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Anthelmintic resistance in cyathostomin populations from horse yards in Italy, United Kingdom and Germany



A large survey was carried out in 2008 in Europe to evaluate the efficacy of fenbendazole (FBZ), pyrantel (PYR), ivermectin (IVM) and moxidectin (MOX), i.e. the major anthelmintic molecules used in current practice against cyathostomins affecting horses. A total of 102 yards and 1704 horses was studied in three countries: 60 yards and 988 horses from Italy, 22 and 396 from the UK, 20 and 320 from Germany. The survey consisted of Faecal Egg Count Reduction Tests (FECRTs) with a faecal egg count reduction (FECR) categorization of (I) resistance present if FECR <90% and the lower 95% confidence limit (LCL) <90%, (II) resistance suspected if FECR ≥ 90% and/or LCL <90% and (III) no resistance if FECR ≥ 90% and LCL >90%. The calculation of FECR data was performed employing bootstrap analysis of group arithmetic means.


The testing of FBZ on a total of 80 yards resulted in resistance present on more than 80% of the UK and German yards and on significantly fewer in Italy, i.e. in 38% (p < 0.01). PYR, IVM and MOX were tested on a total of 102 yards. For PYR resistance present was found in 25% of the yards with no significant differences between countries. For IVM resistance present was encountered in one Italian and two UK yards (3%), resistance present to MOX was not found in any yard in any country.


The results indicate that single and/or multiple drug resistance in equine cyathostomins is present in the three countries, is widespread particularly for FBZ and/or PYR and in one UK yard multiple resistance present was detected to FBZ, PYR and IVM. Macrocylic lactones proved to be the most effective drugs, with some evidence of resistance to IVM and highest activity of MOX, despite a single case of reduced efficacy in Germany. These data call for the development and implementation, among practitioners, owners and managers, of further plans to reduce the expansion of the anthelmintic resistant populations and to use those anthelmintics that remain effective in a manner that preserves their efficacy as long as possible.


In recent years, the spread of nematode populations resistant to parasiticides has become a serious threat for animal health, welfare and production in many areas of the world. Suppressive treatment strategies and/or abuse of anthelmintics have resulted in selection of drug-resistant parasites of horses belonging to the Cyathostominae subfamily (Nematoda, Strongylida), i.e. cyathostomins or small strongyles [13]. The control of horse cyathostominosis usually relies on three major classes of anthelmintics, the benzimidazoles - BZs (e.g. fenbendazole - FBZ), the tetrahydropyrimidines - THP (i.e. pyrantel-PYR salts) and the macrocyclic lactones - MLs (i.e. ivermectin-IVM and moxidectin-MOX). Resistance to BZs is widespread with prevalence up to 100% in some countries where it is now almost impossible to find susceptible parasite populations [3]. Reports in the early 90's [4] indicate that resistance to THP is presently increasing in Europe and North America as well [5]. IVM and MOX have shown full efficacy against cyathostomins until the past two years, when cases of reduced efficacy of IVM in UK [6], Germany [7] and US [8] have been published. Very recently, the failure of MLs to provide control of cyathostomins in Brazil has been also reported [9]. Indeed, such a situation represents an alarm bell ringing if one considers the important pathogenic potential played by small strongyles, as they are the cause of severe intestinal syndromes at both the adult and larval stages [911]. Furthermore, when the larvae encysted in the intestinal wall simultaneously emerge, they induce the potentially life-threatening "larval cyathostominosis", a colitis with loss of protein and weight, severe diarrhoea, and oedema [1214].

The movement of horses between countries and the virtually global spread of cyathostomins, regardless of their status of susceptibility to parasiticides, [1] underline the significant need to enhance our knowledge of the actual changes in the occurrence and spread of anthelmintic resistant populations in different parts of the world. In Europe cyathostomins resistant to one ("single resistance") or more ("multiple resistance") anthelmintic class have been reported in a range of countries [1521]. The majority of these studies have relied on a small number of horse yards in limited areas. Therefore, given the merit in geographically and numerically broader investigations of drug resistance on horse farms, the present large scale survey has evaluated the efficacy of the major drugs used in current practice against cyathostomins and the prevalence of resistant populations in three European countries.


Yards and animals

In 2008 a total of 146 yards and 4280 horses were screened in Europe for the presence of cyathostomin infection. These were 84 yards and 2105 horses from Italy, 32 and 1059 from the UK, and 30 and 1116 from Germany, respectively. Such a pre-treatment screening was performed with faecal egg counts (FEC) on all horses present on the yards [22]. A value of ≥ 50 eggs per gram (EPG) of faeces in 12 to 20 horses was used as a cut-off for inclusion of properties in the survey. This resulted in a total of 102 yards and 1704 horses studied in the three countries: 60 yards and 988 horses from Italy, 22 and 396 from the UK, 20 and 320 from Germany.

Faecal Egg Count Reduction Test

All horses were subjected to a Faecal Egg Count Reduction Test (FECRT). The pre-FECRT screening prior to Day 0 was followed by random allocation of the animals in each yard to equally sized treatment groups of 4 or 5 horses each, depending on the number of horses with positive FECs. On Day 0, animals enrolled in each group were orally treated with either FBZ, PYR, IVM or MOX at the dosages recommended for the treatment of horse cyathostominosis. Each treatment was performed by veterinary practitioners for the different yards (see acknowledgments). To determine the individual pre-treatment and post-treatment EPG values, faecal samples were collected for each animal pre-dosing on Day 0 and two weeks later (Day 14). All FECs were performed at the Parasitology Laboratory at the Faculty of Veterinary Medicine, University of Teramo. Within 24 hours of receipt, the individual samples were subjected to quantitative coproscopic analysis [22].

The calculation of the FECR percentages was performed using the newly developed computer program "BootStreat" [23], based on bootstrapping methods. This program allows calculation of the mean efficacy of the treatment and provides confidence intervals based on re-sampling-bootstraps [24]. The efficacy data usually do not follow a Gaussian distribution and confidence intervals cannot be calculated. Bootstrap analysis is one approach for evaluating confidence intervals on non-Gaussian distributions. Here arithmetic means of the pre- and post-treatment FEC were used to calculate the group FECR according to the formula

and the lower and upper 95% confidence limits using a re-sampling number of 2000. Based on the methods recommended by the World Association for the Advancement of Veterinary Parasitology [22] for the detection of anthelmintic resistance in horses and ruminants, and a previous US study on large numbers of yards and horses [25], the obtained FECRs were categorized for all tested compounds as follows: (I) resistance present if FECR <90% and the lower 95% confidence limit (LCL) <90%, (II) resistance suspected if FECR ≥ 90% and/or LCL <90% and (III) no resistance if FECR ≥ 90% and LCL >90%. To statistically analyse differences concerning the distribution of resistance on yards in the three countries for each of the four tested compounds, the categorized results were examined using Fischer's exact test.

Post-treatment larval cultures from each yard were performed from pooled faecal samples collected from each treatment group. Pooled faeces were mixed with oak sawdust and water. Coprocultures were incubated for 10 days at 27°C and after incubation third-stage larvae (L3) were harvested using baermanization, examined using a light microscope and identified using morphological keys [26].


All four compounds were evaluated in 80 yards (50, 17 and 13 from Italy, UK, Germany respectively) where sufficient cyathostomin infected horses were available for four treatment groups. FBZ was excluded in 22 yards, where a smaller number of horses was available after EPG pre-screening (10, 5, 7 from Italy, UK, Germany respectively).

Treatment with FBZ resulted in resistance present in 19 out of 50 (38%), 14 out of 17 (82.4%) and 11 out of 13 (84.6%) yards, resistance suspected in 8 (16%), 2 (11.8%) and 0 (0%) yards and no resistance in 23 (46%), 1 (5.8%) and 2 (15.4%) in Italy, UK and Germany, respectively. As for PYR, resistance present was found in 18 out of 60 (30%), 4 out of 22 (18.2%) and 4 out of 20 (20%) yards, resistance suspected was found in 17 (28.3%), 2 (9.1%) and 4 (20%) yards and no resistance in 25 (41.7%), 16 (72.7%) and 12 (60%) for Italy, UK and Germany, respectively. Treatment with IVM resulted in resistance present in 1 out of 60 (1.7%), 2 out of 22 (9.1%) and 0 (0%), resistance suspected in 3 (5%), 1 (4.5%) and 1 (5%) and no resistance in 56 (93.3%), 19 (86.4) and 19 (95%) for Italy, UK and Germany, respectively. Treatment with MOX was 100% effective in all yards examined in Italy and UK. The same 100% efficacy was found for 86 out of a total of 87 horses treated with MOX in Germany, this one horse led to a FECR <100% in one German yard.

Mean percentage efficacies of different parasiticides evaluated in each enrolled yard and respective 95% confidence intervals are listed in Additional file 1 for the three countries.

Among countries, the distribution of yards showing FECR data categorized as indicative for anthelmintic resistance differed significantly only for FBZ, whereas for the other three compounds no significant differences were found. In Italy, only about one third of the farms were categorized as resistance present compared to more than 80% in UK and Germany (p < 0.01). On farms where all four compounds were tested, the occurrence of multiple resistance, i.e. categorization as resistance present for more than one compound, was seen on 10 (20%, n = 50) Italian, 5 (29.4%, n = 17) UK and 3 (23.1%, n = 13) German farms. Multiple resistance always included FBZ and PYR, except for one Italian (FBZ and IVM) and two UK (FBZ and IVM, and FBZ and PYR and suspected for IVM) yards. In one of the UK farms resistance was found to FBZ, PYR and IVM, thus encompassing all the three chemical drug classes. MOX retained 100% efficacy on this site.

Evaluation of results for individual horses, showed 0-100% range of efficacy for FBZ and PYR in each of the three countries (Table 1). IVM showed a range of 0-100% efficacy in UK and Italy, with incomplete efficacy found in four Italian, three UK and one German yard (Table 1). MOX was 100% effective in all treated horses from the three countries with the exception of a single horse in a yard from Germany, which displayed a FECR <100% for this compound (Additional file 1 and Table 1). Additional File 1 shows mean percentages of FECR and respective confidence intervals, set between 0 and 100%.

Table 1 Minimum (min) and maximum (max) percentage (%) values of faecal egg count reduction after treatment with fenbendazole (FBZ), pyrantel (PYR), ivermectin (IVM) and moxidectin (MOX) evaluated against cyathostomins in yards (Y) and horses (H) located in Italy, UK and Germany.

The microscopic examination of the in vitro L3s collected by the Baermann technique performed on the cultured post-treatment faecal pools according to their respective midgut cell numbers showed that they belonged exclusively to the Cyathostominae subfamily (Figure 1).

Figure 1
figure 1

Post-treatment larval culture: cyathostomin third stage larva.

Discussion and conclusion

This multinational survey, the largest carried out so far to evaluate the efficacy of major anthelmintic drugs against equine cyathostomins, demonstrated that resistant cyathostomin populations to FBZ and PYR are widespread in Europe, with higher prevalence for the former drug. Individual horse FECs showed considerable variability in the susceptibility status to FBZ, PYR and even IVM within yards (Table 1).

The calculation of the 95% confidence interval provided strong evidence for the significance of the FECR% and for the presence of drug resistance in cyathostomins affecting horses in Italy, UK and Germany. A single-dose use of FBZ was ineffective in all but 3 yards examined in the UK and demonstrated reduced efficacy in almost all German properties. In Italy, the efficacy of FBZ was found to be reduced in about one third of the yards. The data generated in this survey suggest that PYR has also lost efficacy against small strongyles in the European countries investigated. Indeed, reduced efficacy to PYR was found in all three countries involved in this survey and resistance present in about 20-30% of the examined yards. However it should be taken into consideration that the intrinsic efficacy of PYR appears to be generally lower than that of the ML drugs [27].

This survey confirmed that the efficacy of MLs against cyathostomins remains high. However, there were yards (one in Italy and two in the UK) where the FECR efficacy of IVM was observed to be <90% (LCL<90%) which is considered as resistance. While a reduced efficacy of IVM has been already detected in UK in the past years [6], the present results report the first evidence for reduced efficacy of this molecule in controlling small strongyles in Italy as well.

The results of this survey indicate that MOX is 100% effective in treating the infection caused by cyathostomins in Europe, the only exception was a single horse in yard n. 19 from Germany (Additional file 1), which was positive for a post-treatment FEC of 50 (i.e. 75% FECR) two weeks after the treatment (Table 1). Such a result led to a FECR of <100% for MOX in this sole yard out of the 102 yards examined in this survey. Noteworthy, MOX was recently reported to no longer provide control of cyathostomin infection in Brazil [9].

Previous studies have already shown that cyathostomin populations resistant to BZs are present in Europe. The prevalence of resistance in Switzerland was shown to be greater than 50% of yards examined [28], and prevalence rates up to 75-100% were reported in Sweden [29], Denmark [15], England [30], Slovak Republic [31] and Germany [18]. Similarly, resistance to PYR has been previously described both in Europe [4, 19, 20, 32] and the USA [25, 33]. Therefore, the overall outlook demonstrated by this broad survey undoubtedly enhances the concern regarding the spread of anthelmintic resistance in horse cyathostomins. This information provides some basic knowledge to prompt and improve awareness of resistance and to stimulate the use of parasiticides in programmes that minimize selection for resistance. In fact, erroneous practices such as underdosing, over-use, and off label use of anthelmintic products are known to be the basis for the selection of resistant parasite populations. The results reported here highlight that present strategies for worm control in horses have to be re-considered. For instance, the low prevalence of resistance to THP found in most of the world with the exception of the US, was explained in the past by the common practice of daily feeding of low-dose PYR tartrate in North America. This might have a strong impact in the selection for resistance also to other PYR salts [25]. The levels of reduced efficacy of PYR found in all three EU countries in this survey, where the daily feeding is not practiced, demonstrate that such a programme is just one of many practices leading to selection for drug-resistant parasites. Another relevant example is represented by the widespread loss of efficacy of BZs and PYR in UK, where the over-treatment of thoroughbreds in the past likely caused the spread of worm populations resistant to these classes [34]. Worthy of note is that recently Dudeney et al. [35] have reported that resistance to MLs is starting to develop in cyathostomins in the UK. Of particular importance and concern is the finding of relatively high proportions of yards exhibiting signs of resistance to more than one drug class in parallel and most noteworthy the first finding of multiple FBZ/PYR/IVM resistance cyathostomins in UK.

Some drug classes, such as the cyclooctadepsipeptides, paraherquamides, aminoacetonitrile derivatives, are the novel anthelmintics that are being used [3638] but their potential applicability to horse cyathostomins is unknown. Therefore, if the extent of resistance to MLs increases and spreads, horse owners and equine veterinary practitioners will face an important problem with no ready solution. Given the real threat that the resistance to MLs may worsen or spread through horse movement, there is an urgent need to appropriately use the remaining effective drugs, especially MOX, in order to preserve their efficacy.

Horse yards should be regularly monitored not only for resistance to BZs and PYR, but also to MLs. Over-use of IVM and MOX could be avoided in those properties where the other anthelmintics are still highly effective. Specifically, the drug resistance status should be established on each property at least on an annual basis and, where effective, BZs and PYR should be also administered to reduce the pressure on MLs [9, 25]. It has been suggested that each newly introduced horse should be quarantined and treated with IVM, since the still constant 100% efficacy of MOX could hide the first signs of resistance to IVM [9]. However, in light of the findings in this study, the use of IVM as a quarantine treatment may allow the unintended introduction of resistant cyathostomins. An alternative would be to use MOX as the best option for avoiding the introduction of resistant parasites to the site. The active monitoring of anthelmintic effectiveness needs to take into consideration the egg reappearance period of IVM [7]. If the IVM-treated animal sheds cyathostomin eggs after 4 weeks rather than 6 to 8 weeks, the status of the animal is worth further evaluation with sensitive quantitative copromicroscopic evaluations [9].

Another key point to be taken into account is the maintenance of the refugia, which provide an useful dilution of the resistant genes in the parasitic populations. The preservation of the refugia while controlling cyathostomins at the same time requires routine FECs to identify the horses actually needing an anthelmintic treatment. This approach is different from the commonly used interval dose program (i.e. treat-all-animals) and would avoid the treatment of animals that are currently being treated more frequently than necessary. Usually, the majority of the horses on a property shows a low level of faecal egg shedding, while the greater part of the cyathostomin populations is present in a small proportion of horses that shows moderate-high FECs [5, 25, 39]. Thus a knowledge of the FEC values is recommended as the cornerstone for the necessity to treat. An indicative minimum cut-off of 200 EPG [9, 25, 39] has been recommended as a guide to the need for treatment of individual horses. This would achieve the dual goal of controlling cyathostomin-induced health problems while simultaneously reducing pasture contamination. The analysis of the screening FECs data pre-FECRT (not shown) of the present survey demonstrated that there was a higher percentage of "high egg shedders" (i.e. >150 EPG) than "low or null egg shedders" (i.e. <150 EPG), thus confirming that current control programs are not ideal and providing further support for the value of conducting FECs before planning any anthelmintic treatment in a yard. Leaving a proportion of horses untreated would maximize the refugia with a little impact on overall control, as horses with low egg count are not important sources of environmental contamination. Additionally, the egg shedding from untreated animals would dilute the presence on the pasture of any eggs shed by treated animals possibly infected with resistant populations. In this way the selection pressure would be progressively reduced [9, 25].

In conclusion, given the strong impact that resistant cyathostomins can and will likely have on horse health, future parasite control plans should be based on integrated measures represented by correct use of anthelmintics and other approaches, such as adequate pasture hygiene, low stocking rates and mixed grazing with other animals [9, 40, 41]. It is essential that owners, managers and veterinary practitioners take an active and leading role in planning and monitoring effective and appropriate worm control programs for horses.


  1. Lyons ET, Tolliver S, Drudge J: Historical perspective of cyathostomes: prevalence, treatment and control programs. Vet Parasitol. 1999, 85: 97-112. 10.1016/S0304-4017(99)00091-6.

    Article  CAS  PubMed  Google Scholar 

  2. Kaplan RM: Anthelmintic resistance in nematodes of horses. Vet Res. 2002, 33: 491-507. 10.1051/vetres:2002035.

    Article  PubMed  Google Scholar 

  3. Kaplan RM: Drug resistance in nematodes of veterinary importance: a status report. Trends Parasitol. 2004, 20: 477-481. 10.1016/

    Article  CAS  PubMed  Google Scholar 

  4. Ihler CF: A field survey on anthelmintic resistance in equine small strongyles in Norway. Acta Vet Scand. 1995, 36: 135-143.

    CAS  PubMed  Google Scholar 

  5. Matthews JB: An update on cyathostomins: Anthelmintic resistance and worm control. Equine Vet Ed. 2008, 20: 552-560. 10.2746/095777308X363912.

    Article  Google Scholar 

  6. Campbell C, Cringoli G, Coles GC: Ivermectin resistance in cyathostomins in UK horses. Proceedings of the 21st International Conference of the World Association for the Advancement of Veterinary Parasitology (W.A.A.V.P.), 19-23 August 2007, Ghent, Belgium. Edited by: Claerebout, Vercruysse. 2007, 389-

    Google Scholar 

  7. von Samson-Himmelstjerna G, Fritzen B, Demeler J, Schürmann S, Rohn K, Schnieder T, Epe C: Cases of reduced cyathostomin egg-reappearance period and failure of Parascaris equorum egg count reduction following ivermectin treatment as well as survey on pyrantel efficacy on German horse farms. Vet Parasitol. 2007, 144: 74-80. 10.1016/j.vetpar.2006.09.036.

    Article  CAS  PubMed  Google Scholar 

  8. Lyons ET, Tolliver SC, Ionita M, Lewellen A, Collins SS: Field studies indicating reduced activity of ivermectin on small strongyles in horses on a farm in Central Kentucky. Parasitol Res. 2008, 103: 209-215. 10.1007/s00436-008-0959-7.

    Article  CAS  PubMed  Google Scholar 

  9. Molento MB, Antunes J, Bentes RN, Coles GC: Anthelmintic resistant nematodes in Brazilian horses. Vet Rec. 2008, 162: 384-385.

    Article  CAS  PubMed  Google Scholar 

  10. Uhlinger CA: Equine small strongyles: epidemiology, pathology, and control. Compend Cont Ed Pract Vet. 1991, 13: 863-869.

    Google Scholar 

  11. Matthews AG, Morris JR: Cyathostomiasis in horses. Vet Rec. 1995, 136: 52-

    Article  CAS  PubMed  Google Scholar 

  12. Murphy D, Love S: The pathogenic effects of experimental Cyathostome infections in ponies. Vet Parasitol. 1997, 70: 99-110. 10.1016/S0304-4017(96)01153-3.

    Article  CAS  PubMed  Google Scholar 

  13. Love S, McKeand JB: Cyathostominosis: practical issue of treatment and control. Equine Vet Educ. 1997, 9: 253-256.

    Article  Google Scholar 

  14. Love S, Murphy D, Mellor D: Pathogenicity of cyathostome infection. Vet Parasitol. 1999, 85: 113-122. 10.1016/S0304-4017(99)00092-8.

    Article  CAS  PubMed  Google Scholar 

  15. Bjorn H, Sommer C, Schougard H, Henriksen SA, Nansen P: Resistance to benzimidazole anthelmintics in small strongyles (Cyathostominae) of horses in Denmark. Acta Vet Scand. 1991, 32: 253-260.

    CAS  PubMed  Google Scholar 

  16. von Samson-Himmelstjerna G, Witzendorff C, Sievers G, Schnieder T: Comparative use of faecal egg count reduction test, egg hatch assay and beta-tubulin codon 200 genotyping in small strongyles (cyathostominae) before and after benzimidazole treatment. Vet Parasitol. 2002, 108: 227-235. 10.1016/S0304-4017(02)00197-8.

    Article  CAS  PubMed  Google Scholar 

  17. Königová A, Várady M, Corba J: Comparison of in vitro methods and faecal egg count reduction test for the detection of benzimidazole resistance in small strongyles of horses. Vet Res Commun. 2003, 27: 281-288. 10.1023/A:1024079907895.

    Article  PubMed  Google Scholar 

  18. Wirtherle N, Schnieder T, von Samson-Himmelstjerna G: Prevalence of benzimidazole resistance on horse farms in Germany. Vet Rec. 2004, 154: 39-41.

    Article  CAS  PubMed  Google Scholar 

  19. Osterman Lind E, Kuzmina T, Uggla A, Waller PJ, Höglund J: A field study on the effect of some anthelmintics on cyathostomins of horses in Sweden. Vet Res Commun. 2007, 31: 53-65. 10.1007/s11259-006-3402-5.

    Article  PubMed  Google Scholar 

  20. Traversa D, Klei TR, Iorio R, Paoletti B, Lia RP, Otranto D, Sparagano OA, Giangaspero A: Occurrence of anthelmintic resistant equine cyathostome populations in central and southern Italy. Prev Vet Med. 2007, 82: 314-320. 10.1016/j.prevetmed.2007.07.006.

    Article  PubMed  Google Scholar 

  21. Kuzmina TA, Kharchenko VA: Anthelmintic resistance in cyathostomins of brood horses in Ukraine and influence of anthelmintic treatments on strongylid community structure. Vet Parasitol. 2008, 154: 277-288. 10.1016/j.vetpar.2008.03.024.

    Article  CAS  PubMed  Google Scholar 

  22. Coles GC, Bauer C, Borgsteede FHM, Geerts S, Klei TR, Taylor MA, Waller PJ: World Association for Advancement of Veterinary Parasitology (W.A.A.V.P.) methods for the detection of anthelmintic resistance in nematodes of veterinary importance. Vet Parasitol. 1992, 44: 35-44. 10.1016/0304-4017(92)90141-U.

    Article  CAS  PubMed  Google Scholar 

  23. Cabaret J, Antoine T: BootStreat. 2008, []

    Google Scholar 

  24. Sprent P: Applied non-parametric Statistical Methods. 1989, Chapman & Hall, London, 259-

    Google Scholar 

  25. Kaplan RM, Klei TR, Lyons ET, Lester G, Courtney CH, French DD, Tolliver SC, Vidyashankar AN, Zhao Y: Prevalence of anthelmintic resistant cyathostomes on horse farms. J Am Vet Med Assoc. 2004, 225: 903-910. 10.2460/javma.2004.225.903.

    Article  PubMed  Google Scholar 

  26. MAFF: Technical Bulletin No. 18, Manual of Veterinary Parasitological Laboratory Techniques. 1986, London: Her Majesty's Stationary Office, London

    Google Scholar 

  27. Lyons ET, Tolliver SC, Ionita M, Collins SS: Evaluation of parasiticidal activity of fenbendazole, ivermectin, oxibendazole, and pyrantel pamoate in horse foals with emphasis on ascarids (Parascaris equorum) in field studies on five farms in Central Kentucky in 2007. Parasitol Res. 2008, 103: 287-291. 10.1007/s00436-008-0966-8.

    Article  CAS  PubMed  Google Scholar 

  28. Meier A, Hertzberg H: Equine strongyles. II. Occurrence of anthelmintic resistance in Switzerland. Schweiz Arch Tierheilkd. 2005, 147: 389-396. 10.1024/0036-7281.147.9.389.

    Article  CAS  PubMed  Google Scholar 

  29. Nilsson O, Lindholm A, Christensson D: A field evaluation of anthelmintics in horses in Sweden. Vet Parasitol. 1989, 32: 163-171. 10.1016/0304-4017(89)90117-9.

    Article  CAS  PubMed  Google Scholar 

  30. Fisher MA, Jacobs DE, Grimshaw WT, Gibbons LM: Prevalence of benzimidazole-resistance in equine cyathostome populations in south east England. Vet Rec. 1992, 130: 315-318.

    Article  CAS  PubMed  Google Scholar 

  31. Cernanská D, Paoletti B, Král'ová-Hromadová I, Iorio R, Cudeková P, Milillo P, Traversa D: Application of a Reverse Line Blot hybridisation assay for the species-specific identification of cyathostomins (Nematoda, Strongylida) from benzimidazole-treated horses in the Slovak Republic. Vet Parasitol. 2009, 160: 171-174. 10.1016/j.vetpar.2008.10.078.

    Article  PubMed  Google Scholar 

  32. Craven J, Bjorn H, Henriksen SA, Nansen P, Larsen M, Lendal S: Survey of anthelmintic resistance on Danish horse farms, using 5 different methods of calculating faecal egg count reduction. Equine Vet J. 1998, 30: 289-293.

    Article  CAS  PubMed  Google Scholar 

  33. Chapman MR, French DD, Monahan CM, Klei TR: Identification and characterization of a pyrantel pamoate resistant cyathostome population. Vet Parasitol. 1996, 66: 205-212. 10.1016/S0304-4017(96)01014-X.

    Article  CAS  PubMed  Google Scholar 

  34. Comer KC, Hillyer MH, Coles GC: Anthelmintic use and resistance on thoroughbred training yards in the UK. Vet Rec. 2006, 158: 596-598.

    Article  CAS  PubMed  Google Scholar 

  35. Dudeney A, Campbell C, Coles G: Macrocyclic lactone resistance in cyathostomins. Vet Rec. 2008, 163: 163-164.

    Article  PubMed  Google Scholar 

  36. Zinser EW, Wolf ML, Alexander-Bowman SJ, Thomas EM, Davis JP, Groppi VE, Lee BH, Thompson DP, Geary TG: Anthelmintic paraherquamides are cholinergic antagonists in gastrointestinal nematodes and mammals. J Vet Pharmacol Ther. 2002, 25: 241-250. 10.1046/j.1365-2885.2002.00423.x.

    Article  CAS  PubMed  Google Scholar 

  37. Harder A, Schmitt-Wrede HP, Krucken J, Marinovski P, Wunderlich F, Willson J, Amliwala K, Holden-Dye L, Walker R: Cyclooctadepsipeptides--an anthelmintically active class of compounds exhibiting a novel mode of action. Int J Antimicrob Ag. 2003, 22: 318-331. 10.1016/S0924-8579(03)00219-X.

    Article  CAS  Google Scholar 

  38. Kaminsky R, Ducray P, Jung M, Clover R, Rufener L, Bouvier J, Weber SS, Wenger A, Wieland-Berghausen S, Goebel T, Gauvry N, Pautrat F, Skripsky T, Froelich O, Komoin-Oka C, Westlund B, Sluder A, Mäser P: A new class of anthelmintics effective against drug-resistant nematodes. Nature. 2008, 452: 176-180. 10.1038/nature06722.

    Article  CAS  PubMed  Google Scholar 

  39. Coles GC, Eysker M, Hodgkinson J, Matthews JB, Kaplan RM, Klei TR, Sangster NC: Anthelmintic resistance and use of anthelmintics in horses. Vet Rec. 2003, 153: 636-

    Article  CAS  PubMed  Google Scholar 

  40. Waller PJ: Anthelmintic resistance and the future for roundworm control. Vet Parasitol. 1987, 25: 177-191. 10.1016/0304-4017(87)90103-8.

    Article  CAS  PubMed  Google Scholar 

  41. Lloyd S, Smith J, Connan RM, Hatcher MA, Hedges TR, Humphrey DJ, Jones AC: Parasite control methods used by horse owners: factors predisposing to the development of anthelmintic resistance in nematodes. Vet Rec. 2000, 146: 487-492.

    Article  CAS  PubMed  Google Scholar 

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The Authors thank all the horse owners/farmers and the veterinary practitioners, specifically C. Basile, G. Benvenuti, M. Boschi, E. De Angelis, S. Di Maria, A. Ducci, S. Genero, G. Incastrone, R. Leone, A. Leto, G. Mazzotta, F. Pagano, F. Parente, D. Pellegrini, V. Ricci, M. Spinelli who kindly collaborated in this trial. The Authors are grateful to Patrick Traill, Sam Hooper, David Bartram and Tina Pollard (Fort Dodge Animal Health) for the work carried out in UK and to R. Bartolini, R. Codolo, V.D. Tarallo and to all students at the Faculty of Veterinary Medicine of Teramo who participate in the activities of the Team of Parasitology and Parasitic Diseases.

This paper is dedicated to the people and animals of Abruzzo region of central Italy.

This article is published as part of Parasites & Vectors Volume 2 Supplement 2, 2009. This supplement includes the Proceedings of the "Workshop on equine cyathostomins, the most important parasitic helminth of horses: epidemiology, clinical significance, drug resistance and control" that was held at the University of Teramo, Italy on 20th May, 2009. Additional articles cover other equine nematode parasites, new developments in diagnostic techniques and proposals for more effective sustainable control programmes. The full contents of this supplement are available online at

Publication of this supplement has been sponsored by Fort Dodge Animal Health.

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Correspondence to Donato Traversa.

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Competing interests

Fort Dodge Animal Health provided financial and logistic support to this study. The authors declare that there are no competing interests and that the conceptual design, the conduct, the interpretation or any other scientific aspect of the study have not been influenced by the FDAH support.

Authors' contributions

DT: Contributed to the design of the study, was responsible for the Italian farms study and for the copromicroscopical analysis of all faecal samples from each of the Countries and drafted the manuscript; GvSH: Contributed to the design of the study, was responsible for the German farms study, participated in the statistical analysis and in drafting the manuscript; JD: Participated in the faecal sampling for the German farms and in the statistical analysis; PM: Participated in the faecal sampling for the Italian farms, coordinated and conducted the copromicroscopical analysis; SS: Participated in the faecal sampling for the German farms; HB: Contributed to the design of the study, was responsible for the UK farms study; DO: Participated in yards enrolment in Italy and faecal sampling; SP: Participated in yards enrolment in Italy and faecal sampling; AFdR: Participated in yards enrolment in Italy and faecal sampling; PB: Participated in yards enrolment in Italy and faecal sampling; AB: Initiated the study and contributed to the design of the study; RC: Initiated the study and contributed to the design of the study

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Additional file 1: Table showing mean percentages of faecal egg count reduction after treatment with fenbendazole (FBZ), pyrantel (PYR), ivermectin (IVM) and moxidectin (MOX) evaluated against cyathostomins in a total of 102 horse yards located in Germany, Italy and UK. The faecal egg count reductions (%) and respective 95% confidence intervals (CI) (set between 0 and 100%) were calculated using the Bootstreat programme using the formula FECR = 100 * (1 - arithmetic mean of FEC post treatment/arithmetic mean of FEC per treatment) with 2000 repeats. H: treated horses in each yard; G: number of horses in each treatment group. (PDF 167 KB)

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Traversa, D., von Samson-Himmelstjerna, G., Demeler, J. et al. Anthelmintic resistance in cyathostomin populations from horse yards in Italy, United Kingdom and Germany. Parasites Vectors 2 (Suppl 2), S2 (2009).

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