Udder 1 Flashcards

1
Q

what is mastitis? generally associated with what?

A
  • = inflammation of the mammary gland
  • Practically, associated with bacterial infection
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2
Q

how common is mastitis?

A
  • Typically, 1 cow in 5 has >= 1 case of clinical mastitis per lactation
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3
Q

economic and medical significance of mastitis

A
  • Often the most economically important disease on a dairy farm (~ $120 - $300 per case)
    > ~ $5000 – $12,000 per 100 cows per year
  • The #1 reason for use of antibiotics in dairy cows
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4
Q

healthy teat end should have what texture?

A

smooth - less hospitable for bacteria

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5
Q

are mastitis causing agents common?

A

Many mastitis-causing organisms are common on the cow and in her environment

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6
Q

challenges for the cow for mounting an immune response to mastitis

A
  • Blood-milk barrier limits the immune arsenal
  • Milk is a difficult place for immune cells and antibodies to function
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7
Q

how and why does the conductivity of milk change with mastitis? what other related changes occur?

A
  • mastitis milk is more conductive because there are more electrolytes (Na, K, Cl) present
    >inflammation causes increased vascular permeability / increased permeability of blood milk barrier
    > this is to let antibodies through
  • mastitis milk will look more like serum > better medium for immune system
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8
Q

notable changes in albumin, lactoferrin (what is this?) sodium, and chlorine in mastitis milk vs normal?

A

albumin, lactoferrin, sodium, chlorine all increased in mastitis milk
- lactoferrin is a “natural antibioitic” > binds to iron so bacteria cannot use it

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8
Q

mammary immune response - cellular and humoral; what do they include?

A

Cellular response:
* Primarily neutrophils

Humoral response:
* innate
> Complement system (opsonins)
> lactoferrin
> enzymes
> resident (e.g. LPS (endotoxin) receptors)
* acquired
> immunoglobulins (vaccination)
> memory

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9
Q

cells in milk; normla vs mastitis

A

Total cells:
-normal: < 100,000
-mastitis: > > 250,000

WBC:
-normal: >85%
-mastitis: >99%, due to massive increase in neutrophils

Epithelial cells:
- normal: <15%
- mastitis: <1%

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10
Q

new mastitis infections generally happen when?

A

New infections happen around milking
* Both contagious and environmental pathogens

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11
Q

general pronciples for mastitis prevention:

A
  • Reduce bacterial challenge at the teat end
    > Clean stalls, bedding, alleys
    > Teat cleaning and prep at milking
    > Strategic treatment of mastitis to reduce transmission
    > = Prevention of intra-mammary infection (IMI)
  • Support immune function
    > Provide cow comfort and bunk access to encourage feed intake
    > Provide nutrients that fuel the immune system (e.g. vitamin E, Se)
    > = Preventing IMI from developing into clinical mastitis
  • Reduce the severity of cases that do occur
  • Also note that new infections happen around milking
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12
Q

difference between clinical and subclinical mastitis

A

Mastitis (Intramammary infection (IMI)), leads to:
-clinical = visibly abnormal milk
> milk, moderate, or severe
-subclinical = visibly normal milk but measurable infection or inflammation

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13
Q

major (based on pathogenic and economic impact) mastitis pathogens and their basic classifications

A

CONTAGIOUS:
* Staphylococcus aureus
*Streptococcus agalactiae
*Mycoplamsa spp (mostly M. bovis)

ENVIRONMENTAL:
*Coliforms:
-Escherichia coli
-Klebsiella spp.
*Strep. uberis

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14
Q

minor (based on pathogenic and economic impact) mastitis pathogens

A

*Coagulase- negative Staphylococci (i.e. other than S. aureus)
*Corynebacterium bovis

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15
Q

Clinical mastitis means what? what are the levels?

A

= visibly abnormal milk
* Mild = flakes, clots, or watery milk; normal quarter
* Moderate = abnormal milk + swollen or hard quarter
* Severe = abnormal milk, quarter and systemically ill cow

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16
Q

does mastitis severity depend on the agent?

A
  • Severity is not well correlated with the etiologic agent
17
Q

how much production is generally lost due to a clinical case of mastitis?

A

Typically 3 to 10 days of production lost (non-saleable) per clinical case

18
Q

costs associated with a mastitis case

A

Costs include:
* milk discard
* treatment cost
* labour
* risk of drug residues
* possible risk of infection to other cows

19
Q

how common is clinical mastitis per lactation? what is the case rate, typically? what is our goal?

A
  • Typically ~ 20% (0 to 60%) of cows have >= 1 case of clinical mastitis per lactation
  • Typical clinical case rate ~ 3 to 6 % of milking cows per month
  • With optimal management, the goal is < 2% clinical case rate per month
20
Q

on canadian dairy farms: what is the 25%, 50%, and 75% percentile number of CM cases per 100 cow years? what is our goal?

A

-25% of famrs have <15 cases/100 cow years
-50% of farms have <26 cases/100 cow years

-The worst 25% have >39 cases/100 cow years

> Goal: 20 cases 100/cow-years

21
Q

on canadian dairy farms, what proportion of CM cases are milkd, moderate, severe?

A

Severity Score:
Mild (abnormal milk) 50%
Moderate (swollen quarter) 38%
Severe (systemic signs) 12%

22
Q

when we recover pathogens from mastitis cases, we cannot grow anything 19.1% of the time. Why?

A
  • often, by the time we see abnormal milk clots, the cow is already ‘winning’ (often the case with coliforms)
23
Q

top 3 pathogens identified in clinical mastitis cases

A

-E. coli: 15.9%
-S. aureus: 15%
-other strep spp.: 12.6%

24
Common seasonal pattern of clinical mastitis in Ontario:
- late summer, fall > ramps up in july, max cases sept, oct, nov >decreases in december and then low until june
25
Stage of lactation when clinical mastitis commonly occurs? explanation?
far more common at the beginning of lactation, <20 days in milk - steadily becomes less common as DIM increases, very few cases by 340DIM - immune system is not as good in early lactation, and there are many other metabolic demands on the cow
26
Fresh period is a high-risk time for mastitis. why?
- Substantial reduction in several elements of immune function - Re-opening of teats - +/- Packs and stalls that are not as clean as they should be
27
what is subclinical mastitis? how do we detect it and how often do we look?
* Inflammation without visibly abnormal milk * Detected by somatic cell count (SCC) * Somatic cells = immune cells (neutrophils) in milk * Routinely measured > Every 1-2 days in bulk milk – all herds > Monthly on individual cows in herds on DHI
28
impact of subclinical mastitis on milk and cheese
* Reduced milk production * Reduced cheese yield and quality * Reduced milk shelf-life
29
SCC is associated with:
SCC is associated with the probability of bacterial infection
30
what is the SCC linear score? what is the relationship with milk loss?
Linear score (LS) is the log(SCC) * [log2(SCC) + 3] * Linear relationship with milk loss * Reduced skewing of group average SCC
31
SCC score that is typical cut-point for estimated infection
SCC 200,000 cells/ml = LS 4
32
SCC score that is regulatory limit in bulk tank milk?
Regulatory limit in bulk tank milk = SCC <400,000 * Fines and eventual shut-off
33
range of SCC scores for non-infected
0-2000, with a peak around ~100 (recall 200 is the cutoff for estimating infection, so some cows are above this but not infected)
34
SCC range for infected cows
~50 - 9000, with a peak just under 2000 (so some infected cows will be below 200 even though they are infected)
35
what is the California Mastitis Test? how does it work and what does it tell us?
* A simple cow-side qualitative SCC * Detergent in solution reacts with DNA in neutrophils to form gel * Cheap, fast, and provides information at the quarter level
36
Milk loss due to subclinical mastitis - how does it change as the linear SCC score increases (for >= 2nd lactation cows)
losses start at LS = 2, and increase linearly > by LS = 9, you are losing over 1200ks per lactation > this is milk that is never produced due to mammary inflammation, not due to discard
37
CMT starts to identify mastitis at what SCC?
-trace at SCC = 400 - at SCC = 800, should be able to visualize easily >at this point, milk production will already be quite decreased, as cell count can already be quite high once we see the difference
38
Typical pattern of SCC following a case of clinical (coliform) mastitis
- SCC low until about 8/9 days post infection, then skyrockets, up to 8000 >then gradual decline and back to normal at 25-30 days >very fast increase, slower decrease
39
control of mastitis: general techniques
* Milking hygiene and technique > Clean dry teats > Good milk let-down, rapid milk-out * Clean environment * Cow comfort * Dry cow therapy
40
control of mastitis: pathogen specific techniques
* Antibiotic treatment protocols for clinical cases * Vaccination * Selective culling
41
diagnosis of mastitis: methods, pros and cons
* Etiologic diagnosis may be important for treatment decisions, prognosis, and specific preventive measures * Definitive diagnosis based on bacteriologic culture > Takes at least 12-24 h, up to 3-4 days > Speciation after culture now done by MALDI-TOF -> Faster and more specific than chemical tests * PCR tests now available > Relevant for clearly cow-source (i.e. “contagious”) pathogens