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Treatment of subclinical mastitis.

Topics addressed in this article include applied pharmacology of the bovine mammary gland, principles of antibiotic sensitivity testing, mechanisms of antimicrobial resistance, causes of treatment failures, diagnostic considerations, and therapy of specific subclinical mastitis syndromes. Recent research concerning systemic therapy of subclinical mastitis is highlighted and critically reviewed. Limitations of antibiotic sensitivity testing are discussed. The lack of proven, efficacious therapy for many subclinical mastitis syndromes is emphasized.

Animals↗

No effect of a dietary zinc proteinate on clinical mastitis, infection rate, recovery rate and somatic cell count in dairy cows.

Forty dairy cows, paired at drying off according to expected calving date, milk somatic cell count (SCC) and previous mastitis history, and 10 heifers, paired by date of expected calving, were fed diets in the last 3 weeks of pregnancy which contained either 200 mg zinc proteinate and 60 mg inorganic zinc (Zinc group), or 260 mg inorganic zinc (Control group) per day in addition to the natural content of their feeds. After calving, the Zinc group each received 250 mg zinc proteinate and 140 mg inorganic zinc and the Control group 390 mg inorganic zinc per day above background levels. During the first 100 days of lactation there were no significant differences between the groups in terms of clinical mastitis rates, mastitis caused by environmental organisms, new infection rates or recovery rates. SCC showed no differences between the groups. Monitoring of body condition score and weight change, milk yield, blood metabolite values and fertility showed satisfactory and similar nutrition and productivity in both groups. The trial did not demonstrate any advantages from feeding proteinates to dairy cows and highlights the general absence of published controlled trial data on the subject.

Administration, Oral↗

[Idiopathic granulomatous mastitis: apropos of 8 cases and review of the literature].

AIM OF THE STUDY: The authors report eight cases of idiopathic granulomatous mastitis in which the epidemiological, clinical, diagnostic, therapeutic and prognostic features are discussed. MATERIAL AND METHODS: Retrospective study of eight cases registered among 2,000 breast anatomopathological study during 5-years period. RESULTS: The mead age was 44.3 years. Breast lump measuring 2.5 to 15 cm in size was noted at clinical examination. Mammography noted nodular opacities and ultrasonography showed hypoechoic nodules. Histological findings were consistent on granulomatous inflammation centred on mammary lobules. The inflammatory infiltrate was including leukocytes, lymphocytes, plasma cells as well as epithelioid and giant cells without caseous necrosis in the granuloma. DISCUSSION AND CONCLUSION: Idiopathic granulomatous mastitis is a rare entity. This entity can clinically mimic other breast mastitis disease. Diagnosis is assessed by histological analysis This disease can be treated with drugs and surgical excision of the lump. The prognostic of this chronic disease is favourable.

Adult↗

Triacylglycerol fatty acid composition of milk from periparturient cows during acute Escherichia coli mastitis.

Changes in fat concentration and triacylglycerol fatty acid (TGFA) composition were studied in milk from six periparturient cows 1 d before and 20 d after an experimentally induced Escherichia coli mastitis in the fore and rear homolateral quarters. Opposite fore and rear heterolateral quarters remained uninfected and were used as controls. Milk was collected from all individual quarters during the experiment. The fat concentration in milk from infected quarters did not change, but total fat production decreased owing to reduced milk production after the Esch. coli challenge. In milk from the heterolateral uninfected quarters fat concentration rose significantly 48 and 72 h after induction of mastitis, the rise being concomitant with a decrease in milk production. Throughout the experiment similar changes in TGFA composition were observed for both infected and uninfected quarters. There was an increase in all the even, odd-numbered, iso and anteiso short-chain TGFA from day +6 on after induction of mastitis. There was little change in the composition of 16:0 and 18:0 fatty acids, while the long-chain unsaturated fatty acids decreased. Using multivariate analysis, the results are presented visually. The observed changes in the TGFA can be ascribed to changes normally observed in cows' milk soon after parturition.

Animals↗

Interquarter comparison of markers of subclinical mastitis: somatic cell count, electrical conductivity, N-acetyl-beta-glucosaminidase and antitrypsin.

We have evaluated the usefulness in mastitis diagnostics of new diagnostic measures using the continuous nature of the variation in quarter milk samples of four inflammatory markers: somatic cell count, N-acetyl-beta-glucosaminidase (EC 3.2.1.30), electrical conductivity and antitrypsin. A two-way analysis of variance was performed for each of the inflammatory markers on results from 273 cows sampled six times at 14 d intervals. Adjustment for the individual cow's mean removed approximately half the total variation for all four markers, indicating that comparisons in marker levels between quarters without taking the cows' overall level into account, as is done in diagnostic keys based on fixed threshold, is a rash procedure. After adjusting for the individual cow means, the total variation of the marker observations was partitioned in three sources of variation: between the four quarter levels, between different sampling days, and the experimental error, i.e. the variation within each quarter over the study period. As expected, the variation between quarters accounted for the largest percentage of the variation (44-65%). In contrast the variation between days was only 16-34% and of the same magnitude as the experimental error. These figures can profitably be taken into account when designing experiments in future mastitis research studies. They imply that mastitis diagnostics based on quarter milk samples collected over time will be influenced only slightly by random biological variation and that the same relative differences that exist in marker levels between the four quarters of a cow as a rule will be disclosed irrespective of sampling day. Thus, the udder health state is relatively stable when determined by these inflammatory markers. In addition to simple correlations between markers measured on the same day, correlations of the logarithm of the interquarter ratios and of the experimental errors were computed. Stronger associations between the markers emerged and these correlations reflect more precisely than simple correlations the real diagnostic relations of the markers.

Acetylglucosaminidase↗

Multiplex polymerase chain reaction as a mastitis screening test for Staphylococcus aureus, Streptococcus agalactiae, Streptococcus dysgalactiae and Streptococcus uberis in bulk milk samples.

Effective diagnostic tools for screening herds for mastitis pathogens are important in development and monitoring of mastitis control programmes. A multiplex polymerase chain reaction (PCR) assay for simultaneous detection of Staphylococcus aureus, Streptococcus agalactiae, Streptococcus dysgalactiae and Streptococcus uberis was used in preliminary studies to assess its applicability as an alternative method for monitoring mastitis caused by these organisms at the herd level. PCR was used to detect the presence of these organisms in bulk milk samples. Correlations with bulk milk somatic cell counts (BMCC), total bacteria counts and thermoduric bacteria counts were evaluated. A total of 176 bulk milk samples were collected from 42 herds on five consecutive occasions at approx. 10-d intervals. Str. uberis was the most common organism in these bulk milk samples. There was no relationship between presence of either Staph. aureus, Str. dysgalactiae or Str. uberis and BMCC, total bacteria counts or thermoduric bacteria counts. However, presence of Str. agalactiae was associated with high BMCC and total bacteria counts. The results of this study show that regular analysis of bulk milk using this multiplex PCR assay may be a useful tool for monitoring herd status with respect to Str. agalactiae, but is of less value for monitoring occurrence of Staph. aureus, Str. dysgalactiae and Str. uberis. Further investigations are needed to clarify the relationship between positive PCR results and the prevalence of infected cows in the herd.

Animals↗

Subclinical mastitis in dairy cows in Swiss organic and conventional production systems.

The objective was to compare the prevalence of subclinical mastitis (SM) and of udder pathogens in 60 Swiss organic (OP) and 60 conventional production systems (CP). Cows (n=970) were studied for SM prevalence and udder pathogens at median 31 d and 102 d post partum. Cows showing a >or=1+ positive California Mastitis Test (CMT) in at least one quarter were considered to have SM. Cow-level prevalences of SM for visits at 31 d and 102 d post partum (39% and 40% in OP and 34% and 35% in CP) were similar, but quarter-level prevalences of SM were higher (P<0.02) in OP than CP (15% and 18% in OP and 12% and 15% in CP). Median somatic cell counts in milk at 31 d post partum were higher (P<0.05) in OP than CP cows (43000 and 28000 cells/ml, respectively), but were similar at 102 d post partum in OP and CP cows (45000 and 38000 cells/ml, respectively). In milk samples from quarters showing a CMT reaction >or=2+ the prevalences of coagulase negative staphylococci were lower (P<0.05) at 102 d post partum, whereas prevalences of non-agalactiae streptococci were higher (P<0.05) in OP than in CP cows at 31 d and 102 d post partum. In conclusion, under Swiss conditions, subclinical mastitis is a greater problem in organic than in conventional production systems, but differences are not marked.

Animals↗

Subclinical mastitis assessed by deviations in milk yield and electrical resistance.

Concurrent falls in milk production and electrical resistance of composite milk were examined in Israeli Holstein cows. The cows were milked three times a day by a system that recorded yield and the lowest electrical resistance in the composite milk from the four glands. The study included two groups: cows that experienced on day 0 a decline in resistance and milk production > or = 20% from the mean of the previous 9 d (62 cows, case group) and cows that experienced no such episodes over 9 d before and after a fixed day (118 cows, control group). Bacteriological status and somatic cell count (SCC) or California mastitis test scores were assessed on the fixed day in the control group, and on days 0, 1 and 2 in the case group. California mastitis test scores greater than 2 and SCC thresholds of 5 x 10(5) cells/ml were used to create two classes of leucocytosis. There was no statistically significant difference between the two groups in frequency distributions of pathogens and their types: in 30% of cows infection was not detected, 33% were infected by major pathogens (95% of which were Staphylococcus aureus), and 53.5% by minor pathogens (80% Micrococcus spp.). Cows in the case group had lower milk production during the 8 d following day 0. Mean electrical resistance was lower in infected cows and particularly in cows infected by Staph. aureus. High leucocytosis was associated with reduced electrical resistance in both groups, and was found in 93% of cows in the case group v. 25% in the control group. The results suggest that falls in electrical resistance of milk and in milk production were not linked to a specific pathogen, and were followed by 3-8 d of reduced milk production and electrical resistance. The study suggests that there are episodic aggravations in mammary health that do not evolve into clinical mastitis but may induce significant losses in milk yield and quality.

Animals↗

The effect of an intramammary infusion of endotoxin on experimentally induced mycoplasmal mastitis.

The infusion of 10 microgram of endotoxin lipopolysaccharide from Escherichia coli into the mammary gland of four cows 16 h before inoculation with ureaplasmas did not prevent, or even diminish, the subsequent ureaplasmal mastitis. There was no reduction in the severity or duration of the inflammatory cell response in milk or in the clinical appearance of the resulting mastitis. Also, the excretion of ureaplasmas was not reduced. A similar experiment with Mycoplasma dispar in two cows demonstrated that endotoxin was again ineffective in preventing the mastitis. Furthermore, there was some indication that the proliferation and excretion of this mycoplasma was enhanced in endotoxin-treated quarters.

Animals↗

Experimental candidal mastitis in goats: clinical, haematological, biochemical and sequential pathological studies.

The present study, first of its kind, was conducted with the objectives to understand hitherto little known aspects of candidal mastitis, like its sequential pathology, pathogenesis and clinico-biochemical changes. For this purpose, unilateral intramammary inoculation of 10 goats with Candida albicans (1.2 x 10(7) yeast cells) resulted in the development of mastitis, with gross and microscopic lesions being restricted to the infected udder halves only and without dissemination of infection to the opposite uninfected udder halves as well as other organs of the body. The experiment was continued for 40 days and after infection, there was sharp fall in milk yield and Candida albicans was directly demonstrated in the milk and re-isolated from the milk and udder tissues up to 30th day after inoculation. An increase in total immunoglobulins in the milk and plasma along with increase in total plasma proteins were also observed. Haematology revealed leukocytosis and neutrophilia. Microscopically, there was acute purulent mastitis, which later became chronic, nonpurulent and interstitial with formation of granulomas. It was concluded that Candida albicans was highly pathogenic to the lactating goat mammary gland even without immunosuppression or antibiotic treatment, resulting in severe irreversible tissue damage and nearly complete agalactia.

Animals↗

Bovine mastitis due to Prototheca zopfii: clinical, epidemiological and pathological aspects in a Brazilian dairy herd.

The clinical, epidemiological and pathological aspects of protothecal mastitis in a Brazilian dairy herd are described. Prototheca zopfii infection was diagnosed in 11 of 121 milking cows. Clinical mastitis refractory to usual therapy was observed in 7 cows. Several environmental conditions conducive to the growth of Prototheca spp., such as wetness, muddiness and the presence of organic material, were present in the dairy. Improper milking practices and insanitary infusion of the intramammary antibiotics were also observed. Six cows with protothecal mastitis were slaughtered and the affected quarters of each cow were examined by histology and immunohistochemical staining for bovine keratin and P. zopfii. The histological lesions were characterized by interstitial infiltrates of macrophages, plasma cells and lymphocytes; algae were seen in the alveolar lumen and interstitium. The lack of a positive reaction with an antiserum against bovine keratin in the mammary alveolar epithelial layer in some affected areas suggests destruction of milk-producing tissues, which may be related to the low milk production observed. The algal organisms stained positively with a polyclonal antibody against P. zopfii.

Animal Husbandry↗

Effect of infusing lactoferrin hydrolysate into bovine mammary glands with subclinical mastitis.

The therapeutic effect of administering lactoferrin hydrolysate (LFH) into the mammary glands of cows with subclinical mastitis was evaluated. Seven millilitres of a preparation of LFH (7% protein) was infused into 35 quarters of 25 cows with subclinical mastitis. The numbers of bacteria in the milk from infected quarters decreased, and bacteria disappeared by the 14th day after the administration of LFH. The mean somatic cell counts (SCC) peaked one day after administration of LFH and the counts were significantly p < 0.01) decreased on days 7, 14 and 21 compared to those before the administration of LFH. The mean lactoferrin concentration in the milk peaked on days 2 or 3 and then gradually decreased to day 14, returning to the level before the administration of LFH. It appears that administration of LFH may have a therapeutic effect when infused into the quarters of cows with subclinical mastitis.

Animals↗

The activity of milk leukocytes in response to a water-soluble fraction of Mycobacterium phlei in bovine subclinical mastitis.

The effect of a water-soluble fraction (WSF) of a non-pathogenic strain of Mycobacterium phlei was studied in bovine subclinical mastitis (SCM) by measuring the myeloperoxidase and acid phosphatase enzyme levels in the milk leukocytes. Forty-five cows were divided into three equal groups. Group I, consisting of 15 healthy cows, served as the control, whereas groups II and III each contained 15 cows with subclinical mastitis on the basis of a positive reaction in the California mastitis test (CMT). The cows in group II received 100 microg of WSF in 5 ml sterile phosphate-buffered saline, pH 7.4 (PBS) once only, while those in group III received 5 ml sterile PBS daily for 7 days, both treatments being given by the intramammary route. Observations were made up to 30 days after treatment (AT). The CMT of the healthy milk was negative (0), whereas it ranged between 1 and 2 points in SCM. The somatic cell count (SCC) increased significantly (p < 0.05) on day 3, then fell steeply from day 7 up to day 30 AT in the cows in group II. A steady decrease in the total bacterial count (TBC) was observed in the group treated with WSF but the bacterial counts remained high in the groups treated with PBS. The mean acid phosphatase level was enhanced by 119% on day 3 AT in group II but only by 18.7% in the cows in group III. The mean myeloperoxidase level was enhanced by 100% in the cows in group II but only by 18% in those in group III on day 3 AT. This significant reduction in the bacterial load in infected cows caused by intramammary infusion of WSF may be due to activation of the microbicidal activity of the neutrophils, but this requires confirmation.

Acetylmuramyl-Alanyl-Isoglutamine↗

[Validation of DNAse reaction for identification of Staphylococcus aureus strains in routine mastitis diagnosis].

In routine mastitis diagnostic S. aureus strains are often identified using DNAse reaction. However, this enzyme activity is not limited only to S. aureus strains. Furthermore, the strength of the DNAse reaction between different strains varies strongly. These factors lead to the fact that the results are often not comparable between laboratories. The aim of these investigations was to validate the DNAse reaction for routine identification of S. aureus in mastitis diagnostic and to set a critical limit for interpretation of DNAse reaction. The results of 189 strains isolated from bovine mastitis milk samples show that colonies with beta delta or delta-haemolysis and DNAse reactions of > or = 2 mm can reliably be identified (sensitivity 91.2%, specificity 96.9%) as S. aureus.

Animals↗

Identification of possible mediators of embryonic mortality caused by mastitis: actions of lipopolysaccharide, prostaglandin F2alpha, and the nitric oxide generator, sodium nitroprusside dihydrate, on oocyte maturation and embryonic development in cattle.

PROBLEM: Mastitis and immunization against constituents of organisms causing mastitis can reduce fertility of cattle and sheep, respectively. For the current experiments, it was hypothesized that these effects are mediated via actions of lipopolysaccharide (LPS), prostaglandin F2alpha (PGF2), and nitric oxide on oocyte maturation and embryonic development. METHOD OF STUDY: To evaluate effects on oocyte maturation, oocytes were matured with various concentrations of LPS, PGF2alpha, or the nitric oxide (NO) generator, sodium nitroprusside (SNP). Following maturation, oocytes were fertilized and cultured until day 8 after fertilization. To test effects on embryo growth, oocytes were matured and fertilized and cultured after fertilization with LPS, PGF2alpha, or SNP. RESULTS: Addition of 100 and 1000 ng/mL LPS and 50 and 100 ng/mL PGF2alpha to oocyte maturation medium reduced the proportion of oocytes that became blastocysts at day 8 after fertilization. When added after fertilization, in contrast, neither LPS nor PGF2alpha reduced development to the blastocyst stage. Unlike for LPS and PGF2alpha, addition of SNP during oocyte maturation was without effect on the proportion of oocytes that became blastocysts at day 8 after fertilization. However, addition of 10 microM SNP to culture medium after fertilization completely prevented development to the blastocyst stage while 0.1 and 1 microM SNP did not affect development. CONCLUSIONS: Results indicate that increased local concentrations of LPS, PGF2alpha, and NO can have deleterious consequences on oocyte function (LPS, PGF2alpha) and embryonic development (NO). Thus, these molecules are putative mediators of effects of infectious disease or inflammation, including mastitis, on fertility of cattle.

Animals↗

Epidemiological and bacteriological aspects of mastitis associated with yellow-jacket wasps (Vespula germanica) in a dairy cattle herd.

The German wasp, Vespula germanica has been observed to injure teats of dairy cows, causing lesions that are associated with clinical and subclinical mastitis. The presence of skin lesions on the teats, caused by the wasps, was recorded in a dairy cattle herd located in the Samaria foothills during July-October 1999. Wasp-inflicted injuries were found in 43.6% (58 of 133) of the adult cows and 1.4% (one of 71) of the first-calving cows. They were located in 42.4% of cows (n = 25) on all quarters, 18 cows (30.5%) had lesions on the front quarters and 27.1% (n = 16) of cows on the hind quarters only. Clinical and subclinical mastitis were diagnosed in 61% (36 of 59) and 28.8% (17 of 59), respectively, of the injured adult and first-calving cows. The most common bacterial isolates from the mastitic cows were Staphylococcus aureus 45.1% (n = 14), Streptococcus dysgalactiae 16.1% (n = 5), Streptococcus spp. 19.4% (n = 7) and others 13.9% (n = 5). The loss of milk production was estimated at 300 kg milk for each cow injured by wasps and exhibiting clinical mastitis. An increase in the bulk-milk somatic cell count, from 186 x 103 at 1 month prior to the outbreak to a peak of 1200 x 10(3) in the post-outbreak month, was noted. The culling rate reached 13.6% (eight of 59) of the affected cows. In summary, the considerable economic losses caused by the wasp infestation resulted from decreased milk production and a decline in milk quality, culling of affected cows, and increased demand for use of drugs and veterinary care.

Animals↗

Statistical modelling for clinical mastitis in the dairy cow: problems and solutions.

Modelling case occurrence and risk factors for clinical mastitis, as a key multifactorial disease in the dairy cow, requires statistical models. The type of model used depends on the choice of perception or the study level: herd, lactation, animal, udder and quarter. The validity of the tests that are performed through these models is especially ensured when hypotheses of independence between statistical units are respected, and when the model adjustments do not involve overdispersion faced with the observed data. In the article, the main sources of overdispersion are identified according to the different levels of perception of mastitis risk. Then, the proposed solutions to control for overdispersion at each study level are discussed and the difficulty to compare the study results is highlighted through a variety of methodological choices of the authors. Two main categories of models are used for modelling clinical mastitis, i.e. generalist exploratory models and explanatory designed models. The contribution of the explanatory models to improve modelling accuracy and relevance is documented through the two main published methodological approaches, the first one being based on a states model, and the second on a survival model. The integration and optimisation of such explanatory modelling methods should be possible in the future in order to develop a more global explanatory model including herd risk factors, which could pertinently predict udder infections (both clinical and subclinical) at the cow, lactation, or even udder and quarter levels.

Animals↗

[Non-puerperal mastitis in real time and color Doppler ultrasound].

Differential diagnosis distinguishing between nonpuerperal mastitis and inflammatory cancer of the breast is difficult, the conventional method being mammography. In our study, we present the typical findings gained by sonography of 16 patients with nonpuerperal mastitis. They do not differ significantly from those cases with breast cancer. From these 16 patients, 7 were additionally examined using Colour and Pulsed Wave Doppler Sonography. International literature offers little practical knowledge in this field. In the immediate surroundings of the inflammation, we were able to represent up to four arterial vessels per patient. The parameters of the flow velocity wave form of these vessels were compared to those of the vessels in the correspondent quadrant of the contralateral breast. In all cases, the maximum systolic and the minimum end diastolic velocities were higher than in the contralateral breast, giving evidence of an increased vascularity. In 6 cases, the pulsatility and resistance indices in the inflammatory vessels were lower because of a decreased peripheral resistance of the vessel. Under therapy with antibiotics or Bromocriptine, these parameters were equalized in both breasts. The model of nonpuerperal mastitis shows, that Colour and Pulsed Wave Doppler Sonography makes it possible to differentiate tumours of the breast on the basis of an analysis of their vascularity and the comparison with the parameters of the vessels in the contralateral breast. The effects of a pharmacological therapy on the vascularity of breast tumours can also be measured with this method.

Abscess↗