Systematic Epidemiology and Prevalence Analysis of Intestinal Ciliate Buxtonella sulcata in Buffaloes of Haryana

Hardeep Kalkal1,*, A.K. Sangwan1, Sukhdeep Vohra1, Biswa Ranjan Maharana1
1Department of Veterinary Parasitology, College of Veterinary Sciences, Lala Lajpat Rai University of Veterinary and Animal Sciences, Hisar-125 004, Haryana, India.
Background: Buxtonellosis is a disease caused by intestinal ciliated protozoan Buxtonella sulcata. This intestinal ciliate may result in subclinical infection or clinical disease including diarrhoea, so systematic epidemiology investigation was done in and around Haryana. 

Methods: Total of 800 faecal samples were collected in year 2016-2017 by multi-stage stratified random sampling from buffaloes of Haryana. Effect of age (1-6 and >6 months), sex (male and female), floor (Kutcha and Pukka), clinical manifestation (Diarrhoea and non-diarrhoea) and season were studied. 

Result: In total 477 (59.12%) buffaloes were infected with B. sulcata in Haryana. According to sex, 68.27% male and 56.35% female were infected with B. sulcata, respectively. Age-wise prevalence in 1-6 months and above 6 months was 60.75% and 57.5%, respectively. Prevalence of infection on Katcha and Pakka floor was 65.85% and 56.13% respectively, with a significant difference. Buffaloes with diarrhoea were more likely to be B. sulcata positive (85%) than the buffaloes without diarrhoea (46.66%) with a significant difference. Buffaloes were having more infection in monsoon (78.18%) followed by summer (58.36%) and winter (38.13) with a significant difference. Animals having diarrhoea with intensity of infection above 10 (+++) cyst/trophozoites were 89.40% (+++) followed by 6-10 (++) cyst/trophozoites 63.50% and 1-5 (+) cyst/trophozoites 39.98%.
Buffaloes are the lifeline of the rural peasantry in Haryana. The state produces around 86 lakh tones of milk in a year around 80 per cent from buffaloes. Protozoa that cause diarrhoea in animals are Eimeria spp., Entamoeba histolytica, Balantidium coli, Buxtonella sulcata, Giardia lamblia, Cryptosporidium parvum, Isospora spp., etc. B. sulcata is considered as an opportunistic ciliate protozoan inhabiting the colon of bovines (Levine, 1985; Bhatia, 2000). The parasitic ciliate protozoa B. sulcata is a flattened oval protozoan parasite covered with cilia which is morphologically similar to B. coli. Both the ciliates inhabit the caecum and colon of their host and largely considered as non-pathogenic. Incidence of B. sulcata has been reported by several workers in cattle and buffaloes (Tomczuk et al., 2005; Al-Zubaidi and Al-Mayah, 2011; Adhikari et al., 2013; Ganai et al., 2013; Kumar et al., 2017 and Edith et al., 2018). It is often misdiagnosed as B. coli, a ciliate protozoan found in the caecum and colon of pigs, humans and nonhuman primates (AlSaffar 2010). Although, controversy about the pathogenicity of B. sulcata still present. Any comprehensive systematic study on the epidemiology and prevalence of buffalo parasitic ciliates in India and particularly in Haryana has not been carried out so far. This study is an attempt to fill the gap.
 
Faecal samples of buffaloes (800) were collected from the southern and northern parts of Haryana. The collection of faecal samples was done by multi-stage stratified random sampling at the block and village level. One district each from southern and northern parts of Haryana was selected and from each district, four blocks were randomly selected and from each block, four villages were randomly selected and 25 samples were collected randomly from each village (Fig 1). Only one faecal sample was taken from each willing household covering a cross-section of the village. Common parasitological techniques like direct smear examination and sedimentation methods were used for faecal sample examination. The trophozoites and cysts were identified based on morphological features as described by Kalkal and Sangwan (2019). Effect of age (1-6 months and above 6 months), sex (male and female), floor (Kutcha and Pukka) and clinical manifestation (Diarrhoea and non-diarrhoea) and season on B. sulcata (present/absent) were studied. The intensity of infection for cyst/trophozoites in animals having diarrhoea was checked by counting total cyst/trophozoites in a well spread out direct faecal smear under a coverslip of size (22x22 mm). Intensity of infection was classified as 1-5 (+), 6-10 (++) and above 10 (+++) cyst/trophozoites. The data generated were statistically analyzed using IBM SPSS software (version 20). Pearson’s Chi-squared test was applied for the epidemiological investigations.

Fig 1: Sampling methodology for collecting faecal sample of buffaloes of Haryana.

Several studies conducted across the countries and continents showed that B. sulcata is a common parasite in cattle and buffaloes. The majority of the B. sulcata positive animals showed cysts in the faecal samples but many fresh samples checked immediately also showed trophozoites (Fig 2). The overall prevalence of B. sulcata in Haryana was 59.12%. The prevalence rate differs from Al-saffar et al., (2013) which had overall prevalence of 35% in buffaloes of Mosul, Iraq. While in another study, carried out by Adhikari et al., (2013), prevalence rate of B. sulcata was 27% in water buffalo of Chitwan Valley, southern Nepal. A more or less similar positivity rate of 44.6% in cattle was also recorded by Fox and Jacobs, (1986) in U.K. However, a higher positivity rate of 71.8% of B. sulcata in cattle of Denmark (Henriksen, 1977) was reported. The prevalence rate varies in India from place to place as reported by earlier workers (Mamatha and Placid, 2006) of 12.6% and 20.5% for cattle and buffaloes respectively. The reason for differences in the prevalence of infection could be due to many different factors, such as environmental factor, animal, farm management practices and stress factors Al-Saffar et al. (2010). Fox and Jacobs, (1986) showed that seasonal variations in the prevalence of the infection and cyst excretion rates were related to changes in the diet and opportunities for transmission, furthermore, the delivery rate may lead to an increase in the prevalence of infection. The high prevalence in cattle of Denmark would suggest that local environmental factors support the transmission and persistence of the parasite.   

Fig 2: Picture showing cyst (Right) and trophozoites (Left) of B.sulcata with doublae-wall.

                 
         
Age-wise prevalence of B. sulcata in Hisar district had no significant difference between the two age groups i.e. below 6 months 60.75% and above 6 months 57.50% (Table 1). Our findings are in accordance to the findings of  Al-Seady and Kawan, (2014) who reported a non-significant difference in infection rate between different age groups. Similarly, Al-Saffar et al. (2013) reported non-significant difference in infection rate between different age groups but Al-Saffar et al. (2010). reported a significant difference between different age groups 3-8 months (11.36%), 2-7 years (35.29%) and 4-8 years (28.75%). Hasheminasab et al., (2015). showed a significant difference between different age groups. These findings indicate that animals of any age are susceptible to B. sulcata infections and age has little effect on the presence of B. sulcata infection. Sex wise prevalence of B. sulcata in male and female was 68.27% and 56.35%, respectively (Table 1) with no significant difference. This finding is contrary to the one reported earlier by Hasheminasab et al., (2015). who recorded the prevalence of B. sulcata was statistically higher in female (47.32%) than male (38.46) in cattle. The possible reason for the higher prevalence rate in female as compared to males may be the different management of females than males. Our findings are similar with Al-Seady and Kawan, (2014). who showed a non-significant difference in infection rate between male and female as these ratios were (43.6%) and (42.8%) respectively similarly Al-Zubaidi and Al-Mayah, (2011). also reported that there is a non-significant difference in infection rate between male and female. The non-significant difference in the rate of infection between males and females is anticipated because no known factor protects either of the two sex and absent in the other sex especially when males and females are raised together and are exposed to the same environmental conditions (Al-Seady and Kawan, 2014).The effect of age and sex on the risk of prevalence of B. sulcata was not significant (Table 4).

Table 1: Host age and sex association with B. sulcata infection in buffaloes of Haryana.



Table 4: Fitting of multiple logistic regression models for identifying the risk factors of B. sulcata infection in buffaloes of Haryana.


         
The buffaloes kept on Katcha floor had 65.85% of infection and those reared on Pakka floor had 56.13% of infection with a significant difference (Table 2). The risk of prevalence of B. sulcata was lower (OD=0.522) in buffaloes raised on Pakka floor as compared to Katcha floor (Table 4). Our findings validate findings of Hasheminasab et al., (2015). who reported prevalence of B. sulcata infection in cattle on Katcha floor (50%) was higher than that of cattle on the Pakka floor (24.32%) and significant difference in these results suggests Pakka floor reduces exposure to infection. Pakka floor may be one of the factors to reduce the prevalence of B. sulcata. Further investigation is needed in confirming the difference of infection due to Katcha and Pakka floor rearing because the data available is very less and not specific while our study clearly show significant difference which reduces in reducing infection. Animals with diarrhoea had significantly higher (85%) association of B. sulcata infection as compared with those not having diarrhoea (46.66%) (Table 2).The animals with diarrhoea were at greater risk (OD=6.30) of having B. sulcata infection as compared to animals without diarrhoea (Table 4). This finding matches with several other researchers (Nurialtug et al., 2006; Kaewthamasorn and Wongsamee, 2006;  Al-Saffar et al. (2010). Al-Zubaidi and Al-Mayah; 2011 and Al-Saffar et al. (2013) which means B. sulcata can be one of the causes of diarrhoea in ruminants while fig 3 show the association of prevalence with diarrhoea or non-diarrhoea animals. Animals were having more infection in monsoon followed by summer and winter 78.18% 58.36%, 38.13% respectively which showed significant difference (Table 2). A significantly higher prevalence of B. sulcata in buffaloes was observed during monsoon season followed by summer and winter season and buffaloes in mansoon season were two (OD=2.88) times more prone to infection than that of winter season. Kumar et al., (2017) reported the highest  incidence of B. sulcata infection in buffaloes in winter (43.8%) followed by monsoon (31.0%) and summer (31.0%). Our repo is supported by Hasheminasab et al., (2015) who reported higher prevalence in rainy season (63.38%) than summer (44.15%) and winter (28.99%) in cattle. Fox and Jacobs (1986) showed that seasonal fluctuations in the prevalence of the infection and cyst excretion rates were related to changes in the diet and opportunities for transmission, furthermore, the delivery rate of cyst excretion may lead to an increase in the prevalence of infection. The intensity of infection of B. sulcata in buffaloes was higher in diarrhoeic animals as compared to non-diarrhoeic. Animals with an intensity of infection of 1-5 cysts/trophozoites per slide (+) only 39.98% of buffaloes were diarrhoea positive, when intensity was 5-10 cysts/trophozoites (++), 63.50% of buffaloes were diarrhoea positive and when intensity was above 10 cysts/trophozoites (+++), 84.90% of buffaloes were diarrhoea positive (Table 3). The association between intensity of B. sulcata infection and diarrhoea was significant. Our  findings are similar to Tomczuk et al., (2005), Al-Saffar et al., (2010), Al-Zubaidi and Al-Mayah, (2011) and Hong and Youn, (1995) The ability of this parasite to cause diarrhoea is not related to the invasiveness of the trophozoite in the intestinal mucosa rather the metabolic products which result from the rapid multiplication of the parasite (Tomczuk et al., 2005) our findings revealed that as intensity of infection increase there is increase in number of diarrhoeic cases and Fig 4 show association between diarrhoea animals and intensity of infection.  

Table 2: Association of B. sulcata with Diarrhoea and non-diarrhoea, floor type and season in buffaloes of Haryana.



Table 3: Degree of intensity of infection of B. sulcata and its association with diarrhoea in buffaloes.



Fig 3: Association of B. sulcata infection with diarrhoea in buffaloes.



Fig 4: Degree of intensity of infection of B. sulcata and its association with diarrhoea in buffaloes.


 
In epidemiologic studies, the odds ratio measures the intensity or the degree of association between a risk factor and an outcome. The degree of association increases as the odds ratio increases.
 
This detailed epidemiology and prevalence analysis revealed the presence of more B. sulcata in buffaloes when kept Katcha floor and animals having diarrhea while infection increases in monsoon and summer season as compared to winter in Haryana. Further extensive research on B. sulcata in buffaloes is needed in different parts of India and other ruminants.
 
Authors are thankful to the Department of Veterinary Parasitology, College of Veterinary Science, LUVAS, Hisar and Chief Wildlife Warden, Panchkula, Haryana for providing all available helps to undertake this investigation.
 
None.
 

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