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      How sensitive and specific is the visual diagnosis of sarcoptic mange in free-ranging Iberian ibexes?

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          Abstract

          Background

          Sarcoptic mange is a broadly distributed parasitic disease caused by Sarcoptes scabiei that affects wild mammals from all over the world, including the Iberian ibex ( Capra pyrenaica). Selective culling of the scabietic individuals is the main management measure for disease control in Iberian ibex populations. Although visual identification of mange-compatible lesions is the reference method to decide the target individual, both false negative and positive cases are common in the wild. The aim of this work is to determine the sensitivity (SE), and the specificity (SP) of selective culling after evaluating 403 ibexes hunted in the Sierra Nevada Nature Space for sarcoptic mange control between 2002 and 2015.

          Methods

          A combination of skin scrapings and potassium hidroxide (KOH) skin digestion was used for sarcoptic mange diagnosis. Generalized linear models (GLM) were used to assess the effects of sex, age (juveniles and adults) and period of the year (wet and dry periods) on the SE and SP of the visual diagnosis method.

          Results

          The SE obtained for the visual determination of scabietic ibexes was 87.14%, whereas the SP was 60.71%. According to our model selection, SE of the visual diagnosis was explained by the additive effects of age and the period of the year. In fact, SE was lower in juveniles (64.76%) than in adults (94.26%) and during the dry period (73.44%) as compared to the wet period (92.09%). On the other hand, SP was best explained by the GLM including the additive effects of sex and the period of the year. The visual diagnosis of sarcoptic mange resulted less specific in females (22.73%) than in males (74.19%) and during the wet (55.22%) than in the dry period (82.35%).

          Conclusions

          Maximizing SE and SP is essential to achieving a high rate of removal of affected individuals from the environment without eliminating potentially resistant individuals. Selective culling must be conservative during the wet period and with females due to the lower SP. Conversely, visual diagnosis of scabietic juveniles and during the dry period has to be improved, due to the lower SE.

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          Most cited references39

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          Diagnostic tests. 1: Sensitivity and specificity.

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            Hormonal and immunological mechanisms mediating sex differences in parasite infection.

            S L Klein (2004)
            The prevalence and intensity of infections caused by protozoa, nematodes, trematodes, cestodes, and arthropods is higher in males than females. The primary thesis of this review is that immunological differences exist between the sexes that may underlie increased parasitism in males compared to females. Several field and laboratory studies link sex differences in immune function with circulating steroid hormones; thus, the roles of sex steroids, including testosterone, oestradiol, and progesterone, as well as glucocorticoids will be discussed. Not only can host hormones affect responses to infection, but parasites can both produce and alter hormone concentrations in their hosts. The extent to which changes in endocrine-immune interactions following infection are mediated by the host or the parasite will be considered. Although males are more susceptible than females to many parasites, there are parasites for which males are more resistant than females and endocrine-immune interactions may underlie this sex reversal. Finally, although immunological differences exist between the sexes, genetic and behavioural differences may explain some variability in response to infection and will be explored as alternative hypotheses for how differences between the sexes contribute to dimorphic responses to parasites.
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              Problems in diagnosing scabies, a global disease in human and animal populations.

              Scabies is a worldwide disease and a major public health problem in many developing countries, related primarily to poverty and overcrowding. In remote Aboriginal communities in northern Australia, prevalences of up to 50% among children have been described, despite the availability of effective chemotherapy. Sarcoptic mange is also an important veterinary disease engendering significant morbidity and mortality in wild, domestic, and farmed animals. Scabies is caused by the ectoparasitic mite Sarcoptes scabiei burrowing into the host epidermis. Clinical symptoms include intensely itchy lesions that often are a precursor to secondary bacterial pyoderma, septicemia, and, in humans, poststreptococcal glomerulonephritis. Although diagnosed scabies cases can be successfully treated, the rash of the primary infestation takes 4 to 6 weeks to develop, and thus, transmission to others often occurs prior to therapy. In humans, the symptoms of scabies infestations can mimic other dermatological skin diseases, and traditional tests to diagnose scabies are less than 50% accurate. To aid early identification of disease and thus treatment, a simple, cheap, sensitive, and specific test for routine diagnosis of active scabies is essential. Recent developments leading to the expression and purification of S. scabiei recombinant antigens have identified a number of molecules with diagnostic potential, and current studies include the investigation and assessment of the accuracy of these recombinant proteins in identifying antibodies in individuals with active scabies and in differentiating those with past exposure. Early identification of disease will enable selective treatment of those affected, reduce transmission and the requirement for mass treatment, limit the potential for escalating mite resistance, and provide another means of controlling scabies in populations in areas of endemicity.
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                Author and article information

                Contributors
                Marta.Valldeperes@uab.cat
                josee.granados.ext@juntadeandalucia.es
                jperez@ujaen.es
                inmacastro.s@hotmail.com
                arian.raez@gmail.com
                paulino.fandos@juntadeandalucia.es
                jordi.lopez.olvera@uab.cat
                emmanuel.serrano@uab.cat
                gregorio.mentaberre@uab.cat
                Journal
                Parasit Vectors
                Parasit Vectors
                Parasites & Vectors
                BioMed Central (London )
                1756-3305
                15 August 2019
                15 August 2019
                2019
                : 12
                : 405
                Affiliations
                [1 ]GRID grid.7080.f, Wildlife Ecology & Health group (WE&H) and Servei d’Ecopatologia de Fauna Salvatge (SEFaS), Departament de Medicina i Cirurgia Animals, , Universitat Autònoma de Barcelona (UAB), ; 08190 Bellaterra, Barcelona Spain
                [2 ]Espacio Natural Sierra Nevada, Carretera Antigua de Sierra Nevada, Km 7, Pinos Genil, 18071 Granada, Spain
                [3 ]ISNI 0000 0001 2096 9837, GRID grid.21507.31, Departamento de Biología Animal, Biología Vegetal y Ecología, , Universidad de Jaén, ; Campus Las Lagunillas, s.n, 23071 Jaén, Spain
                [4 ]GRID grid.473886.6, Agencia de Medio Ambiente y Agua de Andalucía, ; 41092, Isla de la Cartuja, Sevilla, Spain
                [5 ]ISNI 0000 0001 2336 6580, GRID grid.7605.4, Dipartimento di Scienze Veterinarie, , Universitá di Torino, ; Grugliasco, Torino, Italy
                [6 ]ISNI 0000 0001 2163 1432, GRID grid.15043.33, Departament de Ciència Animal, Escola Tècnica Superior d’Enginyeria Agraria (ETSEA), , Universitat de Lleida (UdL), ; 25098 Lleida, Spain
                Author information
                http://orcid.org/0000-0002-6178-3147
                http://orcid.org/0000-0001-9159-0365
                http://orcid.org/0000-0002-9799-9804
                Article
                3665
                10.1186/s13071-019-3665-7
                6694496
                31416471
                c3369559-c242-4031-95b2-4f66ee23586d
                © The Author(s) 2019

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 16 May 2019
                : 9 August 2019
                Funding
                Funded by: Agència de Gestió d'Ajuts Universitaris i de Recerca (Generalitat de Catalunya) and European Social Fund
                Award ID: 2018FI_B_00978
                Award ID: AGAUR
                Award Recipient :
                Funded by: Ramon y Cajal agreement, Ministerio de Ciencia Innovación y Universidades
                Award ID: RYC-2016-21120
                Award Recipient :
                Funded by: Consejería de Medio Ambiente de la Junta de Andalucía
                Award ID: 173/2009/M/00; 03/15/M/00; 861_11_M_00
                Award ID: 2016/00014/M
                Funded by: Ministerio de Economía y Competitividad
                Award ID: CGL2012-40043-C02-01, CGL2012-40043-C02-02
                Award ID: CGL2016-80543-P
                Funded by: Plan Andaluz de Investigación
                Award ID: RNM-118
                Categories
                Short Report
                Custom metadata
                © The Author(s) 2019

                Parasitology
                capra pyrenaica,sarcoptes scabiei,selective culling,visual diagnostic,wildlife disease management

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