Flea control failure? Myths and realities.

Why is it that, despite the proliferation of research on their biology and control, fleas remain such a burden for companion animals and their owners? This review highlights a range of reasons for persistence and apparent treatment failures. It argues that a sustainable approach will require integrated pest management based upon a detailed understanding of the flea life cycle, targeting not only adult fleas but also the immature stages in the environment, combining several modes of control and limiting the risk of chemoresistance. Individual characteristics of the pet and its environment need to be considered. Control of fleas can be achieved, over a timescale of several months, if basic rules are respected.