Prevalence and pathogenicity of anoplocephala perfoliata in a horse population in South Auckland

A survey of the prevalence of A noplocephala perfoliata in 65 horses is described. An overall prevalence rate of 82% was found for A. perfoliata infection and 77% of infected horses exhibited ulcerative pathology in the ileo-caecal region directly associated with this parasite. Anoplocephela magna and Paranoplocephala mamillana were not recovered.     

The epidemiology of paramphistomosis of sheep (<Emphasis Type="Italic">Ovis aries</Emphasis> L.) in the north west temperate Himalayan region of India

An epidemiological study with the objective to assess the prevalence of paramphistomosis in association with season, age, sex and breed was carried out in naturally infected sheep over a period of two years from February 2005 to January 2007. Gastrointestinal tract (GIT) and faecal examination were conducted monthly to monitor the seasonal occurrence of paramphistomosis. 793 sheep were examined in the first year, out of which 7.06% were positive for Paramphistomum infection. In the second year, 740 animals were investigated and 7.7% were infected. The overall prevalence of paramphistomosis was 7.3% with a mean of 56.50 ± 0.50 and 95% confidence interval (CI) (lower bound: 50.1469; upper bound: 62.8531). The prevalence of paramphistomosis through GIT examination (P = 0.593) was 7.6% at 95% CI (lower bound: −19.1186; upper bound: 57.1186) and the prevalence through faecal examination (P = 0.884) was 7.2% at 95% CI (lower bound: 5.7345; upper bound: 69.2655). Generally, season and age were the factors found to have a significant influence on the risk of paramphistomosis in sheep. The highest infection was found in the summer season (P < 0.005); lower age groups (P < 0.005) in males and in migratory (Bhakarwal) breed (P ≥ 0.005). Winter, adult animals, females and local breed reported low infection. The present study will be of great significance to understand the epidemiology of gastrointestinal helminthes of sheep initially in the resource poor communities of Himalayan region and will definitely be helpful to devise appropriate control strategies for paramphistomosis.     

Anoplocephala perfoliata in Horses in Sweden: Prevalence,Infection Levels and Intestinal Lesions

Distal ileum, caecum and proximal colon of 470 horses were examined for helminths during 1 year at an abattoir in central Sweden. The infection levels of the horse tapeworm Anoplocephala perfoliata, their stage of development, site of attachment and gross pathological lesions caused by the worm were recorded. Faecal samples from 395 of the horses were examined specifically for tapeworm segments and eggs in order to correlate these findings with the numbers in the alimentary canal. In total 65% of the horses were infected with A. perfoliata and the mean intensity of infection was 79 worms per infected horse with a maximum of 912. The level of infection was significantly higher in (1) 3rd and 4th than in 1st and 2nd quarter of the year; (2) older horses than in yearlings; (3) females than in males and geldings; (4) thoroughbreed and cold-blooded horses than in Swedish standardbreeds and ponies. The level of infection was unaffected by the usage of anthelminthics against nematodes. Of the horses examined 51% had 1-100 worms whereas 14% were infected with more than 100 worms. Of the tapeworm positive horses 72% had mixed infections with both adult and juvenile worms, 20% solely juveniles, and 8% solely adults. The severity of intestinal lesions exacerbated by increasing numbers of A. perfoliata. About 11% of the intestines examined had severe lesions, but there was no history of acute abdominal distress in any of the horses included in this study. Although the number of detectable eggs was significantly higher for horses heavily infected with A. perfoliata, the egg recovery among infected horses was only 35%. An additional field survey comprising 218 horses on 88 premises in central and southern parts of Sweden showed that the prevalence of A. perfoliata egg positive horses was the same as found on faecal examination during the abattoir survey.     

Detection of flagellar antigen ofCampylobacter jejuni andCampylobacter coli in canine faeces with an enzyme-linked immunosorbent assay (ELISA) — New prospects for diagnosis

A new diagnostic procedure was developed to detect the flagellar antigen ofCampylobacter jejuni andCampylobacter coli in canine faecal specimens and was tested on faecal samples from random-source dogs obtained from the local dog pound. Extraction of acid-soluble proteins was performed on faecal specimens and the extracted material was evaluated using species-specific monoclonal antibodies in an enzyme-linked immunosorbent assay. The assay detected allC. jejuni orC. coli infected specimens compared with direct selective faecal culture. One of 18 faecal specimens culture-negative forC. jejuni was identified as positive by the assay, i.e. a false positive rate of 1 of 18 (5.6%) and a corresponding specificity of 94.4%. These results suggest that the screening procedure developed to detect flagellar antigens ofC. jejuni andC. coli in canine faecal samples should be further investigated as a diagnostic alternative to culture.Abbreviations ELISA enzyme-linked immunosorbent assay - PBS phosphate-buffered saline - OD optical density     

Prevalence and species composition of ixodid ticks infesting horses in three agroecologies in central Oromia, Ethiopia

A cross-sectional study was conducted to determine the species composition and prevalence of ixodid ticks infesting horses in three agroecological zones in central Ethiopia. For this purpose, a total of 1,168 horses were examined for tick infestation. An overall prevalence of 39.04% of tick infestation on horses was recorded. A total of 917 adult ticks were collected from infested horses. Amblyomma, Boophilus, Rhipicephalus, and Hyalomma genera with the respective prevalence of 3.2%, 1.8%, 29.2%, and 4.7% were identified. In the study, Rhipicephalus evertsi evertsi was encountered with the highest prevalence (15.8%) whereas Amblyomma gemma was with lowest prevalence (1.5%). From the highland, Hyalomma marginatum rufipes (3.1%), Hyalomma truncatum (1.0%), and Boophilus decoloratus (0.3%) were identified. From the midland, R. evertsi evertsi (27.5%), Rhipicephalus pulchellus (18%), Amblyomma variegatum (3.6%), B. decoloratus (2.8%), H. marginatum rufipes (2.6%), H. truncatum (1.8%), and A. gemma (1.5%) were identified. R. evertsi evertsi, 107 (27.5%), was with the highest prevalence in the midland. From the lowland, R. pulchellus (22.3%), R. evertsi evertsi (20%), H. truncatum (3.6%), A. gemma (3.1%), B. decoloratus (2.3%), H. marginatum rufipes (2.1%), and A. variegatum (1.5%) were identified. In the lowland, R. pulchellus, 87 (22.3%), was the most abundant tick species. The overall prevalence of tick infestation on horses was significantly (P < 0.05) higher both in the midland, 225 (57.8%), and the lowland, 214 (54.87%), than the highland, 17 (4.4%). This suggests that horses in midland and lowland are at higher risk of tick infestation than those horses in the highland. Further studies on the role of ticks in transmission of diseases to equines and the importance of horses as alternative hosts in different parts of Ethiopia are needed.     

Crib‐biting in US horses: Breed predispositions and owner perceptions of aetiology

Reasons for performing study: Crib‐biting is an equine stereotypy that may result in diseases such as colic. Certain breeds and management factors have been associated. Objectives: To determine: breed prevalence of crib‐biting in US horses; the likelihood that one horse learns to crib‐bite from another; and owner perceptions of causal factors. Methods: An initial postal survey queried the number and breed of crib‐biting horses and if a horse began after being exposed to a horse with this habit. In a follow‐up survey, a volunteer subset of owners was asked the number of affected and nonaffected horses of each breed and the extent of conspecific contact. The likelihood of crib‐biting given breed and extent of contact was quantified using odds ratio (OR) and significance of the association was assessed using the Chi‐squared test. Results: Overall prevalence was 4.4%. Thoroughbreds were the breed most affected (13.3%). Approximately half of owners believed environmental factors predominantly cause the condition (54.4%) and crib‐biting is learned by observation (48.8%). However, only 1.0% of horses became affected after being exposed to a crib‐biter. The majority (86%) of horses was turned out in the same pasture with other horses and extent of contact with conspecifics was not statistically related to risk. Conclusion: This is the first study to report breed prevalence for crib‐biting in US horses. Thoroughbreds were the breed more likely to be affected. More owners believed either environmental conditions were a predominant cause or a combination of genetic and environmental factors contributes to the behaviour. Only a small number of horses reportedly began to crib‐bite after being exposed to an affected individual, but approximately half of owners considered it to be a learned behaviour; most owners did not isolate affected horses. Potential relevance: Genetic predisposition, not just intensive management conditions and surroundings, may be a factor in the high crib‐biting prevalence in some breeds, and warrants further investigation. Little evidence exists to suggest horses learn the behaviour from other horses, and isolation may cause unnecessary stress.     

A survey on the prevalence of internal parasites of equines in macedonia and Thessalia-Greece

A 3-year survey was conducted to determine the incidence of endoparasitic infection of equines in several regions of Macedonia and Thessalia, Greece. Three hundred fecal and 252 blood samples were examined. Fecal examination was carried out using. Teleman and Faust techniques while blood was examined according to the modified Knott technique. The Graham test was also performed. The prevalence of infection found was 62.4% for horses, 75.7% for donkeys and 89.2% for mules. Strongyles (large and small) were the most common parasitic species found, with a corresponding prevalence of 42.5% and 45.6% for horses, 73.0% and 37.8% for donkeys, and 89.2% for mules. Other parasites found were: Eimeria leuckarti (2.6% in horses and 8.1% in donkeys), Anoplocephala perfoliata (0.4% in horses), Parascaris equorum (1.7% in horses), Oxyuris equi (4.1% in horses and 8.7% in mules), Strongyloides westeri (2.2% in horses, 5.4% in donkeys and 10.8% in mules), Dictyocaulus arnfieldi (0.9% in horses and 2.7% in donkeys) and Setaria equina (2.2% in horses and 2.7% in donkeys).     

Prevalence of some internal parasites found (1971–1989) in horses born on a farm in central kentucky

Prevalence of several species of naturally acquired internal parasites are reported from a total of 97 horses (mostly mixed lighthorse type) from a farm in central Kentucky. The horses were born and raised in 2 adjacent fields (No. 4 - n=44 and No. 10 − n=53) over a 19-year-period (1971–1989). They were 100 to 537 days old (av. 281) when examined; an exception was a 819-day-old not calculated in the average age. Some of the horses were not examined for all of the parasites. These horses (never previously treated) were all used in critical or controlled tests for evaluation of antiparasitic activity of drugs. Dams and other horses in the fields rarely were given an antiparasitic compound.Prevalence and aggregate mean numbers of parasites in infected animals (in parentheses) for the 97 horses are: bots — Gasterophilus intestinalis 2nd instar, 65%(45), 3rd instar, 96%(210), Gasterophilus nasalis 2nd instar, 18%(10), 3rd instar, 63%(10); stomach worms — Habronema muscae, 73%(78), Draschia megastoma, 42%(53); ascarids — Parascaris equorum mature, 75%(45), immature 36%(29), tapeworms — Anoplocephala perfoliata, 33%(7); large strongyles — Strongylus vulgaris, 95%(80) (data on horses ≥180 days old), Strongylus edentatus, 94%(34) (data on horses ≥330 days old); pinworms — Oxyuris equi, 43%(87); eyeworms — Thelazia lacrymalis, 61%(6); S. vulgaris in cranial mesenteric artery, 92%(53); and S. edentatus in ventral abdominal wall, 98% (56). Differentiation was made for the data by season and by age of the horses when they were examined. Information from this research reflects the transmission patterns and prevalence of these parasites under natural conditions.     

Cross-sectional study of antimicrobial-resistant bacteria in horses. Part 1: Prevalence of antimicrobial-resistant Escherichia coli and methicillin-resistant Staphylococcus aureus

Reasons for performing study: The increasing prevalence of antimicrobial‐resistant bacteria such as methicillin‐resistant Staphylococcus aureus (MRSA) and antimicrobial‐resistant Escherichia coli represents a significant problem. However, the carriage of such bacteria by horses in the UK has not been well characterised. Objectives: To estimate the prevalence of nasal carriage of MRSA and faecal carriage of antimicrobial‐resistant E. coli amongst horses in the general equine community of the mainland UK. Methods: A cross‐sectional study of horses recruited by 65 randomly selected equine veterinary practices was conducted, with nasal swabs and faecal samples collected. Faecal samples were cultured for antimicrobial‐resistant E. coli. Nasal swabs were cultured for staphylococcal species; methicillin‐resistant isolates identified as S. aureus were characterised by SCCmec and spa gene typing. Multilevel logistic regression models were used to calculate prevalence estimates with adjustment for clustering at practice and premises levels. Spatial variation in risk of antimicrobial resistance was also examined. Results: In total, 650 faecal samples and 678 nasal swabs were collected from 692 horses located on 525 premises. The prevalence of faecal carriage of E. coli with resistance to any antimicrobial was 69.5% (95% CI 65.9–73.1%) and the prevalence of extended‐spectrum β‐lactamase (ESBL)‐producing E. coli was 6.3% (95% CI 4.1–9.6%). The prevalence of nasal carriage of MRSA was 0.6% (95% CI 0.2–1.5%). Spatial analysis indicated variation across the UK for risk of carriage of resistant and multidrug‐resistant (resistant to more than 3 antimicrobial classes) E. coli. Conclusions and potential relevance: Carriage of MRSA by horses in the community appears rare, but the prevalence of antimicrobial‐resistant E. coli (including ESBL‐producing E. coli) is higher. A high prevalence of antimicrobial‐resistant bacteria could have significant health implications for the horse population of the UK.     

Coprological prevalence and intensity of helminth infection in working horses in Lesotho

This study aimed to (1) estimate infection prevalence of strongyle, Oxyuris equi and Parascaris equorum species and the intensity of infection with strongyles in working horses in lowland Lesotho and (2) investigate associations between infection and horse age, sex and owner-reported use of anthelmintics. In a cross-sectional survey, fresh faecal samples were obtained from 305 randomly selected horses and worm egg counts performed using a validated field laboratory kit. Details of anthelmintic use were collected using a standardised face-to-face owner questionnaire. Infection prevalence estimates for each species were calculated, as were infection intensity estimates for strongyle species. Logistic regression was used to investigate associations between exposure variables and infection status/intensity. Prevalence of strongyle infection was 88.2%; 11.8% of horses were not infected and infection intensity was low (1–500 eggs per gram (epg)) in 19.7%, medium (501–1,000 epg) in 19.7%) and high (>1,001 epg) in 48.8%. Decreasing strongyle infection intensity was associated with the use of proprietary equine anthelmintic products (OR 0.18, 95%CI 0.11–0.30, p < 0.0001). Prevalence of O. equi infection was 6.2%; the odds of infection with this parasite decreased with increasing horse age (OR 0.84, 95%CI 0.72–0.97, p = 0.02). P. equorum infection prevalence was 21.6%; no statistically significant associations with the investigated exposure variables were found. In conclusion, strongyle infection is endemic in working horses in lowland Lesotho, but proprietary equine anthelmintics assist in managing infection. The apparent lack of age-acquired immunity to P. equorum infection may deserve further investigation. Although O. equi infection is less widespread, measures to protect younger animals may be appropriate.     

Effect of body weight on the pharmacokinetics of flunixin meglumine in miniature horses and quarter horses

In most species, large variations in body size necessitate dose adjustments based on an allometric function of body weight. Despite the substantial disparity in body size between miniature horses and light‐breed horses, there are no studies investigating appropriate dosing of any veterinary drug in miniature horses. The purpose of this study was to determine whether miniature horses should receive a different dosage of flunixin meglumine than that used typically in light‐breed horses. A standard dose of flunixin meglumine was administered intravenously to eight horses of each breed, and three‐compartmental analysis was used to compare pharmacokinetic parameters between breed groups. The total body clearance of flunixin was 0.97 ± 0.30 mL/min/kg in miniature horses and 1.04 ± 0.27 mL/min/kg in quarter horses. There were no significant differences between miniature horses and quarter horses in total body clearance, the terminal elimination rate, area under the plasma concentration versus time curve, apparent volume of distribution at steady‐state or the volume of the central compartment for flunixin (P > 0.05). Therefore, flunixin meglumine may be administered to miniature horses at the same dosage as is used in light‐breed horses.     

Non-strangulating intestinal infarction in horses in the UK: A review of 15 cases

The clinicopathological features of 15 horses diagnosed with non-strangulating intestinal infarction (NSII) based on identification of focal areas of intestinal necrosis without mesenteric strangulation were reviewed. The mean age at presentation was 16.3 years, median 13 years, and there was no age, sex, or breed predilection. The major presenting clinical signs included: acute colic ≤ 24 h duration in nine horses; diarrhoea, depression, and inappetence in four horses; and low-grade chronic or recurrent colic, depression, and inappetence in two horses. One horse presented with both acute colic and diarrhoea. Predisposing diseases included colitis or typhlocolitis in five horses and an initial strangulating small intestinal obstruction in three horses, but in seven horses no underlying or predisposing disease was identified. Four cases were managed medically and 11/15 were managed surgically. The most useful diagnostic test was exploratory celiotomy and the only successful treatment was complete resection of the necrotic intestine. Prognosis for survival was poor with a survival rate of only 1/15 (7%). Among the 15 horses, both single and multiple NSII lesions were seen, and they occurred in both the small intestine and large intestines. There was no evidence of Strongylus vulgaris infestation in any of the affected horses.     

A survey of feeding,management and faecal pH of Thoroughbred racehorses in the North Island of New Zealand

AIM: To identify feeding and management variables associated with variation in faecal pH within a population of intensively managed Thoroughbred racehorses in New Zealand.

METHODS: A cross-sectional survey was conducted of 16 racehorse trainers in the North Island of New Zealand. Interviews were conducted at the trainers' stables to obtain information on feeding and management of horses, and faecal samples were collected and faecal pH measured.

RESULTS: Ninety-seven percent of the horses surveyed were confined in an area ≤5 × 5 m for ≥12 h/day. Trainer's age, number of years they had trained horses, age and gender of horses, weeks in race training, racing class, frequency of feeding, bedding type, and exercise workload had no effect on mean faecal pH. Acidic faecal pH (pH ≤6.32) was associated with stables with ≤12 horses, and trainers at stables with ≤12 horses offered more concentrate feed than those at stables with >12 horses. Acidic faecal pH was associated with trainers who offered 4 kg of grain as the only form of concentrate fed, or offered ≤2.25 kg hay/day. Horses that displayed stable vices had less acidic faecal pH than horses that did not display stable vices, viz pH 6.70 (standard error of the mean (SEM) 0.135) vs 6.43 (SEM 0.029) (p=0.04).

CONCLUSIONS AND CLINICAL RELEVANCE: Racehorse management in New Zealand is similar to that observed in other major racing countries. Trainers with ≤12 horses fed more concentrates and their horses had lower faecal pH than those of trainers with >12 horses. Irrespective of management system, it appears important to provide at least 2.25 kg of hay/day ad libitum, to buffer hindgut acidosis associated with diets high in soluble carbohydrate.     

Prevalence of Clostridium perfringens in faeces and ileal contents from grass sickness affected horses: Comparisons with 3 control populations

Reasons for performing study: While previous studies have demonstrated an association between equine grass sickness (EGS) and the presence of Clostridium botulinum within ileal contents and faeces, no such associations with other intestinal‐derived anaerobic bacteria have been extensively investigated. Hypothesis: The prevalence of C. perfringens in the ileal contents and faeces of EGS horses is greater than control horses; the detection of C. perfringens in faeces by ELISA could be diagnostically beneficial in a clinical setting. Methods: The prevalence of C. perfringens in faeces from EGS horses and healthy grazing control horses was determined by both selective culture and ELISA to permit both validation of the ELISA and inter‐group comparisons. Additionally, the prevalence of C. perfringens (ELISA) in ileal contents from EGS horses was compared with that for control horses with nongastrointestinal disease. Finally, the prevalence of C. perfringens (ELISA) in faeces from EGS cases was compared with that from both horses with which they shared pasture at the time of disease onset and non‐EGS colic horses. Results: When compared with culture, the ELISA had a sensitivity and specificity of 86 and 98%, respectively. The prevalence of C. perfringens in faeces as determined by both culture and ELISA was significantly higher (P<0.001) for EGS horses (7/9 and 15/37, respectively) than for healthy grazing controls (0/60 and 1/74, respectively). The prevalence of C. perfringens in ileal contents from EGS horses (5/10) was greater than that for horses with nongastrointestinal disease (1/12) at a level that approached significance (P = 0.056). EGS cases had a significantly greater prevalence of C. perfringens in faeces (15/37) than co‐grazing horses (1/18) and colic (1/16) horses. The specificity (93%) and PPV (94%) of the detection of C. perfringens by ELISA on faecal samples in relation to disease status (EGS compared with colic horses) was good. Sensitivity (41%) and NPV (39%) were poor. Conclusions and potential relevance: The use of a commercial ELISA to detect faecal C. perfringens may be diagnostically beneficial when differentiating EGS cases from colic cases, although further work is required to fully evaluate its potential.     

Letters to the editor

Extract

Sir,—I have used morantel tartrate as a drench by stomach tube for horses infested with Oxyuris, strongyles, Parascaris, and Anoplocephala perfoliata. In the first three horses treated, symptoms of oxyuriasis soon disappeared and the strongyle egg counts became negative.     

THE EPIDEMIOLOGY OF EQUINE STRONGYLOSIS IN SOUTHERN QUEENSLAND 3. Seasonal Variation in Arterial Populations of Strongylus vulgaris, and the Prevalence of some Helminths

SUMMARY The anterior mesenteric arteries of 138 horses slaughtered in southern Queensland were examined for the presence of S. vulgaris larvae. Seasonal differences were noted in the size of arterial populations of this parasite, with higher mean monthly numbers of worms per horse occurring in winter. There was an equally high incidence of severe verminous arteritis during the winter months of June, July and August, compared to arteries examined during the warmer months, when there were smaller numbers of larvae. It was concluded that more infective larvae were available on pasture during the warmer months, with subsequently large arterial populations some 3 to 4 months later. The parasite was encountered in 121 arteries (88%). The prevalence of adult helminths in the caeca of the same group of horses was S. vulgaris 88%; S. equinus 70%; S. edentatus 18%; Triodontophorus spp. 23%; A. perfoliata 62%. The overall prevalence of S. vulgaris was 93%, when the results of arterial and caecal observations were combined.     

Pathological changes caused by Anoplocephala perfoliata in the equine ileocecal junction

Gastrointestinal motility disorders represent a significant cause of morbidity and mortality in horses. Previously regarded as a non-pathogenic tapeworm, Anoplocephala perfoliata has been recently associated with equine colic. In this study, pathological changes related to A. perfoliata at the ileocecal junction were investigated in 31 slaughtered horses. Our results showed a significant relationship between parasitic burden and grading of histopathological lesions in both the mucosa and submucosa. Moreover, in infested horses, hypertrophy of the circular muscle layer was determined. Finally, an enteric nervous system (ENS) evaluation showed injury to intestinal nervous elements in horses with moderate to high parasitism. In summary, our results on the ENS support a correlation between colic and A. perfoliata infestion in the horse.     

Studies on the Epidemiology of Tropical Theileriosis (Theileria annulata Infection) in Cattle in Central Anatolia,Turkey

An epidemiological survey for Theileria annulata infection was conducted in 12 selected villages around Ankara in Central Anatolia, Turkey, during the period April 1990 to January 1993. During the survey, 198 cattle of 30 local breeds, 84 Holstein-Friesian×local breeds and 84 Holstein-Friesian breed were examined for antibodies to T. annulata and the presence of the vector ticks. Four species of Hyalomma ticks were identified: Hyalomma anatolicum anatolicum, Hyalomma anatolicum excavtum, Hyalomma detritum and Hyalomma marginatum marginatum. Salivary gland staining indicated that infected adult ticks of all four species were present and, therefore, were implicated in the transmission of tropical theileriosis in the field. Generally, the Hyalomma infestation rate was low, with the heaviest infestations occurring on the older animals. Young adults and calves had very low infestation rates. Most ticks seen on cattle were adults, very few nymphs were found. The blood smear and serological examination of the 198 cattle conducted in March, before the start of the first disease season, showed that the prevalence of piroplasmosis was 11.1% (22 out of 198) and the seroprevalence of T. annulata was 10.6% (21 out of 198). Forty-three animals were then excluded from the study because they were seropositive and/or harboured piroplasms. Ninety-two seronegative animals showed piroplasmosis (92 out of 155) and 34 seronegative animals became seropositive for T. annulata (34 out of 155) during the three disease seasons. One animal became clinically ill with tropical theileriosis and required treatment. The incidence of cattle showing piroplasmosis and disease in the total study sample was 50.7% and 0.5% per disease season, respectively. The seroconversion rate of new infection with T. annulata in the total study was 14.3% per animal season. The number of cattle showing piroplasmosis was much greater than the number of seropositive cattle, which may indicate the presence of another species of Theileria. The two different management systems encountered in the study were considered to have influenced the tick infestation levels.     

The Use of Direct‐Fed Microbials to Reduce Shedding of Escherichia coli O157 in Beef Cattle: A Systematic Review and Meta‐analysis

Human illness due to infections with Escherichia coli O157 is a serious health concern. Infection occurs through direct contact with infected animals or their faeces, through contaminated food or water and/or through person‐to‐person transmission. A reduction in faecal E. coli O157 shedding in cattle might reduce the burden of human infections. We used systematic review and meta‐analysis to assess the efficacy of direct‐fed microbials (DFM), compared with placebo or no treatment, fed during the pre‐harvest stage of production in reducing faecal E. coli O157 shedding in beef cattle during field trials. Four electronic databases, Nebraska Beef Reports and review article reference lists were searched. A total of 16 publications assessing faecal shedding at the end of the trial and/or throughout the trial period were included. The majority of publicly disseminated trials evaluated the prevalence of E. coli O157 faecal shedding; only two evaluated the concentration of organisms in faeces. The prevalence of faecal E. coli O157 shedding in cattle is significantly reduced by DFM treatments (summary effect size for all DFM – OR = 0.46; CI = 0.36–0.60). The DFM combination Lactobacillus acidophilus (NP51) and Propionibacterium freudenreichii (NP24) was more efficacious in reducing the prevalence of faecal E. coli O157 shedding at the time of harvest and throughout the trial period compared with the group of other DFM, although this difference was not statistically significant. Furthermore, we found that the combination [NP51 and NP24] treatment was more efficacious in reducing the prevalence of faecal E. coli O157 shedding at the time of harvest and throughout the trial period when fed at the dose of 10⁹ CFU/animal/day than any lesser amount, although this difference was not statistically significant. Feeding beef cattle DFM during the pre‐harvest stage of production reduces the prevalence of E. coli O157 faecal shedding and might effectively reduce human infections.