parasite control (mallicote) Flashcards

1
Q

Goal for young horses

A

limit parasite burden until young horses develop their immunity

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2
Q

goal for adult horses

A

minimize disase without inducing a resistance to parasiticides

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3
Q

Major internal parasites

A
  • small strongyles (Cyathostomes)
    • seasonally transmitted
    • winter in FL, summer in north
  • Large strongyles
  • Anoplocephala perfoliata (Tapeworms)
  • Ascarids - Parascaris equorum
    • year round infection of young horses
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4
Q

Minor internal parasites

A
  • Gastrophilus intestinalis (Bots)
  • Habronema muscae, Draschia megastoma (stomach worms)
  • Oxyuris equi (Pinworms)
  • Strongyles westeri (Threadworms)
  • Dictyocaulus arnfieldi (lungworms)
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5
Q

Small strongyles / Cyathostomes

A
  • Most important parasite to manage in adult horses
  • Significant concern for resistance in these populations
  • prepatent period - minimum 5 weeks
    • relatively short period of time
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6
Q

Small strongyles / Cyathostomes

life cycle issues

A
  • larvae migrate in cecum/colon walls for 4-6 weeks
    • may encyst for months to years
  • mature and encysted cyathostomes are not significant in causing disease if moderate numbers
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7
Q

small strongyles

progression

A

emergence of larvae =>

Intense inflammation =>

hemorrhage and edema of cecum and colon =>

Colic and diarrhea

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8
Q

Large strongyles

A
  • migrate through abdominal tissues
    • liver, pancreas, arteries
  • LIve in lume of gut
  • long prepatent period (6 months)
    • don’t have to treat very often
  • CS
    • colic, poor growth, weight loss

*we rarely see this parasite (since advent of ivermectin)

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9
Q

Parascaris equorum (roundworms)

A
  • adult horses develop immunity
  • eggs persist in environment for years
  • deadly for young foals

*only parasite that will be in the small intestine of the horse (others in colon….I think)

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10
Q

Parascaris equorum (roundworms)

progression

A
  • parasite lives in small intestine =>
  • lymphatics =>
  • lungs =>
  • pharynx =>
  • small intestine
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11
Q

Parascaris equorum (roundworm)

days to reenter SI

A

28 days

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12
Q

Parascaris equorum (roundworms)

days to produce eggs

A

72-80 days

-before you see eggs in fecal

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13
Q

clinical signs of ascarid infection

A
  • coughing
  • diarrhea, colic
  • pot belly
  • rough hair coat
  • weight loss
  • can’t be diagnosed prior to 80-90 days of infection by fecal float
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14
Q

ascarid resistance

A

*

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15
Q

Control of ascarids

A
  • control fecal egg count reduction efficacy test
  • deworm at 60 days of age (exposure, possibility of ascarids in spite of neg fecal)
  • deworm q 60 days (ivermectin) until 8-12 months of age or
  • q 30 days (pyrantel/benzimidizole group) until 8-12 months of age
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16
Q

Anoplocephala perfoliata (Tapeworms)

A
  • live at narrow ileo-cecal valve
    • spasmodic colic
    • intussusceptions
    • ileal impactions
  • praziquantel
    • 1 mg/kg-2.5 mg/kg
  • pyrantel
    • 13.2 mg/kg

*don’t really see resistance to praziquantel

*intermittantly shed so may not see them on a fecal even if they are infected

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17
Q

Tapeworms

foal deworming

adult deworming

A
  • Foals
    • deworm prior to weaning
  • Adults
    • deworm 1-2 times/year
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18
Q

Gastrophilus intestinalis (botfiles)

A
  • little yellow eggs on legs
  • treatment
    • remove bots from legs
    • Ivermectin or Moxidectin
  • cause very few clinical signs
  • very susceptible to ivermectin
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19
Q

Habronema, Draschia spp (stomach worms)

A
  • transmitted by stable flies
  • no significant internal damage
  • cutaneous infections => granulomas (sometimes bx)
    • eyes, sheath, ventral midline
  • treat with ivermectin
    • sometimes plus steroids

*if in their normal spot don’t cause lots of clinical dz

20
Q

Oxyuris equi (pinworms)

A
  • live in small colon
  • female cements eggs to skin of anus
  • prepatent period 3.5-5 months
  • diagnosis probs
    • usually found as adult worms
    • difficult to find on fecal float

*tape test around anus good for this

*some resistance to ivermectin…?

21
Q

DDX for tail rubbing

A
  • pin worms
  • dirty gelding sheath
  • dirty mare udders
22
Q

strongyloides westeri (threadworms)

A
  • cause of diarrhea in foals
    • 5 days - 4 months
  • Infectio via milk
    • stress of foaling induces larval activation in dam
  • Parasite resides in SI
  • Immunity quickly developed (4-5 months)
  • prepatent period 5-7 days

*imp DDX for diarrhea in foals

23
Q

Strongyloides westeri

treatment

A
  • treat mares in late gestation/foaling
    • macrocyclic lactones
  • treat foals PRN
24
Q

Lungworms (Dictyocaulus arnfeldi)

A
  • donkeys the problem
    • can harbor with no CS
  • Horses exposed parasite via donkeys
    • cough
    • decreased performance
  • Treat with ivermectin
  • DX: BAL (eosinophilia or parasites), Fecal (Baermans float-settle to bottom)
25
Parasites of concern for the adult horse
* **Small & Large Strongyles** * **Tapeworms** * Gastrophilus * Oxyuris
26
Parasites of concern for the juvenile horse
* Ascarids-impaction * Strongyloides * Small and Large Strongyles
27
Refugia
* want to maintain a population of parasites that has not been exposed to parasiticides * Wild type parasites that have not be exposed to anthelmintic pressures (lack resistance genes) * Minimal deworming favors survival of 'wild type' parasites
28
New Paradigm
* Resistance as emerging problem * use fecal egg reduction testint to determine to effective antihelmintics * treat horses with high FEC * treat during peak transmission season
29
Fecal egg counts
* Quantitation of strongyle burden * \< 200 epg (don't treat) * 200-500 epg (may not treat) * \> 500 epg (treat)
30
Fecal egg count reduction test
[(pre-treatment EPG) - (post-treatment EPG)] X 100 samples pre and 10-14 days post deworming
31
FECRT interpretation
* \> 90% for pyrantel and BNZ = good * 80-90% for Pyrantel and BNZ = suspicious * \< 80% for Pyrantel and BNZ = resistance * macrocyclic lactones \< 98% = resistance
32
deworming new paradigm
* south: (85 deg F - death to larvae) * north: (\<45 F - will not support hatching)
33
Egg reappearance Period
* **expected egg reappearance period** * **​**interval between treatment and resumption of FEC \> 200 EPG * Benzimidazoles - 4 weeks * Pyrantel salts - 4 weeks * Ivermectin - 8 weeks * Moxidectin - 12 weeks
34
Take home message
* Preserve refugia: deworming least often as possible * Deworm individuals instead of populations * keep season in mind
35
Normal foal behavoir 1-2-3 rule
* sternal recumbency within 2 min of birth * suckle reflex within 30 minutes * standing within 60 minutes * nursing from mare within 120 minutes \***1-2-3 rule =\> 1 hour to stand; 2 hours to nurse; 3 hours to pass placenta**
36
Physical exam
* first 12-24 hours of life * systematic * record * monitor trends * detect slow changes
37
foal temps
* normal 99-102 deg F * hypothermia common in sick neonates * unable to adequately cool in very hot climates * FL
38
Cardiac auscultation
* HR immediately post partum 40-80 bpm * inc to 100-120 * 80-100 bpm during week 1 * murmurs * PDA * innocent flow mumurs (not cont, discrete, etc) * ventricular septal defect
39
Foal mucus membranes
* color, injected (red), yellow, abrasions, evidence of sepsis * also look at conjuctiva (injected vessels consistent with dystocia)
40
Respiratory rate/Auscultation
* crackles usually last several hours from birth * transition from fluid filld to air filled lung * inc in minute ventilation * rate x tidal volume * 80 - 30 breaths/min * inspiratory and expiratory crackles * dependent atelectasis * normal 30-40 breaths/min
41
Umbilical care
* very important * dilute chlorahex * dip several times per day until dry * No tincture of iodine: toxic to tissues
42
Enema
* Give in first few hours of life * fleet enemas * warm soapy water ok too * ivory * Do NOT give repeat enemas
43
Colostrum
* critical for foal to receive to provide antibodies * foals need about 2 liters in first 24 hours * first 2 hours life most critical * gut closure
44
Immunoglobulin (IgG)
* Measure IgG at 12-24 hours of age (Snap test) * if \< 800 **consider** transfusion * if \< 400 **definite** transfusion \*colostrum replacers NOT USEFUL
45
Vaccinations and antimicrobials Newborns
* Tetanus antitoxin * if mare was not properly vaccinated * Routine antimicrobials not necessary * Non-observed birth - risk of sepsis - ok to give ABX * History of problems on the farm - ok to give ABX
46
Newborn Check list
* 1-2-3 rule * Dip umbilicus * give enema * DVM exam \< 24 hours old * IgG check between 8-24 hrs of age * +/- vaccinate/antimicrobials