The Roslin Institute and Royal (Dick) School of Veterinary Studies, University of Edinburgh, Midlothian EH25 9RG, UK.
Parasitology. 2013 May;140(6):780-91. doi: 10.1017/S0031182012002181. Epub 2013 Feb 1.
Refugia-based treatment strategies aim to prolong anthelmintic efficacy by maintaining a parasite population unexposed to anthelmintics. Targeted selective treatment (TST) achieves this by treating only animals that will benefit most from treatment, using a determinant criterion (DC). We developed a mathematical model to compare various traits proposed as DC, and investigate impacts of TST and drenching frequency on sheep performance and anthelmintic resistance. Short term, decreasing the proportion of animals drenched reduced benefits of anthelmintic treatment, assessed by empty body weight (EBW), but decreased the rate of anthelmintic resistance development; each consecutive drenching had a reduced impact on average EBW and an increased impact on the rate of anthelmintic resistance emergences. The optimal DC was fecal egg count, maintaining the highest average EBW when reducing the proportion of animals drenched. Long-term, reducing the proportion of animals drenched had little impact on total weight gain benefits, across animals and years, whilst reducing drenching frequency increased it. Decreasing the frequency and proportion of animals drenched were both predicted to increase the duration of anthelmintic efficacy but reduce the total number of drenches administered before resistance was observed. TST and frequency of drenching may lead to different benefits in the short versus long term.
基于避难所的治疗策略旨在通过维持未接触驱虫剂的寄生虫种群来延长驱虫剂的疗效。靶向选择性治疗(TST)通过仅对最受益于治疗的动物进行治疗,使用决定性标准(DC)来实现这一目标。我们开发了一个数学模型来比较各种被提议作为 DC 的特征,并研究 TST 和驱虫频率对绵羊性能和驱虫剂抗性的影响。短期内,减少驱虫动物的比例会降低驱虫治疗的益处,用空腹体重(EBW)评估,但会降低驱虫剂抗性发展的速度;每次连续驱虫对平均 EBW 的影响降低,对驱虫剂抗性出现速度的影响增加。最优的 DC 是粪便卵计数,当减少驱虫动物的比例时,保持最高的平均 EBW。长期来看,减少驱虫动物的比例对动物和年份的总增重益处影响不大,而减少驱虫频率则会增加。减少驱虫动物的频率和比例都预计会延长驱虫剂的疗效持续时间,但在观察到抗性之前,会减少驱虫次数。TST 和驱虫频率的短期和长期可能会带来不同的益处。