Institute for Parasitology and Tropical Veterinary Medicine, Freie Universität Berlin, Königsweg 67, D-14163, Berlin, Germany.
Parasit Vectors. 2012 Aug 8;5:164. doi: 10.1186/1756-3305-5-164.
African animal trypanosomosis is a major constraint to the rearing of productive livestock in the sub-humid Sudan-Sahel zone of West Africa where cotton is grown. Trypanosomosis is mainly controlled using trypanocidal drugs, but the effective use of drugs is threatened by the development of widespread resistance. This study tested integrated best-bet strategies for containment and/ or reversal of trypanocide resistance in villages in south-east Mali where resistance has been reported.
Four sentinel villages each from an intervention area (along the road from Mali to Burkina Faso) and a control area (along the road from Mali to Côte d'Ivoire) were selected for the study. Tsetse control was based on deltamethrin-treated stationary attractive devices and targeted cattle spraying between March 2008 and November 2009. Trypanosome-positive cattle were selectively treated with 3.5 mg/kg diminazene aceturate. Strategic helminth control using 10 mg/kg albendazole was also undertaken. During the intervention, tsetse densities along drainage lines, trypanosome infections and faecal egg counts in risk cattle (3 to 12 months of age) were monitored.
Catch reductions of 66.5 % in Glossina palpalis gambiensis and 90 % in G. tachinoides were observed in the intervention area. Trypanosome prevalence was significantly (p < 0.05) lower in the intervention area (2.3 %; 1.3-3.6 %) compared to the control area (17.3 %; 14.8-20.1 %). Albendazole treatment resulted in a faecal egg count reduction of 55.6 % and reduced trypanosome infection risk (2.9 times lower than in the placebo group) although not significantly (p > 0.05). Further studies are required before confirming the existence of albendazole resistant strongyles in the study area.
Integration of best-bet strategies in areas of multiple drug-resistance is expected to reduce trypanosome infection risk thus contributing to containment of trypanocidal drug resistance. Integrated best-bet strategies could therefore be considered a viable trypanosomosis control option especially in areas where multiple drug-resistance has been reported.
在西非次湿润苏丹-萨赫勒地区种植棉花,那里的动物锥虫病是饲养生产性牲畜的主要障碍。锥虫病主要通过杀锥虫药物来控制,但由于广泛产生耐药性,药物的有效使用受到威胁。本研究在马里东南部的四个监测村(一个干预区和一个对照区各两个村)测试了控制和/或逆转抗杀锥虫药物耐药性的最佳综合策略,这些村报告了耐药性的出现。
2008 年 3 月至 2009 年 11 月,在一个干预区(从马里到布基纳法索的道路沿线)和一个对照区(从马里到科特迪瓦的道路沿线)的四个监测村,使用顺式氯氰菊酯处理的固定诱捕器控制采采蝇,并对目标牛进行喷雾处理。对锥虫阳性牛进行 3.5mg/kg 乙酰苯肼选择性治疗。还使用 10mg/kg 阿苯达唑进行了战略驱虫控制。在干预期间,监测了排水线上的采采蝇密度、风险牛(3-12 月龄)的锥虫感染和粪便卵计数。
在干预区,冈比亚舌蝇和 G. tachinoides 的捕获率分别降低了 66.5%和 90%。干预区锥虫流行率明显(p<0.05)低于对照区(2.3%;1.3-3.6%)(17.3%;14.8-20.1%)。阿苯达唑治疗导致粪便卵计数减少 55.6%,降低了锥虫感染风险(安慰剂组低 2.9 倍),但差异无统计学意义(p>0.05)。在确认研究区域存在阿苯达唑耐药的强蝇之前,还需要进一步的研究。
在多药耐药地区整合最佳综合策略有望降低锥虫感染风险,从而有助于控制杀锥虫药物耐药性。因此,综合最佳策略可以被认为是一种可行的锥虫病控制选择,特别是在报告了多药耐药的地区。