Evidence map›Paper›PMID 31125837›Full record

ReviewInternational journal for parasitology. Drugs and drug resistance2019

Refugia and anthelmintic resistance: Concepts and challenges.

Jane E Hodgkinson, Ray M Kaplan, Fiona Kenyon, Eric R Morgan, Andrew W Park, Steve Paterson, Simon A Babayan, Nicola J Beesley, Collette Britton, Umer Chaudhry and 15 more

Open access · goldAbstract readReview
In one paragraph

Review in International journal for parasitology. Drugs and drug resistance, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed
10.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 138 citations in OpenAlex.

  1. Review
  2. Article
  3. Evolutionary and epidemiological considerations for anthelmintic treatments in ruminant livestock.International journal for parasitology. Drugs and drug resistance · 2026
    Article
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  7. Review
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  19. Biotic interactions in soil and dung shape parasite transmission in temperate ruminant systems: An integrative framework.Ecological applications : a publication of the Ecological Society of America · 2024
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

25 authors at 7 institutions in 2 countries.

Jane E HodgkinsonInstitute of Infection and Global Health, University of Liverpool, Liverpool, L69 7ZJ, UK.
Ray M KaplanDepartment of Infectious Diseases, College of Veterinary Medicine, University of Georgia, Athens, GA, 30602, USA.
Fiona KenyonMoredun Research Institute, Pentlands Science Park, Edinburgh, EH26 0PZ, UK.
Eric R MorganSchool of Biological Sciences, Queen's University Belfast, Chlorine Gardens, Belfast, BT9 5BL, UK.
Andrew W ParkDepartment of Infectious Diseases, College of Veterinary Medicine, University of Georgia, Athens, GA, 30602, USA; Odum School of Ecology, University of Georgia, Athens, GA, 30602, USA.
Steve PatersonInstitute of Integrative Biology, University of Liverpool, L69 7ZB, UK.
Simon A BabayanInstitute of Biodiversity, Animal Health and Comparative Medicine, University of Glasgow, Glasgow, G61 1QH, UK.
Nicola J BeesleyInstitute of Infection and Global Health, University of Liverpool, Liverpool, L69 7ZJ, UK.
Collette BrittonInstitute of Biodiversity, Animal Health and Comparative Medicine, University of Glasgow, Glasgow, G61 1QH, UK.
Umer ChaudhryRoyal (Dick) School of Veterinary Studies, Easter Bush Veterinary Centre, Roslin, EH25 9RG, UK.
Stephen R DoyleWellcome Sanger Institute, Hinxton, Cambridgeshire, CB10 1SA, UK.
Vanessa O EzenwaDepartment of Infectious Diseases, College of Veterinary Medicine, University of Georgia, Athens, GA, 30602, USA; Odum School of Ecology, University of Georgia, Athens, GA, 30602, USA.
Andy FentonInstitute of Integrative Biology, University of Liverpool, L69 7ZB, UK.
Sue B HowellDepartment of Infectious Diseases, College of Veterinary Medicine, University of Georgia, Athens, GA, 30602, USA.
Roz LaingInstitute of Biodiversity, Animal Health and Comparative Medicine, University of Glasgow, Glasgow, G61 1QH, UK.
Barbara K MableInstitute of Biodiversity, Animal Health and Comparative Medicine, University of Glasgow, Glasgow, G61 1QH, UK.
Louise MatthewsInstitute of Biodiversity, Animal Health and Comparative Medicine, University of Glasgow, Glasgow, G61 1QH, UK.
Jennifer McIntyreInstitute of Biodiversity, Animal Health and Comparative Medicine, University of Glasgow, Glasgow, G61 1QH, UK.
Catherine E MilneSRUC, Peter Wilson Building, West Mains Road, Edinburgh, EH9 3JG, UK.
Thomas A MorrisonInstitute of Biodiversity, Animal Health and Comparative Medicine, University of Glasgow, Glasgow, G61 1QH, UK.
Jamie C PrenticeInstitute of Biodiversity, Animal Health and Comparative Medicine, University of Glasgow, Glasgow, G61 1QH, UK.
Neil D SargisonRoyal (Dick) School of Veterinary Studies, Easter Bush Veterinary Centre, Roslin, EH25 9RG, UK.
Diana J L WilliamsInstitute of Infection and Global Health, University of Liverpool, Liverpool, L69 7ZJ, UK.
Adrian J WolstenholmeDepartment of Infectious Diseases, College of Veterinary Medicine, University of Georgia, Athens, GA, 30602, USA.
Eileen DevaneyInstitute of Biodiversity, Animal Health and Comparative Medicine, University of Glasgow, Glasgow, G61 1QH, UK. Electronic address: eileen.devaney@glasgow.ac.uk.
University of Glasgow · GBUniversity of Georgia · USUniversity of Liverpool · GBScotland's Rural College · GBMoredun Research Institute · GBQueen's University Belfast · GBWellcome Sanger Institute · GB

Funding

Biotechnology and Biological Sciences Research Council BB/N022386/1
6 · The paper itself

Abstract

Anthelmintic resistance is a threat to global food security. In order to alleviate the selection pressure for resistance and maintain drug efficacy, management strategies increasingly aim to preserve a proportion of the parasite population in 'refugia', unexposed to treatment. While persuasive in its logic, and widely advocated as best practice, evidence for the ability of refugia-based approaches to slow the development of drug resistance in parasitic helminths is currently limited. Moreover, the conditions needed for refugia to work, or how transferable those are between parasite-host systems, are not known. This review, born of an international workshop, seeks to deconstruct the concept of refugia and examine its assumptions and applicability in different situations. We conclude that factors potentially important to refugia, such as the fitness cost of drug resistance, the degree of mixing between parasite sub-populations selected through treatment or not, and the impact of parasite life-history, genetics and environment on the population dynamics of resistance, vary widely between systems. The success of attempts to generate refugia to limit anthelmintic drug resistance are therefore likely to be highly dependent on the system in hand. Additional research is needed on the concept of refugia and the underlying principles for its application across systems, as well as empirical studies within systems that prove and optimise its usefulness.

Indexed as

Drug ResistanceAnimalsAnthelminticsHelminthiasisHelminthsHumansRefugiumAnthelminticsAnthelmintic drugControlFitnessParasiteRefugiaResistance

Identifiers

PMID31125837
PMCPMC6531808
OpenAlexW2946166557

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.