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Bovine Mastitis
What’s mastitis ?
Inflammation of one or more quarters of
the udder

Normal

Inflamed

Mammae = breast
-itis = Latin suffix for
inflammation

Swelling
pain
warm
redness
What’s the significance of bovine
mastitis ?
The most
costly
disease
affecting
dairy dairy
cattle
throughout
the world

Causes significant economic losses
to the dairy industry in the US
$ 200/cow/year
$ 2 billion/year

cull

RIP
What are the health concerns
of mastitis ?
Animal health
Loss of functional quarter
Lowered milk production
Death of cow

Human health
Poor quality milk
antibiotic residues in milk
How severe can mastitis be ?
Subclinical Mastitis

Clinical Mastitis

~ 90 -95% of all mastitis cases

~ 5 - 10% of all mastitis cases

Udder appears normal

Inflamed udder

Milk appears normal

Clumps and clots in milk

Elevated SCC (score 3-5)

Acute type

Lowered milk output (~ 10%)
Longer duration

major type of clinical mastitis
bad milk
loss of appetite
depression
prompt attention needed

Chronic type
bad milk
cow appears healthy
What causes mastitis ?
Bacteria ( ~ 70%)
Yeasts and molds ( ~ 2%)
Unknown ( ~ 28%)
physical
trauma
weather extremes
Where do these organisms
come from ?
Infected udder
Environment
bedding
soil
water
manure

Replacement animals
BACTERIA
Streptococci
Field
language

“Streps”
“Environmentals”
“Environmental
Strep”

Environmental
S. uberis
S. dysgalactiae
S. equinus

More subclinical
mastitis
Environment
Predominant early
and late lactation

Contagious
S. agalactiae

Clinical mastitis
Cannot live outside
the udder
Treated easily with
penicillin
BACTERIA
Staphylococci
Field
language

“Staph”
“Staph.
Mastitis”

Staph. aureus
Summer mastitis
Spread by milking equipment and milker’s hands
Persistent, difficult to eliminate
If unattended leads to chronic mastitis

Other Staph
Found normally on skin
Lowers milk yield
Elevated SCC
Easily responds to antibiotics
Relapse frequently seen
BACTERIA

Coliforms

Groups of organisms
E. coli, Klebsiella, Enterobacter

Environmental source (manure,
bedding, barns, floors and cows)
J-5 vaccine

Coliforms cause acute clinical mastitis
high temp, and inflamed quarter
watery milk with clots and pus
toxemia
Other organisms
Pseudomonas aeruginosa
outbreaks of clinical mastitis

Serratia
outbreaks of clinical mastitis

Corynebacterium pyogenes
Fungi
Candida
Mycoplasma bovis
How does mastitis develop ?
Cow
Predisposing conditions

Organism

Cow

Environment

Existing trauma (milking machine, heat
or cold, injury)
Teat end injury
Lowered immunity (following calving,
surgery)
Nutrition

Organisms
Environment
Process of infection
Organisms invade the udder through
teat canal

Migrate up the teat canal and colonize the
secretory cells

Colonized organisms produce toxic substances
harmful to the milk producing cells
The cow’s immune system send white blood cells
(Somatic cells) to fight the organisms

recovery

clinical

subclinical
How is mastitis diagnosed ?
Physical examination
Signs of inflammation
Empty udder
Differences in firmness
Unbalanced quarters

Cowside tests
California Mastitis test
How is mastitis diagnosed ?
Culture analysis
The most reliable
and accurate
method
costly ($ 5- 12)
How do you treat mastitis ?
Clinical mastitis
Strip quarter every 2 hours
Oxytocin valuable
high temp, give aspirin
Seek veterinary assistance
Treatment with penicillins

Subclinical mastitis
Questionable

Attitude adjustment !!!!!!
Don’t expect SCC to go down ASAP (4-5 weeks !)
Discard milk from treated cows (double jeopardy !)
THE 10 STEPS TO MASTITIS CONTROL
ONE: Prepare cows properly for milking
Udder preparation is pre-dipping with a dip labeled for
pre-dipping.Pre-dips lower the risk of new infections by
70% !!!!!!!!!!!!!!!!
Pre-dips
Iodophors 0.0 -1.0 %
Chlorhexidine 0.2%
Quats 0.5%
LDBSA 0.2%
Hypochlorous acid
Bleach ?

Use single service paper towels, dry teats before
machine-application.
TWO: Have a good milking system
Milking equipment should be adequate in size,
functioning properly, and regularly cleaned and
maintained
Correctly use proper functioning milking machines and
properly prepare udders
Attach teat cups after thorough cleaning and drying of
teats
Provide stable vacuum
Check for slipping of teat cup liners
Shut of vacuum before removing teat cups.
THREE: Apply and remove machine carefully
Properly adjust to prevent liner slippage.
Remove machine when cow is milked out, shut off
vacuum at claw before removal.

FOUR: Dip each teat after each milking using a germicidal
teat dip.

Post-dips seal the teat ends temporarily for 6 to 8 hours
A must for long term mastitis control program

FIVE: Monitor your mastitis score (DHI-SCC, WMT) regularly.
Take action when significant increases occur.
SIX: Treat clinical cows, follow label recommendations,
treat aseptically. Withhold treated cows' milk from milk
supply.

SEVEN: Segregate chronic mastitis cows, milk them last,
cull when necessary.

cows with chronic mastitis serve as reservoirs of
organisms and could infect susceptible cows

EIGHT: Dry treat each quarter using partial insertion
techniques with an approved dry cow treatment at drying
off.

Cure rate is twice high as that during lactation
Lowers the risk of clinical and subclinical mastitis during
subsequent lactation
NINE: Keep cows clean, udders free from soil and
manure.
Fence off wet, swampy areas.
Keep free stalls and stanchions bedded properly.
Keep calving areas clean, properly bedded (straw
preferred).

TEN: Properly feed and care for cows.
Summary
Mastitis is primarily a management
problem
Mastitis can be controlled
Prevention programs work best when
correctly followed
Milking Procedures for
Quality Milk
Milking Procedures for Quality Milk
PREREQUISITES
Maintain clean, well ventilated bedded areas for cows
Segregate known infected cows. Milk them last or with
designated equipment
CMT all fresh cows by the 6th milking
Milk all treated cows last
Change rubber inflations every 60 days or 1000 cow
milkings whichever comes first
PREREQUISITES
Check the milking systems or units periodically for
function and reliability
Clip or singe the udder hair
Examine periodically teats and teat ends
Mastitis treatments should be done by one or two
persons and should be done after milking
Cloth towels should be washed after every use
Simple Steps
“Two trips to each cow will provide a
routine to Maxmize Milk Quality and
Parlor Performance”…. Dr. Andy Johnson
Step One………Strip and Predip
Step Two………Dry and Apply
Standardized Milking Procedures
Stanchion / Tiestall
Wear Gloves
Wipe off excess dry manure,
straw and bedding
Strip each teat into a
stripcup
Dip teats with an approved
pre-dip
Allow the pre-dip to react for
at least 30 sec.

Parlor
Wear Gloves
Wipe off excess dry
manure, straw and bedding
Strip each teat into a
stripcup
Dip teats with an approved
pre-dip
Dip 3-4 cows
Allow the pre-dip to react
for at least 30 sec.
Stanchion/ Tiestall
Clean teat and teat ends
using single paper towel or
individual towel cloth
The teats must be dried for
at least 15 sec
Attach milking machines
immediately after teats are
dried
Dip teats with post-dip
immediately after milking

Parlor
Return to the first cow and
clean teat and teat ends
using a single paper towel
or individual towel cloth
The teats must be dried for
at least 15 sec
Attach milking machines
immediately after teats are
dried
Dip teats with post-dip
immediately after milking

EACH STEP IS A CRITICAL POINT !!!!!!!
HACCP-based concepts for
implementing proper
milking procedures in
Pennsylvania
Steps involved in employing HACCP-based
concepts for establishing proper milking
procedures
STEP ONE
Educate owners and milkers about implementing a
standardized milking procedure (Benefits !!!!!!)
IF a dairy farm initiates and shows sustained interest
Establish ground rules
They will have to be proactive and adopt changes
TEAM EFFORT !!!
STEP TWO
Establish a team ( owner, milkers, veterinarian,
facilitator)
Mission statement
Goals and timeline
Written Procedures
Protocols
Critical Limits ( SCC > 250,000)

Recording Keeping
Milking time/milking
Bulk Tank Temp; end of 1 hr of milking
Sanitation

Schedule team meetings to review the process
STEP THREE
Train milkers and owners in implementing the
standardized milking procedure

STEP FOUR
Monitor the application of the standardized milking
procedure
Floor tests (each step is a critical point !)
Laboratory tests (SPC or BTSCC)
Monitor records

STEP FIVE
Establish corrective actions to be implemented if milk
quality critical limits have exceeded.
Bovine Mastitis
Prepared by:
Bhushan Jayarao MVSc, PhD, MPH
Extension Veterinarian

Department of Veterinary Science
Pennsylvania State University
University Park

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Bovine Mastitis: A Guide to Prevention and Treatment

  • 2. What’s mastitis ? Inflammation of one or more quarters of the udder Normal Inflamed Mammae = breast -itis = Latin suffix for inflammation Swelling pain warm redness
  • 3. What’s the significance of bovine mastitis ? The most costly disease affecting dairy dairy cattle throughout the world Causes significant economic losses to the dairy industry in the US $ 200/cow/year $ 2 billion/year cull RIP
  • 4. What are the health concerns of mastitis ? Animal health Loss of functional quarter Lowered milk production Death of cow Human health Poor quality milk antibiotic residues in milk
  • 5. How severe can mastitis be ? Subclinical Mastitis Clinical Mastitis ~ 90 -95% of all mastitis cases ~ 5 - 10% of all mastitis cases Udder appears normal Inflamed udder Milk appears normal Clumps and clots in milk Elevated SCC (score 3-5) Acute type Lowered milk output (~ 10%) Longer duration major type of clinical mastitis bad milk loss of appetite depression prompt attention needed Chronic type bad milk cow appears healthy
  • 6. What causes mastitis ? Bacteria ( ~ 70%) Yeasts and molds ( ~ 2%) Unknown ( ~ 28%) physical trauma weather extremes
  • 7. Where do these organisms come from ? Infected udder Environment bedding soil water manure Replacement animals
  • 8. BACTERIA Streptococci Field language “Streps” “Environmentals” “Environmental Strep” Environmental S. uberis S. dysgalactiae S. equinus More subclinical mastitis Environment Predominant early and late lactation Contagious S. agalactiae Clinical mastitis Cannot live outside the udder Treated easily with penicillin
  • 9. BACTERIA Staphylococci Field language “Staph” “Staph. Mastitis” Staph. aureus Summer mastitis Spread by milking equipment and milker’s hands Persistent, difficult to eliminate If unattended leads to chronic mastitis Other Staph Found normally on skin Lowers milk yield Elevated SCC Easily responds to antibiotics Relapse frequently seen
  • 10. BACTERIA Coliforms Groups of organisms E. coli, Klebsiella, Enterobacter Environmental source (manure, bedding, barns, floors and cows) J-5 vaccine Coliforms cause acute clinical mastitis high temp, and inflamed quarter watery milk with clots and pus toxemia
  • 11. Other organisms Pseudomonas aeruginosa outbreaks of clinical mastitis Serratia outbreaks of clinical mastitis Corynebacterium pyogenes Fungi Candida Mycoplasma bovis
  • 12. How does mastitis develop ? Cow Predisposing conditions Organism Cow Environment Existing trauma (milking machine, heat or cold, injury) Teat end injury Lowered immunity (following calving, surgery) Nutrition Organisms Environment
  • 13. Process of infection Organisms invade the udder through teat canal Migrate up the teat canal and colonize the secretory cells Colonized organisms produce toxic substances harmful to the milk producing cells
  • 14. The cow’s immune system send white blood cells (Somatic cells) to fight the organisms recovery clinical subclinical
  • 15. How is mastitis diagnosed ? Physical examination Signs of inflammation Empty udder Differences in firmness Unbalanced quarters Cowside tests California Mastitis test
  • 16. How is mastitis diagnosed ? Culture analysis The most reliable and accurate method costly ($ 5- 12)
  • 17. How do you treat mastitis ? Clinical mastitis Strip quarter every 2 hours Oxytocin valuable high temp, give aspirin Seek veterinary assistance Treatment with penicillins Subclinical mastitis Questionable Attitude adjustment !!!!!! Don’t expect SCC to go down ASAP (4-5 weeks !) Discard milk from treated cows (double jeopardy !)
  • 18. THE 10 STEPS TO MASTITIS CONTROL ONE: Prepare cows properly for milking Udder preparation is pre-dipping with a dip labeled for pre-dipping.Pre-dips lower the risk of new infections by 70% !!!!!!!!!!!!!!!! Pre-dips Iodophors 0.0 -1.0 % Chlorhexidine 0.2% Quats 0.5% LDBSA 0.2% Hypochlorous acid Bleach ? Use single service paper towels, dry teats before machine-application.
  • 19. TWO: Have a good milking system Milking equipment should be adequate in size, functioning properly, and regularly cleaned and maintained Correctly use proper functioning milking machines and properly prepare udders Attach teat cups after thorough cleaning and drying of teats Provide stable vacuum Check for slipping of teat cup liners Shut of vacuum before removing teat cups.
  • 20. THREE: Apply and remove machine carefully Properly adjust to prevent liner slippage. Remove machine when cow is milked out, shut off vacuum at claw before removal. FOUR: Dip each teat after each milking using a germicidal teat dip. Post-dips seal the teat ends temporarily for 6 to 8 hours A must for long term mastitis control program FIVE: Monitor your mastitis score (DHI-SCC, WMT) regularly. Take action when significant increases occur.
  • 21. SIX: Treat clinical cows, follow label recommendations, treat aseptically. Withhold treated cows' milk from milk supply. SEVEN: Segregate chronic mastitis cows, milk them last, cull when necessary. cows with chronic mastitis serve as reservoirs of organisms and could infect susceptible cows EIGHT: Dry treat each quarter using partial insertion techniques with an approved dry cow treatment at drying off. Cure rate is twice high as that during lactation Lowers the risk of clinical and subclinical mastitis during subsequent lactation
  • 22. NINE: Keep cows clean, udders free from soil and manure. Fence off wet, swampy areas. Keep free stalls and stanchions bedded properly. Keep calving areas clean, properly bedded (straw preferred). TEN: Properly feed and care for cows.
  • 23. Summary Mastitis is primarily a management problem Mastitis can be controlled Prevention programs work best when correctly followed
  • 25. Milking Procedures for Quality Milk PREREQUISITES Maintain clean, well ventilated bedded areas for cows Segregate known infected cows. Milk them last or with designated equipment CMT all fresh cows by the 6th milking Milk all treated cows last Change rubber inflations every 60 days or 1000 cow milkings whichever comes first
  • 26. PREREQUISITES Check the milking systems or units periodically for function and reliability Clip or singe the udder hair Examine periodically teats and teat ends Mastitis treatments should be done by one or two persons and should be done after milking Cloth towels should be washed after every use
  • 27. Simple Steps “Two trips to each cow will provide a routine to Maxmize Milk Quality and Parlor Performance”…. Dr. Andy Johnson Step One………Strip and Predip Step Two………Dry and Apply
  • 28. Standardized Milking Procedures Stanchion / Tiestall Wear Gloves Wipe off excess dry manure, straw and bedding Strip each teat into a stripcup Dip teats with an approved pre-dip Allow the pre-dip to react for at least 30 sec. Parlor Wear Gloves Wipe off excess dry manure, straw and bedding Strip each teat into a stripcup Dip teats with an approved pre-dip Dip 3-4 cows Allow the pre-dip to react for at least 30 sec.
  • 29. Stanchion/ Tiestall Clean teat and teat ends using single paper towel or individual towel cloth The teats must be dried for at least 15 sec Attach milking machines immediately after teats are dried Dip teats with post-dip immediately after milking Parlor Return to the first cow and clean teat and teat ends using a single paper towel or individual towel cloth The teats must be dried for at least 15 sec Attach milking machines immediately after teats are dried Dip teats with post-dip immediately after milking EACH STEP IS A CRITICAL POINT !!!!!!!
  • 30. HACCP-based concepts for implementing proper milking procedures in Pennsylvania
  • 31. Steps involved in employing HACCP-based concepts for establishing proper milking procedures STEP ONE Educate owners and milkers about implementing a standardized milking procedure (Benefits !!!!!!) IF a dairy farm initiates and shows sustained interest Establish ground rules They will have to be proactive and adopt changes TEAM EFFORT !!!
  • 32. STEP TWO Establish a team ( owner, milkers, veterinarian, facilitator) Mission statement Goals and timeline Written Procedures Protocols Critical Limits ( SCC > 250,000) Recording Keeping Milking time/milking Bulk Tank Temp; end of 1 hr of milking Sanitation Schedule team meetings to review the process
  • 33. STEP THREE Train milkers and owners in implementing the standardized milking procedure STEP FOUR Monitor the application of the standardized milking procedure Floor tests (each step is a critical point !) Laboratory tests (SPC or BTSCC) Monitor records STEP FIVE Establish corrective actions to be implemented if milk quality critical limits have exceeded.
  • 34. Bovine Mastitis Prepared by: Bhushan Jayarao MVSc, PhD, MPH Extension Veterinarian Department of Veterinary Science Pennsylvania State University University Park