Mastitis: Therapies Flashcards

1
Q

Why is dry cow therapy used?

A

Clear persistent infections
* Sub clinical
* Staph-aureus- intracellular
* High cell counts

Protect against new infections
* Acute E coli
* Summer mastitis

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2
Q

What pathogen causes summer mastitis with:
1. Necrosis
2. Foul smell

How is summer mastitis managed?

A
  1. Arcanobacter pyogenes
  2. Peptococcus indolicus

Pyrethrin pour on- flies

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3
Q

What are the disadvantages of dry cow therapy?

A
  • Lower cell count
  • New infections from poor hygiene
  • Spectrum required to protect against enterobacteriaecae
  • Cost
  • Consumer pressure
  • Farm assurance schemes
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4
Q

What is selective dry cow therapy?

A
  • Teat sealant only to some cows
  • Used with AB tubes based of bulk milk, mastitis incidence, outbreak type
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5
Q

What are teat sealants made from?

How do they work?

A

4g suspension containing 65% bismuth subnitrate

Remains as a paste within the base of the teat cistern and teat canal until stripped at calving

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6
Q

What cows should be selected for selective dry cow therapy?

A

SCC
* > 200,000
* > 125,000- first lactation
* Clinical case
* CaliMT before drying off
* Check teat ends- damaged AB?

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7
Q

What are the problems with teat sealants?

A

Black spots in cheese
* Bismuth subnitrate and hydrogen sulphide

Risk of infection with poor hygiene

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8
Q

Describe intra-mammary tube application

A
  • After milking and cleaning of parlour
  • Clean gloves
  • Pre-dip- 30s
  • Surgical spirit and cotton wool
  • Clean teat end until no more dirt
  • Insert and deposit
  • Post dip- some repeat sailt
  • Loafing 30min
  • Feed restriction- reduce milk production
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9
Q

How is formulation of AB dry tubes varied?

What difference does it make?

A
  • Type of AB
  • Salt of AB
  • Particle size
  • Short duration- short dry period or repeat treatments
  • Standard
  • Extended protection
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10
Q

How should AB tubes be selected?

What are common combinations of ABs?

A

Target staph then broaden out

  • Cloxacillin ± Ampicillin
  • Penicillin ± framycetin ± penethamate,
  • Cephalosporins- critically important (C&S)
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11
Q

What are the milk times after calving of AB dry cow tubes?

A
  • Usually 96h post calving
  • Some 156
  • Some 24

Influence of other conditions- milking frequency, milk fever

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12
Q

What other treatments can cow recieve at drying off?

Other then mammary tubes

A
  • Tylosin
  • Tilmicosin

Authorised for pneumonia in beef
* Draxxin
* Zactran
* Zuprevo

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13
Q

Why do not all mastitis cases need treating?

A
  • Culture negative
  • Yeast
  • Self cure
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14
Q

What can cause mastitis treatment failure?

A
  • AB resistance
  • Bacterial dormancy (treatment duration- 10 life cycles)
  • L-forms
  • Biofilms
  • Reduced host response- steroids, stress
  • Reduced phagocytosis
  • Re-infections
  • ABs problem- too low, too long dose interval, too short tx period
  • Pharmacokinetic limitations- absorption, disposition, elimination
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15
Q

Does E.coli need AB therapy?

A

Likely to be self-resolving

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16
Q

What are the best ABs for Gram +ve (S. aureus, Streps)

A
  • Penicillin G
  • Streptomycin
  • Pot Amoxycillin
  • Cloxacillin
  • Macrolides
  • Cephalosporins
  • Pot Sulphonamide
17
Q

What are the best ABs for gram -ve?

A
  • Streptomycin
  • Pot Amoxycillin
  • Pot sulphonamide
  • Tetracycline
  • Neomycin
18
Q

What combinations of ABs can broaded spectrum?

A

Lincomycin and Neomycin

Combinations can also reduce resistance
Penicillin, novobiocin

19
Q

What antibiotics gets to infection well via teat?

A
  • Macrolides
  • Phenicols
  • Fluoroquinolones
  • Penethamate
  • Aminopenicillins
  • Novobiocin
  • Trimethroprim
20
Q

What ABs have good delivery to mastitis via blood?

A
  • Macrolides
  • Phenicol
  • Tetracyclines
  • Fluoroquinolones
  • Trimethroprim
21
Q

What is typical milking cow therapy for mastitis with ABs?

A

Typically
* 12hr intervals
* 3 consecutive milkings
* or every 24hr 3 times
* Need 8d tx for 95% biological cure

22
Q

What extra treatments should be considered?

A
  • Oxytocin
  • Adequate vit E/selenium
  • Copper
  • Zinc- teat keratin
  • Startvac- inactivated E.coli/ staph aureus
  • UBAC- strep uberis
  • Pain relief- NSAIDs
23
Q

What is licensed for intramammary and systemic?

A

Cobactan
Synulox

24
Q

What are good cases for selection?

A

Young first case this lactation- high SCC last month
* IM

End of lactation, high SCC
* dry off and treat

Old and 3rd case- chronic high SCC
* cull

Young, first case, low SCC previous months
* No treatment

25
Q

What is velactis?

A

D2 dopamine receptor agonists inbition of prolactin secretion
* In aid of abrupt drying off

26
Q

What is imrestor?

A

Cytoline bovine granulocyte colony stimulating factor
* restored normal neutrophil function to cattle during PPP
* Reduced susceptibility to clinical mastitis infections

Withdrawn from market- metritis