Mastitis in Cattle Flashcards

1
Q

What are the 2 possible sources of pathogens causing mastitis?

A
  • environmental
  • contagious
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2
Q

What are common environmental pathogens causing mastitis?

A
  • Gram-positive pathogens
    • Environmental Streptococci, commonly Streptococcus uberis, Enterococcus spp.,
    • Others such as Bacillus spp.
  • Gram-negative pathogens
    • Coliforms (E. coli, Klebsiella spp., Serratia spp. and many others)
    • Non-coliform bacteria such as Pseudomonas spp.
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3
Q

What are common contagious pathogens causing mastitis?

A
  • Gram-positive pathogens
    • Staphylococcus aureus,
    • Streptococcus agalactiae,
    • Streptococcus dysgalactiae
  • Mycoplasma spp.
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4
Q

What treatment is often used to treat mastitis in high cell count herds?

A
  • Typically, bulk milk SCC>200 cells/ml
  • More than 20% of cows with SCC>200 cells/ml
  • Consider narrow spectrum intramammary
  • Category D, good activity v Gram-positive
    • Benzylpenicillin, (e.g., “Ubropen”)
    • On label up to 5 days treatment
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5
Q

What treatment is often used to treat mastitis in low cell count herds?

A
  • Typically, bulk milk SCC<200 cells/ml
  • Less than 20% of cows with SCC<200 cells/ml
  • Consider broad spectrum intramammary
  • Category C, good activity v G+ and G- (penicillin and an immunoglycoside)
    • Cefalexin & kanamycin, (e.g., “Ubrolexin”)
    • Potentiated amoxicillin, (e.g. “Synulox”)
    • Cephapirin, (e.g., “Mastiplan”)
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6
Q

How can we measure infection status after we treat clinical mastitis events and monitor “cure rates”?

A

using white blood cell counts in milk (“somatic cell count” or SCC)

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7
Q

How do you manage high cell count cows in lactation?

A
  • Treatment of subclinical infections during lactation is generally associated with a poor chance of cure…and is poor antibiotic stewardship
  • Most high cell count infections will cure during the dry period with antibiotic dry cow therapy
  • “Chronic” infections (cows with multiple SCC>200), in older cows less likely to cure and may be suitable for culling
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8
Q

How do you manage high cell count cows at drying off?

A
  • Antibiotic dry cow therapy products
  • Published evidence that the chance of cure is increased if we combine antibiotic dry cow antibiotic with a non-antibiotic internal “teat sealant” when drying-off cows with SCC>200,000 cells/ml
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9
Q

Why use internal teat sealant at drying off?

A
  • Was designed for use in uninfected cows
  • No inherent antimicrobial activity
  • Infused into the teat cistern
  • Original UK work showed dramatic reduction in risk of new infection during the dry period using internal teat sealants
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10
Q

What is the selective dry cow therapy concept?

A
  • uninfected cow with low cell count in last 3 milk recordings or no clinical mastitis in last 3 months will only have teat sealant at drying off
  • infected cow with high cell count or clinical mastitis event in last 3 months will have intramammary antibiotic and teat sealant at drying off
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11
Q

What is the dry cow summer mastitis complex?

A
  • Complex environmental pathogen aetiology
    • Arcanobacterium (Trueperella) pyogenes
    • Peptococcus indolicus
    • Streptococcus dysgalactiae
  • Disease of dry cows and heifers
  • Transmission by sheep head fly (Hydrotea irritans) often implicated …
  • Hot, hard, swollen, painful quarter
  • Characteristic foul smell
  • Dry cow often lame – noticed first?
  • Can lead to abortion (pyrexia)
  • Prognosis poor, quarter often lost
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12
Q

How can you manage the dry cow summer mastitis complex?

A
  • Intra-mammary antibiotics useless
  • Injectable broad spectrum (e.g. amoxicillin)
  • Strip out affected quarter - may need to drain quarter by vertical incision into teat (below)
  • Very likely to lose the affected quarter
  • Prevention by reducing risk most important
  • Fly avoidance (specific pastures, woods, streams)
  • Fly control (spray, pour-ons etc.)
  • Teat Sealants (Internal and External)
  • Stockholm Tar, micropore tape etc applied to teats
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13
Q

How can you prevent spread of environmental mastitis in lactating cows?

A
  • Clean bedding applied to any lying areas at least daily
  • Scraping any faeces off the backs of the cubicles twice daily
  • Access to outside (feed) areas?
  • Scraping collecting yards after every milking
  • Well-ventilated buildings (stack effect, outlet and inlet provision)
  • Pre-milking teat disinfection
  • “Living space” per cow
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14
Q

What 5 things can be done to prevent contagious mastitis spread in lactating cows?

A
  • Prompt treatment of clinical mastitis events
  • Antibiotic dry cow therapy for infected cows at the end of lactation
  • Culling or segregating chronically infected cows
  • Maintenance of the milking machine
  • Post-milking teat disinfection
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15
Q

When is the mammary gland most likely to develop mastitis infections?

A
  • before calving (transition) - colostro-genesis, reduced immune function, keratin plug breaks down
  • after drying off (involution) - cisternal pressure, phagocytosis of fat cells, casein inhibits leucocytes
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16
Q

How can you prevent spread of environmental mastitis in dry cows?

A
  • Clean bedding applied to any dry cow lying areas at least daily
  • Bedded area per cow 1.25m2 per 1000 litres yield for loose yards
  • Cleaning out calving pens between cows
  • Cleaning any dry cow cubicles at least daily
  • Well-ventilated buildings (stack effect, outlet and inlet provision)
  • Aseptic infusion of dry cow therapy, esp. internal teat sealants
  • Moving groups of dry cows every 2 weeks if managed at pasture
17
Q

How can you recognise severe clinical mastitis?

A
  • The cow will be systemically unwell
  • Cow will be not eating
  • Cow will be dull and may not present to the parlour
  • Cow may even be “down” (i.e., recumbent)
18
Q

What should you include in the clinical exam of a down cow?

A
19
Q

What are 3 risk factors for severe clinical mastitis events?

A
  • negative energy balance
  • dry cow therapy in low cell count cow
  • cow cell count
20
Q

What is the treatment plan for severe clinical mastitis events?

A
  • NSAIDS (IV or IV)
  • fluids (hypertonic IV followed by oral fluids)
  • Systemic antibiotics (broad spectrum)
  • excellent nursing care
  • supportive care (oxytocin and calcium)
21
Q

How can we prevent severe clinical mastitis event?

A
  • Environmental management at housing
    • AIM: Reduce pathogen load and pathogen survival - Example = improve bedding management
    • Reduce risk of opportunistic infection at key stages,
  • Immune function support
    • AIM: Avoid significant negative energy balance and excessive fat mobilisation around calving time - Example = avoid any constraint on dry matter intake (DMI)
    • Improve neutrophil response to opportunistic infection…
    • Supplements - Vitamin E and selenium
      • Evidence that these improve white blood cell function
    • Vaccination - “Startvac” (HIPRA) J5 core antigen vaccine
      • Reduces risk of severe clinical mastitis events in dairy cows