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Veterinary Parasitology 149 (2007) 111116

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A comparison of modifications of the McMaster method for the


enumeration of Ascaris suum eggs in pig faecal samples
A. Pereckiene a,*, V. Kaziunaite a, A. Vysniauskas a, S. Petkevicius a,b,
A. Malakauskas b, M. Sarkunas b, M.A. Taylor c
a
Laboratory of Parasitology, Veterinary Institute of Lithuanian Veterinary Academy, Instituto 2, LT-08662 Kaisiadorys, Lithuania
b
Department of Infectious Diseases, Lithuanian Veterinary Academy, Tilzes str. 18, LT-47181 Kaunas, Lithuania
c
Veterinary Surveillance, Central Science Laboratory, Sand Hutton, York YO41 1LZ, UK
Received 14 March 2006; received in revised form 13 April 2007; accepted 23 April 2007

Abstract
The comparative efficacies of seven published McMaster method modifications for faecal egg counting were evaluated on pig
faecal samples containing Ascaris suum eggs. Comparisons were made as to the number of samples found to be positive by each of
the methods, the total egg counts per gram (EPG) of faeces, the variations in EPG obtained in the samples examined, and the ease of
use of each of the methods. Each method was evaluated after the examination of 30 samples of faeces. The positive samples were
identified by counting A. suum eggs in one, two and three sections of newly designed McMaster chamber. In the present study
compared methods were reported by: IHenriksen and Aagaard [Henriksen, S.A., Aagaard, K.A., 1976. A simple flotation and
McMaster method. Nord. Vet. Med. 28, 392397]; IIKassai [Kassai, T., 1999. Veterinary Helminthology. Butterworth
Heinemann, Oxford, 260 pp.]; III and IVUrquhart et al. [Urquhart, G.M., Armour, J., Duncan, J.L., Dunn, A.M., Jennings,
F.W., 1996. Veterinary Parasitology, 2nd ed. Blackwell Science Ltd., Oxford, UK, 307 pp.] (centrifugation and non-centrifugation
methods); Vand VIGrnvold [Grnvold, J., 1991. Laboratory diagnoses of helminths common routine methods used in Denmark.
In: Nansen, P., Grnvold, J., Bjrn, H. (Eds.), Seminars on Parasitic Problems in Farm Animals Related to Fodder Production and
Management. The Estonian Academy of Sciences, Tartu, Estonia, pp. 4748] (salt solution, and salt and glucose solution); VII
Thienpont et al. [Thienpont, D., Rochette, F., Vanparijs, O.F.J., 1986. Diagnosing Helminthiasis by Coprological Examination.
Coprological Examination, 2nd ed. Janssen Research Foundation, Beerse, Belgium, 205 pp.]. The number of positive samples by
examining single section ranged from 98.9% (method I), to 51.1% (method VII). Only with methods I and II, there was a 100%
positivity in two out of three of the chambers examined, and FEC obtained using these methods were significantly ( p < 0.01) higher
comparing to remaining methods. Mean FEC varied between 243 EPG (method I) and 82 EPG (method IV). Examination of all
three chambers resulted in four methods (I, II, V and VI) having 100% sensitivity, while method VII had the lowest 83.3%
sensitivity. Mean FEC in this case varied between 239 EPG (method I) and 81 EPG (method IV). Based on the mean FEC for two
chambers, an efficiency coefficient (EF) was calculated and equated to 1 for the highest egg count (method I) and 0.87, 0.57, 0.34,
0.53, 0.49 and 0.50 for remaining methods (IIVII), respectively. Efficiency coefficients make it possible not only to recalculate and
unify results of faeces examination obtained by any method but also to interpret coproscopical examinations by other authors.
Method VII was the easiest and quickest but least sensitive, and method I the most complex but most sensitive. Examining two or
three sections of the McMaster chamber resulted in increased sensitivity for all methods.
# 2007 Elsevier B.V. All rights reserved.

Keywords: Pigs; Ascaris suum; Faecal egg counts; McMaster; Comparison

* Corresponding author. Tel.: +370 37363559; fax: +370 37363559.


E-mail address: petkevicius@lva.lt (A. Pereckiene).

0304-4017/$ see front matter # 2007 Elsevier B.V. All rights reserved.
doi:10.1016/j.vetpar.2007.04.014
112 A. Pereckiene et al. / Veterinary Parasitology 149 (2007) 111116

1. Introduction strate the presence of nematode eggs and permit a


quantitative determination of their concentration in
Faecal examination is an important tool for faeces. The use of a centrifugation step facilitates
monitoring worm infections in pig units and for examination by removal of fine particles and colouring,
maintaining effective worm control programmes. and increases the ease of egg identification (MAFF,
Described faecal examination methods are either 1986). For low faecal egg counts particularly, it may be
qualitative or quantitative. Qualitative methods provide necessary to choose the most efficient, stable, precise,
information on the species present, whereas quantitative and reliable method. Problems can however, occur
methods provide an indication of the levels of when analyzing and comparing results of different
infections. Both can be an important tool in determining laboratories on the same samples. There is a need to
the health status of a herd and determining appropriate provide some degree of standardisation of the numerous
treatments and control measures. Examination of faeces modifications of the McMaster method (Cringoli et al.,
for parasitic eggs may vary from a simple direct smear 2004; Coles et al., 2006), particularly where these are
to more complex methods involving centrifugation and used in the determination of the presence of anthel-
use of flotation fluids (MAFF, 1986). Flotation methods mintic resistance by faecal egg reduction test (Taylor
involve separating eggs from faecal debris using a et al., 2002; Coles et al., 2006).
variety of flotation solutions with specific gravities The aim of this study was therefore to evaluate the
which float worm eggs to the surface of the suspension. efficiency, sensitivity and complexity of various
The most widely used and standard quantitative published modifications to the McMaster method and
technique is the McMaster method (Gordon and seek to provide a system of standardisation allowing the
Whitlock, 1939; Whitlock, 1948). However, there are comparison of egg count results between laboratories.
many modifications reported in the literature. Reported
methods differ in the weight of faeces examined; the 2. Materials and methods
flotation solution used (chemical salt, level of saturation
and volume); the flotation time; the presence or absence Seven published modifications of the McMaster
of a centrifugation step; the design and number of method (Table 1), as described in the literature, were
McMaster counting chambers; the counting method and compared. The modifications include different weight
multiplication factors employed; and whether any of faeces and volume of water, presence or absence of a
correction factors are used to allow for faecal centrifugation step, centrifugation time and speed,
consistency (MAFF, 1986; Dunn and Keymer, 1986; different flotation solution, flotation time, and number
Cringoli et al., 2004). of sections counted.
Given wide range of modifications of McMaster For the study 3.5 kg of fresh faeces were taken from
method, parasitological laboratories have to decide pigs naturally infected with ascarids (commercial pig
which method to choose as the most appropriate method breeding company). Faeces were thoroughly mixed for
for the purpose intended. Some modifications of even distribution of helminth eggs and 30 samples were
McMaster method are designed primarily to demon- prepared for each of the McMaster modification. Each

Table 1
Summary of published methods for the McMaster faecal egg counting technique
McMastermethod Author Amount of Volume of Centrifugation Flotation solution Flotation time Sensitivity
faeces (g) water (ml) (specific gravity) in chambers (EPG)
I Henriksen and 4 56 7 min at 1200 rpm NaCl + sugar (1.27) 23 min 20
Aagaard (1976)
II Kassai (1999) 3 42 3 min at 1500 rpm NaCl (1.2) 3 min 50
III Urquhart et al. 3 42 2 min at 2000 rpm NaCl (1.2) 23 min 50
(1996)
IV Urquhart et al. 3 42 None NaCl (1.2) 23 min 50
(1996)
V Grnvold (1991) 4 56 None NaCl (1.2) 23 min 50
VI Grnvold (1991) 4 56 None NaCl + glucose (1.27) 23 min 50
VII Thienpont et al. 2 60 None NaCl (1.2) 23 min 100
(1986)
EPG: eggs per gram of faeces; NaCl: sodium chloride; rpm: revolutions per minute.
A. Pereckiene et al. / Veterinary Parasitology 149 (2007) 111116 113

were then obtained by counting the ascarid eggs in the


first, second and third chambers separately or in
combination, to give mean faecal egg count (FEC)
values expressed as eggs per gram of faeces (EPG).
The investigation was carried out pursuant of the
Law of the republic of Lithuania regulating animal care
and use for scientific experiments.

3. Statistical analysis

Fig. 1. McMaster chamber design: (A) ruled lines of the chamber; (B) The difference between the modifications of
supporting strips; (C) platforms; (D) three sections. McMaster methods was evaluated using one-way
analysis of variance test (ANOVA) and Tukeys
sample was weighed and 2, 3 and 4 g alloquots multiple comparison posttest. The SAS programme
according to the requirements of each method was used for analysis (Version 8.2, SAS@ Institute Inc.).
modification were prepared. All samples were placed As FECs based on the McMaster method, are usually
into polythene bags and kept at +4 8C until examination. performed on two chambers, for the purposes of this
Flotation solutions were made up fresh as required and study, an EF was derived from the EPG in 2 chambers
kept at a room temperature until use. Faecal samples only. The highest EF was equalled to unity (1). This
were stored only for 5 days to prevent influence of egg value was given to the method which yielded the highest
hatching on EPG counts. EPG. The egg counts obtained by other methods were
For microscopic examination, a modified McMaster then divided by the highest EPG. In this way the EF of
chamber with three sections (manufactured in Lithua- each method was derived.
niaCertificate No. 21-37-483) was used (Fig. 1). The
chamber includes the inclusion of beads to protect the 4. Results
optics of microscope during the microscopic examina-
tion, and to prevent the flow of flotation solution on the Sensitivity of the seven methods counting one, two
microscope stand. Before examination all samples were or three sections is shown in Table 2. The sensitivity by
thoroughly mixed to allow for even distribution of eggs examining single section ranged from 98.9% (method
and filling the compartments of McMaster chamber I), to 51.1% (method VII). Examining two sections,
avoiding formation of bubbles, which may distort the methods I and II were 100% sensitive while the method
feacal egg count (FEC) results (Kassai, 1999). Each VII had lowest sensitivity (74.4%). Examination of all
filled McMaster chamber was left to stand for 35 min three sections resulted in four methods (I, II, V and VI)
before microscopic examination, as recommended by having 100% sensitivity, while method VII had the
Roepstorff and Nansen (1998). For positive samples, the lowest (83.3%) sensitivity.
number of helminth eggs was counted in one, two and Mean EPG counts for all the seven methods are
three sections of the McMaster slide. Feacal egg counts shown in Table 3. The first modification of the

Table 2
Efficiency of McMaster method modifications based on number of positive samples in one, two or three chambers
McMaster Number of samples positive for Ascaris suum eggs (n = 30)
method
In one section In two sections In three sections
First Second Third Mean % First + First + Second + Mean % First + second + Mean %
positive second third third positive third positive
I 30 29 30 98.9 30 30 30 100 30 100
II 30 28 30 97.8 30 30 30 100 30 100
III 25 25 26 84.4 29 29 28 95.6 29 96.7
IV 19 20 18 63.3 24 26 25 83.3 28 93.3
V 23 20 22 72.2 28 28 28 93.3 30 100
VI 20 25 22 74.4 29 28 27 93.3 30 100
VII 18 14 14 51.1 22 23 22 74.4 25 83.3
114 A. Pereckiene et al. / Veterinary Parasitology 149 (2007) 111116

Table 3
Mean egg counts and efficiency coefficients for McMaster methods based on counts from one, two or three chambers
McMaster Mean number of A. suum eggs per 1 g of faeces (standard error)
method
In one chamber In two chambers In three chambers Efficiency
* (first + second + third)* coefficients
First Second Third Mean First + First + Second + Mean
second third third
I 264  22 221  25 244  19 243 a  12 243  19 255  16 233  16 244 a  6 239  14 a 1
II 240  20 187  28 210  25 212 a  15 213  19 225  17 197  21 212 a  8 212  17 a 0.87
III 130  18 130  18 150  23 137 b  7 130  13 143  15 140  17 138 b  4 137  13 b 0.57
IV 83  14 93  17 70  12 82 c  7 88  12 77  10 82  10 82 c  3 81  9 c 0.34
V 133  22 123  25 127  23 128 b  3 130  18 130  19 125  18 128 b  2 128  16 b 0.53
VI 90  17 140  19 133  22 121 b  16 113  15 112  14 137  16 121 b  8 121  13 b 0.49
VII 133  22 113  27 120  28 122 b  6 123  18 127  18 117  18 122 b  3 122  14 b 0.50
*
Indices indicate significant differences ( p < 0.05).

McMaster method gave the highest EPG in all cases and of nematode species varies considerably, some species
the IVth modification the lowest EPG. Efficiency producing only small numbers of eggs, while ascarid
coefficients based on mean EPG counts are shown in worms, such as Ascaris suum, are among the most
Table 3. productive (Roepstorff and Nansen, 1998). It has also
Comparable EPG were obtained with the methods I been reported that different nematode species are more
and II, and there was no significant difference between productive at different times of the day, and at differing
them. The remaining methods gave considerably lower times of the year (Thienpont et al., 1986). Hyostrongy-
EPG counts, which were significantly ( p < 0.01) lower lus rubidus and Oesophagostomum spp. in pigs, for
compared to I and II. example, have lower fecundity in winter than in summer
(Fossing et al., 1995). Immunity of older animals may
5. Discussion disturb the seasonality (Roepstorff, 1991; Roepstorff
et al., 1996) and it has been determined that the most
The use of nematode egg counting techniques that widespread intestinal nematode species in pigs are
provide a quantitative determination of the number of unevenly distributed in different age groups (Pattison
eggs in faeces is required to determine levels of worm et al., 1980). Despite this, older resistant animals may
infections. However, it is important to have in mind that carry the same worm burdens as younger less resistant
a number of factors can influence faecal egg count individuals, but of lower fecundity (Thienpont et al.,
results. The factors to consider are: the biology of the 1986).
worms (species, prepatent period, fecundity, worm FECs can also be influenced by physiological
numbers); the influence of the host physiological state changes in the animal, for example, the effect of both
on worm numbers and populations (nutrition, immu- pregnancy and lactation and the observed phenomenon
nity); host management factors (stocking densities; of periparturient rises in egg counts (Lyndal-Murphy,
treatments); the time of year and the laboratory method 1993). It has been observed that the incubation period of
used to enumerate faecal egg counts (Lyndal-Murphy, A. suum in fattening pigs can be prolonged and the
1993). majority of pigs become infected at the beginning of
Faecal egg counting gives an estimation of worm fatting period or during the growth period, but only a
numbers and levels of worm infestation, and as such it small number of animals are identified as infected by
should be used as an adjunct to an overall approach to coproscopic examination (Connan, 1985). An addi-
determine the health status of a herd. Veterinarians or tional consideration is that it has been suggested that
herd health advisors should therefore consider the only FECs of 200 EPG for A. suum should be regarded
results of FEC along with these other factors when as positive (Roepstorff, 1997) because smaller FECs
advising on appropriate control procedures. An obvious may represent the passage of unembryonated eggs
consideration is that eggs are produced only by female through the intestine as a consequence of coprophagia.
worms and FECs, therefore, do not reflect the total However, such eggs fail to develop within the pigs
worm burden present in an animal, which may also intestines (Boes et al., 1997, 1998; Roepstorff et al.,
include both males and immature stages. The fecundity 1998). Such erroneous results may be a factor of age
A. Pereckiene et al. / Veterinary Parasitology 149 (2007) 111116 115

(Roepstorff and Nansen, 1994), or the conditions and specific gravity (1.27) than salt solutions (1.2) and are
husbandry systems under which the pigs are kept (Boes therefore more generally effective for Ascaris eggs.
et al., 1997). They are more viscous and easier to control while
It has been already indicated that McMaster methods filling, and disperse more evenly in the chamber
differ in their efficiencies, sensitivities and complexities forming no air bubbles, which can distort the FEC
when determining FECs. Methods I, II and III, which results. Saturated salt solutions also have the disadvan-
each requires centrifugation step, can be considered tage of crystallizing more readily.
more complex and labour intensive. The remaining
methods (IVVII), without centrifugation step, are 6. Conclusions
considered as more simple and require less time to
perform. However, the results obtained with the later A number of modifications to the McMaster method
methods are less reliable because of higher amount of used for determining helminth egg counts in faeces
debris within the McMaster chamber that hinders have been reported in the literature. Those methods
microscopic examination and increases probability of that incorporate a centrifugation step offer greater
error. Methods IIII are therefore more appropriate for sensitivity for the quantitative determination of FECs
quantitative determination of FECs, comparing with when examining pig faeces for ascarid eggs. Sensi-
methods IVVII. This can be seen in the method tivity is further improved through the use of flotations
sensitivities in detecting positive samples, the quanti- solutions with higher specific gravities. Examining
tative FECs, and the EF values. The use of EF values not two or three sections of a McMaster chamber increases
only makes it possible to recalculate and unify results of sensitivity for all methods. Consideration should also
faeces examination obtained by any method, but also to be given to the calculation of efficiency coefficients
potentially compare coproscopical examinations by which offer the potential, not only to recalculate and
other authors. The present results indicate that methods unify results of FECs obtained by any method, but also
I and II are the most efficient in identifying the number to interpret coproscopical examinations by other
of positive samples, and in resultant higher sensitivities authors.
based on FECs, which are significantly higher com-
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