MASTITIS PREVENTION STRATEGIES FOR THE DRY PERIOD

 

Ken Leslie

University of Guelph

Guelph, Ontario, Canada

 

 

Introduction

 

The proper management of dry cows is an extremely important component of a mastitis control program.  The dry period offers a valuable opportunity to improve udder health, while cows are not lactating.  On the other hand, both the beginning and the end of the dry period represent times of increased risk of intramammary infection (Eberhart, 1986).  The objective of udder health management during the dry period is to have as few infected quarters as possible at calving.  In order to achieve this objective, two of the three major principles of udder health management must be met.  Infections present at the time of drying off should be eliminated.  In addition, the rate of new intramammary infections during the dry period must be minimized.  If these two principles are achieved, udders will be free of infection at calving, and can be expected to produce a maximum amount of low cell count milk in the subsequent lactation.

 

Epidemiology of Intramammary Infection During the Dry Period

 

In order to develop effective udder health management strategies for the dry period, it is important to understand the epidemiology of intramammary infections in dry cows.  This requires having knowledge of the incidence of new infections during the dry period and the types of bacteria involved.  Risk factors that affect the susceptibility of dry cows should also be understood.

 

1.  Incidence of New Infections

The rate of new intramammary infections is significantly higher in the dry period than during lactation (Eberhart, 1986).  The greatest increase in susceptibility is during the first three weeks of the dry period, when the new infection rate is many times higher than during the preceding lactation as a whole.  A second period of heightened susceptibility occurs just prior to calving, and in the immediate postpartum period.  The reported rates of new intramammary infection in the dry period vary widely. Some reasons for these differences include the diagnostic criteria used, and the types of organisms considered to be major pathogens.  There are also important herd-level effects, such as the prevalence of existing infections at drying-off and the method of dry-off (Busche and Oliver, 1987).  The average rate of new infections in untreated dry cows is expected to be between 8 and 12% of quarters (Eberhart, 1986).

 

2.  Types of Bacteria Causing new Infections During the Dry Period

Both contagious and environmental bacteria need to be considered in designing mastitis control schemes for the dry period.  Contagious organisms are transmitted among cows and quarters in association with the milking process, and are the predominant prevalent infections at the time of dry-off.  Effective long-acting antibiotic therapy offers the best opportunity to eliminate these existing infections.

 

Environmental pathogens are primarily contracted from contamination with organisms in manure and bedding (Smith, 1983). 

 

Exposure to environmental pathogens is likely to continue throughout the dry period.  These organisms are primarily contracted from contamination of udders by manure and bedding. Thus, prevention of new dry period infection with environmental agents represents a considerable challenge (Eberhart, 1986).  Herds that have implemented a basic mastitis control program, still need to be aware of the importance of preventing environmental infections in the dry period.  There are different rates of infection caused by the various environmental agents as the dry period progresses (Smith et. al., 1985a and b)..  For example, infections with environmental Streptococci, Klebsiella, and Enterobacter occur more frequently early in the dry period.  On the other hand, E. coli infections tend to occur immediately before and after calving.  Dry cow management strategies need to account for the risk of infection during the entire period from last milking until the next calving. 

 

3.  Risk Factors that Affect Susceptibility in Dry Cows

Several risk factors contribute to the variation in susceptibility to new intramammary infection during the dry period.  These factors include:

a)     Bacterial populations on the teat end

The cessation of milking management hygiene practices, such as teat dipping, allows bacterial sub-populations on teat skin to increase.  It has been shown that S. aureus and environmental Streptococci bacterial numbers on teat skin are high immediately after drying-off.  Coliform organisms are more prevalent on teat skin late in the dry period and at calving time (Eberhart, 1986).  Further study is needed to correlate the numbers of bacteria with the rate of new infections.

b)     Variations in the Teat Streak Canal

The results of challenge studies suggest that the teat canal is more easily penetrated by bacteria during the early dry period (Cousins et. al., 1980).  Similarly, swelling of the mammary gland, the increasing volume of secretion, and the leaking of colostrum, contribute to the high risk of new infection during the prepartum period. 

c)     Resistance Mechanisms Within the Mammary Gland

Throughout the dry period, there are marked changes in the composition of mammary gland secretions. There is an increase in the concentration of protective factors such as leucocytes, immunoglobulins, and lactoferrin.  These changes influence the variation in susceptibility to both environmental and contagious pathogens.  When the gland is completely involuted, resistance to new intramammary infections is high (Oliver and Sordillo, 1989).

 

Udder Health Management Strategies for Dry Cows

 

1. Antibiotic Therapy

Antibiotic therapy at the end of lactation has been one of the key steps in the National Mastitis  Council control program.  It has become the most effective and widely used mastitis control methods for dry cows.  Its efficacy and advantages are well documented (Yancey, 1998).  The use of effective dry cow products results in 70 to 90% elimination of most existing infections (Natzke, 1981).  However, elimination of S. aureus is less successful (Osteras, 1999).  Dry cow therapy also reduces the incidence of new intramammary infections caused by Streptococcus uberis by 50 to 75% (Williamson, 1995).

 

A variety of long-acting antibiotic preparations have been formulated specifically to treat subclinical mastitis, and to prevent new infections, in dry cows.  These preparations include banzathine cephapirin, benzathine cloxacillin, and sustained-release formulations of erythromycin, novobiocin, and penicillin.  The withholding period for milk, from animals treated with these dry cow formulations, ranges from 30 to 42 days after treatment.  It is important that the label directions be followed carefully as to the recommended dosage level, required withdrawal period, storage guidelines, and expiry dates.  A general recommendation is that dry cow treatment should never be administered within one month of the expected calving date.  Single-dose syringe preparations of dry cow antibiotic treatment are recommended.  The risk of contamination by environmental bacteria and yeast is much higher for multiple-dose bottles than for single-dose syringes.  If bulk containers are used, great attention should be paid to maintaining sterility.

 

Although intramammary infusion is highly recommended, there is a potential for the introduction of organisms during the infusion process. Unsanitary infusion practices can introduce antibiotic-resistant environmental organisms into the udder.  Infection with opportunistic microorganisms, such as yeast or Nocardia, may cause more extensive udder damage than the original organism for which treatment was being administered.  Adequate teat-end preparation and careful dry cow treatment procedures can reduce this risk.  

           

The importance of these procedures has been vividly demonstrated during an outbreak of udder health problems across Canada.  From 1987 to 1989, a dramatic increase in the rate of isolation of Nocardia from milk samples submitted to diagnostic laboratories has been documented (Dohoo, 1991).  Three separate case control studies have been conducted to determine risk factors associated with this increase in Nocardia mastitis (Stark and Anderson, 1990; Ollis et. al., 1991; Ferns et. al., 1991).  Each of these studies reported that blanket dry cow therapy, especially neomycin-containing products, was an important risk factor for the occurrence of Nocardia mastitis.  However, Nocardia organisms were not found as a contaminant of the suspected products.  In one study, teat-end preparation by scrubbing with an alcohol-soaked cotton swab was found to be protective against the occurrence of Nocardia infection, when teats were experimentally contaminated with Nocardia organisms immediately before drying off (Leslie et. al., 1992).  Most commercial dry cow treatment products provide individually wrapped alcohol-soaked cotton swabs for use with each syringe.  The use of good teat-end preparation prior to intramammary infusion, needs to be continually emphasized.

The problem of new dry period infections associated with the method of treatment has been the subject of some investigation.  Partial insertion of the infusion cannula (up to 4mm) has resulted in fewer new intramammary infections, and improved cure rates (Boddie and Nickerson, 1986).  The improvement with a short cannula is attributed to fewer organisms being delivered beyond the streak canal.  In addition, antibiotic that is deposited and left within the streak canal should control local infections.  Major pharmaceutical companies have developed modified infusion canulae for the convenient use of a partial insertion method of administration.  These devices are now commonplace on commercially available dry cow syringes.

 

The necessity of using dry cow treatment procedures cannot be over-emphasized. Dry cow treatment procedures should be carried out in the following manner:

Ø     Milk the udder out completely.

Ø     Immediately following teat-cup removal, dip all teats in an effective teat dip.

Ø     Allow the teat dip to dry.  If necessary, remove excess dip from the teat-ends with a clean single-service paper towel.

Ø     Disinfect each teat-end by scrubbing for a few seconds with a separate alcohol-soaked cotton swab.  Start with the teats on the far side of the udder, and work towards the near side.

Ø     Infuse each quarter with a single-dose syringe of a recommended dry cow treatment.  Use the partial insertion method of administration into the teat streak canal. A modified infusion canula is provided with most dry cow treatment products to facilitate use of the partial insertion method.

Ø     Dip all teats in an effective teat dip immediately following treatment.

 

Intramammary versus Systemic Therapy

Another approach to preventing the problems associated with intramammary infusion, would be the development of an effective, systemically-administered dry cow treatment.  This would also be an attractive approach for therapy in pregnant nulliparous heifers.  Preliminary results have indicated improved efficacy against S. aureus infections using a systemically administered quinoline antibiotic (Norfloxacin nicotinate) (Soback et. al., 1990).  However, no further information has been published on this therapy regimen.  Furthermore, no systemically administered antibiotic has gained regulatory approval for treatment of intramammary infections in dry dairy cows.  A systemically administered long-acting tetracycline product was not effective as a dry cow treatment (Erskine et. al., 1994).  Furthermore, tilmicosin administered systemically, according to label indications for pneumonia in cattle, was not efficacious for elimination of S. aureus intramammary infections (Owens et. al., 1999).  However, tilmicosin administered by intramammary infusion at dry-off was highly effective for treatment of infections by major pathogens (Nickerson et. al., 1999).

 

Factors Affecting the Success of Antibiotic Treatment of Dry Cows

Despite blanket dry cow therapy, some cows calve with persistently infected quarters, and some with clinical mastitis.  Several risk factors affecting the success of dry cow treatment for S. aureus mastitis have recently been identified (Sol et. al., 1994).  These factors are:

1.     Numbers of quarters infected.   With S. aureus infections, there is a significant

decrease in cure rate as the number of quarters infected per cow increases.  Quarters from cows with either three or four of their quarters infected have a very poor cure rate.

2.     Age of the cow. As the age of the cow increases, the probability of S. aureus infections

being cured by dry cow therapy decreases.

3.     Somatic cell count prior to drying off. The cure rate of S. aureus infected quarters

diminishes, as the SCC prior to treatment increases.  There is a significantly lower cure rate in quarters with an SCC of greater than one million cells per mL (Sol et. al., 1994).

4.     Herd of origin.  There is a distinct herd effect on the success of dry cow therapy.  The cure

rate of S. aureus has been shown to be higher in herds with good hygiene, and with a low prevalence of S. aureus infections at drying-off (Sol et. al., 1994).

 

There is considerable potential in using individual cow and herd-level information to predict the likelihood of a cure with dry cow therapy.  For example, an older cow with three-quarters infected with S. aureus , and a persistently high SCC, has a low probability of a cure.  Continued development of information management systems to assist with therapy and culling decisions will clarify the expectations of dry cow treatment.

 

Enhancements to Dry Cow Antibiotic Treatment

Several different strategies to improve the efficacy of dry cow antibiotic treatment have been studied;  in particular to improve the cure rates for persistent S. aureus infections.  In general, these methods have met with limited success.  Hogan et. al. (1994) studied the efficacy of an immuno-stimulant product (Proprionibacterium acnes extract) as an adjunct to dry cow treatment.  It did not provide significantly improved therapy or prevention over dry cow treatment alone.  Erskine et. al. (1998) studied the usefulness of a cytokine(recombinant bovine interleukin 2, IL-2) in addition to dry cow antibiotic treatment.  There was no significant improvement in cure rate or prevention of new infections.  Furthermore, there was a significant increase in rate of abortions following IL-2 treatment.  Using a double dry cow treatment regimen (at dry-off and one month later) did not improve the cure rate of persistent S.aureus infections (Leslie, 1994).  In lactating cows, it has been shown that simultaneous intramammary and intramuscular treatment improved the cure rate of S. aureus infections (Owens et. al., 1988).  However, this approach for treatment of cow at dry-off has not been reported in the literature.  Of particular interest, a recent study has reported dramatic improvements in the efficacy of extended antibiotic therapy of chronic S. aureus infections in lactating cows by specific immunization with a S. aureus bacterin prior to, and during, the course of therapy (Sears and Belschner, 1999).  This approach has not yet been reported as an enhancement to dry cow antibiotic therapy.  In general, there are no real breakthroughs with respect to enhancing the efficacy of dry cow therapy.  Treatment of all quarters of all cows with an approved dry cow antibiotic product remains the recommended approach.

 

Efficacy of Dry Cow Antibiotic Therapy Against Coliform Infections

Persistent S. aureus infections represent only one of the shortcomings of antibiotic treatment for dry cows.  Most dry cow products are formulated for efficacy against gram-positive cocci.  These antibiotics are of limited usefulness against gram-negative bacteria.  In other words, new coliform infections would not be prevented by this therapy.  Even though dry cow products are formulated for sustained activity, the provision of adequate protection during the critical prepartum period is questionable (Smith et. al., 1985). The persistence of effective levels of antibiotic has been evaluated for various dry cow treatments (Oliver et. al., 1990c).  Dry cow products are not formulated to have persistent activity until the time of calving.  One potential solution for protection through the critical periparturient period is infusion of a lactating cow product one to three days prepartum (Pankey et. al., 1982b).  This approach merits investigation.  However, there are concerns about the predictability of calving, accuracy of predicted calving dates, and the risk of antibiotic residues in milk of cows that calve early.  A more promising approach involves protection of the teat streak canal during the prepartum period, which will be discussed later in this paper (Timms et. al., 1997)

 

Blanket versus Selective Dry Cow Therapy Programs

Although dry cow therapy is a cornerstone of mastitis control programs, there is a continuing controversy concerning blanket versus selective dry cow therapy.  This debate has gained momentum as the implementation of basic udder health management practices has resulted in reduced prevalence of infection (Schultze, 1983). Large observational studies have shown an association between selective dry cow therapy programs and improved profitability (Gill et. al., 1991). The major reasons that producers consider using  selective therapy are to reduce the expense of treatment, to avoid the possible emergence of antibiotic resistant organisms and to prevent the elimination of minor pathogens which may provide some resistance to infection with environmental agents (Eberhart, 1986).  Each of these reasons should be carefully considered in deciding between selective and blanket dry cow therapy.  Selective therapy programs have been assessed in Scandinavian countries, where antibiotic use in food animals is highly regulated and supervised (Osteras et. al., 1991).

 

Selective therapy requires a decision as to which cows are to be treated.  The predictive value of any currently available screening test is unacceptable as the basis for a decision concerning selective therapy.  The history of clinical mastitis, CMT results, individual cow SCC, and even bacteriological culture are valid decision-making tests, but they all result in leaving some infected cows untreated.  In addition, many uninfected cows are treated unnecessarily.  An important pre-requisite for large scale implementation of selective dry cow therapy would be the development of a cheap, practical, sensitive and specific test to identify infected cows.

 

Blanket dry cow therapy will reduce the prevalence of infection with minor udder pathogens, such as coagulase negative Staphylococcal species.  There is mounting evidence that reduction of these minor infections will be associated with an increase in new intramammary infections and clinical mastitis (Schukken et. al., 1999).  However. one large epidemiological study did not find an association between dry cow treatment and the rate of clinical mastitis (Schukken et. al., 1989).  The study followed 125 farms with low bulk milk SCC.  Dry cow treatment had neither a beneficial nor a detrimental effect on the rate of clinical mastitis during lactation.  Environmental conditions and individual cow factors were the more important risk factors.  More recently, cessation of aggressive port-milking teat disinfection resulted in a significant decrease in clinical coliform mastitis (Lam et. al., 1997).  However, conclusive evidence that selective dry cow therapy will reduce clinical mastitis the next lactation has not been reported.

 

The final compelling argument against complete dry cow therapy is the potential emergence of antibiotic-resistance strains of bacteria.  It has been shown that some organisms were not successfully eliminated by dry cow treatment with penicillin and dehdrostreptomycin and became resistant to those antibiotics (Schultze, 1983; Osteras et. al., 1999).  The surviving pathogen population was not a threat to the udder health status of the study herd in the next lactation (Schultze, 1983).  However, the demonstration that such resistance could develop is cause for some concern.  Further study is needed to determine the long-term impact of this development.

 

It is noteworthy that the prevention of new intramammary infections is effectively lost with the selective approach.  Methods to protect the cow from new intramammary infections need to be in place.  Natzke (1981) has estimated that blanket dry cow therapy reduces new infection rates from approximately 14% to 7% of quarters.  The increase in milk production from preventing these infections is alone enough economic return to offset the cost of antibiotic treatment for all cows.  Currently, it is clear that replacement of complete dry cow therapy with a selective program cannot be economically justified in North America.  Information presently available indicates that the general recommendation should be for  routine treatment of all quarters of all cows at the time of drying off.  Yet, it is important to consider evidence in support of selective dry cow therapy.  There is a need to identify important management practices to limit new infections in untreated dry cows, and to develop new screening tests to determine which cows should be treated.  Perhaps the combined use of CMT information and the results of bacteriological analysis, such as the HyMast test, combined with modern information processing, will lead to the development of better selective dry cow treatment programs (Jansen et. al., 1997).

 

2.  Management of the Environment for Dry Cows

Dry cows should be provided an environment that is as clean and dry as possible.  Variations in the load of coliforms and environmental Streptococci, in the environment are important predictors of new infection rates (Smith et. al., 1985).  Minimizing the exposure to environmental bacteria will reduce the new infection rate. However, some pasture conditions promote the crowding of cows under shade trees.  In hot, humid and muddy conditions, heavy contamination of such a small area can result in a significant risk of new environmental infections in the dry period.  In good weather, it is ideal to hold parturient cows in a clean, grassy area; where they can be observed and assisted if necessary. 

 

In confinement housing systems for dry cows, it is important to provide adequate space, ventilation, bedding, and lighting to ensure cleanliness and comfort.  When maternity stalls are used, they should be bedded with clean straw, or shavings.  Studies have reported lower coliform populations, but higher numbers of environmental Streptococci, in straw (Rendos et. al., 1975).  Other important procedures for managing the environment for dry cows include adopting an effective fly control program.  Clipping or flame singeing the hair on the udders, flanks, and inside the hind legs will help reduce contamination.  The words clean and dry summarize the concept of management of the environment for dry cows.

 

3.  Nutritional Management of Dry Cows

A nutritionally balanced dry cow feeding program is important to ensure udder health.  Furthermore, specific nutritional factors have important roles in resistance to mastitis, especially over the dry period (Eberhart, 1986).  For example, adequate levels of vitamin E and selenium in dry cow rations appear to be important for udder health at calving and in early  lactation (Weiss et. al., 1997).  This effect may be mediated through enhanced resistance mechanisms.  Other vitamins and minerals, such as copper and chromium, may be important in udder health although their role is less substantiated.

 

Nutritional management of dry cows is also important for reducing the risk of periparturient diseases, which is an important predisposing factor to mastitis in fresh cows.  Appropriate body conditioned can be achieved by good nutritional management in late lactation.  There is more and more evidence of an important association between body condition, energy balance and udder health.  Ketosis can be an important predisposing factor for the occurrence and severity of clinical mastitis (Kremer et. al., 1993).  In some countries, ionophores have been approved for use in lactating dairy cattle to prevent subclinical ketosis, which may have considerable benefit for general health of periparturient dairy cattle. 

 

4. Methods of Drying Cows off

The method used to dry-off late lactation cows may affect new intramammary infection rates, in the early dry period. Udder involution can be hastened by a regimen of intermittent milking, and of limiting feed intake to hay only, during the last week of lactation (Eberhart, 1986).  However, the effects of various drying-off methods on udder health is the subject of considerable controversy.  Drying-off by intermittent milking, and a change in ration, has been shown to result in fewer infections at subsequent calving (Bushe and Oliver, 1987; Natzket et. al., 1975).  Yet, these differences in prevalence of infection are most evident in cows that are not treated with dry-cow antibiotic therapy.  The method of drying-off is probably less important with blanket dry-treatment programs.  As the use of selective dry cow therapy becomes more economically sound, the method of drying-off will gain importance.  Furthermore, after drying-off enhancement of mammary gland involution may play an important role in preventing new infections (Oliver and Sordillo, 1989).

 

5.  Teat-End Protection for Dry Cows

Post-milking teat disinfection is a very effective means of reducing new infections in lactating cows.  However, the efficacy of teat disinfection in the dry period has been discouraging (Eberhart, 1986).  Daily teat dipping for the first week of the dry period was not effective in reducing Strep. uberis infections.  The objective of teat dip application in the dry period is to provide a physical barrier over the teat canal for the first two weeks of high risk in the dry period.  This does not appear to be achieved by the barrier products currently available for lactating cows.  There is a continuing search for effective barrier products.  Teat sealers may be of some use for the prevention of environmental infection in the immediate prepartum period. Recently, a polyether-polymethane product has been developed and marketed as a dry cow teat sealant (Timms, et. al., 1997).  Pending successful adherence until the keratin plug has formed in the teat streak canal (Leslie et. al., 1999), this type of product has promise for protection against new environmental Streptococcus infections in the dry period.  It is recommended that the teat sealant be used as an adjunct to dry cow treatment and vaccination against Coliform mastitis.  In addition, the dry cow teat sealant may be useful to protect teat-ends from environmental contamination in the critical prepartum stages of the transition and maternity groups.  A dry cow teat sealer that is infused into each quarter has been developed by researchers in Ireland (Meaney, 1977).  This product has been approved for commercial use in dry cows in New Zealand (Wootford, 1998).   Further developments for the protection of dry cows are expected.

 

6.  Vaccination

Vaccination with a gram negative core antigen vaccine has become an extremely important method of minimizing the severity of coliform mastitis.  The vaccine produces immunity against the E. coli endotoxin.  When given strategically in the early and late dry period, and shortly after calving, protection is available during the high risk period for coliform infection.  It must be stressed that immunity is short-lived.  Thus, strategic use is crucial.  The cost benefit of this program is clear, even when the herd-level incidence of coliform mastitis is low (Yancey, 1999).

 

Summary

 

In summary, appropriate dry cow management is extremely important for the maintenance of optimal udder health.  Antibiotic therapy at the end of lactation is the most effective method of eliminating existing infections.  Dry cow therapy also significantly reduces the rate of new infections during the dry period.  Until better diagnostic tests and data management methods are available, the preferred approach is a blanket dry cow therapy program.  This involves the treatment of all quarters of all cows immediately following the last milking.  In addition, providing a clean, dry environment, and a properly balanced ration, will assist in the prevention of new dry period infections.  Better methods of enhancing mammary involution and protecting the teat-end need to be developed.  In addition, special attention is required in the pre-calving period. 

 

References

 

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Source: Presented at the National Mastitis Council 1999 Regional Meeting; Published in the 1999 National Mastitis Council Regional Meeting Proceedings, pg. 35.

 

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