We had our dogs for their annual physical and we brought in fecal samples.
Despite being on Interceptor year-round, Jack's sample showed a positive for hookworms. Apparently the monthly wormers are not 100% effective against hookworm because of their very short lifecycle. He was given Pyrantel to be given in three doses, two weeks apart.
Maddie was negative but they suggested treating her too because they potty in the same spots. The cat is indoor-only and we will bring in a stool sample for her before treating.
He was asymptomatic so I'm fairly sure this is not a severe case.
Question for all you sciencey types and those who have experience with this:
At what point is he considered "safe" and no longer contagious? I'll call my vet and ask but thought I'd see if anyone here knows. We gave him his first dose Saturday and I skipped agility with him today. The instructor thinks he won't have to wait til treatment is done, but the wormer kills the adult worms, not the eggs or larvae (which is why it needs to be given in repeat doses). So just wondering when he would no longer be considered to be shedding the worms.
I saw a few sites that recommend basically isolating the infected animal, but considering their prevalence that hardly seems reasonable. We live in an area crawling with feral cats and foxes (and quite probably coyotes), so it seems likely that the nasties are all over in the soil around here. But I do want to get him back to agility (he was very sad that I went without him tonight and worked one of the trainer's dogs; he pouted when I came home and laid down facing away from us while we ate dinner). I also want to get him back to the vet for some desensitization sessions.
So I'm just wondering when he'll be free to go back to his normal routine. I'll be honest here: I grew up in an age where it was assumed that dogs would have worms, and you just tested and treated and no one really worried. Wash your hands when you pet a dog, don't walk barefoot in areas where dogs are loose, and that's the end of it. Now it seems standards have changed (perhaps unreasonably so) and mention your dog has worms and people act like he's got the plague.... I come from a horsey background and every horse out there has worms (along with sheep, cows etc). You treat monthly to keep the load down and just don't worry about it. But as I said, now people seem to visibly shrink when you mention it.
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How long Jack is infective just depends on the worm burden. Hookworm lifecycle takes 4 to 6 weeks. It also depends on how he got the hookworm, did he ingest them or did they penetrate his paw pads. The most common method is larvae penetrating the skin. In this case the larvae circulate in the bloodstream, then enter the lungs where they develop for a bit then are coughed up and swallowed where they enter the small intestine and then mature. So in a perfect world Jack would be isolated for 6 weeks unless he was given a medication that kills adults and ALL larval stages, in which case he may potentially be shedding eggs until the end of the course of medication.
However, if you live in an area where hookworms are abundant, I think it may be a little bit of overkill for you to have to isolate him. Obviously they are in the environment because he picked them up, and if it is known that there are feral cats, coyotes, and foxes its likely the soil is crawling with the parasite and if you just give jack his heartworm pill that should be sufficient. As long as the adults are killed he can not shed eggs.
Franklin got Toxocara (which is a roundworm) and I just gave him his monthly heartworm medication and rechecked his fecal myself every few weeks and it got rid of the infection just fine. So I'm sure jack will be safe to go out in public after just one dose of the medication.
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