• Parasites, Hosts and Diseases
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• v.34 no.4
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• pp.225-232
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• 1996

A survey of canine heartworm (nirofilaria inmitis) infections among German shepherds in five areas of South Korea was performed from October 1994 to August 1995 using a microfilarial test (modified Knott's test) and an antigen test (DiroCHEKⓑ Synbiotics, USA). The infection rate of 127 German shepherds (71 males and 56 females) was 10.2% (13/127) by the microfilarial test, but was 28.3% (36/127) by the antigen test, revealing that 24 of the 36 antigen-positive dogs were microfilaria-negative in the peripheral blood . All dogs that were microfilaria-positive were also antigen-positive. Three of the microfilaria-negative and antigen-positive dogs contained 4-15 adult heartworms in the heart and pulmonary arteries upon necropsy. The infection rate among German shepherds was the highest in Hoengsong-gun (Kangwon-do, 84.4%) , while those of Yechon-gun (Kyongsangbuk-do) and Chungwon-gun (Chungchongbuk-do) areas were 20.0% and 14.3%, respectively. None of the dogs in the Kimhae-shi (Kyongsangnam-do) and Kwangiu areas was heartworm positive. The infection rates of heartworm in dogs at the age of 1-3, 4-6. and 7-11 years were 6.3%, 21.4%, and 56.4%, respectively. Based on the fact that the antigen test is more accurate than the microfilarial test, this study strongly indicates that the prevalence rate of canine heartworm in Korea may be higher than previously reported (3.1-23.0%) which utilized microfilarial tests.

• Korean Journal of Veterinary Service
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• v.36 no.4
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• pp.327-332
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• 2013

A survey of canine heartworm (Dirofilaria immitis) infection among 102 Jindo dogs was performed from September to October 1995, using a microfilarial test (modified Knott's test) and an antigen test (DiroCHEK, Synbiotics, USA). The infection rate of 102 Jindo dogs was 1.9% (2/102) by the modified Knott's test, but was 4.9% (5/102) by the antigen test. This result revealed that the antigen test is more accurate than the microfilarial test. Also, 222 Jindo dogs (Male 61, Female 161) were examined for Dirofilaria immitis infection from 1995 to 1997 using an antigen test (DiroCHEK, Synbiotics, USA). Twelve (5.4%) Jindo dogs were positive for Dirofilaria immitis antigen. The infection rates were higher than in male (6.6%, 4/61) than female dogs (5.0%, 8/161). The infection rates of heartworm in Jindo dogs at the age of under 1 year, 1~2 years and over 2 years old were 0.0% (0/39), 4.3% (5/115) and 10.3% (7/68), respectively. The older age had higher infection rates than the younger age (P=0.018). The infection rates of canine heartworm was reported to be the highest (17.6%, P=0.028) in Jodo-myeon, 10.6% in Uisin-myeon and 5.3% in limhoe-myun. But dogs with antigenemia weren't detected in Gogun-myeon. and Jisan-myeon. This study indicates that the prevalence of canine heartworm in Jindo-gun is lower than previously reported (3.1% and 12.3%) which utilized microfilarial tests.

• Korean Journal of Veterinary Service
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• v.26 no.2
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• pp.129-134
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• 2003

A survey of canine heartworm(Dirofilaria immitis) infections among dogs in Daefu area was performed from February 2000 to October 2002 using a microfilarial test and an antigen test(AGEN$^{TM}$ Canine heartworm). The infection rate of 220 dogs(96 males, 124 females) was 23.2%(51/22) by the microfilarial test, but was 23.6%(52/220) by the antigen test, revealing that 1 of 52 antigen-positive dogs were microfilaria-negative in the peripheral blood. All dogs that were microgilaria-positive were also antigen-positive. The infection rates of heartworm in dogs at the age of < 1, 1-3, 4-6, 7-11 and 12-15 years were 2.7%, 17.4%, 41.0%, 42.9% and 57.1%, respectively. Based on the fact that the antigen test is more accurate than the microfilaria test. The infection rates of heartworm in dogs by housing of indoor and outdoor were 6.9% and 46.4%, respectively. Based on the fact that outdoor housing is more infectious than indoor housing.

• Journal of Veterinary Clinics
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• v.26 no.4
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• pp.311-316
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• 2009

The purpose of this meta-analysis was to collect data from the literatures reporting prevalence of canine heartworm (HW) infection in an effort to emphasize the preventive importance of the disease and to serve as baseline data for further studies related to the disease management. Fourteen studies regarding the prevalence of HW infection published during the 1996-2007 were identified using the meta-analytic approach, involving a total of 1,790 cases by microfilarial test and 3,277 cases by enzyme-linked immunosorbent assay (ELISA) antigen test for adult worms. Data analysis was performed separately for pet and military dogs. The overall apparent prevalence of HW infection in pet dogs by microfilarial test and ELISA was 11.7% (183/1,563) and 16.5% (379/2,302), respectively (p < 0.001). No significant difference in prevalence by microfilaria and ELISA was observed between sexes whether assessed by data separately or pooled together. Compared to before 2000, the prevalence by microfilaria after 2000 has increased from 2.5% to 13.1% (p < 0.001), and the rate of adult worm has also increased from 9.9% to 20.3% (p < 0.001). The prevalence determined by ELISA was found to increase with age: 20.7% (n = 1,003) of dogs older than 2 years were positive, compared with 5.0% of dogs (n = 701) under 2 years of age (p < 0.001). Also, outdoor dogs showed significantly higher prevalence than indoor dogs (37.9% versus 3.4%; p < 0.001). For military dogs, the overall prevalence was 38.3% (87/227; 95% CI, 32.1 - 44.7%) by microfilarial test and 38.5% (375/975; 95% CI, 35.4 - 41.6%) by ELISA. This rate was significantly higher than that of pet dogs (p < 0.001). Occult infection rate of 37.5% and 66.7% was found in pet and military dogs, respectively.

• Korean Journal of Veterinary Service
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• v.20 no.1
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• pp.47-53
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• 1997

We have investigated the prevalence of canine heartworm (Dirofilaria immitis) infection among 100 mixed-breed dogs raised in Chonnam Province (Koheung, Posung, Changheung, and Hwasoon) and 100 dogs randomly selected from visiting dogs to the College of Veterinary Medicine, Chonnam National University for routine physical examination. Blood samples taken from dogs were examined for the presence of Dirofilaria immitis microfilaria by the modified Knott's test, and an antigen test which was based on the sandwich ELISA(DiroCHEK(equation omitted), Synbiotics, Inc., San Diego, California, USA) was used to detect the adult heartworm-specific antigen from serum samples. The results were then compared with those of the modified Knott's test. Five(2.5%) of the 200 examined dogs were microfilaria-positive, while 8 dogs(4%) were anti-gen-positive, which suggested that the antigen test was more sensitive than the microfilarial test in detecting heartworm infection. All dogs that were microfilaria-positive were also antigen-positive. The place of origin of the heartworm-positive dogs were of Naju (4/26, 15.4%), Koheung(3/32, 9.4%), and Hwasoon (1/19, 5.3%), while none of dogs raised in Kwangju, Posung, and Changheung areas were infected with the parasite. Although not significant, more infected dogs were observed in older ages, while the difference in infection rate between male (4/98, 4.1%) and female (4/102, 3.9%) was not recognized. Our results indicated that a relatively low infection rate was observed in dogs raised in Kwangju and Chonnam area compared to the infection rate reported previously in other areas of South Korea.

• Korean Journal of Veterinary Service
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• v.26 no.1
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• pp.19-26
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• 2003

This study was attempted to survey on the prevalence of canine heartworm(Dirofilaria immitis) infection among 100 dogs(male 39, female 61) on the nine breeding farms in eastern Chungnam province in December 2002. Blood samples taken from dogs were examined for the presence of D immitis microfilaria by the modified Knott's test and an antigen test was using FASTest$\^$/ HW Antigne kit (Mega Cor A-6912 Horbranz-Austraia). 1. Eleven(11.0%) of the 100 examined dogs were microfilaria positive, while nineteen dogs(19.0%) were antigen positive, which suggested that the antigen test was more sensitive than the microfilarial test in detecting heartworm infection. 2. Infected dogs were observed higher more at 2 years older ages(4/48, 8.3%) and male(9/39, 23.1%) than young ages(4/48, 8.3%) and female(10/61, 16.4%). 3. The regional infection rates were of Gongju(15/43, 34.9%), Geumsan(4.27, 14.8%), while none of infection dogs in Yeongi(0/30, 0%). 4. Survey for hematological values of D immitis infected dogs : WBC and eosinophils were 21.4${\pm}$7.2 k/${\mu}\ell$, 3.5${\pm}$0.4 k/${\mu}\ell$, respectively. In conculsion, this study could be overemphasized the importance of control program the heartworm in eastern Chungnam province

• Journal of Veterinary Clinics
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• v.26 no.2
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• pp.130-133
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• 2009

The use of screening tests as part of a diagnostic work-up is common in domestic canine practice, but understanding of the diagnostic test characteristics and factors affecting diagnostic accuracy is not clear among clinicians. This article was aimed to provide clinicians with a better understanding on the selection of test kits and with a proper interpretation of test results using an example from heartworm(Dirofilaria immitis) studies. From the literatures, diagnostic accuracy varied depending on the kits: percent average sensitivity and specificity of ELISA antigen-detecting kits were DiroChek(Synbiotics, USA) 78.1 and 95.2, SNAP(IDEXX, USA) 66.3 and 98.1, and Solo Step(Heska, Switzerland) 69.5 and 97.5, respectively, while the values for three hematological methods(Modified Knott's, direct smear and capillary tube) ranged from 38.4 to 81.8% and from 96.9 to 100%, respectively. Furthermore, it was also reported that the prevalence of heartworm disease in domestic dog populations varied depending on the regions studied: 2.5-22.8% for microfilarial test and 2.2-66.3% by ELISA. The values of predictive values for positive(PPV) and negative(NPV) provide useful information to clinicians on the probability of heartworm infection, but the PPV and NPV are greatly dependent on the heartworm prevalence. This suggests that PPV or NPV values of a test should be interpreted carefully in different clinical settings. Practical methods on the interpretation taking into account heartworm prevalence were discussed.