1. The application of faecal egg count results and statistical inference for clinical decision making in foals.
- Author
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Wilkes EJA, Woodgate RG, Raidal SL, and Hughes KJ
- Subjects
- Animals, Ascaridida Infections drug therapy, Ascaridoidea, Horses, Anthelmintics therapeutic use, Ascaridida Infections veterinary, Clinical Decision-Making methods, Horse Diseases drug therapy, Parasite Egg Count veterinary
- Abstract
This study investigated the impact of variability in Parascaris spp. and strongyle faecal egg counts (FEC) from foals on treatment decision-making and detection of a patent infection. A single faecal sample was collected once daily for three days from 53 foals and a FEC was performed on three separate portions of each sample (total of nine egg counts per foal). Differences in the decision to administer an anthelmintic using the results of a single count (C
1 ), the mean of three (X¯1-3 ) or nine counts (X¯1-9 ) and the upper 5% confidence limit of the gamma confidence interval (CI) of the estimate of the distribution mean (μ) from three (UCL1-3 ) and nine counts (UCL1-9 ) were determined for a range of egg count thresholds. The UCL1-9 was used as the best estimate of μ, hypothesis testing for treatment and the comparison of treatment decision-making using C1 , X¯1-3 , X¯1-9 and UCL1-3 . The results of this study demonstrated that a point estimate (C1 or X¯1-3 ) was of limited value for estimating the distribution mean of egg counts in faeces and there was overall poor agreement in treatment decision-making for individual foals using C1 compared with UCL1-9 . Of the foals with C1 of zero eggs per gram, 54% and 47% had Parascaris and strongyle eggs in subsequent counts, respectively. The egg density in faeces is inhomogeneous, resulting in considerable variability in egg count results for an individual foal: between faecal piles, different portions of a faecal pile and days. The use of the negative binomial distribution CI for μ takes this variability into account and is recommended for use when interpreting FEC data from horses., (Copyright © 2019 Elsevier B.V. All rights reserved.)- Published
- 2019
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