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抗蠕虫治疗的比较分析:对患有肝片吸虫病绵羊肝脏生物标志物和临床恢复的影响

Comparative analysis of anthelmintic treatments: impact on liver biomarkers and clinical recovery in sheep with fasciolosis.

作者信息

Gedefaw Tameru, Mebratu Atsede Solomon, Dagnachew Shimels, Fenta Melkie Dagnaw

机构信息

Department of Veterinary Clinical Medicine, University of Gondar, Gondar, Ethiopia.

Department of Veterinary Pharmacy, University of Gondar, Gondar, Ethiopia.

出版信息

Front Vet Sci. 2025 Feb 20;12:1485568. doi: 10.3389/fvets.2025.1485568. eCollection 2025.

Abstract

BACKGROUND

Liver fluke infections (fasciolosis) in sheep in Ethiopia result in significant economic losses, recently estimated at around $3,700 (185,232 ETH Birr) per year. Despite the widely use of Triclabendazole (TCBZ), Tetraclozan (TETRA), and Albendazole (ALBE) for treating fasciolosis, their effectiveness remains a significant concern. This study aimed to compare the efficacy of TCBZ, TETRA, and ALBE in treating ovine fasciolosis, with a focus on their effects on both the parasitic infection and associated biochemical parameters. Given the substantial economic burden of liver fluke in Ethiopia, identifying the most effective treatment options is essential to reducing both the health impact on livestock and the economic losses to farmers.

METHODS

A field trial was conducted from May to November 2023 on 45 naturally infected sheep, divided into three groups: Group I received TCBZ, Group II TETRA, and Group III ALBE, with TCBZ as the positive control. Fecal and serum samples were collected on days 0, 7, 14, and 21 post-treatment. A fecal egg count reduction test (FECRT) and biochemical analysis were performed.

RESULTS

In our study, TCBZ was the most effective anthelmintic (97.8%), followed by TETRA (96.6%), and ALBE (84%). Biochemical parameters, particularly liver enzymes (AST, ALT, ALP, GGT) and protein levels, showed significant improvement across all groups over 21 days ( < 0.05), with enzyme levels normalizing by day 21 and protein levels by days 14-21. Albendazole significantly ( < 0.05) outperformed Tetraclozan and Triclabendazole in both biochemical parameters and eggs per gram count (EPG), with no significant difference between Tetraclozan and Triclabendazole ( > 0.05). Albendazole proved most effective for liver recovery and normalization of biochemical markers over the treatment period ( = 0.00). Among 15 Fasciola-infected animals, baseline signs included diarrhea (53%), pale mucous membranes (100%), bottle jaw (60%), and depression (80%). Post-Tetraclozan treatment, all symptoms reduced significantly over 21 days ( < 0.05). In the Albendazole group, symptoms decreased progressively, with diarrhoea, pale mucous membranes, bottle jaw, and depression notably reduced by days 7, 14, and 21.

CONCLUSION

TCBZ and TETRA were highly effective against ovine fasciolosis, with TETRA recommended if TCBZ is unavailable. Biochemical parameters are key biomarkers for liver damage and selecting effective anthelmintic drugs.

摘要

背景

埃塞俄比亚绵羊的肝吸虫感染(肝片吸虫病)造成了重大经济损失,最近估计每年约为3700美元(185,232埃塞俄比亚比尔)。尽管广泛使用三氯苯达唑(TCBZ)、四氯唑(TETRA)和阿苯达唑(ALBE)治疗肝片吸虫病,但其有效性仍然是一个重大问题。本研究旨在比较TCBZ、TETRA和ALBE治疗绵羊肝片吸虫病的疗效,重点关注它们对寄生虫感染和相关生化参数的影响。鉴于埃塞俄比亚肝吸虫造成的巨大经济负担,确定最有效的治疗方案对于减少对牲畜的健康影响和农民的经济损失至关重要。

方法

2023年5月至11月对45只自然感染的绵羊进行了田间试验,分为三组:第一组接受TCBZ,第二组接受TETRA,第三组接受ALBE,以TCBZ作为阳性对照。在治疗后第0、7、14和21天采集粪便和血清样本。进行了粪便虫卵计数减少试验(FECRT)和生化分析。

结果

在我们的研究中,TCBZ是最有效的驱虫药(97.8%),其次是TETRA(96.6%)和ALBE(84%)。生化参数,特别是肝酶(AST、ALT、ALP、GGT)和蛋白质水平,在21天内所有组均有显著改善(<0.05),酶水平在第21天恢复正常,蛋白质水平在第14 - 21天恢复正常。在生化参数和每克虫卵数(EPG)方面,阿苯达唑显著(<0.05)优于四氯唑和三氯苯达唑,四氯唑和三氯苯达唑之间无显著差异(>0.05)。在治疗期间,阿苯达唑被证明对肝脏恢复和生化标志物的正常化最有效(=0.00)。在15只感染肝片吸虫的动物中,基线症状包括腹泻(53%)、黏膜苍白(100%)、下颌水肿(60%)和抑郁(80%)。四氯唑治疗后,所有症状在21天内显著减轻(<0.05)。在阿苯达唑组中,症状逐渐减轻,腹泻、黏膜苍白、下颌水肿和抑郁在第7、14和21天明显减轻。

结论

TCBZ和TETRA对绵羊肝片吸虫病高度有效,如果没有TCBZ,推荐使用TETRA。生化参数是肝损伤和选择有效驱虫药物的关键生物标志物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae78/11884322/197fef721296/fvets-12-1485568-g0001.jpg

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