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Institute for Animal Health, Compton, Berkshire RG20 7NN, United Kingdom
Corresponding Author:
Elizabeth A. Berry; e-mail:
elizabeth.berry{at}bbsrc.ac.uk.
| ABSTRACT |
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No cases of clinical mastitis in the dry period were observed in cows treated with Teat Seal (n = 197), whereas a significant number (6 cows) were observed in the untreated cows (n = 204). In all herds, significantly more new infections at calving were found in the untreated group (62 cows in the untreated group compared with 21 cows in the Teat Seal group). In those quarters where infections were first detected at calving, the incidence of clinical mastitis was significantly greater in the untreated group. Quarters in both treatment groups that were infected at drying off with Corynebacterium spp. or coagulase-negative staphylococci were not protected against new infections and had an increased risk of new infection by Streptococcus uberis. The results will inform those restricting their use of antibiotic dry cow therapy in alternative management strategies and the additional risk of new intramammary infection.
Key Words: Orbeseal Teat Seal intramammary infection mastitis)
Abbreviation key: CNS = coagulase-negative staphylococci
| INTRODUCTION |
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Various types of external teat seals have been available for some time to limit exposure of the teats to bacterial invasion. They have had only limited success in reducing intramammary infections during the dry period, largely due to poor persistence on the teat (Hemling et al., 2000; Timms et al., 1997).
An inert internal teat sealant made from bismuth subnitrate (an inert salt) in a paraffin base (Osmonds Teat Seal, Cross Vetpharm Group, Tallaght, Dublin, Ireland) has been available in Ireland since 1978 sold as a two-syringe intramammary combination with an aqueous form of cloxacillin (Meaney, 1977). A reformulation has also been available in New Zealand without the cloxacillin intramammary since 1997. It is reported to be more effective, especially in maintaining a plug at the teat sinus (Woolford et al., 1998). The Teat Seal (now marketed as Orbeseal [Pfizer Animal Health]) is administered at drying off and forms a physical barrier within the teat canal and lower teat sinus. It has been reported that teats classified as "open," without a keratin plug, or that run milk during the dry period are more susceptible to infections during the dry period (Day, 1990; Schukken et al., 1993). Teat Seal may act as an artificial plug comparable to the keratin plug noted in "closed" teats (Comalli et al., 1984; Day, 1990).
Teat Seal has been used in combination with an antibiotic (Woolford et al., 1998), the bacteriocin lactocin 3147 (Ryan et al., 1999), as well as alone. It has successfully prevented new infections during the dry period both from experimental challenge (Meaney, 1977) and from natural exposure in the field, although only in cows with low cell count (Woolford et al., 1998). This product may be a nonantibiotic alternative to total dry cow therapy.
The use of Teat Seal in uninfected cows with low cell counts in seven herds and in all cows in four of these seven herds has been determined. Teat Seal was compared with a negative control for its effects over a full year on the rate of new intramammary infections and on clinical mastitis postpartum.
| METHODS |
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Definitions
When the same pathogen was isolated in two consecutive samples, two out of three samples, or a pathogen came from one milk sample with the cell count elevated in comparison to the other quarter cell counts, this was defined as an infection (IDF, 1981). An elevated cell count was defined as two times greater than that of the other quarters and greater than 200,000 cells per ml.
Clinical mastitis occurred when visible changes in the milk such as watery milk, clots or flakes, or changes in the udder such as swelling or heat were seen. These were either detected by the farm staff or discovered at one of the routine sampling times.
Statistical Analyses
The data were analyzed using the Minitab statistical computer package (release 12.21, Minitab Inc., Pennsylvania, PA 16801, USA) and SAS system (Version 8, SAS Institute, Cary, NC, USA). Logistic regression, Fishers exact and
2 tests were carried out to determine if treatment affected the probability of infection. The effects on the probability of a new infection of treatment, herd, parity, cell count grouping at drying off, and infection status at drying off were determined by logistic regression. To be classified as infected at drying off a cow had to: 1) have at least two quarters infected with Corynebacterium spp. or coagulase-negative staphylococci (CNS) at drying off, or 2) have only one quarter infected at drying off if a new infection had been acquired during the dry period.
Herd was a forced covariate due to herd differences in management, and because some herds only contributed low cell count cows to the data. The two IAH herds were managed as one herd during the dry period, hence data from these herds were presented as one herd. Parity was defined as those of parity two, three, or four and greater for the lactation after the dry period.
| RESULTS |
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There were no significant differences in the total number of quarters infected with Corynebacterium spp. between Teat Seal and untreated cows at drying off within cell count groups (P = 0.5). A difference in the percentage of quarters infected with Corynebacterium spp. between herds at drying off was demonstrated using a
2 test (P < 0.001)(Table 3
). There was a significantly higher number of infections due to Staphylococcus aureus in the high cell count group than the lower cell count group (
2 = 12.611, P = <0.001) at drying off, but again there were herd variations, with some herds having no cows infected with S. aureus at drying off. The presence of a S. aureus infection at drying off did not significantly increase the risk of a new infection at calving. Only one cow with a quarter infected with S. aureus at drying off acquired a new S. aureus infection in another quarter.
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Cows and Quarters Infected During the Dry Period
There was a statistically significant difference in the incidence of clinical mastitis during the dry period (Table 4
); clinical signs of mastitis were detected in six cows (10 quarters), all from the untreated group (P = 0.0167 for cow and P = 0.001 for quarter), and none from the Teat Seal group. Two cows were treated with short-acting lactating cow intramammary formulations in the affected quarters. Data from these cows are included in the infection status at calving column. One quarter in one cow involuted at calving, and the other three infected cows were treated with a long-acting intramammary dry cow formulation in all quarters; these are not shown in the column for infection status at calving. The predominant infection isolated from clinical infections during the dry period was Streptococcus uberis. One cow from the Teat Seal group was accidentally treated after a misdiagnosis of clinical mastitis in the dry period and was removed from the trial.
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| DISCUSSION |
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Drying off status with respect to either Corynebacterium spp. or CNS was found to be a more significant covariate than cell count group. Although the prevalence of Corynebacterium spp.-infected quarters at drying off was not significantly different between cell count groups or treatment groups, significant differences were seen at the herd level and between cell count groups within herd. Herd remained as a forced covariate in the model although it was not significant once the covariate infection status at drying off was added. The amount of Corynebacterium spp. infection in a herd is considered an indicator of the thoroughness of teat disinfection (Bramley et al., 1976). Herd 4 had previously used an automatic exit race spray to apply teat disinfection, and had changed, within 18 months of starting the trial to manual teat spraying. Herds 1 and 5 were teat dipped, and herd 2 was teat sprayed thoroughly. Herds 3 and 6 were teat sprayed, and herd 3 had used only limited dry cow therapy for several years. The level of Corynebacterium spp. infection in herds 3, 4, and 6 indicate that the teat disinfection was not as efficient as necessary, and this was combined with limited dry cow therapy in herd 3.
The higher cell count group included all cows that had had a clinical mastitis infection in the previous lactation. Higher cell counts possibly indicate previous exposure to infection. It is hardly surprising then that these cows were more likely to be infected at calving, taking into account that previous intramammary infection indicates increased susceptibility due to possible udder conformation or immunological differences (Stuart and Lancaster, 1949a; Stuart and Lancaster, 1949b).
The influence of parity on new intramammary infection was affected by pathogen type and dry cow therapy. An increase in infections due to coliforms, S. aureus, and S. uberis, with increasing parity was observed, but an increase in streptococcal infections was not seen in those herds using total dry cow therapy (Jayarao et al., 1999; Oliver and Mitchell, 1983; Oliver, 1988; Smith et al., 1985a; Smith et al., 1985b; Ward and Shultze, 1974). The prevalence of intramammary infections is generally likely to increase with parity, but it has not always been specified as to whether this is a cumulative effect of new and existing infections or the rate of new infections only, for that lactation (Oliver et al., 1956a; Oliver et al., 1956b; Smith et al., 1985a; Smith et al., 1985b). Increasing parity did not fit in the final model, contrasts with previous work on this subject. However, the majority of new infections in this work were due to S. uberis, and this model used the new intramammary infection rate. Previous models have not taken the infection status of quarters at drying off into account, which has quite clearly been shown to be an important covariate in this model.
The incidence of clinical mastitis during the dry period was 1.6% of quarters. This is lower than that reported by Australian and Dutch studies (Schukken et al., 1993; Hassan et al., 1999), but comparable to the incidence reported in a selective dry cow trial (Berry and Hillerton, 2002). Similarly, there was herd variation in the incidence of clinical mastitis, which is probably attributable to the herd management, especially that of the dry cows. A New Zealand study on Teat Seal reported that all clinical cases were detected by a periodic udder palpation that was carried out by one of the authors (Woolford et al., 1998), thus highlighting the importance of regular examination of the udder. There was a significant difference in the incidence of clinical mastitis during the dry period between the untreated and Teat Seal groups, with the most common pathogen being S. uberis. All clinical mastitis cases during the dry period in the New Zealand study were also S. uberis. The nonlactating udder is highly susceptible to certain infections, with the new infection rates being highest in the early dry period and approaching parturition. More than 50% of these new infections will persist into the next lactation if not eradicated by appropriate treatment (Eberhart and Buckalew, 1972; Neave et al., 1950). S. uberis is considered to be the most common pathogen causing these infections in pastured and housed cattle in the UK (Cousins et al., 1979), and this is confirmed by this study.
There were significant differences in the rate of new infection at calving both at the cow and quarter level. The predominant pathogen causing the new infections in both groups was S. uberis, with nearly 50% of the cases in the untreated group due to this pathogen. This agrees with previous reports on the incidence of new infections and prevalence of S. uberis in the dry period and at calving (Eberhart and Buckalew, 1972; Neave et al., 1950; Oliver and Mitchell, 1983; Pearson, 1948; Smith et al., 1966; Woolford et al., 1998).
There were herd variations in the new infection rate and pathogen prevalence, but in all herds there was a reduction in the new infection rate in the Teat Seal group compared with the untreated group. There were nearly 80% fewer new S. uberis infections and 70% fewer new S. aureus infections at calving and 70% fewer new infections in total at calving in the Teat Seal group compared with the untreated group. This highlights the effectiveness of Teat Seal in preventing new infections during the dry period, particularly S. uberis and S. aureus infections, when compared with untreated cows. Similar results for S. uberis were demonstrated in New Zealand on a primarily outdoor grazing system (Woolford et al., 1998).
This trial was conducted over a winter housing and summer grazing period, in cows with a range of cell counts and infection status at calving, and demonstrates the efficacy of Teat Seal against a variety of environmental challenges. There were existing infections at drying off in both groups, and whilst none spontaneously resolved, infusing Teat Seal into quarters already infected did not result in any of these quarters showing clinical signs during the dry period or at calving. These existing infections may however account for some of the challenge to other cows for new S. aureus infections. It is not completely clear whether challenge comes from cross contamination at milking preceding drying off or from the infected quarters or other sources on the cows during the dry period (Browning et al., 1990; Eberhart and Buckalew, 1972). In this study, new S. aureus infections were observed when cows, even in herds where no quarters were known to be infected with S. aureus at drying off.
A significant reduction in clinical incidence in those quarters infected at calving in the first 100 d of lactation was observed between the Teat Seal and untreated groups. S. uberis was the most common pathogen causing clinical disease in the untreated group, with S. aureus the second most common. Coliforms were the most common cause of clinical mastitis in the Teat Seal group, but there were herd variations, with S. aureus being most common in some and coliforms in others. This is in agreement with the New Zealand data on clinical mastitis incidence (Woolford et al., 1998).
No statistically significant differences were found in the prevalence of Corynebacterium spp. or CNS between Teat Seal and untreated groups at drying off. There were herd variations due to management. There was no statistically significant difference in the prevalence of postcalving CNS between the two groups, but as before there were herd variations due to management differences. There was a lower prevalence of CNS postcalving in the Teat Seal group, but the numbers were low. As CNS are part of the normal skin flora and considered to be skin commensals, this is not unexpected (Harmon et al., 1984; Hogan et al., 1986). In addition, Teat Seal, being internal, is presumably unable to prevent teat duct colonization.
High cure rates for Corynebacterium spp. from 88 to 98% for dry cow therapy and self-cure rates ranging from 15 to 63.9% have been reported for dry cow therapy (Harmon et al., 1984; Hogan et al., 1994). Differences were seen in the apparent spontaneous cure rate of Corynebacterium spp. between the Teat Seal and untreated quarters, with the Teat Seal group having a higher spontaneous cure rate, but both were within ranges reported previously and not as high as rates achieved with dry cow therapy.
The effect of existing infections due to Corynebacterium spp. and CNS on new and additional infections has been studied extensively in lactation (Bramley and Neave, 1975; Hogan et al., 1988; Honkanen-Buzalski et al., 1984; Lam et al., 1997; Matthews et al., 1991; Rainard and Poutrel, 1988). Limited data are available for the dry period, showing no protective effect of Corynebacterium spp. or CNS during the dry period against new intramammary infections (Woolford et al., 2001). This study also found no protective effect for Corynebacterium spp. or CNS for new S. uberis or coliform infections during the dry period or at calving. Indeed, there was an increased risk of Corynebacterium spp. or CNS infected quarters acquiring a new S. uberis infection in both the Teat Seal and the untreated group. This increased risk for acquiring a new S. uberis infection in Corynebacterium spp. infected quarters that are untreated at drying off is in agreement with previous work (Woolford et al., 2001; Berry and Hillerton, 2002). It has been previously speculated that the presence of Corynebacterium spp. or CNS might interfere with the formation of a natural teat seal (Williamson et al., 1995). Teats that received dry cow therapy have an earlier closure of the teat canal by a keratin seal. This study demonstrates that even in quarters that received an artificial teat sealant, there was still an increased risk of a S. uberis infection in those quarters with a Corynebacterium spp. or CNS infection compared with quarters uninfected at drying off. This suggests either that the Corynebacterium spp. or CNS interfere with Teat Seal efficacy, impair teat duct keratin plug formation or may aid in the colonization by S. uberis, e.g., by releasing nutrients essential for the establishment of infection (Kitt and Leigh, 1997).
Teat Seal was found in the foremilk of all treated cows after calving. Flecks of Teat Seal in the foremilk were reported on all herds in individual quarters of cows for up to 3 wk after calving, but none reported this as a serious or widespread problem. Complete milking out of all quarters in newly calved cows is stressed, as incomplete milking can result in other problems, such as prolonged antibiotic residues (Hillerton et al., 1999). It is important that the Teat Seal is not confused with clinical signs of mastitis.
The importance of an aseptic technique was stressed in the New Zealand study (Woolford et al., 1998). In this trial, partial insertion of the Teat Seal was practiced, in contrast to full insertion in the New Zealand study. Whilst an aseptic technique was practiced in this study, the method was not beyond that recommended by pharmaceutical manufacturers for insertion of intramammary tubes at drying off. This technique could easily be followed in a normal milking routine.
| CONCLUSIONS |
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| ACKNOWLEDGEMENTS |
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Received for publication January 18, 2002. Accepted for publication April 24, 2002.
| REFERENCES |
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