Mastitis Flashcards

1
Q

How is mastitis categorised?

What are the differences and similarities

A

Into subclinical mastitis where an infection is present but there are no visible clinical signs but changes in somatic cell count, milk quality and yield. OR
Clinical mastitis where there is changes in milk, udder and cow. Clinical mastitis is graded

Similarities = intramammary infection
Differences =
CM exhibit symptoms, SC detected by lab with inc somatic cell count

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2
Q

What is mastitis grading

A

Grade 1 - mild changes in milk
Grade 2A - acute changes in milk. Udder hot and painful
Grade 2C - Chronic changes in milk. Udder hard and lumpy
Grade 3 - Changes in milk and udder. Cow SICK

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3
Q

What is somatic cell count?

What do we want?

A

n.o cells per ml of milk; mainly epithelial and WBC; presence of infection increases the latter hugely

“high” SCC
400,000 cells/ml. Want under 200,000 cells

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4
Q

what categories are mastitis pathogens?

A

Contagious or

Environmental

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5
Q

Talk about contagious mastitis pathogens

  • source
  • how spread
A

• Obligate parasites = must live on cow to survive
Obligate parasites. Located udder skin, teat skin, intra-mammary, tonsils, vagina
• Main source = is other infected cows e.g. milking cleaning products
• Spread from cow to cow during milking via fomites : cluster, milker’s hands, communal teat cloth, teat brushes

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6
Q

Talk about environmental pathogens

- what is the key risk period xxxx

A
  • Live in slurry, bedding, soil, feed and water

* Infection between milking times and during milking

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7
Q

List the main contagious mastitis pathogens

A
  1. Staphylococcus aureus
  2. Streptococcus dysgalactaie
  3. Streptococcus agalactiae
  4. Coagulase negative Staph. spp.
  5. Mycoplasma spp.
  6. Contagious cow adapted strains of Streptococcus uberis (note just strep uberis on its own isn’t)

You will isolate others from mastitis cases : look them up e.g. Veterinary Medicine (Radostits etc ) and consult with diagnostic laboratory
There are undoubtedly pathogens we don’t know about yet (microbiome work)

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8
Q

List main environmental mastitis pathogens

A
  1. Streptococcus uberis
  2. Coliforms e.g. Escherichia coli, Klebsiella pneumoniae
  3. Yeasts/fungi
  4. Summer Mastitis (a syndrome; see later in lecture; multiple bacteria)

You will isolate others from mastitis cases : look them up e.g. Veterinary Medicine (Radostits etc ) and consult with diagnostic laboratory
There are undoubtedly pathogens we don’t know about yet (microbiome work)

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9
Q

What are the 2 methods of identifying organism causing mastitis?

A
  1. Culture

2. PCRs

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10
Q

Pros and cons of Culturing mastitis for bacterial ID

A

Grow the bacteria
Bacteria must be alive;
No antibiotics for at least 7 days prior to culture;
Must be shedding on the day of sampling (which is luck!).

If you happen sample on a non-shedding day your result will be NEGATIVE for Staph. aureus

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11
Q

Pros and cons of PCR mastitis for bacterial ID

A

Detects bacterial DNA
BActeria can be Dead or alive;
Can be done Before/during/after antibiotics
The PCR is set up for the common pathogens DNA and the beta-lactamase gene;
So if it’s another bug not on the list ….it won’t be found!

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12
Q

Why could a sample results fail?

A
Contamination
Testing panel
Not shedding
Poor storage/handling
Unknown pathogen
Fastidious
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13
Q

What is the most common contagious pathogen for mastitis? and what is its source of infection?

A

Staphylococcus aureus
cows and fomites
Spread amongst heifers pre-calving by teat sucking
Fly spread

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14
Q

What type of bacteria is Staphylococcus aureus?

How does it appear on blood agar?

A

Gram positive cocci
Coagulase positive
On blood agar, white colonies with a ring of haemolysis

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15
Q

What makes staphylococcus aureus difficult to culture?

What makes SA difficuly to treat?

A
  1. Intracellular - survives in the cells and may not be detected unless cells are broken open by freezing the milk.
  2. Biofilms - Survives in biofilms (mixture of cells, extracellular material and bacteria) which protects the bacteria

Dtt:
1. Antibiotic is poorly accessible

  1. Often responsible for recurrent persistent chronic infections/persistently high cell counts; may be lifelong
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16
Q

Staphylococcus aureus Virulence Factors = required for the bacterium to cause disease

A
  1. Haemolysins -
    damage tissue and cells aiding intracellular colonisation
  2. Protein A in cell wall -
    binds antibody and prevents recognition by neutrophils
  3. Clumping Factor A-
    adherence of pathogens to gland tissue
  4. Pseudocapsule- surrounding bacteria preventing phagocytosis
  5. Alpha Toxin - produced in large amounts particularly in gangrenous mastitis
  6. Survives intracellular killing and can even multiply within phagocytes
  7. Survives in keratin of teat canal
  8. B lactamase-
    makes some of them resistant to penicillin
  9. Exotoxins - damage udder tissue stimulating fibrosis/ abscessation udder
17
Q

What grades of mastitis can staph aureus cases?

A
All grades can occur:
Grade 1
Grade 2A
Grade 2C
Grade 3 = GANGRENOUS mastitis

Sub clinical is v common = persistent high cell count in cows

18
Q

When do we see gangrenous mastitis is staph aureus?

A

GRADE 3
Usually newly calved cow (periparurient immunosuppression)
Peracute toxaemic sick cow (massive release of a toxin)
Gangrene of udder tissue, abscesses in udder, udder cold, blue, then necrotic and finally sloughs
Milk often dark red and bloody

19
Q

What are 3 ways to controlling Staphylococcus aureus in the herd?

A
  1. prevent introduction of new infection with care when buying in cows - check cell count history, examine udder
  2. reduce existing infection in herd by:
    treating cases, cull chronic, dry cow therapy
  3. PREVENT spread within herd:
20
Q

Environemntal pathogens - what happens to cow teat at rest?

A

keratin plug forms, teat canal and sphincter closes but complete seal not 100% guaranteed

21
Q

Environmental pathogens - when is the main risk period to cow picking these up?

A

as cows are coming in to be milked when the canal opens (in response to the tangible signals the cow picks up …time of day, sound of the parlour, being rounded up), and after milking for around half an hour (the time taken for the sphincter to close after being milked).

22
Q

Environmental pathogens - how do we reduce the risk?

A

cleaning the teats before putting on the cluster….accomplished preferably using individual wipes (1 per cow) or a teat brush….but note the risk of this being a fomite in the spread of contagious !

23
Q

How do we prevent spread of contagious pathogens within the herd?- at milking

A
in the Milking parlour...
Wear Gloves
No common udder cloths/ wipes 
Early detection and treatment
Post milking teat disinfection
Milking order
Maintain milking machine correctly (liners and vacuum)