ABSTRACT
OBJECTIVES: To determine the time from treatment with a product containing imidacloprid 10 per cent/moxidectin 2.5 per cent spot-on (Advocate™), to dogs becoming negative for Angiostrongylus vasorum (A. vasorum). The authors hypothesised that most dogs would have resolution of A. vasorum within four weeks of treatment with Advocate™. DESIGN: Prospective, non-randomised, prepost treatment study. SETTING: Cases were enrolled from general practices along the southern coast of the United Kingdom. PARTICIPANTS: Nine dogs completed the study and were enrolled if A. vasorum had been diagnosed based on a positive commercially available, in-clinic, serological A. vasorum antigen test (Angio Detect®) or Baermann performed at an external laboratory or both. INTERVENTIONS: The only treatment A. vasorum-positive dogs received was Advocate™ which was applied at the time of diagnosis and reapplied if necessary at four-weekly intervals until dogs tested negative by Angio Detect. PRIMARY OUTCOME MEASURES: Angio Detect® was performed and Advocate™ was reapplied at four-weekly intervals until dogs tested negative by this method. SECONDARY OUTCOME MEASURES: Baermann was also performed at four-weekly intervals until dogs tested negative by this method. RESULTS: Application of Advocate™ was an effective treatment for A. vasorum infection in dogs and resulted in resolution of the infection, based on Angio Detect® testing and Baermann, within four weeks, in eight out of nine dogs. Post-treatment Angio Detect® testing was concordant with Baermann in seven of nine dogs. CONCLUSIONS: Application of Advocate™ was an effective treatment for A. vasorum infection in dogs and resulted in resolution of the infection within four weeks in most dogs. Repeat Angio Detect® testing is recommended following treatment of A. vasorum to confirm resolution of the infection.
