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69 Cards in this Set

  • Front
  • Back
A definitive diagnosis of mastitis causing organisms can only be made via ______
-culture
Milk culture
-types
Individual animal culture
-composite sample
-quarter sample

String Sample

Bulk tank mixture culture
Composite milk culture
-what's tested
-some milk from each quarter
Quarter sample
-what's tested
-milk from 1 quarter only
Individual animal milk culture
-use
-want to know which animals are infected with what pathogen
Individual Animal milk culture
-possible results (meanings)
No growth
-animal is free of mastitis
-false negatives

Growth of a pure culture
-animal has clinical infection
-false positives

Growth of multiple colony types
-contamination
Individual animal milk culture
-reasons for false negatives
-pathogen below detectable limit
-pathogen cleared but abnormal milk not resolved
-special media required
-antibiotics/inhibitors in milk
-sample mishandling
Individual animal milk culture
-advantages
-info about individual animal
-isolates can be used for susceptibility testing
-test sensitivity better than for bulk tank
Individual animal milk culture
-disadvantages
-cost
-labor
-time
String samples
-reason to use
-which groups are infected?

or

-what are the predominant pathogens within a group?
String sample
-advantages
-less labor/cost
-improved test sensitivity over bulk tank culture
String sample
-disadvantages
-difficult to collect without cross contamination
-cannot co-mingle groups post-collection
-may require individual animal cultures to follow up
String samples
-methods of collection
-in-line drippers (poor)
-multiple bulk tanks (require multiple days to collect several strings)
Bulk tank milk culture
-reason to use
-Is a specific pathogen present/absent in the herd?
-What are the predominant bacterial groups in the herd?
Bulk Milk Tank culture
-how often should sampling take place?
As often as possible, depending on;
-size of herd
-likelihood of downgrade
-presence/absence of contagious pathogens
-owner's tolerance for risk
Key to quality results with sample collection
-aseptic technique
Sample collection
-reasons for contaminated samples
-dirty teat ends
-wet udders
-milker's hands
-non-sterile containers
Bulk tank milk sample
-how to properly collect
-agitate tank for 10-15 mins before sampling
-use sterile dipper to collect milk from top of tank (not milk outlet)
-transfer sample to a sterile collection vial

****only liscenced milk haulers or dairy owners may handle bulk tank milk (no vets)
How to properly collect an individual cow milk sample
-person collecting milk should wear latex/vinyl gloves (change gloves often)
-prep the cow as usual (pre-dip, wipe) and dry the udder
-clean teat ends with an alcohol wipe (far, near, near, far)
-sample teats closest to you first
-discard 1-2 squirts of milk and hold collection vial at 45 angle
Proper Sample handling post-collection
-cooled/refrigerated immediately
-delivery to lab as soon as possible (ship overnight on ice or freeze)
Freezing milk samples
-effects
-Staph. and Strep. isolations not affected
-E. coli sensitivity for isolation may be reduced but usually there is so much E. coli when present that it can still be detected
-Nocardia sp. can become difficult to isolate, but they are rare
When using proper sample collection what % of individuals can you expect contamination?
-10%

>20% = poor collection technique
Mammary gland
-normal defense mechanisms
Physical barriers
-teat end (sphincter)
-keratin lining of the teat canal

Immune factors
-non-specific immunity (neutrophils, macrophages, lactoferrin, lactoperoxidase)
-specific/acquired immunity (lymphocytes, immunoglobulins)
Keratin lining of teat canal
-reasons why good for mammary defense
-adsorption
-desquamation
-fatty acids
How does mastitis develop?
-organisms enter the teat duct and multiple in the streak canal

exception = mycoplasma sp. (hematogenous)
Teat end lesions
-cow risk factors
-teat shape
-teat position on udder
-production level
-stage of lactation
-parity
Teat end leasions
-milking risk factors
-pre-milking prep
-machine on-time
-liners
What does it usually mean if multiple cows have keratin plugs in the herd?
-milking machine issue

or

-prep issue
Mastitis
-things that could go wrong related to the epidemiological triad
Host
-damaged teat ends
-low immunity

Pathogen
-toxin production
-herd infection status

Environment
-poor housing/hygiene
-improper milking procedures
Mastitis
-pathogen classifications
-contagious
-environmental
How can environmental pathogens be considered contagious?
-can contaminate milking units ---> contagious spread of pathogens
Mastitis
-contagious pathogens
-Staph. aureus
-Strep. agalactiae
-Mycoplasma
Mastitis
-main environmental pathogens
-E. coli
-Non-aureus staph
-strep. dysgalactiae/uberis
Culling
-is it a veterinary decision?
-NO, it's a management decision
Culling
-recommended with consideration of
-animals age
-chronicity/number of mastitis episodes
-production
-lactation stage
-co-morbidities
-genetic value
Staph. aureus
-clinical presentation
-chronic clinical mastitis
-poor response to lactating cow therapy
-poor efficacy of dry cow treatment
-incidence of clinical mastitis rises with lactation number and days in milk
-palpable scar tissue in quarter
-gangrenous mastitis
Gangrenous mastitis
-clinical signs
-anorexia
-dehydration
-fever
-teat/distal gland
-watery sanguinous
-gas present
-udder sloughing
Staph aureus in herd
-what to do
-cull chronically infected cows
-segregate infected cows (free stalls, stall barns)

-if possible dry off infected cows w/in 80 days of calving
--treat all 4 quarters with dry cow antibiotic

-screen all purchased animals and animals that have left the grounds for fairs/shows

-having milking equipment function evaluated

-establish proper milking routine

-dry treat all quarters of all cows

-evaluate housing conditions for sources of teat injury

-establish routine culture program
Staph aureus
-cows that should be culled
-mastitis over > 1 lactation with marginal milk production
-SCC >400,000 over 2 lactations
-3+ treatments without clinical sign reduction
Staph aureus
-parts of the milking machine that should be examined
-vacuum
-pulsator
-detach settings
-inflation conditions
Strep agalactiae
-clinical presentation
-BTSCC consistently high
-low clinical infection rate (many subclinical)
-poor correlation b/n individual SCC and clinical cases (many subclinical)
-high incidence of non-functional quarters in fresh heifers
-therapeutic response to clinical cases is good
Herd is Strep agalactiae positive
-what should be done
Depends on severity (loss of milk marketability)
-cull/antibiotics (still susceptible to beta-lactams)
Strep aglactiae positive
-emergency situation =
-what to do
= SCC > 750,000

-cull certain 3rd lactation cows that meet certain criteria
--mass treat all lactating cows with lactating cow antibiotic (penicillin)
---culture entire herd and any heifers/cows that freshened 3 wks post mass treatment
----treat any remaining Strep ag infected animals and separate into separate string
-----resample infected string 3 wks after 2nd mass treatment
------cull any animals still infected
Strep ag
-3rd lactation cows that should be culled characteristics
Strep ag culture positive and:
-have SCC > 1.5 million for 3 months or
-previous Hx of chronic mastitis or SCC > 2 million or
-less than 4 functional quarters
-clinical quarters that don't respond to therapy
Strep ag
-what should be done to cows within 80 days of calving
-dry off
-treat with dry cow formulation
Strep ag
-short term action SCC
-what to do
-SCC = 300,000 - 600,000

-cull certain 3rd lactation cows that meet certain criteria
--cows within 80 days of calving should be dried off and treated with dry cow formulation
---treat any remaining Strep ag infected animals and separate into separate string
Strep ag
-long term management SCC
-plan
-SCC = 200,000-400,000

-identify all infected cows and treat, cull, or dry off
-culture all purchased animals
-follow recommended milking procedure
-treat all quarter at dry-off
-continue monitoring
Mycoplasma sp.
-unique in diagnosis how?
-will not grow on routine culture
Mycoplasma sp.
-clinical presentation
-High SCC
-no gland swelling
-can affect all 4 quarters
-not responsive to antibiotics (no approved drugs)
-can approve or go subclinical
-many don't show signs
-Hx of respiratory dz, joint infection, inner ear infection
Mycoplasma sp.
-long term infection generally seen where
-calves fed waste milk
Mycoplasma sp. (+) herd
-what should be done
-have the organism typed to make sure it is mastitis causing
--repeat bulk tank culture
---collect string samples to determine herd distribution of infection
----submit individual milk samples (cull all positives)
-----backflush milking unit after every cow
------monitor fresh cows/heifers and new additions
-------submit 8-10 bulk tank samples following the last positive tank sample
Contagious pathogens action steps
-summary
-ID infected animals
-separate infected animals
-review parlor procedure
-review parlor procedures again
When reviewing parlor procedures, what should you focus on?
-clean, dry cows
-pre-milking teat dips
-procedural timing
-disinfection b/n animals
Primary environmental pathogen
-E. coli
Coliform bacteria
-signalment
-< 60 days in milk
-high producing older cows
-Low SCC
Why are older cows more susceptible to coliform infection?
-more exposure to milking units causing more teat end damage
Why are herds with a low SCC predisposed to coliform infection?
-possibly due to less circulating antibody in the blood
Coliform bacteria
-endotoxemia presentation
-anorexia
-depression
-elevated body temp (early) --> decreased body temp (late)
Coliform bacteria
-outcome
Varies from death to spontaneous recovery
Coliform bacteria
-how to handle
Bedding management
-clean/comfortable stalls
-inorganic bedding material
-increased space per cow in dry lots

Keep cows standing post-milking (provides time for teats to close after milking)
-provide feed and water

Careful use of water during milking
Coliform bacteria
-therapy
-systemic antimicrobials
-NSAIDs
-Fluid therapy (hypertonic saline + oral fluid)
-calcium therapy

DON'T give intramammary antimicrobials and frequent stripping/oxytocin
Environmental Staphylococci
-non-aureus staph.
-coagulase negative
-normal skin flora
Environmental Staph.
-clinical presentation
-can be the most common mastitis pathogen in some herds
-high prevelance in 1st lactation animals
-high spontaneous cure rate
-moderate elevation in SCC
Environmental Staph.
-what should you do
-confirm presence via culture

Considerations:
-implement use of post milking teat dip
-100% dry cow therapy
-fly control
-stall/environment management
Environmental Streptococci
-sources of infection
-water
-fecal
-bedding
Environmental Strep.
-farm conditions that increase likelihood of infection
-overcrowding
-poorly maintained free stalls
-access to free standing water
Environmental Strep
-clinical presentation
-high # of cows infected
-very high BTSCC
-mastitis in early dry period (in absence of dry cow therapy)
-high numbers of 1st lactation animals developing mastitis in immediate post-partum period
Environmental Strep.
-what should you do
Manage environment, focusing on high risk groups of animals:
-early dry cows
-peri partum cows

Clean, dry bedding (inorganic material)

Keep standing after milking
Environmental Pathogen
-summary of action steps
-confirm organism via culture
-discuss environmental management
-discuss appropriate dry cow therapy
-revist parlor proceedures