Silvestre Anne, Leignel Vincent, Berrag Boumadiane, Gasnier Nadine, Humbert Jean-François, Chartiere Christophe, Cabaret Jacques
INRA, Pathologie Aviaire et Parasitologie, Nouzilly, France.
Vet Res. 2002 Sep-Oct;33(5):465-80. doi: 10.1051/vetres:2002033.
Although the molecular bases of resistance to anthelmintic families have been intensively studied, the contributing factors for the development of anthelmintic resistance are less well known. Clear recommendations must be given to farmers in order to delay the onset of anthelmintic resistance. Until now, the main advice has concerned the reduction of treatment frequency in order to slow down the spread of resistance. Anthelmintic resistance development depends mostly on an efficient selection pressure. This means that a high treatment frequency is neither necessary nor sufficient to select for resistance. The contribution of resistant worms, which have survived an anthelmintic treatment, to the subsequent generation is the key factor that controls resistance spread. This point is illustrated by five surveys conducted on sheep and goat farms from France and Morocco. In the 52 farms studied, less than three anthelmintic treatments were given each year. Three characteristics of breeding management can be identified in the build up of anthelmintic resistance: (1) the introduction of resistant worms through the purchase of sheep/goats or the use of common pastures, grazed by several herds/flocks, (2) under-dosing of hosts and the repeated use of one class of drugs, (3) the size of the population in refugia (infective larvae on pastures) at the time of the treatment. The role played by these breeding management factors in selecting for resistance is discussed. The most efficient way to limit the increase of anthelmintic resistance remains the reduction of the selection pressure by drugs, and optimal timing to maximise their efficacy.
尽管对驱虫药耐药性的分子基础已进行了深入研究,但导致驱虫药耐药性产生的因素却鲜为人知。必须向养殖户提供明确的建议,以延缓驱虫药耐药性的出现。到目前为止,主要的建议是降低治疗频率,以减缓耐药性的传播。驱虫药耐药性的产生主要取决于有效的选择压力。这意味着高治疗频率对于选择耐药性既不必要也不充分。在驱虫药治疗中存活下来的耐药蠕虫对后代的贡献是控制耐药性传播的关键因素。法国和摩洛哥的绵羊和山羊养殖场进行的五项调查说明了这一点。在所研究的52个养殖场中,每年进行的驱虫药治疗少于三次。在驱虫药耐药性的形成过程中,可以确定养殖管理的三个特征:(1) 通过购买绵羊/山羊或使用多个畜群/羊群共同放牧的公共牧场引入耐药蠕虫;(2) 宿主给药不足以及重复使用一类药物;(3) 治疗时避难所(牧场上的感染性幼虫)中的种群规模。讨论了这些养殖管理因素在选择耐药性方面所起的作用。限制驱虫药耐药性增加的最有效方法仍然是降低药物的选择压力,并选择最佳时机以最大限度地提高其疗效。