Parasitic gastroenteritis Flashcards

1
Q

Parasitic causes of diarrhoea (& their main risk periods)

A
  • Coccidiosis/Cryptosporidium (protozoal causes of diarrhoea)
    – Jan-June
  • Nematodirus
    – April-July
  • Teladorsagia & Trichostrongylus
    – June-November

Can sometimes see them all year round but tend to be seasonal

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2
Q

Coccidiosis

A
  • Eimeria (protozoan parasite)
  • Many species but only 2 are pathogenic in sheep (E.ovinoidalis and E.crandallis) NB oocyst counts
  • Host specific.
  • Timing of infection risk related to seasonality of lambing rather than seasonality of parasite (in housed dairy calves can see infection almost any time of year)
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3
Q

Which lambs are most at risk of coccidiosis?

A
  • Lambs 3-12 weeks old are most at risk from infection.
  • Typically lambs born in the first half of the lambing period exposed to a low level of challenge and develop immunity
  • However, these early lambs multiply up the oocysts in the shed or field whilst they develop immunity and the later born, youngest lambs then encounter a high challenge of infectious oocysts and suffer with clinical disease (scouring, dehydration) before they develop immunity
  • More common in indoor systems, but can affect lambs at grass too
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4
Q

Coccidiosis life cycle

A

Source of coccidia oocysts:
- ewes pass low numbers
- some overwinter on pasture

Lambs:
- immunity increases with exposure
- naive lambs at risk of severe dz

Multiplier effect:
- lambs shed millions more oocysts than they eat

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5
Q

Coccidiosis risk factors

A
  • Mixing age groups of lambs
  • Moving young lambs to shed/pasture where older lambs were kept
  • Intensively stocked systems
  • Faecal contamination in/around feed/water troughs
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6
Q

Coccidiosis pathogenesis and CS

A
  • Damage to gut lining causes straining, abdominal pain and diarrhoea +/- mucus and blood
  • Leads to dehydration and death in severe cases (young lambs exposed to high challenge)
  • Affected animals may also show ill thrift and poor growth rates
  • Concurrent infection with Nematodirus or Cryptosporidium can exacerbate clinical signs.
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7
Q

Coccidiosis control measures

A
  • Ensure adequate colostrum intake, maintain good hygiene and prevent faecao-oral transmission
  • Raising feed and water troughs may help to prevent faecal contamination, and troughs in fields can be moved regularly to prevent build-up of oocysts in one area
  • Grazing later born lambs where earlier lambs haven’t already been might also help if possible.
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8
Q

Coccidiosis effect on growth

A
  • stunted growth
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9
Q

Cryptosporidium parvum

A
  • Protozoal parasite that can cause disease in young lambs (usually <10d old) and calves
  • It is zoonotic.
  • Faeco-oral transmission
  • Oocysts persist in environment and resistant to many disinfectants = infection levels build up over time.
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10
Q

Cryptosporidium parvum CS

A
  • diarrhoea
  • inappetence
  • abdominal pain
  • mild pyrexia
  • In mild infections may see reduced growth rates and general poor performance
  • May get mixed infections with E.coli/Nematodirus = severe clinical signs
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11
Q

Cryptosporidium parvum diagnosis

A
  • faecal sample
  • PM
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12
Q

Cryptosporidium parvum control measures

A
  • Ensure adequate colostrum intake, maintaining good hygiene and preventing faecao-oral transmission (e.g. raising feed and water troughs)
  • Can be transmitted in water courses so could consider fencing these off.
  • Older animals tend to shed the parasite which then causes disease in younger animals, so mixing animals of different ages should be avoided where possible.
  • Check that any disinfectants used are effective against Cryptosporidium
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13
Q

Parasitic gastroenteritis (PGE)

A
  • Major production limiting disease of sheep – estimated to cost UK sheep producers £42.2 million/year.
  • Anthelmintic resistance a real concern.
  • Sustainable and holistic parasite control integral to flock health planning
  • Issue for cattle and sheep but focus on sheep as majorly production limiting
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14
Q

Relative importance in sheep, cattle and pet ruminants

A

Sheep
- Internal parasites are the most important production limiting disease in UK sheep systems

Cattle
- In beef and dairy calves (<18 months old) they are important
- In dairy cows they are rarely important except occasionally lungworm and liver fluke

In ‘pet’ ruminants such as goats & camelids they are the cause of very severe disease because of the inherently highly susceptible nature of these species to both sheep and cattle parasites.

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15
Q

Endoparasites of cattle and sheep

A

GI nematodes (roundworms), PGE:
- Sheep: Trichostrongylus, Teladorsagia, Nematodirus battus, Haemonchus
- Cattle: Ostertagia ostertagi, Cooperia oncophora, Trichostrongylus axei

Trematodes
- Sheep: Fasciola Hepatica
- Cattle: Fasciola Hepatica, rumen fluke (Calicophoron daubneyi)

Coccidia/Cryptosporidia

Lungworm
- Sheep: D.filaria & M.capillaris
- Cattle: Dictyocaulus vivparous

Tapeworms

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16
Q

Immunity

A

After the first grazing season both cattle and sheep will develop immunity to most endoparasites

The exceptions to this are;
- Fluke (sheep and cattle)
- Haemonchus (sheep)
- (Lungworm – immunity in cattle is short-lived)

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17
Q

Trickle challenge vs clinical disease

A
  • A trickle or low infectious challenge over time allows immunity to develop without clinical signs of disease
  • A high, abrupt infectious challenge encountered over a short period of time exceeds the ‘threshold’ and causes clinical/sub-clinical disease
  • Avoiding all challenge means animals are naïve and susceptible to infection; important to remember this when you are devising a parasite control plan for a client
  • Worm control programme is about reducing the worm burden (this is not the case with fluke)
  • Reducing not eliminating worms – aim to limit production losses. Balance requires adjustment regularly, not one blueprint you can follow every year.
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18
Q

Nematodirus

A
  • pre parasitic phase (L1-L3) occurs within egg shells
  • eggs extremely tough and resistant to freezing and drought, viable up to 2y on pasture
  • hatching is stimulated by cold period followed by a mean day/night temperature of ~10C, but L3 are susceptible to climate and need to be ingested quickly
  • Therefore, this is usually the 1st species to peak on pasture in spring
  • Large number of larvae simultaneously burrowing into the gut cause the pathology (larvae not adult)

Very seasonal, transmitted from lamb crop to the next lamb crop the following year.

Eggs passed the previous year require cold over the winter to prime
Eggs hatch when weather conditions consistently >10C

This results in a high seasonal peak of larvae on pasture in spring (timing dependent on geographical location)

Warm spring = earlier peak
Climate modelling (NADIS & SCOPS websites) to predict risk period

Note: A few cases of autumn disease are reported each year indicating that some populations of the parasite have evolved to hatch without needing a winter cold period to prime them but these are still uncommon – but keep in mind just in case

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19
Q

Nematodirus – signs and control

A

Clinical disease: huge numbers of immature larvae attacking the gut wall causing dehydration and rapid death.

Pre-patent disease: this happens before they reach adulthood so often NO EGGS FOUND on faecal egg count during an outbreak of clinical disease.

Control: Nematodirus is still susceptible to almost all of the anthelmintics (use BZ - benzimidazole)

Rare cases of BZ resistance have now been reported in Nematodirus

BZD highly efficacious against larval stages of N.battus and has high safety index (important as dosing young animals)

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20
Q

Teladorsagia and Trichostrongylus

A
  • Main GI nematodes in lambs (adults develop immunity – note PPRI)
  • Contaminated: eggs and larvae; development to L3 (temperature)
  • Infective: L3 present & climatic conditions suitable (rainfall allows L3 to get away from the faeces, therefore increasing the likelihood of it being ingested)
  • Hypobiosis is the main way H. contortus survives the winter in the UK

PPRI = peri parturient reduction in immunity

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21
Q

Teladorsagia and Trichostrongylus CS

A
  • Disease: Clinical or sub-clinical depending on the dose of infectious larvae ingested:
    – Clinical = scouring, weight loss, poor fleece quality, dull depressed, dehydrated, death
    – Sub-clinical = slower weight gain (DLWG), reduced feed conversion efficiency and reduced immunity to other infections
  • Can see clinical and sub-clinical disease any time of year but it peaks in late summer/autumn
  • Get reduction in DLWG before get increase in FEC
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22
Q

Teladorsagia and Trichostrongylus epidemiology

A
  • Eggs deposited early spring: 10 – 12 weeks for L3 to develop
  • Eggs deposited summer: 1-2 weeks for L3 to develop
  • Therefore high infectivity mid-summer
  • L3 are most active during warm weather and, if they are not ingested, consume their energy stores and suffer high mortality rates
  • In autumn and winter, L3 can survive longer and some will over-winter on pasture
  • Some worm species are better at winter survival than others – Haemonchus larvae do not survive well in freezing temperatures but Nematodirus eggs can survive prolonged cold temperatures
  • Over-wintering L3 provide a source of infection to grazing sheep in late winter and early spring but do not survive long on pasture after ambient temperatures rise
  • Pasture infectivity tends to decline rapidly to low levels in late April or early May
  • Teladorsagia and haemonchus can also overwinter by hypobiosis.
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23
Q

Periparturient relaxation in immunity (PPRI)

A
  • All ages of sheep carry roundworms, but with good immunity adult sheep rarely show signs. The exception to this is around lambing time (2-4 weeks pre to 6 – 8wks post).
  • Ewes under nutritional stress around lambing lose some of the immunity they have acquired to the parasite allowing hypobiosed L4 larvae to develop to adults and also new infections to become patent.
  • As ewes pass peak lactation and the nutritional stress declines they recover their immunity and kill off the parasites so their FEC falls
  • This seasonal (peri-parturient) egg count rise is crucial for the parasite as it contaminates the pasture for the lambs to become infected
  • No doses = FEC rise around lambing
  • 1 dose shortly after lambing = FEC quickly rises again (unless product with persistent action used)
  • 3 doses keeps FEC low, but highly susceptible to resistance (limited in refugia population)
  • This has implications for the selection for anthelmintic resistance since it means that the proportion of the worm population ‘in refugia’ in spring is likely to be very low
  • Any anthelmintic treatment of ewes is therefore highly selective for anthelmintic resistance
24
Q

PPRI – targeted selective treatment

A
  • Targeted anthelmintic treatment of ewes at lambing
  • Ewes under low stress (e.g. adult ewes in good BCS carrying 1 lamb) do not loose much immunity but ewes under high stress (Triplets, Low BCS, young (ewe lambs & shearlings)) are under greatest stress and will generate most of the pasture contamination.
  • Immature ewes can also be treated.
  • This allows worming treatments to be minimised and the worm ‘refugia population’ to be maximised.
  • The refugia population is the population of worms not exposed to a wormer at each treatment.
  • Goal = reducing pasture contamination
25
Q

Teladorsagia and Trichostrongylus - Type 1 dz

A
  • Wet summers cause eggs to hatch and infect stock early and cause disease in the same season
  • clinical signs of scour, weight loss, low DLWG, poor feed conversion efficiency
  • very common
26
Q

Teladorsagia and Trichostrongylus - Type 2 dz

A
  • Dry summers cause eggs to remain unhatched until autumn wet conditions at which point the infectious larvae enter hypobiosis inside the stock rather than completing development to adulthood
  • All the larvae emerge from hypobiosis at the same time in the spring in the gut of the animal causing severe disease, dehydration and death (Teladorsagia) and anaemia (Haemonchus)
  • type 2 is quite rare but need to understand the epidemiology
27
Q

Haemonchus

A
  • Different to the other strongyle roundworms of sheep
    – blood sucker similar to the adult Liver Fluke so causes anaemia, weakness, weight loss and sub-mandibular oedema in chronic cases.
  • Fertility, fecundity, milk yield may all be affected by the infection in the same way as any other debilitating disease.
  • Very fecund parasite = can see very high FECs.
  • Immunity not developed (as with other strongyles)
  • Don’t survive well over winter, so the only real way it can survive year to year is by hypobiosing in sheep
  • Control: Closantel to treat Haemonchus infections as well as other BZ, LV & ML groups
  • 1 of the only nematodes that you can use more narrow spec wormers
28
Q

Cattle parasites

A
  • Ostertagia ostertagi (abomasum)
  • Cooperia oncophora (small intestine)

Whilst these parasites are common, clinical disease (loss of appetite, scouring and poor condition) is generally only seen in young cattle during their first grazing season, when control has been inadequate.
Exception spring born suckler calves - 1st season technically not grazing so don’t get exposed to it, therefore need to watch out for this during their 2nd season out

Disease resulting from infections is called parasitic gastroenteritis (PGE)

Immunity:
- C. oncophera – one full grazing season
- O. ostertagi - up to 2 grazing seasons

Both of these cattle parasites behave in a very similar way to Teladorsagia and Trichostrongylus in sheep

29
Q

Cattle parasite seasonality

A

Gut worms:
- Low risk - Jan, May, Nov, Dec
- Medium risk - Feb, Mar, Apr (Type II Ostertagiasis)
- High risk - Jul, Aug, Sep, Oct

Lung worms:
- Low risk: Jan, Feb, Mar, Nov, Dec
- Medium risk: Apr, May
- High risk: Jun, Jul, Aug, Sep

Liver fluke:
- Low risk: Jun
- Medium risk: Apr, May, Jul, Aug
- High risk: Jan, Feb, Mar, Sep, Oct, Nov, Dec

30
Q

Epidemiology (cattle)

A

Winter (housing):
- No new infections acquired
- Development of eggs/larvae generally v slow - gradual decline on pasture
- Larvae overwinter

Spring:
- over-wintered larvae encountered and new infection acquired

Summer:
- Pasture levels of L3 increase: risk of clinical disease increases without control (same pasture/not treated with anthelmintics

Risk period:
- mid-July until housing.

Hay/silage aftermath can be used in second half of grazing season to reduce risk

31
Q

PGE control - aims

A
  • Good productivity / profitability i.e. fast growth, high milk yield, high fertility
  • Good immunity where possible rather than relying on treatment
  • Sustainability = continued efficacy of anthelmintics = delay the development of resistance to the products within the parasite population
  • Also minimise negative impacts on the environment
32
Q

PGE control - options

A
  • Broad spec anthelmintics
  • Narrow spec anthelmintics
  • Non-chemical control
33
Q

PGE control - Broad spectrum Anthelmintics

A

Cattle & sheep:
- BZ (Group 1) (white)
– >85% flocks have resistance – still good for nematodirus on most farms (a few cases of resistance)
- LV (Group 2) (Yellow)
– Increasing resistance rapidly.
- ML (Group 3) (Clear)
– Some resistance found in sheep and a few cattle units.

Sheep only:
- AD (group 4) Orange (‘Zolvix’; monepantel)
– Some resistance now reported, useful for extending the life of Group 1,2,3.
— monepantel doesn’t cover for lungworm but don’t really worry about this for sheep
- SI (group 5) Purple (‘Startect’) dual active product; spiroindole (derquantel) + abamectin (3-ML).

Group 4&5 used to maximise the longevity of the other groups.

34
Q

PGE control - Narrow spectrum Anthelmintics

A
  • Closantel (Nitroxynil) - Fluke and Haemonchus
  • Oxyclozanide (Fluke only)
35
Q

PGE control - Non-chemical control

A
  • Genetics (Estimated breeding values – EBVs)
    – Useful for breeding flocks
  • Grazing management
    – Higher forage can have an impact- L3 aren’t as good at climbing up long stalks as they are shorter ones
  • Bioactive forage (chicory)
    – Combat parasitism or improve nutrition?
36
Q

Anthelmintic resistance

A
  • The more often you treat the more selection events given to the parasite
  • Only expose the minimum number of parasites to a selection event by targeting your treatments to only those animals that need it.
  • When you do treat animals – ensure you give the correct dose (dose to weight/heaviest animal in group).
37
Q

Anthelmintic resistance testing

A

Drench testing (post-dosing faecal egg counts)
- FEC sample 7-14 days (7d for LV, 14d for ML or BZ)
- Indicator of anthelmintic efficacy
- Can do pre-dosing FEC too to determine FEC reduction

FECRT (Faecal egg count reduction test)
- Individual samples pre and post drenching
- Choose lambs with high starting FEC (>500epg)
- Split into 3 groups and worm each with a different class (BZ, LV, ML)
- Resample same lambs in 7-14 days
- Less than 95% reduction in FEC = resistance
- Less than 50% reduction in FEC = obvious drench failure

Useful to build into parasite protocol 1x yearly

38
Q

What drives resistance?

A
  • Buying in resistant worms
  • Under dosing individuals
  • Over treating the population
  • Allowing resistant worms the chance to dominate
39
Q

How to prevent resistance

A
  • Quarantine treatments for purchased stock
  • Dose for the heaviest in the group and calibrate equipment
  • Minimise number of treatments (base treatment decisions on FEC, DLWG, TST)
  • Administer the correct (narrow spectrum) product correctly
  • Dilute out any AR worms (in refugia population)
  • Use non-chemical means of control (inc clean grazing)
40
Q

Parasite management concepts

A
  • Maintain an ‘in refugia’ population
    – treat as little as possible but as much as necessary
    – assess risk
  • Targeted selective tx
    – treating the right individuals at the right time (DLWG, FECs, FAMACHA)
  • Integrated parasite management
    – Combining chemical and non-chemical control
41
Q

In-refugia population

A
  • Maintain an in-refugia population that is not exposed to treatment (free-living on pasture and adults/immature in untreated sheep), this will dilute the eggs produced by AR worms
  • Whole flock or whole group treatments to be discouraged.
  • At any time ~80% of parasites will be free living
42
Q

In-refugia population – whole group treatments

A

Whole group treatment followed by a move to low contamination pasture = fewer parasites around so lambs appear to be growing better, but they are mainly resistant worms.

Whole group treatment followed by a move to high contamination pasture = more parasites around but mixed population of susceptible and resistant, so anthelmintics remain effective, but there is less effect on growth rate.

43
Q

In-refugia population – TST and dose delay move

A

TST = targeted selective tx / part flock tx

  • Part flock treatment followed by move to low contamination pasture = small mixed population (some susceptible and some resistant) of parasites
  • This maintains a refugia population and allows growth rates to be maintained
  • Dose delay move strategy has a similar outcome.

Both TST + dose delay aim to maximise anthelmintic efficacy whilst minimising negative impacts on production due to parasites

44
Q

Targeted selective treatment (TST)

A

When?
- Pooled (mob) Faecal Egg Count
- Use regular FEC to track the rise in FEC and predict when a treatment is required
- Every 3-4wks post turnout over summer to determine when tx is required

Who?
- Targeted Selective Treatment
- Use expected DLWG to work out at any given age of lamb/calf which are underperforming and would potentially benefit from a treatment

45
Q

TST - Monitoring FEC

A
  • Poor growth and feed conversion efficiency with a FEC >300/350epg (in cattle around 200epg may be used as tx threshold)
  • Obvious Clinical disease >500 epg
  • Deaths >900 epg

NB – H.contortus is a very fecund worm and will produce many more eggs per adult than the other strongyles so if lambs are not scouring but have a very high egg count then think H.contortus
- These can be speciated by APHA with a stain specific for H.contortus eggs to differentiate them from other strongyles
- FAMACHA scoring can be used in addition to FEC to target treatments in sheep for H.contortus

46
Q

TST - Monitoring DLWG

A
  • Daily Live Weight Gain (DLWG) = growth rate.
  • DLWG is high pre-weaning because milk is so nutritious, it then slows down as the lamb/calf matures and is eating grass
  • Expect >300 g/d in pre-weaning lambs
  • 200-300 g/d post weaning until the winter.
  • 150 g/d over autumn/winter
  • In cattle 0.7kg/d has been used (but will vary between farms)

Can use farm specific targets too – lots of breed and system variation e.g. creep feeding post-weaning

47
Q

TST - Deciding when and who to treat

A
  • Balance between control of parasite burden vs use of anthelmintics

Cattle and sheep
- Monitoring: FEC and DLWG (every 3-4wks)
- Monitoring anthelmintic resistance: Faecal egg count reduction test; helps to inform choice of anthelmintic
- Maintain in-refugia population – Targeted selective treatment/dose-delay-move

Sheep
- Incorporate group 4 and 5 products as mid-late season treatment (where necessary)
- FAMACHA scoring for H.contortus

48
Q

Grazing management - assess pasture risk

A
  • high risk: permanent pasture, grazed by cattle less than 1y/o within last year
  • medium risk: silage/hay aftermath (field type), grazed by cattle 1-2y/o within the last year
  • low risk: newly sown pasture, ungrazed ley, grazed by adult cows and other species within last year

But beware of lactating ewes and they decreased immunity

49
Q

Grazing management

A

Weaning – move lambs to low-risk pasture/less contaminated areas at weaning (e.g. aftermath)

Co-grazing – reduces stocking density of host species

Nutrition – good nutrition will minimise adverse effects of parasitism

Grazing by cattle/mature ewes – hoover up larvae

Rotational grazing – calves/lambs stay on pasture <3w and are followed by mature animals.

Delayed turnout – pasture contamination low by July if not grazed that season

50
Q

Estimated breeding values (EBVs)

A
  • Estimated breeding value – measure of breeding potential of an animal for a specific trait.
    – Take into account performance data of relatives and heritability of trait.
    – Expressed relative to baseline (0) which is the average for the breed.
  • Using rams that have been selected for worm resistance can be useful in flocks breeding their own ewe replacements.
  • Measure FEC and IgA – lower FEC and higher IgA is desirable
51
Q

Bio-active forages and biological control

A
  • Chicory, birdsfoot trefoil and sainfoin.
  • Direct anthelmintic properties or improve nutritional status?
  • Biological control – dung beetles/earth worms/fungi
  • Some forages also have drought resistance (chicory)
  • Also biological control (dung beetles/earth worms/fungus) – environmentally and financially sustainable, but can be unpredictable.
  • Vaccines – Huskvac, Barbervax
52
Q

Making a parasite control plan

A
  • There are no simple “blueprint” protocols –
    needs to be farm specific
  • Take a detailed history of flock/herd management practices.
  • Identify disease threats and when stock are at risk and what options you have for monitoring and control.
53
Q

Threats to a parasite control plan

A
  • List all the parasites of importance so you are sure you will not miss out something important.
  • Rank them in order of priority and chronology based on the flock or herd management to make the plan clear for the client.
  • Think about the different risk periods through the year, the farm system and non-chemical control options.
54
Q

Nematodirus control plan

A
  • FEC’s not useful but strategic prophylactic treatment with a BZ based on the timing of the larvae peak is appropriate
55
Q

Trichostrongyles and Telodorsagia control plan

A
  • Regular, routine FEC and DLWG monitoring and treatment only at a threshold epg is the most effective method (TST) to prevent disease and minimise resistance.