- *Correspondence: Lavinia Ciuca
| | - Isabel Guadano Procesi
- PhD Program in Evolutionary Biology and Ecology, Department of Biology, University of “Tor Vergata, ”Rome, Italy
- Department of Clinical Sciences and Translational Medicine, Faculty of Medicine, University of Rome “Tor Vergata, ”Rome, Italy
| | | | - Federica Berrilli
- Department of Clinical Sciences and Translational Medicine, Faculty of Medicine, University of Rome “Tor Vergata, ”Rome, Italy
| | - Giuseppe Cringoli
- Department of Veterinary Medicine and Animal Production, University of Naples Federico II, Naples, Italy
| | - Laura Rinaldi
- Department of Veterinary Medicine and Animal Production, University of Naples Federico II, Naples, Italy
| |
Collapse
|
10
|
Picot S, Beugnet F, Leboucher G, Bienvenu AL. Drug resistant parasites and fungi from a one-health perspective: A global concern that needs transdisciplinary stewardship programs. One Health 2021; 14:100368. [PMID: 34957316 PMCID: PMC8692089 DOI: 10.1016/j.onehlt.2021.100368] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2021] [Revised: 12/16/2021] [Accepted: 12/20/2021] [Indexed: 12/12/2022] Open
Abstract
Antimicrobials including antibiotics, antiparasitic, and antifungals, are subjected to resistance. In this context, Public Health Organizations called for a One Health approach because antimicrobials used to treat different infectious diseases in animals and plants may be the same than those used in humans. Whereas mechanisms of resistance transmission from animals or environment to humans should be considered differently if related to prokaryotic or eukaryotic pathogens, their impact can be considered as a whole. In that respect, we discussed the use of anti-parasitic in animals including anticoccidials, anthelmintics, and insecticides-acaricides, and the use of azoles in the environment that may both favor the development of drug resistance in humans. In light of the current situation, there is an urgent need for a transdisciplinary approach through anti-parasitic and antifungal stewardship programs in humans, animals, and environment, especially in the era of COVID-19 pandemic that will probably aggravate antimicrobial resistance.
Collapse
Affiliation(s)
- Stephane Picot
- Univ Lyon, Malaria Research Unit, SMITh, ICBMS UMR 5246, Lyon, France.,Institut de Parasitologie et Mycologie Medicale, Hospices Civils de Lyon, Lyon, France
| | | | - Gilles Leboucher
- Service Pharmacie, Groupement Hospitalier Nord, Hospices Civils de Lyon, Lyon, France
| | - Anne-Lise Bienvenu
- Univ Lyon, Malaria Research Unit, SMITh, ICBMS UMR 5246, Lyon, France.,Service Pharmacie, Groupement Hospitalier Nord, Hospices Civils de Lyon, Lyon, France
| |
Collapse
|
11
|
Agresti A, Berrilli F, Maestrini M, Guadano Procesi I, Loretti E, Vonci N, Perrucci S. Prevalence, Risk Factors and Genotypes of Giardia duodenalis in Sheltered Dogs in Tuscany (Central Italy). Pathogens 2021; 11:pathogens11010012. [PMID: 35055960 PMCID: PMC8781685 DOI: 10.3390/pathogens11010012] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2021] [Revised: 12/17/2021] [Accepted: 12/21/2021] [Indexed: 11/16/2022] Open
Abstract
In sheltered dogs, the prevalence of Giardia duodenalis is frequently high and may include potential zoonotic genotypes. The prevalence, genotypes and potential risk factors of G. duodenalis were assessed in 168 dogs from four kennels (Pistoia, Prato, Florence, Valdarno) in Tuscany, central Italy and compared with data from previous Italian studies. The prevalence of other intestinal parasites was also investigated. Individual dog faecal samples collected from each kennel were examined by parasitological techniques and a rapid immunoassay for the detection of G. duodenalis and Cryptosporidium faecal antigens. On Giardia-positive samples, molecular analysis was performed for genotype identification. Overall, 69 dogs scored positive for G. duodenalis (41%), but significant differences (p ≤ 0.05) were found among the four kennels and sampling seasons. The potentially zoonotic assemblages A and B and the canine-specific assemblage C (Pistoia: A-AII, B, C; Prato: A-AII, B; Florence: A-AII; Valdarno: A and C) were identified. Toxocara canis (8.9%), Trichuris vulpis (3.6%), hookworms (1.19%) and Cryptosporidium sp. (0.6%) were also identified. The high prevalence of G. duodenalis and the identification of potentially zoonotic genotypes in all examined kennels underline the need to improve routine parasite monitoring and control measures and to provide insights into the zoonotic potential of G. duodenalis.
Collapse
Affiliation(s)
- Andrea Agresti
- Department of Veterinary Sciences, University of Pisa, 56124 Pisa, Italy; (A.A.); (M.M.)
| | - Federica Berrilli
- Department of Clinical Sciences and Translational Medicine, University of Rome “Tor Vergata”, 00133 Rome, Italy; (F.B.); (I.G.P.)
| | - Michela Maestrini
- Department of Veterinary Sciences, University of Pisa, 56124 Pisa, Italy; (A.A.); (M.M.)
| | - Isabel Guadano Procesi
- Department of Clinical Sciences and Translational Medicine, University of Rome “Tor Vergata”, 00133 Rome, Italy; (F.B.); (I.G.P.)
- Department of Biology, Ph.D. Program in Evolutionary Biology and Ecology, University of Rome “Tor Vergata”, 00133 Rome, Italy
| | - Enrico Loretti
- Unità Funzionale Aziendale Igiene Urbana, Az. USL Centro Toscana, 50127 Firenze, Italy;
| | - Niccolò Vonci
- Unità Funzionale Igiene Epidemiologia e Sanità Pubblica, Azienda USL Toscana Centro, 50032 Borgo San Lorenzo, Italy;
| | - Stefania Perrucci
- Department of Veterinary Sciences, University of Pisa, 56124 Pisa, Italy; (A.A.); (M.M.)
- Correspondence: ; Tel.: +39-050-2216949
| |
Collapse
|