The current situation of canine dirofilariosis in Hungary
Open accessAbstract
Between April and September 2017, blood samples were collected from 344 randomly selected dogs older than 1 year in 180 settlements of 19 counties in Hungary. The dogs lived exclusively outdoors, had never travelled and had neither been examined for Dirofilaria infection nor treated against mosquitoes with insecticides or/and filarioid worms with macrocyclic lactones. Dirofilaria infection was examined with a modified Knott’s test for microfilariae, DiroCHEK®, for the presence of D. immitis antigen, as well as by multiplex and conventional PCR. Altogether, 77 (22.4%) dogs living in 58 settlements of 17 counties were found to be infected with one or both Dirofilaria species based on the PCR techniques. Twenty-eight (8.1%) and 38 (11.1%) dogs were infected with D. immitis and D. repens , respectively. Coinfections were recorded in 11 samples (3.2%) collected in 11 locations of 8 counties. The results confirmed that both dirofilarioses are endemic in dogs and the eastern areas of the country are hyperendemic for heartworm disease. Temperature showed a significant association with the prevalence of D. immitis (OR 2.41, 95% CI 1.24–4.86, p = 0.012) but not with that of D. repens (OR 1.37, 95% CI 0.78–2.47, p = 0.286). The prevalence of neither D. immitis (OR 0.99, 95% CI 0.98–1.00, p = 0.213) nor D. repens (OR 1.01, 95% CI 0.99–1.01, p = 0.094) showed a significant correlation with precipitation. The number of yearly growing degree days (GDD) based on the lifecycle of Dirofilaria in mosquitoes ranged between 3.73 and 7.57 for the Hungarian districts. The GDD showed a significant positive association with the prevalence of D. immitis (OR 2.38, 95% CI 1.43–4.15, p = 0.001) and a non-significant positive relationship with that of D. repens (OR 1.25, 95% CI 0.83–1.95, p = 0.291).
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Written from the paper’s full text.
TL;DR
In a 2017 survey of 344 outdoor, non-travelled, untreated dogs across Hungary, 22.4% were infected with Dirofilaria spp., with D. repens at 14.2% and D. immitis at 11.3%. Both infections were endemic, heartworm disease was hyperendemic in eastern Hungary, and temperature/GDD were significantly associated with D. immitis prevalence.
Key findings
- Overall Dirofilaria prevalence was 22.4% (77/344) by serology and PCR; PCR-based single infections were 28 (8.1%) for D. immitis and 38 (11.1%) for D. repens, with coinfections in 11 (3.2%). Total animals with heartworms were 39 (11.3%), and total D. repens prevalence was 49/344 (14.2%).
- Infected dogs lived in 58 settlements of 17 counties; D. immitis-infected dogs were in 34 settlements of 12 counties and D. repens-infected dogs in 35 settlements of 16 counties. Significant spatial clusters were found for D. immitis (p < 0.001) and D. repens (p = 0.044), with eastern Hungary hyperendemic for heartworm disease.
- Temperature was significantly associated with D. immitis prevalence (OR 2.41, 95% CI 1.24–4.86, p = 0.012) but not D. repens (OR 1.37, 95% CI 0.78–2.47, p = 0.286). GDD-based yearly Dirofilaria lifecycles ranged from 3.73 to 7.57 and were significantly associated with D. immitis (OR 2.38, 95% CI 1.43–4.15, p = 0.001) but not D. repens (OR 1.25, 95% CI 0.83–1.95, p = 0.291). Precipitation was not significantly associated with either species.
Methods
- Cross-sectional survey between April and September 2017: blood samples from 344 randomly selected dogs older than 1 year in 180 settlements of 19 Hungarian counties, excluding Budapest. Dogs lived exclusively outdoors, had never travelled out of their county, and had not been examined or treated for Dirofilaria or treated against mosquitoes with insecticides and filarioid worms with macrocyclic lactones.
- Diagnostic testing used a modified Knott’s test for microfilariae, DiroCHEK® for D. immitis antigen, and multiplex and conventional PCR targeting 12S rDNA of both Dirofilaria spp. and 16S rRNA of D. immitis; PCR was performed on blood samples containing microfilariae.
- Spatial clustering was tested with the Kulldorff scan method, and environmental associations were analysed by logistic regression using NUTS 4 climate data from ECMWF ERA-Interim for 2008–2017, including temperature, precipitation, and growing degree days (GDD).
Limitations
- The authors state that other factors—such as vector and host population density, potential mosquito-breeding habitats, and veterinarians’ awareness—also play critical roles but were not analysed; they call for further systematic monitoring to understand environmental risk factors and identify competent mosquito vectors. They also note it is not known why D. repens has higher prevalence than D. immitis and that further research is needed on temperature effects on D. repens.
- Evident from the text: PCR was performed only on samples containing microfilariae, so molecular detection was conditional on microfilaraemia, and no specific serological test for D. repens was available.
- Evident from the text: the study population was restricted to dogs older than 1 year that lived exclusively outdoors, had never travelled, and had not received prior Dirofilaria examination or preventive treatment, so prevalence estimates may not represent all Hungarian dogs.
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Claims the paper makes
0 of 12 cited sources checked · 0 supported · 0 flagged
- Findingown data
No significant spatial aggregation was found for the pooled data of both species (p = 0.07).
“However, non-significant (p = 0.07) spatial aggregation was found for the pooled data of both species.”
Quote in the paperNot a substantial claim - Findingown data
Precipitation did not show a significant correlation with the prevalence of D. immitis (OR 0.99, 95% CI 0.98-1.00, p = 0.213).
“The prevalence of neither D. immitis (OR 0.99, 95% CI 0.98–1.00, p = 0.213) nor D. repens (OR 1.01, 95% CI 0.99–1.01, p = 0.094) showed a significant correlation with precipitation.”
- Also stated in: § Results · plain
“The prevalence of neither D. immitis (OR 0.99, 95% CI 0.98–1.00, p = 0.213) nor D. repens (OR 1.01, 95% CI 0.99–1.01, p = 0.094) showed a significant correlation with precipitation.”
Quote in the paperNot a substantial claim - Also stated in: § Results · plain
- Findingown data
GDD showed a non-significant positive relationship with the prevalence of D. repens (OR 1.25, 95% CI 0.83-1.95, p = 0.291).
“The GDD showed a significant positive association with the prevalence of D. immitis (OR 2.38, 95% CI 1.43–4.15, p = 0.001) and a non-significant positive relationship with that of D. repens (OR 1.25, 95% CI 0.83–1.95, p = 0.291).”
- Also stated in: § Results · plain
“It showed a significant positive association with the prevalence of D. immitis (OR 2.38, 95% CI 1.43–4.15, p = 0.001) and a non-significant positive relationship with that of D. repens (OR 1.25, 95% CI 0.83–1.95, p = 0.291).”
Quote in the paperNot a substantial claim - Also stated in: § Results · plain
- Findingown data
GDD showed a significant positive association with the prevalence of D. immitis (OR 2.38, 95% CI 1.43-4.15, p = 0.001).
“The GDD showed a significant positive association with the prevalence of D. immitis (OR 2.38, 95% CI 1.43–4.15, p = 0.001) and a non-significant positive relationship with that of D. repens (OR 1.25, 95% CI 0.83–1.95, p = 0.291).”
- Also stated in: § Results · plain
“It showed a significant positive association with the prevalence of D. immitis (OR 2.38, 95% CI 1.43–4.15, p = 0.001) and a non-significant positive relationship with that of D. repens (OR 1.25, 95% CI 0.83–1.95, p = 0.291).”
Quote in the paperSubstantial claim - Also stated in: § Results · plain
- Findingown data
Precipitation did not show a significant correlation with the prevalence of D. repens (OR 1.01, 95% CI 0.99-1.01, p = 0.094).
“The prevalence of neither D. immitis (OR 0.99, 95% CI 0.98–1.00, p = 0.213) nor D. repens (OR 1.01, 95% CI 0.99–1.01, p = 0.094) showed a significant correlation with precipitation.”
- Also stated in: § Results · plain
“The prevalence of neither D. immitis (OR 0.99, 95% CI 0.98–1.00, p = 0.213) nor D. repens (OR 1.01, 95% CI 0.99–1.01, p = 0.094) showed a significant correlation with precipitation.”
Quote in the paperNot a substantial claim - Also stated in: § Results · plain
- Findingown data
A significant spatial cluster was identified for D. immitis (p < 0.001).
“By the Kulldorff scan method, a non-identical, significant cluster was identified for D. immitis (p < 0.001) and D. repens (p = 0.044) (Fig. 1).”
Quote in the paperNot a substantial claim - Findingown data
38 dogs (11.1%) were infected with D. repens.
“Twenty-eight (8.1%) and 38 (11.1%) dogs were infected with D. immitis and D. repens, respectively.”
- Also stated in: § Results · plain
“Twenty-eight (8.1%) and 38 (11.1%) dogs were infected with D. immitis and D. repens, respectively.”
Quote in the paperSubstantial claim - Also stated in: § Results · plain
- Findingown data
Coinfections with both Dirofilaria species were recorded in 11 samples (3.2%) from 11 locations of 8 counties.
“Coinfections were recorded in 11 samples (3.2%) collected in 11 locations of 8 counties.”
- Also stated in: § Results · plain
“Coinfections were recorded in 11 (3.2%) samples collected in 11 locations of 8 counties (Fig. 1).”
Quote in the paperNot a substantial claim - Also stated in: § Results · plain
- Findingown data
Temperature showed a significant association with the prevalence of D. immitis (OR 2.41, 95% CI 1.24-4.86, p = 0.012).
“Temperature showed a significant association with the prevalence of D. immitis (OR 2.41, 95% CI 1.24–4.86, p = 0.012) but not with that of D. repens (OR 1.37, 95% CI 0.78–2.47, p = 0.286).”
- Also stated in: § Results · plain
“Temperature showed a significant association with the prevalence of D. immitis (OR 2.41, 95% CI 1.24–4.86, p = 0.012) but not with that of D. repens (OR 1.37, 95% CI 0.78–2.47, p = 0.286).”
Quote in the paperSubstantial claim - Also stated in: § Results · plain
- Findingnone given
No occult dirofilariosis occurred.
“No occult dirofilariosis occurred.”
Quote in the paperNot a substantial claim - Findingown data
A significant spatial cluster was identified for D. repens (p = 0.044).
“By the Kulldorff scan method, a non-identical, significant cluster was identified for D. immitis (p < 0.001) and D. repens (p = 0.044) (Fig. 1).”
Quote in the paperNot a substantial claim - Findingown data
The number of yearly GDD-based life cycles of Dirofilaria in vectors ranged between 3.73 and 7.57 for the Hungarian districts.
“The number of yearly growing degree days (GDD) based on the lifecycle of Dirofilaria in mosquitoes ranged between 3.73 and 7.57 for the Hungarian districts.”
- Also stated in: § Results · plain
“The number of yearly GDD-based life cycles of Dirofilaria in vectors ranged between 3.73 and 7.57 for the Hungarian districts (Fig. 2).”
Quote in the paperSubstantial claim - Also stated in: § Results · plain
- Findingown data
28 dogs (8.1%) were infected with D. immitis.
“Twenty-eight (8.1%) and 38 (11.1%) dogs were infected with D. immitis and D. repens, respectively.”
- Also stated in: § Results · plain
“Twenty-eight (8.1%) and 38 (11.1%) dogs were infected with D. immitis and D. repens, respectively.”
Quote in the paperSubstantial claim - Also stated in: § Results · plain
- Findingown data
Temperature did not show a significant association with the prevalence of D. repens (OR 1.37, 95% CI 0.78-2.47, p = 0.286).
“Temperature showed a significant association with the prevalence of D. immitis (OR 2.41, 95% CI 1.24–4.86, p = 0.012) but not with that of D. repens (OR 1.37, 95% CI 0.78–2.47, p = 0.286).”
- Also stated in: § Results · plain
“Temperature showed a significant association with the prevalence of D. immitis (OR 2.41, 95% CI 1.24–4.86, p = 0.012) but not with that of D. repens (OR 1.37, 95% CI 0.78–2.47, p = 0.286).”
Quote in the paperNot a substantial claim - Also stated in: § Results · plain
- Findingown data
In 2017, 77 of 344 dogs (22.4%) in Hungary were infected with one or both Dirofilaria species.
“Altogether, 77 (22.4%) dogs living in 58 settlements of 17 counties were found to be infected with one or both Dirofilaria species based on the PCR techniques.”
- Also stated in: § Results · plain
“Altogether, 77 out of the 344 dogs from 58 settlements of 17 counties were found to be infected by one or both Dirofilaria species based on the serological and PCR results (Fig. 1).”
- Also stated in: § Results · plain
“The overall prevalence of dirofilariosis was 22.4% (95% CI 18.30–27.08).”
Quote in the paperSubstantial claim - Also stated in: § Results · plain
- Interpretationreasoning
The number of D. immitis-infected dogs has been increasing in Hungary.
“The prevalence of D. immitis obtained in this study is higher (11.3%) than that found in earlier serological (Farkas et al. 2014) and retrospective surveys based on the necropsy records of 2622 dogs (Bacsadi et al., 2016), indicating that the number of infected dogs has been increasing in the country.”
Quote in the paperSubstantial claim - Interpretationcitation
Other carnivores such as cats or ferrets should not be considered involved in the transmission of Dirofilaria spp. because microfilaraemia is absent or short-lasting in these hosts.
“The likelihood of other carnivores such as cats or ferrets being involved in the transmission of Dirofilaria spp. should not be considered because microfilaraemia is absent or short-lasting in these hosts (Campbell and Blair 1978; McCall et al. 2008; Bajer et al. 2016).”
Quote in the paperNot a substantial claim0 of 3 sources checked - Interpretationown data
The prevalence of D. repens in this study (14.2%) is in line with previous findings.
“The result of this study is in line with the previous findings, as the prevalence of D. repens was 14.2%.”
Quote in the paperNot a substantial claim - Interpretationcitation
D. repens presents a continuous risk of human infection.
“Our results confirm that D. repens is widely distributed in the local dogs, presenting a continuous risk of human infection (Dóczi et al. 2015).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites Dóczi et al. 2015 source
Not checked in the free run.
- Interpretationreasoning
The local climate and abundance of mosquito vectors in Hungary offer suitable conditions for the development and transmission of both filarioid species.
“In Hungary, the occurrence and spread of both filarioid species are not surprising because the local climate and the abundance of mosquito vectors offer suitable conditions for the development and transmission of these parasites.”
Quote in the paperSubstantial claim - Interpretationreasoning
The infection of local wild canids may have originated from infected dogs inhabiting the same areas.
“It is more plausible that the infection of the local wild canids may have originated from infected dogs inhabiting the same areas.”
Quote in the paperNot a substantial claim - Interpretationown data
D. repens is widely distributed in local dogs in Hungary.
“Our results confirm that D. repens is widely distributed in the local dogs, presenting a continuous risk of human infection (Dóczi et al. 2015).”
Quote in the paperSubstantial claim - Interpretationcitation
The chance that Dirofilaria spp. were introduced to Hungary with infected mosquitoes is very small because the movement and ranges of these insects are limited.
“The chance that Dirofilaria spp. were introduced to Hungary with infected mosquitoes is very small, because the movement and ranges of these insects are limited (Genchi et al. 2005; Tsuda et al. 2008; Zittra et al. 2015).”
Quote in the paperSubstantial claim0 of 3 sources checked - Interpretationcitation
D. immitis has only recently been introduced to Hungary.
“However, it is more plausible that D. immitis has only recently been introduced to Hungary because neither microfilariae nor adult worms of D. immitis had been found in local dogs (Fok et al. 2007) and red foxes earlier (Sréter et al. 2003).”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites Fok et al. 2007
Not checked in the free run.
- cites Sréter et al. 2003 source
Not checked in the free run.
- Interpretationcitation
The prevalence of D. immitis in this study (11.3%) is higher than that found in earlier serological and retrospective surveys.
“The prevalence of D. immitis obtained in this study is higher (11.3%) than that found in earlier serological (Farkas et al. 2014) and retrospective surveys based on the necropsy records of 2622 dogs (Bacsadi et al., 2016), indicating that the number of infected dogs has been increasing in the country.”
Quote in the paperSubstantial claim0 of 2 sources checked - Interpretationown data
There is no spatial segregation of the two filarioid species in the given areas.
“These findings show that there is no spatial segregation of the two filarioid species in the given areas.”
Quote in the paperSubstantial claim - Interpretationown data
The eastern areas of Hungary are hyperendemic for heartworm disease.
“The results confirmed that both dirofilarioses are endemic in dogs and the eastern areas of the country are hyperendemic for heartworm disease.”
- Also stated in: § Discussion · plain
“It can be stated that this area is hyperendemic for heartworm disease.”
Quote in the paperSubstantial claim - Also stated in: § Discussion · plain
- Interpretationreasoning
The higher estimate of Dirofilaria generations per year compared to Genchi et al. can be explained by increasing temperature due to global warming.
“We obtained a higher estimate for the number of Dirofilaria generations per year. This can be explained by the increasing temperature due to global warming.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites Genchi et al. 2005 source
Not checked in the free run.
- Interpretationown data
This study further confirms significant circulation of these filarioid parasites in local domestic dogs.
“This study further confirms the significant circulation of these filarioid parasites in the local domestic dogs.”
Quote in the paperSubstantial claim
- May combine two claims. 4
- Classified as probably not a substantial claim. 1
May combine two claims.
Findingown dataThe prevalence of D. repens was 49/344 (14.2%), with infected dogs in 35 settlements of 16 counties.
“The prevalence of D. repens was slightly higher (49/344, 14.2%); the infected dogs lived in 35 settlements of 16 counties (Fig. 1).”
Quote in the paperNot a substantial claimMay combine two claims.
Findingown dataThe total number of dogs with heartworms was 39 (11.3%), living in 34 settlements of 12 counties.
“The total number of animals with heartworms was 39 (11.3%): these dogs lived in 34 settlements of 12 counties.”
Quote in the paperNot a substantial claimMay combine two claims.
Interpretationown dataBoth dirofilarioses are endemic in dogs in Hungary.
“The results confirmed that both dirofilarioses are endemic in dogs and the eastern areas of the country are hyperendemic for heartworm disease.”
- Also stated in: § Conclusions · plain
“Both dirofilarioses are endemic in Hungary, and heartworm disease is more prevalent in the eastern areas of the country.”
Quote in the paperSubstantial claim- Also stated in: § Conclusions · plain
May combine two claims.
InterpretationreasoningThe risk period for Dirofilaria transmission is seasonal in Hungary, with peaks in the summer.
“The risk period for Dirofilaria transmission is seasonal in Hungary, with peaks in the summer, when the temperature is especially sufficient to facilitate the extrinsic incubation of Dirofilaria in vectors.”
Quote in the paperNot a substantial claimProbably not a substantial claim: may not pass S3 (load-bearing).
Study design and conductnone givenIn each PCR reaction set, a positive control (DNA from adult nematodes) and a no-DNA sample were included.
“In each reaction set, a positive control (DNA extracted from adult nematodes) and a sample with no DNA were included.”
Quote in the paperNot a substantial claim
The authors state this as an assumption.
More D. immitis-infected local dogs facilitated the spreading of this nematode species in eastern Hungary than in other parts of the country.
“We assume that more D. immitis-infected local dogs facilitated the spreading of this nematode species there than in the other part of the country.”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
In Hungary, the first autochthonous case was detected in 2009, and studies showed low-moderate prevalence between 0.36 and 8.1%, co-infections with D. repens (3.2%), and high prevalence (51%) in Szeged.
“In Hungary, where the first autochthonous case was detected in 2009 [109], the number of epidemiological studies has increased considerably. There are studies that showed low-moderate prevalence between 0.36 and 8.1% [110,111,112,113] and co-infections with D. repens (3.2%) [111], while a high prevalence (51%) was reported in Szeged, a city close to Serbia and Romania [114].”
From What has happened to heartworm disease in Europe in the last 10 years? (2022) · cites this paper as [112]
In Hungary, prevalence of 3.7% in red foxes and 7.4% in golden jackals was reported.
“In Hungary, a prevalence of 3.7% in red foxes and 7.4% in golden jackals was reported [112].”
From What has happened to heartworm disease in Europe in the last 10 years? (2022) · cites this paper as [112]
No apparent correlation with FeLV and FIV infection was noted in a study of 2011.
“Contrary to this study, no apparent correlation with FeLV and FIV infection was noted in a study of 2011 [8,20,34].”
From First Autochthonous Infection of a Cat with Dirofilaria immitis in Austria (2021) · cites this paper as [20]
In the last decade, epidemiological and seroepidemiological studies and clinical reporting have shown that dirofilariasis has been introduced into the countries of the Balkans peninsula.
“In addition, in the last decade, different epidemiological and seroepidemiological studies, alongside clinical reporting, have shown that dirofilariasis has been introduced into the countries of the Balkans peninsula (1, 3, 4, 11, 19).”
From Seroepidemiological Study of Canine and Human Dirofilariasis in the Endemic Region of Northern Serbia (2020) · cites this paper as [11]
Dirofilariasis is on the rise in the European population of dogs and humans.
“Dirofilariasis is on the rise in the European population of dogs and humans (1, 3, 11, 12).”
From Seroepidemiological Study of Canine and Human Dirofilariasis in the Endemic Region of Northern Serbia (2020) · cites this paper as [11]
In Bulgaria and Croatia, studies report prevalence of D. immitis and D. repens in dogs of 8.1% and 11.1%, respectively, and co-infections of 3.2%.
“In Bulgaria and Croatia, two neighboring countries, there are studies about the prevalence of D. immitis and D. repens in dogs (8.1 and 11.1%, respectively) and co-infections (3.2%) (11).”
From Seroepidemiological Study of Canine and Human Dirofilariasis in the Endemic Region of Northern Serbia (2020) · cites this paper as [11]
A significant cluster of microfilaremic dogs was found in the southern part of Hungary, where D. repens was the most frequent filarioid parasite in mosquito samples.
“A significant cluster of microfilaremic dogs were found in the southern part of the country [120], where D. repens was the most frequent filarioid parasite in mosquito samples”
From Dirofilaria spp. and Angiostrongylus vasorum: current risk of spreading in Central and Northern Europe. (2021) · cites this paper as [120]
Mixed infections of dogs by both Dirofilaria spp. were also detected in some counties in Hungary.
“Mixed infections of dogs by both Dirofilaria spp. were also detected in some counties”
From Dirofilaria spp. and Angiostrongylus vasorum: current risk of spreading in Central and Northern Europe. (2021) · cites this paper as [120]
In nationwide epidemiological surveys in Hungary, 11.1-19.6% of dogs and two cats were positive for D. repens microfilariae.
“In nationwide epidemiological surveys [118,119,120], 11.1–19.6% of dogs and two cats were positive for D. repens microfilariae”
From Dirofilaria spp. and Angiostrongylus vasorum: current risk of spreading in Central and Northern Europe. (2021) · cites this paper as [120]
Since that time, examinations of dogs, red foxes, golden jackals, and one ferret revealed that D. immitis is endemic in Hungary, and the Great Hungarian Plain is hyperendemic.
“Since that time, the examinations of dogs [120,125,126,127,128], red foxes, golden jackals (Canis aureus) [129], and one ferret (Mustela furo) [130] revealed that D. immitis is endemic in the country, and the Great Hungarian Plain is hyperendemic”
From Dirofilaria spp. and Angiostrongylus vasorum: current risk of spreading in Central and Northern Europe. (2021) · cites this paper as [120]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
Range is described as both growing degree days and lifecycles
MinorThe abstract identifies 3.73-7.57 as the number of yearly growing degree days, whereas the Results identify the same range as the number of GDD-based parasite lifecycles. Growing degree days and lifecycles are different quantities.
“The number of yearly growing degree days (GDD) based on the lifecycle of Dirofilaria in mosquitoes ranged between 3.73 and 7.57 for the Hungarian districts.”
“The number of yearly GDD-based life cycles of Dirofilaria in vectors ranged between 3.73 and 7.57 for the Hungarian districts (Fig. 2).”
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Can digital epidemiology indicate the emergence and current distribution of canine dirofilariosis?Preprint
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- Authors
- Farkas, R., Mag, V., Gyurkovszky, M., Takács, N., Vörös, K., & Solymosi, N.
- Affiliations
- University of Veterinary Medicine (HU)
- Corresponding author
- Farkas, Róbert
- Venue
- Parasitology Research
- Published
- 2019-11-21
- Volume
- 119
- Issue
- 1
- Pages
- 129-135
- ISSN
- 0044-3255 (ISSN-L)
- 0932-0113
- 1432-1955
- PMC
- PMC6942023
- OpenAlex
- W2989794391
- Semantic Scholar
- 8bc6469fcff9433344c2cb3330bbbbd186ea8e88
- Cited by
- 55
- References
- 49
- Citations by year
- 2026: 9 · 2025: 4 · 2024: 4 · 2023: 6 · 2022: 13 · 2021: 13 · 2020: 5 · 2018: 1
- FWCI
- 5.94
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Parasitology Research (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Infectious Diseases › Parasitic Diseases Research and Treatment
- Health Sciences › Veterinary › Small Animals › Helminth infection and control
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Research on Leishmaniasis Studies
- Keywords
- canine dirofilariasis, Dirofilaria immitis, Dirofilaria repens, heartworm disease, prevalence, growing degree days, temperature, precipitation, co-infection, Hungary, endemicity, mosquito-borne transmission, climate and disease transmission
- MeSH terms
- Animals, Dirofilaria immitis, Dirofilariasis, Dog Diseases, Dogs, Hungary, Culicidae, Prevalence, Polymerase Chain Reaction, Coinfection, Dirofilaria repens
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