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Avian Pathology

ISSN: 0307-9457 (Print) 1465-3338 (Online) Journal homepage: https://www.tandfonline.com/loi/cavp20

Anticoccidial drugs and their effects upon the


development of immunity to Eimeria infections in
poultry

H. D. Chapman

To cite this article: H. D. Chapman (1999) Anticoccidial drugs and their effects upon the
development of immunity to Eimeria infections in poultry, Avian Pathology, 28:6, 521-535, DOI:
10.1080/03079459994317

To link to this article: https://doi.org/10.1080/03079459994317

Published online: 17 Jun 2010.

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Avian Pathology (1999) 28, 521±535

REVIEW

Anticoccidial drugs and their effects upon the


development of immunity to Eimeria infections in
poultry

H. D. Chapman*
Department of Poultry Science, University of Arkansas, Fayetteville, AR 72701, USA

The long-held view that anticoccidial drugs, to a greater or lesser extent, interfere with the development
of immunity to Eimeria species may no longer be correct because few drugs, if any, are capable of
preventing some degree of parasite multiplication. Acquisition of immunity is, therefore, a real possibility,
providing suf® cient parasites are present in the environment. Immunity is an important consideration
during the rearing of replacement layers, broiler breeders, turkeys, and gamebirds, but little research has
been carried out on the effects of drugs on immunity development in these categories of stock. In recent
years, there has been a change in the perception of the signi® cance of immunity in broilers, and some
broiler producers have taken this into consideration when designing drug programs for use in the ® eld.
Studies in ¯ oor pens and the ® eld indicate that broilers given various drug programs can develop
immunity when exposed to natural infections but that this process takes time: solid immunity not
developing until birds are 6 to 7 weeks of age. This suggests that drugs should not be withdrawn from the
feed prematurely since birds may not have had time to develop adequate immunity.

Introduction in protecting the fowl from the adverse effects of


coccidiosis, and there have been several excellent
Modern intensive poultry production is largely de- reviews describing our current knowledge of the
pendent upon chemoprophylaxis for the control of mechanisms of immunity to Eimeria species (for
coccidiosis. Despite the availability of many antic- example, Rose, 1987, 1996; Lillehoj & Trout,
occidial drugs, Eimeria parasites are widespread in 1993). Immunization may be achieved by the in-
poultry ¯ ocks. Outbreaks of coccidiosis, recog- tentional infection of the chicken (for example, by
nized by obvious intestinal lesions and excessive introducing the infective stage, the oocyst, into the
mortality, occur less frequently than in the past. feed or water supply) and live vaccines, compris-
Nevertheless, subtle effects of the disease, such as ing oocysts of species that are virulent or have
reduced growth rate and impaired feed conversion, been attenuated, are available for this purpose
may contribute to poor performance of commercial (Shirley & Long, 1990; Shirley & Bedrnik, 1997).
birds. Adoption of sound management practices Although vaccines are widely used to immunize
and sanitary procedures, and the use of modern replacement layer and broiler breeder chickens,
broad-spectrum anticoccidial agents have all they are not widely employed in broilers at the
played a part in control of coccidiosis. However, in present time. Coccidiosis vaccines are sometimes
view of the many reports of acquired drug resist- used in turkey production but are not available for
ance, it is perhaps surprising that clinical coccidio- game birds.
sis is not encountered more frequently in the Immunity may develop as a result of the use of
® eld. One possibility is that, despite medication, vaccines, but can also be acquired incidentally
the parasite is able to stimulate an immune re- during the use of anticoccidial drugs. Many com-
sponse in the bird, and thus contribute to its own pounds have been introduced for the control of
demise. coccidiosis, and these can be classi® ed as either
Immunity has long been recognized as important synthetic drugs that are produced by chemical

* To whom correspondenc e should be addressed. Tel: 1 1 501 575 4870. Fax: 1 1 501 575 4202. E-mail: dchapman@comp.uark.ed u

ISSN 0307-945 7 (print)/ISSN 1465-3338 (online)/99/060521-1 5 Ó 1999 Houghton Trust Ltd


522 H. D. Chapman

synthesis (often referred to as `chemicals’ ) or challenged birds that have experienced no previous
ionophorous antibiotics (ionophores) that are pro- infection (susceptible controls). Unfortunately, it is
duced by fermentation. Although information is technically dif® cult to keep birds parasite free, and
available concerning the mode of action of some of this may explain why susceptible controls have not
these compounds, the biochemical basis for their always been included in the design of experiments.
selective effects against the parasite are poorly
understood (Chapman, 1997a). None of the cur-
rently available drugs are known to modulate the Historical Perspective
immune system of the host. Nevertheless, growth
Early concepts
of the parasite may not be completely suppressed,
and suf® cient development may occur to stimulate When the ® rst true anticoccidials (sulphonamides)
a protective immune response. Immunity may, were introduced in the 1940s, one of the ® rst
therefore, play an important role in the apparent questions asked was, will they interfere with the
ef® cacy of different drugs. In this article, our acquisition of immunity? Many studies were con-
present knowledge of the effects of anticoccidial ducted to investigate the relationship between the
agents upon the acquisition of immunity to Eime- use of these drugs and immunity development (see
ria species in poultry is reviewed. references in Waletzky & Hughes, 1949; Anon,
1953). In the case of sulphaguanidine, Levine
(1941) considered that `Its greatest possible use
De® nition of Immunity
may be to aid birds in acquiring an active immu-
The term immunity, as used in most of the studies nity to coccidiosis’ , and immunity became an es-
reviewed here, refers to the acquisition of `resist- sential part of the rationale for sulphonamide
ance’ to a challenge infection with an Eimeria therapy (Kendall & McCullough, 1952). Most
species. Resistance may be measured by a re- studies were conducted with Eimeria tenella, the
duction in the pathogenic effects of infection, a species of principal concern to the poultry industry
reduction in the extent of macroscopically visible at that time, but other species, such as Eimeria
lesions, or a decrease in the numbers of parasites, necatrix and Eimeria acervulina in the chicken
as shown by the production of oocysts in the feces (Grumbles & Delaplane, 1947; Dickinson, 1949),
(Rose, 1987). Various interpretations of the results and Eimeria meleagrimitis in the turkey (Peterson,
of challenge studies have been made by different 1949), were also investigated.
workers. Thus, Reid et al. (1968) classi® ed chal- Several concepts were introduced, such as the
lenged birds as `susceptible’ if their weight gain importance of selecting a concentration of drug
was signi® cantly different at the 5% level from that would control coccidiosis but at the same time
that of unchallenged birds, and `immune’ if no permit the acquisition of immunity (Allen & Farr,
signi® cant differences were found. By this very 1942), and that protection could be achieved with
stringent criterion, several drugs were considered a schedule of intermittent medication (Seeger &
to `prevent’ or `interfere’ with immunity. In some Tomhave, 1946; Delaplane et al., 1947) or by the
cases, immunity was considered to be `delayed’ or continuous use of a low level of drug (Allen &
`retarded’ by drugs, even though the actual timing Farr, 1943; Swales, 1946; Brackett & Bliznick,
of the acquisition of immunity was not measured 1949). It was shown that, under conditions of
(Reid et al., 1977). In a subsequent study, an natural exposure, chicks given sulphaquinoxaline
arbitrary scale (from 0 to 3) was developed to in the feed did not acquire solid protection until
measure the response of birds to challenge; they were 5 weeks of age (Koutz, 1948).
0 5 complete suppression of immunity, It was also understood that the number of
1 5 moderate suppression, 2 5 slight suppression, oocysts present in the environment might be in-
and 3 5 no suppression (Karlsson & Reid, 1978). suf® cient to stimulate resistance against reinfec-
The scale was used to compare results for various tion. Cuckler et al. (1957) believed that it should
drugs in different experiments. Other workers have be possible to select a concentration of drug for a
used terms such as `partial’ , `incomplete’ , or `com- given level of environmental contamination in or-
plete’ to describe different degrees of immunity der to `bring about a balance in which the coccid-
development (Chapman, 1978). iostat will permit immunity to develop’ . They also
Both the criteria used to evaluate `resistance’ , realized, however, that `the chief dif® culty in es-
and the magnitude and timing of the challenge tablishing an optimum drug level is the extreme
inoculum will differ from one experiment to an- variability in the severity of infection which may
other, and, therefore, the extent to which birds are occur ¼ it may be necessary to make adjustments
protected from the consequences of infection are in medication programs to suit the particular cli-
not directly comparable. The magnitude and fre- matic conditions of various areas of the country as
quency of primary exposure will also vary in well as the time of the year during which such
different studies, and this will affect the immune replacements are raised.’
status of the birds. It is desirable to include appro- Attempts were made to incorporate some of
priate controls; the most important of which are these early concepts into practical advice for the
Effect of drugs on immunity to Eimeria 523

management of coccidiosis. A recommendation for these compounds are given from 1 day old almost
farms where caecal coccidiosis had previously oc- to slaughter, was considered to confer life-long
curred was to institute prompt treatment with a protection against coccidiosis, and, under these
sulphonamide (via the drinking water or feed) at circumstances, evaluation of their effects upon im-
the ® rst signs of disease (Swales, 1947). In the case munity was no longer considered important
of farms where birds had previously been raised in (Waletzky, 1970). Thus, Ryley & Betts (1973)
`rapid succession’ and where caecal coccidiosis stated `¼ since the life of the broiler bird is so
had been a `continuous and serious problem’ , it shortÐ it is neither necessary nor expedient to
was suggested that when chicks were 2 to 4 weeks consider immunity, and the object must be to
old, they should be placed in a separate pen con- achieve total and continued suppression or preven-
taining litter contaminated with oocysts and given tion of coccidiosis’ .
a preventative drug in the feed. After 6 to 10 days In contrast to older synthetic drugs, the
of exposure to infection, they should be transferred quinolones (e.g. buquinolate, decoquinate and
back to clean pens and then reared as broilers or methyl benzoquate), clopidol, halofuginone, and
breeding stock. Goff (1947) was sceptical of the robenidine, can markedly suppress oocyst pro-
practicality of such procedures since he believed duction of drug-sensitive strains and are effective
that `inclusion of a medicant in the ration over a against all species in the fowl (Ryley, 1967; Ryley
prolonged period has proved a safer procedure in & Wilson, 1975). Interference with immunity
coccidiosis control than has intermittent feeding, or might, therefore, be expected. In the case of
the suggested practice of delaying treatment until buquinolate and clopidol, results of experiments
the symptoms have appeared. Any procedure are dif® cult to interpret. Thus, with buquinolate,
should allow for controlled infection so that greater little or no immunity to a mixture of different
resistance to coccidiosis might be established.’ species had developed by 9 weeks (Edgar & Flana-
gan, 1968), but, in another study, birds developed
resistance to E. tenella, E. necatrix and Eimeria
Synthetic drugs
brunetti but not Eimeria maxima, Eimeria mivati
The importance of immunity was such that Joyner and E. acervulina by 8 weeks of age (Reid et al.,
et al. (1963) stated that `It is now customary to 1968). In the case of clopidol, immunity was
include tests for effects upon immunity in the trials prevented in some experiments (Karlsson & Reid,
of new prophylactic coccidiostatic drugs’ . Many of 1978) but not in others (Reid et al., 1968).
the older synthetic drugs did not completely pre- Quinolones (such as methyl benzoquate) and clopi-
vent parasite development and were not fully ef- dol have a coccidiostatic mode of action and arrest
fective against all species of Eimeria. Aklomide, development of the sporozoite following penetra-
amprolium, arprinocid, dinitolmide, glycarby- tion of the host cell. The presence of these inhib-
lamide, nicarbazin, nitrofurazone, nitrophenide, ited parasites does not stimulate a protective
Polystat, robenidine, trithiadol and zoalene were immune response since chickens challenged fol-
reported not to prevent immunity developing to lowing withdrawal of medication are fully suscep-
various species (Waletzky et al., 1949; Horton- tible to infection (Long & Millard, 1968).
Smith & Long, 1952; Gardiner & Farr, 1954; Berg The most recent synthetic drugs to be studied
et al., 1956; Cuckler & Malanga, 1956; Edgar, are diclazuril and the related compound toltrazuril.
1958; McLoughlin & Gardiner, 1962; Karlsson & According to Suls (1998), diclazuril does not in-
Reid, 1978). In the case of amprolium and nicar- hibit the early schizont generations of E. brunetti,
bazin, not all results were in agreement since E. maxima and E. necatrix and therefore does not
several studies suggested that they either delayed interfere with the development of immunity to
or prevented the development of resistance against these species. Surprisingly, diclazuril does not pre-
reinfection (Strout et al., 1958; McDougald & vent immunity developing to E. tenella, even
Reid, 1971). though both schizont and gametocyte stages of the
In many of these experiments, birds were given life cycle are inhibited by the drug (Maes et al.,
large doses of oocysts, and this does not simulate 1991). Toltrazuril was also claimed not to interfere
exposure likely to be encountered under ® eld con- with immunity (Johnson et al., 1986), but birds
ditions. Therefore, studies were conducted with were not challenged until 1, 2 or 3 weeks after
birds reared in ¯ oor-pens that were exposed to medication was withdrawn and, therefore, protec-
infection by contamination from adjacent pens tion could have resulted from subsequent exposure
(Reid, 1960). Immunity to E. acervulina developed to oocysts.
in birds given Bifuran and furazolidone, but with
nicarbazin, birds were partially susceptible to this
Intermittent medication
species. All three compounds interfered with im-
munity to E. tenella (Reid, 1960). The intermittent provision of sulphaquinoxaline to
In the late 1960s and early 1970s, a series of commercial broilers in various feeding schedules
highly effective, broad-spectrum synthetic drugs provided good protection against cecal coccidiosis
were introduced. Preventative medication, in which and did not prevent the development of immunity
524 H. D. Chapman

(Delaplane et al., 1947; Grumbles et al., 1948). to anticoccidials for at least 25 years. Lasalocid did
The concept of intermittent treatment was devel- not prevent immunity to this species when birds
oped into the so called `3±2±3 or 3±2±3±2±3’ were given repeated low doses of oocysts (Weber,
system, in which sulphadimidine was given in the 1989), and immunity was not prevented when birds
drinking water for 3 days, separated by periods of were exposed to a natural infection (Chapman,
2 days without medication (Davies & Kendall, 1997b).
1954; Davies, 1958). It has been suggested that The relationship between drug concentration and
intermittent medication may be an alternative to immunity was illustrated in an experiment in
prophylaxis for toltrazuril (Haberkorn, 1984). Evi- which birds reared in ¯ oor-pens were given 40, 60,
dence to support this was obtained in experiments 80, 100 and 120 parts/106 of narasin for 8 weeks
in which toltrazuril was found not to prevent the and challenged with a mixture of species 1 week
development of immunity to E. tenella when in- after withdrawal of medication (Ruff et al., 1980).
cluded in the drinking water for periods of 3 days Pathogenic effects were more evident with higher
at weekly intervals (Chapman, 1987). In recent concentrations, indicating progressive interference
studies, chickens given intermittent toltrazuril with immunity. Birds were initially exposed to
treatment contained high antibody titers to sporo- oocysts that were probably fully sensitive to this
zoite antigens, and this was said to indicate that drug since they were derived from a coccidiosis
birds had developed a humoral immune response vaccine that contains strains isolated in the 1950s.
(Greif & Haberkorn, 1997). It was concluded that Since many ® eld isolates now show reduced sensi-
therapeutic medication with this drug does not tivity to ionophores, it would be worthwhile to see
interfere with development of immunity. if similar results would be obtained with recent
strains of Eimeria.
Ionophores
Following the introduction of monensin, many Immunity Development in Broilers
studies were conducted to investigate whether this
compound would interfere with immunity but, as Signi® cance of immunity
in the case of some synthetic drugs, results are In recent years, there has been a change in the
dif® cult to interpret because immunity was sup- perception on the part of some broiler producers of
pressed in some experiments (for example, Reid et the signi® cance of immunity. In the US, many still
al., 1977; Long et al., 1979) but not prevented in believe that the most ef® cacious compounds
others (for example, Reid et al., 1972; Callender & should be employed and that immunity is of sec-
Shumard, 1973). Immunity was found to be ondary importance, but a dif® culty is that few
strongly suppressed in birds given 121 parts/106 highly effective compounds are currently available.
monensin (Karlsson & Reid, 1978), but only mod- Drug programs involving one or several com-
erately suppressed by 100 parts/106 of the drug. pounds have been devised with the objective of
Chapman (1978) investigated the effect of minimizing the level of ¯ ock infection and maxi-
monensin on the protection arising from repeated mizing ¯ ock performance, but it is often dif® cult to
low level infections of three species. Birds were know which drug or drugs to use in particular
given either 10, 100, or 1000 oocysts three times a situations. Other producers have adopted an
week for a period of 28 days (Table 1). Resistance alternative philosophy that places reliance upon
to a challenge inoculum developed in medicated immunity. An example of this strategy is to include
birds given repeated doses of 100 oocysts of E. an ionophore in the starter feed at less than the
maxima, and partial resistance developed in birds
given 10 oocysts. With E. brunetti, resistance to
challenge developed in birds given 1000 oocysts Table 1. Immunity development in chickens medicated with
and partial resistance in birds given 100 oocysts. E. monensin (125 parts/106) and given 13 doses of three species of
tenella was the least immunogenic of the species Eimeria
studied since resistance to a challenge inoculum
was only partial in birds given 1000 oocysts. The Number
results showed that a protective immune response of oocysts Immunity developmenta
can result if medicated birds are repeatedly ex- oocysts given
posed to small numbers of oocysts, and that there Drug ( 3 13) E. maxima E. brunetti E. tenella
is a direct relationship between the level of infec-
Monensin 10 Partial No No
tion and the degree of protection.
Monensin 100 Yes Partial Partial
Surprisingly, there have been few studies with Monensin 1000 Yes Yes Partial
ionophores other than monensin. According to None 10 Yes Yes Partial
Karlsson & Reid (1978), immunity to E. tenella
was strongly suppressed by salinomycin and lasa- a
Based upon weight gain after challenge in comparison with that
locid. The isolate used was a strain considered to of challenged and nonchallenged susceptible controls (Chap-
be drug-sensitive because it had not been exposed man, 1978).
Effect of drugs on immunity to Eimeria 525

maximum approved level (in order to permit some Current drug programs in broiler production
parasite development and, hence, stimulation of an
immune response) and then to use a higher concen- Commercial broilers are usually provided with sev-
tration during the grower phase (to prevent clinical eral rations, and this typically involves a starter
coccidiosis). Interestingly, this is the opposite pro- feed (given for the ® rst 2 to 3 weeks of life),
cedure to that used with traditional `step-down’ followed by a grower ration (given until 5 or 6
programs employed in replacement breeder stock, weeks), and a ® nisher or withdrawal feed that may,
in which the concentration is progressively de- or may not, contain an anticoccidial drug. The
creased as birds get older to permit the gradual same compound may be included in all feeds
acquisition of immunity. (referred to as a single-drug program) or different
The signi® cance of immunity should be reap- compounds may be used (so-called `shuttle’ pro-
praised because many of the compounds currently grams). Shuttle programs may involve a synthetic
used are no longer as effective as when they were drug and an ionophore, two different ionophores
® rst introduced. This is because of the develop- or, occasionally, two different synthetic drugs. In
ment of drug resistance (Chapman, 1997a). For the US, approximately one-half of broiler produc-
example, ionophorous antibiotics are the mainstay ers utilize a single drug, the remainder using vari-
of broiler production, but there have been many ous types of shuttle program.
reports of a decrease in the sensitivity of ® eld Salinomycin is the most frequently used drug for
isolates to these compounds. It is interesting, there- the control of coccidiosis in broilers, and in the
fore, that Jeffers (1989) stated that `It is likely that US, a wide variety of programs in which this drug
the development of host immunity is a major factor is used alone or in shuttle programs have been
accounting for the effectiveness of polyether employed. For example, data submitted by 162
ionophores despite the existence of resistant strains broiler complexes for the month of March 1999
of coccidia in the ® eld’ . indicate that 67 complexes used salinomycin alone
A further consideration is the role that immunity and a further 31 used salinomycin in a shuttle
may play in the selection of drug-resistant strains. program with other drugs (Anon, 1999) (Table 2).
The development of resistance will be slower when Twenty-two complexes used the same concen-
birds are given compounds that do not completely tration of salinomycin (60, 55, 50 or 30 g/t) in both
suppress parasite multiplication since they will starter and grower feeds. Forty-four complexes
allow the survival of `sensitive’ as well as any used a lower concentration in the starter feed than
`resistant’ forms. If birds develop immunity, both in the grower (step-up programs), but only one
the resistant and sensitive parasites will be elimi- complex used a higher concentration in the starter
nated, and this will further reduce any `selective feed. Grower feeds were followed by a ® nisher and
advantage’ of the resistant population. then a withdrawal feed (also referred to as a ® rst
A measure of the change in perception of the and ® nal withdrawal feed, respectively). The data
signi® cance of immunity can be gained from the indicate that 34 of the complexes utilized an antic-
commercial advice given to poultry producers re- occidial (ionophore) during the ® rst `withdrawal’
garding ionophore usage. In the past, ionophores feed, but none did so for the ® nal withdrawal feed
were not recommended in situations where immu- (data not presented).
nity is desirable (e.g. during the rearing of replace- Ef® cacy and cost are major considerations in
ment layers and broiler breeders). Today, determining the type of program, concentration,
noninterference with immunity is frequently and time period for which different drugs are
claimed as a potential bene® t that may result from given, but effects upon immunity development are
use of these compounds (Bafundo, 1994; Watkins, increasingly being taken into account. A possible
1997). advantage of programs that permit immunity is that
According to Philps (1997), strategies for immu- medication can be withdrawn at an early age. This
nity development are well accepted by the broiler may result in considerable cost savings but a disad-
industry, but production losses and outbreaks of vantage is the ever-present risk of clinical coccid-
clinical coccidiosis still occur at too frequent a iosis and poor ¯ ock performance.
level. Drug programs designed to permit immunity Unfortunately, there have been few experimental
in broilers are less likely to be successful in situa- studies to help the broiler producer determine the
tions where challenge is high, and other factors most appropriate programs for the development of
such as inadequate nutrition, ancillary diseases, immunity. In our experience, none of the
and poor management are present. Under such ionophores can prevent parasite development even
circumstances, it is desirable to reduce the level of if used at their maximum concentrations. The value
challenge, and this can be achieved by increasing of using variable concentrations at different times
the drug concentration and using a compound of the broiler cycle, may, therefore, from the point
known to be capable of suppressing parasite devel- of view of immunity, be academic. It is widely
opment. Philps believes that alternation of immu- believed that use of synthetic drugs is incompatible
nity and preventative-based approaches to with immunity. This may be the case with `new’
coccidiosis control may be advantageous. compounds that completely suppress parasite de-
526 H. D. Chapman

Table 2. Use of salinomycin by commercial broiler complexes in the USAa

Program Program

Concentration (g/t) Concentration (g/t)


Number of Number of
complexes Starter Grower complexes Starter Grower

9 60 60 39 40 50±52
9 55 55 2 40 60
3 50 50 2 50 55
1 30 30 1 50 60
1 60 54 ± ± ±

a
Data for March 1999 (Anon, 1999).

velopment, but most drugs in this category do medication. At weekly intervals, birds were chal-
allow some parasite multiplication and thus may lenged with a mixture of three species and their
not interfere with the acquisition of immunity. weight gain compared with that of unchallenged
controls. Unmedicated birds reared on old litter
were susceptible to challenge at 4 weeks, but by 5
Drug programs and immunity: recent ¯ oor-pen weeks, resistance had developed to the challenge
studies inoculum (Figure 2). In medicated birds, partial
There have been few recent studies of the effects immunity had developed by 5 or 6 weeks, and,
of different types of drug programs upon immunity with the exception of birds given an ionophore
in broilers. In one experiment, birds reared in followed by a synthetic drug, by 7 weeks they had
¯ oor-pens were given different synthetic drugs developed solid immunity. Partial resistance devel-
(nicarbazin, halofuginone, or robenidine) in the oped in birds reared on new litter by 6 weeks of
starter feed from 0 to 3 weeks of age, followed by age, and, with the exception of birds given an
an ionophore (lasalocid) in the grower ration from ionophore followed by a synthetic drug, solid pro-
3 to 6 weeks (Chapman & Hacker, 1993). Three tection did not develop until 7 weeks (data not
species were introduced (via the feed) at 2 weeks presented). Providing an infection is present, drug
of age, and birds were challenged with E. programs can, therefore, allow the development of
acervulina, E. maxima, or E. tenella at 6 weeks. immunity, but this process takes time. If medi-
None of the programs prevented the development cation is withdrawn prematurely, then birds may be
of immunity (Figure 1). at risk of clinical coccidiosis.
A second study was conducted in which broilers
were reared on old litter that had been top-dressed
Immunity under ® eld conditions
with litter containing oocysts from a previous ¯ ock
in order to simulate `natural’ exposure to infection There have been few surveys to determine the
(Chapman, 1996). Birds were given halofuginone immune status of broilers raised under ® eld condi-
in the starter feed followed by salinomycin in the tions using different drug programs. Kemler &
grower, salinomycin in the starter followed by Reid (1961) found that nine of 16 broiler ¯ ocks
halofuginone in the grower, or either drug given in given nitrophenide, seven of 15 ¯ ocks given
both feeds. None of the drug programs prevented Unistat, and ® ve of 9 ¯ ocks given Bifuran had
parasite multiplication. Signi® cantly reduced developed resistance to E. necatrix by 8 to 10
weight gains were seen in medicated birds chal- weeks of age, but ¯ ocks given nicarbazin (nine
lenged with E. acervulina and E. tenella at 5 weeks examined) had not developed resistance to this
of age, suggesting that 5 weeks is insuf® cient time species of Eimeria. McDougald & Reid (1971)
for immunity to these two species to develop (data found that 28 of 30 broiler ¯ ocks given amprolium
not presented). Immunity had developed to E. plus ethopabate were susceptible at 7 weeks to
maxima by 5 weeks, with the exception of birds challenge with a mixture of six species. Based
given salinomycin followed by halofuginone. By 7 upon lesion scores in different regions of the gut,
weeks, birds had developed immunity to all three most ¯ ocks were considered susceptible to E.
species suggesting that none of the drug programs tenella, E. necatrix, and E. maxima but resistant to
had prevented the acquisition of immunity. E. acervulina and E. mivati.
A third study was conducted in which broilers More recently, two broiler farms in northwest
were reared on new litter, or old litter as already Arkansas were investigated, where one of the most
described (Chapman, 1999). Treatments comprised widely used shuttle programs (nicarbazin followed
a synthetic drug or ionophore in the starter and by salinomycin) had been employed (Chapman,
grower feeds, either drug type given alone, or no 1992). Birds from both farms were resistant to a
Effect of drugs on immunity to Eimeria 527

Figure 1. Birds reared in ¯ oor-pens had been given different synthetic drugs (nicarbazin, halofuginone, or robenidine) in the starter
feed from 0 to 3 weeks of age, followed by lasalocid in the grower ration from 3 to 6 weeks (N/L, H/L, R/L). Three species of Eimeria
were introduced via the feed at 2 weeks. Three days after removal of medicated feed, they were weighed and challenged with high
doses of either E. acervulina, E. maxima, or E. tenella. Seven days later, they were weighed again and the weight gain calculated.
Weight gain was expressed as a percentage of that of unchallenged controls. Results were compared with those of susceptible (SUS)
birds that had been reared in the absence of infection (Chapman & Hacker, 1993). Means for each species with no common superscript
differ signi® cantly (P , 0.05).

challenge with E. acervulina and E. maxima by 6 developed more rapidly to E. maxima than the
weeks of age (Figure 3). Birds from one farm were other species.
resistant to E. tenella, but birds from the other farm
were susceptible to this species. Failure to develop
Withdrawal of medication
protection is of some concern since E. tenella is
highly pathogenic and widespread in broiler ¯ ocks. An indication of lack of immunity could be an
The timing of the development of immunity in increase in the number of oocysts in the litter
broilers reared under commercial conditions and following withdrawal of medication. Litter from
given nicarbazin followed by salinomycin and birds that had been given nicarbazin or halofugi-
monensin was investigated (Chapman & Saleh, none followed by salinomycin and reared in ¯ oor-
1999a). Birds were challenged with three species pens was examined, and no increase in oocyst
and oocyst production compared with that of sus- numbers was evident 7 and 14 days after with-
ceptible controls (Figure 4). At 3 weeks, oocyst drawal of salinomycin (Chapman et al., 1993).
numbers were similar to that of the controls. A Forty-six commercial broiler farms were investi-
progressive decrease in oocyst production oc- gated where halofuginone had been used in the
curred, and, by 7 weeks, oocyst production was starter feed and lasalocid or salinomycin in the
substantially reduced (E. acervulina, E. tenella) or grower ration (Chapman & Johnson, 1992). A
prevented (E. maxima). The results indicate that signi® cant decrease in the number of small oocysts
protection against challenge is acquired gradually (possibly E. acervulina or Eimeria mitis) and a
and is not complete until 7 weeks of age. Immunity small but signi® cant increase in large oocysts (E.
528 H. D. Chapman

Figure 2. Birds reared in ¯ oor-pens on old litter containing oocysts from a previous ¯ ock were given a synthetic drug (S) or ionophore
(I) in the starter and grower feeds, a synthetic drug in the starter followed by ionophore in the grower (S/I), and vice versa (I/S) or
no medication (N). Medicated feed was removed at 4, 5, 6 and 7 weeks of age. Three days after removal of medicated feed, they were
weighed and challenged with a mixture of three species of Eimeria. Seven days later, they were weighed again and the weight gain
calculated. Weight gain was expressed as a percentage of that of unchallenged controls (Chapman, 1999). Means for each time period
with no common superscript differ signi® cantly (P , 0.05).

maxima) occurred after medication was withdrawn, Vaccination in conjunction with chemotherapy
but numbers of medium-sized oocysts (probably E.
tenella) remained the same. Ceca were removed Acquisition of immunity in medicated birds re-
from a few birds from these farms after slaughter, quires that the drug in question permits some
but no lesions attributable to E. tenella could be parasite development in the host and that oocysts
found. Failure to demonstrate lesions, or an in- be present in the environment in suf® cient numbers
crease in oocyst production following drug with- to stimulate an immune response. The latter
drawal, does not necessarily indicate that the birds dif® culty could be overcome by combining inten-
have developed protective immunity since a chal- tional infection with medication. Seeger (1947)
lenge infection may not have been present. No proposed that chicks should be infected (by includ-
evidence was found, however, that coccidiosis was ing oocysts of E. tenella in the feed at 15 days of
a problem following withdrawal of medication. age) and then 2 days later given a sulphonamide
There have been few other studies to investigate (sulfaguanidine) in the feed. The sulphonamide
the effects of drug withdrawal upon Eimeria infec- was thought to inhibit development of the second
tions in poultry. Long et al. (1975) considered that and later generations of schizont (responsible for
broilers remained susceptible to infection after the pathogenic effects of this species of Eimeria)
withdrawal of monensin and found that when this but not interfere with the acquisition of immunity.
drug was replaced by zoalene, a slight but Dickinson et al. (1959) described a `program of
signi® cant increase in oocyst production occurred. immunization’ , in which 5 to 10-day-old chicks
Effect of drugs on immunity to Eimeria 529

Figure 3. Birds reared at two commercial broiler farms (A, B) had been given a shuttle program comprising nicarbazin followed by
salinomycin. They were transferred to the laboratory when 6 weeks old, given an unmedicated feed and, 3 days later, weighed and
challenged with high doses of either E. acervulina, E. maxima, or E. tenella. Seven days later, they were weighed again and the weight
gain calculated. Weight gain was expressed as a percentage of that of unchallenged controls. Results were compared with those of
susceptible (SUS) birds that had been reared in the absence of infection (Chapman, 1992). Means for each species with no common
superscript differ signi® cantly (P , 0.05).

were infected with ® ve species of Eimeria and, 24 nized with the drug-resistant strain. The results
to 36 h later, sulphaquinoxaline was included in were said to indicate that a combination of vacci-
the feed for 6 days, after which birds were returned nation and anticoccidial treatment could be effec-
to a nonmedicated ration. Vaccination combined tive in extending the life of anticoccidial
with chemotherapy has not been pursued as a compounds.
practical method for the control of coccidiosis. It Anticoccidial drugs have also been used to ame-
has been proposed that 1-day-old chicks should be liorate the possible pathogenic effects of nonatten-
infected with sensitive strains of E. acervulina, E. uated vaccines (e.g. Coccivac Ò ). Thus, inclusion of
maxima and E. tenella in the hatchery (to induce amprolium in the drinking water is recommended
immunity) and then be given an ionophore (10 days after vaccination) if excessive build-up of
(monensin) in the feed (Bafundo, 1989). Failure of infection due to recycling of parasites is antici-
monensin to prevent parasite development was pated. Toltrazuril is an alternative drug for use if a
explained by suggesting that sporozoites released severe post-vaccination reaction occurs (Victoria et
from oocysts in the immunizing dose rapidly pen- al., 1996).
etrate intestinal cells before the ionophore is con-
sumed and that they are, therefore, `protected’
from the `cidal’ effect of the drug that is present in
Immunity Development in Egg-laying Birds
the intestinal lumen. Danforth (1998) also studied
the effects of vaccination with chemotherapy but, Immunity is an important consideration during the
in this case, birds were infected with a drug-resist- rearing of egg layers and broiler breeders, particu-
ant strain of E. maxima. He showed, perhaps not larly if birds are in contact with their feces during
surprisingly, that the development of immunity the laying period. Since anticoccidials are not used
was not prevented if medicated birds were immu- once birds come into lay, it is desirable that they
530 H. D. Chapman

Figure 4. Birds reared at a commercial broiler farm had been given nicarbazin followed by salinomycin and monensin. They were
transferred to the laboratory when 3, 4, 5, 6, and 7 weeks of age, given an unmedicated feed and, 3 days later, challenged with a
low dose of either E. acervulina, E. maxima, or E. tenella. Oocyst numbers produced after challenge were expressed as a percentage
of that of susceptible controls that had been reared in the absence of infection (Chapman & Saleh, 1999a). Means for each species
with no common superscript differ signi® cantly (P , 0.05).

have developed a high degree of immunity so that (`step-down’ programs), using a drug intermit-
coccidiosis does not occur following drug with- tently, or using no drug at all but relying upon
drawal (Long & Jeffers, 1986). therapeutic treatment of birds if signs of clinical
An anticoccidial may be unnecessary if birds are coccidiosis occur (Reid et al., 1968). Older syn-
reared on wire ¯ oors since exposure to oocysts is thetic drugs such as amprolium, sulphaquinoxaline,
likely to be minimal. High standards of hygiene and zoalene have been employed, but ionophores
and sanitation are necessary, however, because if such as monensin and salinomycin have also been
contact with droppings does occur, infection is a used. In recent years, it has been realized that
possibility. Birds reared on litter, or litter-and-slats, many compounds once considered `too’ effective
and then transferred to cages, may be given a drug for use during the rearing of egg-laying birds do
in the feed at a concentration normally used for not completely prevent parasite multiplication and,
prevention of coccidiosis in broilers. Immunity therefore, can be used at concentrations previously
development is still desirable, however, because considered likely to interfere with immunity.
coccidiosis may occur after transfer to cages. In the US, amprolium and zoalene are the only
Immunity is very important if birds are reared anticoccidial agents where the development of ac-
on litter and then moved to laying houses with tive immunity is a speci® c indication for use (in
all-litter or litter-and-slat ¯ oors. Various methods replacement stock), and various step-down pro-
have been employed to permit the natural develop- grams utilizing different concentrations of drug are
ment of immunity. These include: using a drug that approved for this purpose, depending upon the
is no longer very effective, using an effective drug anticipated severity and timing of exposure to
but at a suboptimal concentration, using a drug in infection (Anon, 1997). Monensin and salinomycin
which the concentration is progressively decreased have also been used in a step-down fashion to aid
Effect of drugs on immunity to Eimeria 531

the development of immunity (Pattison, 1993). and poults given halofuginone also developed re-
Thus, monensin was given to broiler breeders at 60 sistance against reinfection (Waibel et al., 1987;
parts/10 6 from 0 to 8 weeks and at 40 parts/106 Mathis, 1993), although at the maximum approved
from 8 to 16 weeks (Pattison, 1993). There is little concentration (3 parts/106), some interference with
information on the use of drugs other than ampro- immunity was found (Mathis, 1993).
lium for immunity development in replacement An indication of a lack of protection could be
stock. Long et al. (1982) found that layers reared the presence of oocysts in the feces after with-
under commercial conditions and given decreasing drawal of medication. Oocyst numbers in the litter
concentrations of a drug mixture comprising am- increased following the withdrawal of halofugi-
prolium, sulphaquinoxaline, and ethopabate were none (Long & Millard, 1979) but not amprolium
resistant to reinfection with E. acervulina, E. (Mathis et al., 1990). A transient increase in the
brunetti, and E. maxima but not E. mivati, E. number of oocysts in the droppings of turkeys was
necatrix, or E. tenella by 7 weeks of age. Di- observed following removal of monensin and
clazuril was found not to interfere with the devel- halofuginone from the feed, but the numbers were
opment of immunity to E. acervulina when few and no clinical coccidiosis was observed
provided to layer pullets at a concentration of 1 (Chapman et al., 1998; Chapman & Saleh, 1999b).
parts/10 6 in the feed until 16 weeks of age (Maes If coccidiosis does occur following drug with-
& Hermans, 1992). drawal, then consideration should be given to ex-
tending the period of medication.
Restricted feeding
Immunity Development in Gamebirds
Feed restriction is often practiced during the rear-
ing of breeder pullets, and this can result in re- Many synthetic drugs and ionophores have been
duced drug intake. Use of a high concentration of shown to be effective in gamebirds but, in the US,
drug may, therefore, be desirable in order to only amprolium (for pheasants), lasalocid (for par-
achieve satisfactory control of coccidiosis (Patti- tridges), and monensin and salinomycin (quail) are
son, 1993). Amprolium, clopidol, and monensin approved for use. An anticoccidial is often in-
were found to interfere with immunity if breeder cluded in the feed of birds reared in captivity (e.g.
pullets were fed ad libitum but not if their feed pheasants), and medicated feed may still be avail-
intake was restricted (Ruff & Chute, 1980). Appar- able following release from their pens. Birds will
ently, amprolium, if given in the drinking water on subsequently ingest increasing amounts of natural
days when feed is restricted, can provide protection food and may be at risk of coccidiosis. Acquisition
against coccidiosis, yet still allow the development of immunity is, therefore, desirable but, unfortu-
of immunity (Ruff et al., 1991). Broiler breeders nately, few studies have been conducted to investi-
subjected to a restricted feeding program were gate the relationship between drugs and immunity
given monensin at a concentration of 45 parts/106 (Norton, 1989). Lerbek and robenidine were con-
and exposed to a natural infection via the litter sidered unsuitable for use because they gave no
(Long et al., 1979). Challenge with several species opportunity for immunity development (Norton,
at 14 weeks indicated that the drug had not pre- 1986). Whether birds actually acquire immunity is
vented the development of resistance to reinfec- equivocal since, according to Ruff (1986), game
tion. birds do not readily develop solid resistance to
reinfection even when they have received repeated
inoculations of parasites.
Immunity Development in Turkeys
For economic reasons, it is not practical to provide
Conclusions
an anticoccidial throughout the life of a turkey
(medication is usually given until poults are 8 to 12 An effective anticoccidial may suppress develop-
weeks of age) and, therefore, immunity is an im- ment of the Eimeria parasite suf® ciently to prevent
portant consideration. It has been suggested that the acquisition of immunity, and, under such cir-
older birds develop an intrinsic resistance to Eime- cumstances, it is advisable to include a drug in the
ria, but in no case has proof of the absence of feed for as long as possible to avoid the risk of
infection, necessary to demonstrate true age resist- coccidiosis late in the life of the bird. Most new
ance, been provided. Turkeys were found to be drugs, particularly if they have a novel mode of
susceptible to infection if challenged at 10 weeks action, may fall into this category and, when ® rst
(McDougald & McQuistion, 1978; Long & Mil- introduced, should not be withdrawn prematurely.
lard, 1979). There have been few studies of the It may be questioned whether there is a role for
effects of anticoccidial drugs on immunity devel- new drugs in husbandry situations where immunity
opment in the turkey. Ionophores (monensin, lasa- development is desired. Possibly, such compounds
locid and maduramicin) did not prevent the could be used at less than their optimal concentra-
development of resistance (Reid et al., 1978; Wang tions, but this is not recommended because the
& Ingle, 1992; Mathis, 1993; Mathis et al., 1997), deliberate use of suboptimal levels may increase
532 H. D. Chapman

the probability of selecting drug-resistant strains vised for situations where immunity is desired. For
(Chapman, 1982). many currently available drugs, even maximum
In production systems where few parasites are use levels are unable to prevent parasite develop-
present, then immunity may not develop regardless ment and, therefore, use of lower drug concentra-
of whether an anticoccidial is employed. This may tions may be unnecessary.
occur at farms where clean-out procedures have At one time, ionophorous antibiotics were con-
been very effective, where a long break period has sidered to be too effective for use in situations
been employed between ¯ ocks, or where manage- where immunity is desirable (such as during the
ment procedures have resulted in litter conditions rearing phase of egg-laying stock). Today, nonin-
unsuitable for parasite survival. The number of terference with immunity development may con-
parasites present at individual farms can be esti- tribute to the apparent ef® cacy of these drugs. The
mated (by counting oocysts in the litter), but it is belief that synthetic drugs interfere with immunity
not possible to use such information to predict the development may also be incorrect. In studies with
likelihood of immunity developing in the ® eld. various synthetic drugs (nicarbazin, halofuginone
Hampering our efforts to develop improved meth- and robenidine), immunity was not prevented
ods for the control of coccidiosis is inadequate when these drugs were included in the starter feed
knowledge of factors that affect the dynamics of followed by an ionophore in the grower. In one
Eimeria infections in poultry ¯ ocks. It has been experiment, however, immunity was not complete
suggested that mathematical models may help im- when a synthetic drug was included in the grower
prove our understanding of the effects of drugs ration.
upon the immunity process (Henken et al., 1994). Further studies are necessary to establish the
As with all simulation models, their ability to conditions under which birds develop resistance to
predict real-life scenarios will depend upon the challenge when given various drug programs and
accuracy of assumptions regarding biological fac- the role that immunity plays in the apparent
tors that in¯ uence the life cycle. The extent to ef® cacy of anticoccidial drugs.
which immunity is acquired to any species will
depend upon the frequency and magnitude of ex-
posure to infective oocysts, and this will be affec-
ted by many factors, such as type of production
system and environmental conditions within the
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Effect of drugs on immunity to Eimeria 535

REÂ
SUMEÂ Medikamenten auf die ImmunitaÈtsbildung in diesen Nutztierkate-
gorien ist wenig geforscht worden. In den letzten Jahren hat es einen
Les anticoccidiens et leurs effets sur le deÂveloppement de Wandel in der EinschaÈtzung der Bedeutung der ImmunitaÈt bei Broil-
l’immuniteÂvis-aÁ-vis des infections aÁ Eimeria chez les volailles
ern gegeben , und einige Broilerproduzenten haben dies beim Planen
L’ ideÂe selon laquelle les anticoccidiens , aÁ des degre s diffeÂrents, der Arzneimittelprogramm e fuÈr ihre BestaÈ nde beruÈcksichtigt . Studien
interfeÁrent sur le de veloppemen t de l’ immuniteÂdes espeÁces d’ Eimeria, in Stallabteilen mit Bodenhaltun g und im Feld zeigen, dass Broiler
ne peut plus eà tre conside reÂ
e comme juste parce que quelques produits, unter verschiedene n Arzneimittelprogramme n eine ImmunitaÈt en-
si tant est qu’ il y en ait, sont capables d’ agir aÁ un certain degreÂsur la twickeln koÈ nnen, wenn sie natuÈrlichen Infektionen ausgesetz t werden,
multiplication du parasite. L’ acquisition d’ une immuniteÂest par con- aber dieser Prozess braucht seine Zeit, und eine solide ImmunitaÈt
se quent une re elle possibiliteÂ, pourvu que suf® samment de parasites entwickel t sich nicht bevor die Tiere 6 bis 7 Wochen alt sind. Das
soient pre sents dans l’ environnement . L’ immuniteÂdoit eà tre prise en laÈsst darauf schlieû en, dass die Medikamente nicht vorzeitig aus dem
conside ration de facËon importante durant la pe riode d’ eÂlevage des Futter weggelassen werden sollten, da die Tiere vielleicht noch keine
futures pondeuses, des reproducteur s de type chair des dindes et du Zeit hatten, eine adaÈquate ImmunitaÈt zu entwickeln.
gibier, mais peu de recherches ont e teÂentreprises sur l’ effet des
produits vis-aÁ-vis du de veloppement de l’ immuniteÂchez ces volailles.
Ces dernieÁres anne es, il y a eu un changemen t dans la perception de
RESUMEN
la signi® cation de l’ immuniteÂchez les poulets de chair et quelques
producteur s ont pris ceci en conside ration en e tablissant les pro- Coccidiostaticos y sus effectos en el desarrollo de la inmunidad
grammes anticoccidiens. Les e tudes conduites sur le terrain, dans des frente a Eimeria en avicultura
parquets au sol, montrent que les poulets qui ont recËu diffe rents
programmes anticoccidiens peuvent de velopper une immuniteÂquand La creencia de que los coccidiost a ticos inter® eren, con una mayor o
ils sont soumis aÁ des infections naturelles mais que ce me canisme menor intensidad, en el desarrollo de la inmunidad frente a los
prend du temps et qu’ une bonne immuniteÂne se de veloppe pas avant paraÂsitos del geÂnero Eimeria tendraÂque ser modi® cada, dado que
l’ aÃ
ge de 6 aÁ 7 semaines. Ceci suggeÁre que les produits ne doivent pas pocos compuesto s son capaces de preveni r totalmente la multiplica-
eÃtre retireÂ
s preÂmature ment, pas avant que les oiseaux aient pu de vel- cioÂn de los paraÂ
sitos. La adquisici oÂ
n de inmunidad es por lo tanto una
opper une immuniteÂade quate. posibilidad real con tal de que exista un nu mero su® ciente de paraÂsitos
en el medio. La inmunidad es un factor importante en la crõ Â a de
ponedoras, reproductores de broilers, pavos y aves de caza, aunque se
ZUSAMMENFASSUNG han realizado pocos estudios sobre los efectos de diferentes com-
Antikokzidia und ihre Effekte auf die ImmunitaÈtsbildung gegen puestos farmacolo gicos en estos tipos de animales. En los u ltimos
anÄos se ha producido un cambio en la valoracio n de la importancia de
Eimeria-Infektionen beim Ge¯ uÈgel
la inmunidad en broilers y algunos productores la han tenido en cuenta
Die lange vertretene Ansicht, dass Medikamente gegen Kokzidien in a la hora de disenÄ ar los programas de medicacio n en animales de
einem mehr oder weniger starken Grad mit der ImmunitaÈtsbildung campo. Los estudios en explotaciones de animales criados en el suelo
gegen Eimeria-Arten interferieren, ist moÈglicherweise nicht mehr y en el campo, indican que broilers sometidos a varios programas de
korrekt, weil wenige oder uÈberhaupt keine Medikamente in der Lage medicacio n son capaces de desarrollar inmunidad cuando se enfrentan
sind, die Parasitenvermehrun g restlos zu verhindern . Das Erwerben a infecciones naturales aunque este proceso lleva un tiempoÐ la
von ImmunitaÈt ist deshal b eine reale MoÈglichkeit, sofern genug inmunidad adecuada no se establece hasta que los animales tienen de
Parasiten in der Umgebung vorhande n sind. Die ImmunitaÈt ist bei der 6 a 7 semanas de vida. Este hecho sugiere que la medicaci o n no debe
Aufzucht von neuen Legehennen , Mast-Elterntieren, Puten und Feder- ser retirada del pienso prematuramente, dado que los animales pueden
wild ein wichtiger Gesichtspunkt , aber uÈber die Auswirkungen von no haber tenido tiempo de desarrollar una inmunidad adecuada .

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