2. Mastitis
An inflammation of the milk secreting
tissues of the udder, caused by microbial
infections in one or more quarters.
Disease of Humans
Affects 25 to 30 percent of all quarters
The most costly disease of dairy cattle
$200 /cow/year
$2 Billion annually
3. Mastitis Affects on Profitability
Decreased milk production
70% of total costs
Not visible to producers
Milk dumped due to treatment
Veterinary and drug costs
Labor costs
Culling and death losses
Lost quality premiums
5. Mastitis Infection
Almost always caused by bacteria
that generally enter through the teat
canal.
Four ways for cow to get mastitis!!
The environment inside the udder is
warm and moist with plenty of
available nutrients, so bacteria
multiply rapidly.
6. Mastitis Terminology
Clinical – Presence of clinical signs
• Signs of infection
• Udder shows signs of inflammation (Rewdness,
swollen, tender, hard, etc.)
• Milk is abnormal
• Flecks, gargot (clots), off color, bloody
• Goal <2% per month
Subclinical
• No evidence of abnormality except milk positive
on special tests.
• CMT, SCC, Sterile milk culture, etc.
14. Contagious Mastitis
Primary habitat bacteria live on/in the udder
and teat lesions
Poor survival of bacteria in the environment
Is spread from cow to cow, primarily during
milking by milk-contaminated fomites at
milking, sponge, milker's hands, milking
machine
Staphylococcus aureus, Streptococcus
agalactia, Mycoplasma bovis and sometimes
streptococcus uberis are contagious mastitis
causing organisms.
Usually chronic, subclinical mastitis
16. Streptococcus agalactiae
Strep Ag
Gram positive
Inhabits ducts and cisterns
Does not survive in environment
Inflammation blocks duct
Leads to decreased milk production, increased
somatic cell count and involution
Few enzymes/toxins produced
Antibiotic sensitivity
17. Strep Ag - Continued
Common “Old Form”
Still common in poorly managed herds
Causes 20-40 subclinicals for each clinical
Susceptible to penicillin
Can eradicate from herd with “Test & Treat”
program
Well managed herds have eradicated it
Dry cow treatment highly effective
Proper sanitation and milking procedures
prevent cross infection
18. Sources of Strep Ag
Major source is the infected cow.
Injected into udder during milking
Squawking
Contaminated floors and stalls
Newly purchased cows
Heifer calves suckling penmates.
Milking personnel as carriers
19. Staphylococcus aureus
#1 cause of mastitis in US
Many forms
acute, chronic, subclinical (chronic, subclinical
predominates)
Produces many enzymes/toxins (catalase,
coagulase)
Invasive-hyaluronidase
Resists phagocytosis & immune system
Forms abscesses; may result in fibrosis
Facultative intracellular pathogen
Decreased milk production and increased
somatic cell count
20. Staphylococcus aureus
Antibiotic resistance resulting from genetic
mutations
Difficult to eliminate
Some environmental survival
Skin, bedding
Transferred via milking machine and milker
Hands - Gloves
May be isolated from mammary gland of heifers
Found in combination with other bugs
Early detection critical to successful treatment
21. Mycoplasma
Between a bacteria and a virus
No cell wall so antibiotics are ineffective
Control by biosecurity
Spread through contaminated antibiotics,
syringes milking units, common cloths, etc.
Teat dipping is a good preventative
Isolation and culling
Usually in well-managed herds
NYS Study – 10% of herds have infected cow
Maine BT Study 2002 – 3% of herds
22. Control of Contagious
Mastitis
Dip teats in germicide after pre and post milking
Treat quarters with dry cow antibiotics at end of
lactation
Milking order or separate claw for infected cows
Flush milk claws (hot water or germicide) after
milking infected cows (backflushing)
Individual cloth/paper towels to wash/dry teats
Clean hands, latex gloves
Culture new cow additions
Cull persistently infected cows
Minimize teat end lesions
Dry treat heifers before calving
23. Environment Mastitis
Environment to cow
Incidence increases as the incidence
of contagious mastitis decreases
Primary habitat of bacterial is in the
environment (feces, soil, bedding,
water)
Environmental contact at milking
time or between milkings
24. Environmental Mastitis
Organisms from the bedding, stalls,
corrals, etc. gain entrance through
fatigued teat canals after or during
milking to cause infection.
Streptococcus dysgalactia,
Streptococcus uberus, and Coliform
(E. coli, Klebsiella) are a few the
organisms that live in the
environment.
26. Coliforms
E. coli, Klebsiella spp., Enterobacter spp.,
Citrobacter spp.
Gram negative
Feces, bedding, wet dirty udders
Transient peracute/acute mastitis
Endotoxin
Very sick - death
More prevalent in warm, wet weather
27. Sources
Infection occurs when contaminated material
contacts and enters teat canal
Infections occur at any stage
Sediment from unclean surroundings, flank, and
udder
Manure
Polluted water (barnyard)
Unclean equipment
Wet bedding, especially green sawdust
Infected quarter of other cows
28. Eschericha coli
Clinical signs include:
Acute to subclinical infections
Yellow to watery secretion
Subnormal temperature
Quarter can be hard and swollen
Inhabitant of GI tract
Wet milking
Septic infusion into udder
Antibiotics of little help
Supportive therapy
Fluids, steroids, antihistamines, antiprostaglandins
29. Klebsiella
Clinical signs similar to E. coli
Acute to subclinical infections
Yellow to watery secretion
Subnormal temperature
Quarter can be hard and swollen
Associated with soil contamination
Grows well in wood products
Switch bedding
Maintain high pH in bedding
30. Streptococcus species
Strep non-ag
Strep uberis, dysgalactiae, bovis
Inhabitant of GI tract
Clinical signs
Milk infections with clots and flakes
Moderate swelling
High SCC
Milking sanitation
Milk clean dry teats
Predipping
Clean up environment
32. Control of Environmental Mastitis
More difficult to control than the contagious pathogens
Most are resistant to germicides in teat dip and antibiotics
in dry cow therapy
Key is to ID source and remove (bedding, ponds, mud)
Clip or flame udders
Milk only clean dry teats
Clean parlor, stalls, bedding
Barrier dips
Predip teats with germicide before milking – No water
Keep cows standing after milking - feeding
Sterile single-dose infusion products
Sterile infusion techniques (alcohol swab)
37. Somatic Cell Counts - SCC
Epithelial cells and white blood cells
Changes with milk production, infection, age, stage.
Measures the level of udder stress/damage/irritation
Under 240,000 /ml uninfected
Over 240,000 /ml infected
Legal limit 750,000/ml not very stringent
Not a measure of actual mastitis infection
Do not treat based solely on SCC!
Easy way to assess the mastitis level in a herd
Excellent mastitis management tool
Highest correlation with milk production of any DHIA
measure
SCC probably can't be too low
Not the SCC but response to infection which is important
38. Factors that Influence SCC
Minor Factors
Age of the cow
Stage of lactation
Season
Stress on the gland
Breed
Genetics
Milking fraction
Major Factor
Mastitis infection
40. Early Lactation Mastitis Increases DO
0
10
20
30
40
50
60
70
80
90
100
110
120
130
140
150
DFS DO
Before AI
After AI, Before
Conception
Control
Schrick et al. 1999. NMC Proceedings. P.189-190
41. Mastitis Treatment
IMM Therapy
Injection of antibiotics into udder
Systemic Therapy
Antibiotics IV or IM
Supportive Therapy
Remove toxins – Frequent milkout
Treat dehydration, swelling and pain
Know bug
Lactational Therapy
Likelihood of success?
Dry Cow Therapy
Larger dose, longer acting product
42. Mastitis Treatment
IMM Therapy
Use an approved product
Use proper technique
Have culture reports and sensitivities
Make best guess on first drug
Cow history, treatments and results
Don’t give up on a certain antibiotic, often
response is seen with longer course of therapy
Have a standard protocol
43. Mastitis Treatment Protocols
Grade Clinical Signs Treatment
1 Milk abnormal
Udder not swollen
Cow normal
Take sterile milk sample and
culture.
Decide to treat based on results.
Possible supportive therapy
2 Milk abnormal
Udder swollen
Cow normal
Take sterile milk sample and
culture.
Treat in udder with antibiotic.
Possible systemic/supportive
therapy
3 Milk abnormal
Udder swollen
Cow sick
Take sterile milk sample and
culture.
Treat systemically and in udder
with antibiotics and supportive
therapy
44. Supportive Treatment
Reduced risk of antibiotic residues
Organic herds
Oxytocin / Stripping
Eliminates toxins and bacteria food
Not effective against contagious bugs
Aspirin, Antihistamines, Anti-
inflammatory
Fluids – dehydration
45. Mastitis Prevention
Proper Milking Techniques
Procedures, training, monitoring
Keep cows clean!
Proper Bedding
• Sand is the best bedding
• Organic bedding (sawdust, etc.) must be dry
• Stall sized to fit cows
• Udder flaming, tail docking
Nutrition
Vitamins and minerals
Milk contagious cows last
Maintain milking equipment
46. Diagnosing a Herd Problem
Bulk Tank SCC – Dairy Plant
ID Herd Problem
Individual SCC’s
ID Cows
CMT’s
ID Cows
Reasons for Culling
Sterile Milk Culture
ID bug
47. Flow of DHIA Data
DART, Raleigh, NC
LOOP - Ithaca,
NY
Mail or
Download
Supervisor
Upload
Farm
Components
Lab
Data & Milk Samples
USDA-AIPL
Associations
AI Studs
48. DHIA Individual Cow SCC
Level of new infections
• Low (<4) last month - high (>4) this month
Level of chronic infections
• High last month - high this month
First Lactation animals affected
When are infections happening?