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三氯苯达唑、四咪唑与氯硝柳胺联用以及阿苯达唑对绵羊片形吸虫病的疗效。

The effects of triclabendazole, combined tetramisole with Oxyclozanide, and albendazole against ovine 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

Sci Rep. 2025 Apr 7;15(1):11859. doi: 10.1038/s41598-025-90015-1.

Abstract

Recent estimates suggest that liver condemnation due to liver fluke in Ethiopia causes an annual economic loss of about 48.4 million Ethiopian birr. For approximately ten decades, the treatment of fasciolosis has relied solely on triclabendazole (TCBZ). In many clinical practices, combined tetramisole with Oxyclozanide and albendazole drugs have been used as treatment options for ovine fasciolosis. Therefore, this study aimed to compare the effectiveness of triclabendazole (TCBZ), combined tetramisole with Oxyclozanide (TETRA), and albendazole (ALBE) for the treatment of ovine fasciolosis and their effects on biochemical parameters. In this study, a field experimental trial was carried out in 75 purposively selected forty-five naturally Fasciola-infected sheep from May to November 2023 in the West Dembiya district, Ethiopia. The infected animals were randomly divided into three Groups: Group I received triclabendazole, Group II received combined tetramisole with Oxyclozanide, Group III received albendazole, and the triclabendazole treatment Group was considered the positive control Group. Fecal and serum samples were collected on days 0 (before treatment) and 7, 14, and 21 after treatment. A fecal egg count reduction test (FECRT) and biochemical analysis were carried out. Descriptive statistics and repeated-measures ANOVA were used to analyze the data. The current study revealed that TCBZ was the most effective drug, with a FECRT of 97.8%, followed by TETRA (96.6%) and ALBE (84% reduction in the mean fecal egg count). The results also indicated that after treatment, the concentrations of the biochemical parameters significantly changed (P < 0.05), particularly after 21 days of treatment. In all the Groups, treatment and time had significant effects on the concentrations of the biochemical parameters and eggs per gram count (EPG). In terms of the EPG, albendazole substantially differed from combined tetramisole with Oxyclozanidee and triclabendazole (p < 0.05), whereas combined tetramisole with Oxyclozanide and triclabendazole did not (p > 0.05). The study also revealed that the observed clinical presentation improved after treatment. In conclusion, triclabendazole and combined tetramisole with Oxyclozanide strongly affected ovine fasciolosis. If the accessibility of triclabendazole is limited on the market, the use of the 2nd promising drug (combined tetramisole with Oxyclozanide) is mandatory. Biochemical parameters are the most promising biomarkers for liver damage and are used to select the most effective anthelmintic medicines for the treatment of ovine fasciolosis.

摘要

近期估计显示,在埃塞俄比亚,因肝吸虫导致的肝脏废弃每年造成约4840万埃塞俄比亚比尔的经济损失。在大约十年时间里,片形吸虫病的治疗一直仅依赖三氯苯达唑(TCBZ)。在许多临床实践中,已将四咪唑与氯硝柳胺及阿苯达唑联合用药作为绵羊片形吸虫病的治疗选择。因此,本研究旨在比较三氯苯达唑(TCBZ)、四咪唑与氯硝柳胺联合用药(TETRA)以及阿苯达唑(ALBE)治疗绵羊片形吸虫病的效果及其对生化参数的影响。在本研究中,于2023年5月至11月在埃塞俄比亚西登比耶区对75只经目的选择的、自然感染片形吸虫的45只绵羊进行了田间试验。将感染动物随机分为三组:第一组接受三氯苯达唑治疗,第二组接受四咪唑与氯硝柳胺联合用药治疗,第三组接受阿苯达唑治疗,三氯苯达唑治疗组被视为阳性对照组。在治疗前第0天以及治疗后第7天、14天和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。采用描述性统计和重复测量方差分析对数据进行分析。当前研究表明,三氯苯达唑是最有效的药物,粪便虫卵计数减少率为97.8%,其次是四咪唑与氯硝柳胺联合用药(96.6%),阿苯达唑(平均粪便虫卵计数减少84%)。结果还表明,治疗后生化参数浓度发生了显著变化(P < 0.05),尤其是在治疗21天后。在所有组中,治疗和时间对生化参数浓度和每克虫卵数(EPG)均有显著影响。就EPG而言,阿苯达唑与四咪唑与氯硝柳胺联合用药及三氯苯达唑有显著差异(p < 0.05),而四咪唑与氯硝柳胺联合用药与三氯苯达唑之间无显著差异(p > 0.05)。该研究还表明,治疗后观察到的临床表现有所改善。总之,三氯苯达唑和四咪唑与氯硝柳胺联合用药对绵羊片形吸虫病有强烈影响。如果市场上三氯苯达唑的可及性有限,使用第二种有前景的药物(四咪唑与氯硝柳胺联合用药)是必要的。生化参数是肝损伤最有前景的生物标志物,可用于选择治疗绵羊片形吸虫病最有效的驱虫药物。

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