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Tritrichomonas foetus · Tritrichomonas blagburni

One positive PCR, and a breeding plan

Catteries carry the highest published prevalence of any cat population that is not a hoarding seizure. This page is not about the drug — it is about the decisions a breeder actually makes: what to test before an introduction, what to do with a positive kitten, how a queen’s cycle changes the timing, and what you owe a buyer.

Evidence-graded Reviewer of record: pending Last verified 27 Oct 2026
This is not a clinical protocol, and it is not legal advice on a contract. It summarizes what has been published so you can make a better decision with your veterinarian. Drug decisions, doses and the timing of treatment around a breeding cycle belong to a veterinarian who can examine the cat.

Where a cattery sits in the data

The risk factors named in the literature are housing density and age. That is a description of a cattery, and it is why pedigreed cats dominate the prevalence figures rather than any property of breeding itself:

Published prevalence, approximate
PopulationPrevalence
Cats in large-scale hoarding operations, USA≈39%
Pedigreed cattery cats, USA≈31%
Long-term sanctuary cats with diarrhea≈26%
Long-term sanctuary cats with normal stool≈10%
Mixed pet-cat populations≈4–10%

Read those as an order of magnitude: they come from different studies, assays and decades. Two consequences survive the imprecision. About a quarter of positive cats look completely normal, so a cattery cannot be assessed by looking at stool. And geography matters — the Australian cattery and shelter survey found prevalence far lower than the American figures at the time, so a negative result means something different depending on where the cat came from.

One more thing the cattery literature says plainly: coinfection is normal, not exceptional. Giardia turning up alongside this organism in a cattery is documented, and treating only one of them fails. Both papers are on the research index →

The incoming cat: what to ask for, and what a negative means

This is the moment the whole page exists for. A breeder buying in does the right thing and runs their own test before an introduction — and the test that comes back is not always the test they think it is.

  • Ask what was run, not whether it was clear. A fecal smear is not a PCR. On a direct smear the organism is found roughly 14% of the time when it is genuinely there; the in-house “normal” result on a new kitten usually means a smear was looked at, not that the cat was tested.
  • Ask for the sample method. PCR on feces is the test, and a fecal loop sample was 2.04× more likely to be PCR-positive than a colonic flush across 1,717 cats. A result on voided stool or a flush is a weaker result, not an equal one.
  • Ask for the date and the laboratory. A test done before the cat was stressed, moved or exposed to a new group is a test of a different animal.
  • A single negative is a point-in-time result on an assay of roughly 94% sensitivity. It reduces the probability; it does not establish that the cat is clear, and it says nothing about a cat that is not currently shedding at a detectable level.
The practical rule A negative PCR before introduction is worth having, and it is not a guarantee. Quarantine the cat until the result is in, keep its tray and scooper separate while it is there, and retest if the cat develops diarrhea at any point in the following months. That combination is cheap. Assuming a kitten is clear because the paperwork says so is how a closed cattery stops being closed.

A positive kitten, and a contract

There is no published trial that tells you which of these is right; the honest answer is that this is a decision made on welfare, money and your own risk tolerance, with your veterinarian.

  • Treat and hold. The kitten stays out of the group through treatment and through a retest late enough to mean something — relapse has been documented up to 20 weeks after the last dose, so a four-week negative is an early reading. This is the most expensive option in time and space.
  • Place as a known-positive. Defensible into a single-cat or informed home, with the disclosure in writing. Asymptomatic carriers are common and the organism dies quickly outside the cat, so a single-cat home is not a high-risk environment — provided the buyer knows what they are taking on and the diarrhea may return.
  • Return or rehome. A legitimate outcome, and the one that most needs a written record of what was tested and when, because it is the decision most likely to be argued about later.

Field experience, labeled as such: the breeders who come out of this with their reputation intact are the ones who told the buyer first, in writing, before the buyer found out from a laboratory invoice.

Queens, litters, and why timing is a veterinary question

Ronidazole is considered contraindicated in pregnant or lactating queens, and kittens under about twelve weeks are usually dosed lower because their metabolism is immature. That single sentence reshapes a breeding plan: treatment has to fit around a cycle rather than the other way round, and a queen who is already pregnant or nursing is a different problem from one who is not.

There is also a welfare cost that rarely appears in a breeding forum. Confining a queen for weeks of treatment separates her from the company she is used to, and cats deteriorate in bare cages — the isolation has to be a room with a hiding place, vertical space, separated resources and daily human contact that is not only the moment of dosing. The welfare page sets that out properly →

Transmission is fecal–oral: shared trays, grooming after stepping in stool, and a queen shedding into the litter her kittens use. It is not inherited, and a positive kitten is not evidence of a genetic fault in a line.

What to tell a buyer

Three sentences, in writing, with dates: what was tested and how, what the result was, and whether clearance was confirmed and how long after the last dose. If it was not confirmed, say that. Ambiguity here is what damages trust later, and it is also what puts the buyer’s other cats at risk.

The printable shelter checklist carries a fill-in disclosure paragraph that works unchanged for a cattery sale; print it and complete it at the handover.

Questions breeders ask us most

Should I test every cat before breeding?

Ideal, rarely affordable, and never a guarantee. If you cannot test everyone, the defensible middle ground is the same one shelters use: test every cat with diarrhea, test every cat arriving from a group with known positives, and treat the resident population as potentially positive until you have reason to think otherwise. Do not test only the cats with diarrhea and conclude the rest are clean — roughly a quarter of positive cats in dense populations have normal stool.

Can I keep a positive cat in a closed group of positives?

It is what some catteries do, and it is a management decision rather than a clinical one. It means the group stays a closed positive group: no negative cat enters, no cat from it is sold as clear, and every buyer is told. The risk is not the closed group; it is the assumption that a cat which stopped shedding is a cat which cannot shed again.

Does a negative PCR mean I can breed her and place the kittens?

A negative is a point-in-time result on an assay of roughly 94% sensitivity, on a specified sample type, at a specified interval after exposure. It is a reasonable basis for a decision; it is not a certificate. If the stakes are a litter and a buyer’s household, test late enough and record what was tested and when, so the answer can be interpreted by someone else later.

What do I do with a queen who is already pregnant?

That is a conversation with your veterinarian, not a website. Ronidazole is considered contraindicated in pregnant and lactating queens, kittens under twelve weeks are usually dosed lower, and the timing of treatment against a cycle is a clinical judgement with welfare consequences on both sides.

Is it inherited?

No. It is acquired fecal–orally, including from a shedding queen to the litter sharing her tray. A positive kitten is a housing and exposure question, not a genetic one, and treating it as a fault in the line is both unfair and inaccurate.

What about the rest of the cattery while one cat is positive?

Separate the trays before you separate the cats: separate scoops, separate gloves, stool removed promptly, and enough trays that no cat queues at a soiled box. There is no cyst stage and the organism survives only days in moist stool, so routine disinfectants and frequent scooping do more than deep-cleaning once a week. The outbreak playbook has the full sequence →

What this page cannot tell you There is no published management trial for catteries — no study comparing testing strategies, isolation periods or treatment timing in a breeding population. Everything above is extrapolated from prevalence data, diagnostic studies and shelter practice, and it is labeled accordingly. That gap is also the opportunity: a cattery is a closed population with one decision-maker and records, which makes it the most realistic place for the longitudinal case series this field does not have. What a cattery could contribute →

Sources

  1. Gookin JL, Hanrahan K, Levy MG. The conundrum of feline trichomonosis. J Feline Med Surg 2017;19:261–274. — prevalence context, carrier misconception, treatment practicalities.
  2. Hedgespeth BA, Stauffer SH, Gookin JL. Fecal sample collection technique and treatment history with T. foetus PCR results in 1,717 cats. J Vet Intern Med 2020;34:734–741.
  3. Bissett SA, Coccaro MR, Malik R, et al. Observed occurrence of T. foetus and other enteric parasites in Australian cattery and shelter cats. J Feline Med Surg 2009;11:803–807.
  4. Bissett SA, Gowan RA, O'Brien C, Coccaro MR, Gookin JL. Feline diarrhea associated with T. foetus and Giardia coinfection in an Australian cattery. Aust Vet J 2008;86:440–443.
  5. LeVine DN, Gookin JL, Papich MG, Davidson GS. Twice-daily dosing of RDZ no longer recommended (letter). J Feline Med Surg 2014;16:198. — the dosing change and its stated limits.
  6. Foster DM, Gookin JL, Poore MF, et al. Outcome of cats with diarrhea and T. foetus infection. J Am Vet Med Assoc 2004;225:888–892. — natural resolution, the 20-week relapse window.
  7. ABCD. Guideline for trichomonosis. abcdcatsvets.org.
  8. AAFP/ISFM Feline Environmental Needs Guidelines — the five pillars referenced on the welfare page.