Responsible use of parasiticides in pets

Hany Elsheikha
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Abstract

Parasiticides are an integral part of parasite treatment and prevention in pets. Despite their importance as life-saving medications and a major contributor to better health and quality of life, widespread and inappropriate use of parasiticides could have important consequences. Concerns over parasite control practices involving ‘blanket-treatment’ have caused key organisations to call for more responsible use of parasiticides to minimise the risk of environmental contamination and limit the development of antiparasitic drug resistance. Veterinary professionals are encouraged to follow a more targeted and individualised risk-based approach to parasite control. However, successful adoption and effective implementation of this new approach requires the veterinary profession to overcome many barriers and contextual differences in the way effective parasite control is perceived by the various stakeholders. Recently, evidence-based diagnosis (treatment based on confirmed diagnosis) together with antiparasitic drug stewardship (avoiding unnecessary antiparasitic use in pets which do not benefit from treatment) have been suggested to reconcile the trade-offs between avoiding parasiticide overuse and achieving effective parasite control. Although these new approaches cannot yet fully address the challenges of attaining optimal parasite control, they have the potential to improve the outcomes of parasite treatment and preserve the efficacy of parasiticides, the most essential component of any parasite control regimen.
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在宠物身上负责任地使用杀寄生虫剂
杀寄生虫剂是宠物寄生虫治疗和预防的重要组成部分。尽管它们作为救命药物具有重要意义,是改善健康和生活质量的主要因素,但广泛和不当使用杀寄生虫剂可能会产生严重后果。对涉及“地毯式治疗”的寄生虫控制措施的担忧已经导致一些关键组织呼吁更负责任地使用杀寄生虫剂,以尽量减少环境污染的风险,并限制抗寄生虫药物耐药性的发展。鼓励兽医专业人员采取更有针对性和个性化的基于风险的寄生虫控制方法。然而,这一新方法的成功采用和有效实施需要兽医专业人员克服各种利益攸关方对有效寄生虫控制方式的许多障碍和背景差异。最近,基于证据的诊断(基于确诊的治疗)和抗寄生虫药物管理(避免对没有从治疗中受益的宠物使用不必要的抗寄生虫药物)被建议在避免过度使用杀虫剂和实现有效的寄生虫控制之间进行权衡。尽管这些新方法还不能完全解决实现最佳寄生虫控制的挑战,但它们有可能改善寄生虫治疗的结果并保持杀寄生虫剂的功效,这是任何寄生虫控制方案中最重要的组成部分。
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