Udder 3 Flashcards

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1
Q

Strep ag. properties; how contagious? associated with what type of mastitis? what management?

A
  • Extremely contagious
  • Associated with
  • a high prevalence of subclinical mastitis (i.e. many cows with high SCC)
  • Poor milking hygiene; lack of post- teat dipping
  • Lack of dry cow therapy
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2
Q

strep ag: what kind of infection if not treated? how to treat? is this a common problem?

A
  • If untreated, very persistent infection, but…
  • Very susceptible to IMM antibiotic
    > 90-95% cure rate with label use of penicillin
    > Treatment = Whole herd culture and “Blitz” of all infected cows with IMM, followed by improved milking hygiene, implementation of blanket DCT, and follow-up herd culture(s)
  • Uncommon now, but occasional epidemics
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3
Q

staph. aureus: what kind of infections does it establish? how do clinical signs relate to SCC?

A
  • Tends to establish chronic infections
  • Intermittent high SCC; periodic clinical flare-ups; progresses to chronically high SCC and scarring of udder
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4
Q

staph aureus response to antobiotics? why?

A

Very poor response to antibiotics
* Direct resistance
* Micro-abscesses
* Survival inside macrophages
* Lactating IMM therapy 10-40% cure rate
* Dry cow therapy 40-60% cure rate

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5
Q

staph aureus: what proportion of herds have at least one infected cow? prevention strategies?

A
  • > 90% of herds have >= 1 infected cow
    Variable importance as a herd problem
  • Prevention is critical
    > Milking hygiene
    > Dry cow therapy
    > Segregation or elimination of infected quarters or cows
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6
Q

Staph aureus: diagnosis methods and problems? How to sample?

A
  • Problem = low sensitivity
    > Intermittent shedding
    > Variable SCC, especially early in IMI

Culture is most sensitive
* early in the course of infection
* Pre-milking sample
* Frozen if post-milking sample
* At the quarter level (> 85% vs < 60% for composite)
* With higher inoculum volume on the plate (0.1 vs. 0.01 ml)
* 3 samples, 3 days apart, +/- pooled, higher inoculum

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7
Q

Mycoplasma Mastitis: Clinical Signs, response to treatment, herd level effects

A
  • Clinical mastitis
  • unresponsive to treatment
  • Shifting quarters within a cow
  • Epidemic in the herd
  • Mastitis followed by respiratory disease and/or otitis (droopy ears) or septic arthritis in cows or calves
  • Mostly seen in large herds, often after expansion i.e. mixing of large numbers of animals from various sources with some immune compromise
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8
Q

Mycoplasma Mastitis diagnosis

A
  • Requires special media and longer time for culture, or use PCR.
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9
Q

Mycoplasma Mastitis Control

A
  • Culture of clinical, high SCC, and fresh cows * Culling of infected cows
  • Excellent milking hygiene
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10
Q

Environmental mastitis; reservoirs and transmission? major agents?

A
  • Reservoir = bedding, stalls, manure; transmitted environment to cow

Major agents:
* Coliforms (gram negative)
> E. coli
> Klebsiella
* Environmental streptococci (gram positive)
> Strep. uberis
> Strep. dysgalactiae

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11
Q

Control of environmental mastitis

A

Reduce teat end contamination
* Clean stalls
* Sand bedding
* Good ventilation
* Clean floors, yards
* Milking hygiene > Pre-dip
* Nutrition to support immune function

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12
Q

Environmental Streptococci; what are they? what can help us diagnose and manage?

A
  • A group of various species of varying virulence, chronicity, and response to therapy
  • MALDI-TOF diagnostics will improve species-specific approaches to treatment and management
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13
Q

Environmental Streptococci; disease they cause and duration? antibiotic response?

A
  • Generally cause clinical mastitis
  • Duration of infection – days to weeks
  • Generally respond to IMM antibiotics
    > 40 - 65% cure rate
    > May benefit from extra-label extended duration therapy
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14
Q

Coliforms; where do they live, what disease do they cause? antibiotic resopnse?

A

E. coli:
* Lives in manure
* Generally causes clinical mastitis
* Generally short duration of infection (1-3 days)
* Can be very severe (endotoxemia)

  • Not responsive to antibiotics
    > Except ceftiofur IMM?
  • Klebsiella is similar to E. coli but tends to establish chronic infection – high SCC +/- chronic clinical mastitis
    > Traditionally associated with sawdust bedding
    > More recent data > fecal
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15
Q

Coliform mastitis pathogenesis and outcomes

A
  • Bacteria invade udder and grow rapidly
  • Short duration (Clinical 2- 5 days, IMI 7-14 days)
  • Endotoxin (gram – bacterial cell wall component) absorbed into blood – hijacks cow’s immune system (excessive inflammatory response)
  • Cow can go from normal to severe mastitis in 12 to 24 h
  • Outcomes: recovery, loss of quarter, loss of lactation, abortion, death
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16
Q

does vaccination against coliform mastitis do anything?

A
  • ~ 75% reduction in number of clinical cases
  • reduced severity of cases

Results of study:
* Shorter duration of infection (by 1-2 days)
* Reduced fever (40 vs 41 C);
* +/- lower milk production loss

17
Q

Timing of coliform mastitis vaccination

A
  • Duration of immunity is relatively short (~ 3 months)
  • Timing must be strategic: prior to period of high risk
  • Around/during dry period
    > Dry off
    > 4 weeks later
    > 1-2 weeks after calving
  • +/- Seasonal based on high risk period
18
Q

understanding of coliform mastitis comes from what? evidence of bacteremia? pathogenesis driven by?

A
  • Understanding and concepts of severe coliform mastitis often based on experimental challenges
  • Little evidence of bacteremia in these studies
  • LPS produces similar clinical signs to E.coli – pathogenesis driven by toxemia?
  • Studies done in immune competent, non-fresh cows – different metabolic and immune environment to actual cases?
19
Q

Can you tell which cows have coliform mastitis?

A
  • Conclusion: inability to clinically distinguish
20
Q

Treating severe mastitis

A
  • Severe does not equal coliform!
  • First goal is to dampen (the effects of) excessive inflammatory reaction
    > Anti-inflammatory drugs, eg. meloxicam, ketoprofen, dexamethasome
  • Fluid therapy
    > Hypertonic saline 3-4 ml/kg IV once + 40 L water by oral tube
  • Stripping out the quarter???
  • IMM antibiotic???
  • Systemic antibiotics if targeting bacteremia, not for bacteria in the udder
21
Q

Do cows with severe mastitis benefit from systemic antibiotics?

A

-based on Erskine et al study, which looked at ceftiofur administration for severe mastitis
> no penetration into udder expected
> cows without ceftiofur were 37% dead or culled, vs, only 14% with

22
Q

Severe clinical mastitis treatment summary: what are clinical signs from? treatment?

A
  • Clinical signs are largely attributable to (endo)toxemia
  • Anti-inflammatory and supportive Rx is the foundation
    > NSAID
    > Hypertonic saline + oral fluids
  • Systemic antibiotics (ceftiofur or TMS) may reduce death loss – difficult to know in which cases, so may be rational to treat all of the most clinically severe
23
Q

Udder edema; when is this common? cause and associations? treatment?

A
  • Very common at parturition
    > especially at first calving
  • Cause(s) unknown
  • Associated with increased risk of clinical mastitis, but not other diseases
  • Inconsistent association milk production

Treatment:
* diuretics and steroids combination (i.e. Naquasone)

24
Q

Udder cleft dermatitis; what is it? can cause what complications? etiology? Treatment?

A
  • Exudative, ulcerative dermatitis between the right and left halves of the udder, or between the udder and the inner thigh
  • Can cause bleeding if erosion of vessel on surface of the udder
  • Etiology unclear
    > Advanced lesions culture mixed bacterial infections
  • Treatment is symptomatic; low success
    > Try to keep clean and dry
    > Topical antiseptics