{"title":"The use of systemic immune inflammatory index as a predictor for nematodes infections in horses","authors":"Falmata Kyari , Cephas Joseph Pogu , Ismaila Alhaji Mairiga , Lawan Adamu","doi":"10.1016/j.parepi.2025.e00453","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>Nematode infections are a significant health concern in horses, causing a range of clinical signs and economic losses. Early detection and diagnosis are crucial for effective treatment and management.</div></div><div><h3>Objectives</h3><div>Examining the application of the systemic immune Inflammatory index (SII) as a predictor for nematode infections in horses, using platelets count, leucocytes count, and neutrophils count.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted on 164 horses, consisting of 66 horses with nematode infections and 98 horses without infections. The SII was computed using the platelets count, leucocytes count, and neutrophils count. Receiver operating characteristic (ROC) curve analysis was used to evaluate the SII's diagnostic accuracy.</div></div><div><h3>Results</h3><div>Nematode infections were severe in horses with mixed infections, with an average of 1805.90 ± 292.68 eggs per gram (epg). Notably, among specific species, <em>Cyathostomum</em> spp., exhibited a significantly different average of 2264.29 ± 132.61epg compared to other nematodes. There is a significant negative correlations between the systemic immune-inflammatory index (SII) and the Eggs per gram count for nematodes infections at (<em>r</em> = −0.6023; <em>P</em> < .0001). The SII values were significantly lower (0.06) in horses with nematode infections compared to those without infections (0.19) at <em>p</em> < .001. With an area under the ROC curve (AUC) of 0.990, the SII demonstrated exceptional diagnostic precision. For the SII, the ideal cut-off value is ≤0.108, with a sensitivity of 98.5 % and a specificity of 100 %. The ROC curve was validated using the Youden index (J) with a higher value of 0.9848 indicating better performance.</div></div><div><h3>Conclusion</h3><div>The study demonstrated that the SII is a reliable predictor for nematode infections in horses, using platelets count, leucocytes count, and neutrophils count. The SII is a non-invasive, reasonably priced method for identifying and diagnosing nematode infections in horses.</div></div>","PeriodicalId":37873,"journal":{"name":"Parasite Epidemiology and Control","volume":"30 ","pages":"Article e00453"},"PeriodicalIF":2.4000,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Parasite Epidemiology and Control","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S2405673125000467","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"INFECTIOUS DISEASES","Score":null,"Total":0}
引用次数: 0
Abstract
Background
Nematode infections are a significant health concern in horses, causing a range of clinical signs and economic losses. Early detection and diagnosis are crucial for effective treatment and management.
Objectives
Examining the application of the systemic immune Inflammatory index (SII) as a predictor for nematode infections in horses, using platelets count, leucocytes count, and neutrophils count.
Methods
A cross-sectional study was conducted on 164 horses, consisting of 66 horses with nematode infections and 98 horses without infections. The SII was computed using the platelets count, leucocytes count, and neutrophils count. Receiver operating characteristic (ROC) curve analysis was used to evaluate the SII's diagnostic accuracy.
Results
Nematode infections were severe in horses with mixed infections, with an average of 1805.90 ± 292.68 eggs per gram (epg). Notably, among specific species, Cyathostomum spp., exhibited a significantly different average of 2264.29 ± 132.61epg compared to other nematodes. There is a significant negative correlations between the systemic immune-inflammatory index (SII) and the Eggs per gram count for nematodes infections at (r = −0.6023; P < .0001). The SII values were significantly lower (0.06) in horses with nematode infections compared to those without infections (0.19) at p < .001. With an area under the ROC curve (AUC) of 0.990, the SII demonstrated exceptional diagnostic precision. For the SII, the ideal cut-off value is ≤0.108, with a sensitivity of 98.5 % and a specificity of 100 %. The ROC curve was validated using the Youden index (J) with a higher value of 0.9848 indicating better performance.
Conclusion
The study demonstrated that the SII is a reliable predictor for nematode infections in horses, using platelets count, leucocytes count, and neutrophils count. The SII is a non-invasive, reasonably priced method for identifying and diagnosing nematode infections in horses.
期刊介绍:
Parasite Epidemiology and Control is an Open Access journal. There is an increasing amount of research in the parasitology area that analyses the patterns, causes, and effects of health and disease conditions in defined populations. This epidemiology of parasite infectious diseases is predominantly studied in human populations but also spans other major hosts of parasitic infections and as such this journal will have a broad remit. We will focus on the major areas of epidemiological study including disease etiology, disease surveillance, drug resistance and geographical spread and screening, biomonitoring, and comparisons of treatment effects in clinical trials for both human and other animals. We will also look at the epidemiology and control of vector insects. The journal will also cover the use of geographic information systems (Epi-GIS) for epidemiological surveillance which is a rapidly growing area of research in infectious diseases. Molecular epidemiological approaches are also particularly encouraged.