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* University of Pennsylvania, School of Veterinary Medicine, Kennett Square 19348
CoRFiLaC, Consorzio Ricerca Filiera Lattiero Casearia, Regione Siciliana, 97100 Ragusa, Italy
DACPA, Catania University, Via Valdisavoia 5, 95100 Catania, Italy
1 Corresponding author: Ferguson{at}vet.upenn.edu
| ABSTRACT |
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Key Words: mastitis prevalence milk microbiology housing and bedding dairy cow
| INTRODUCTION |
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Mastitis pathogens are typically organized by type into environmental or contagious organisms (National Mastitis Council, 1987). Contagious organisms are further subcategorized into major and minor pathogens. Major contagious pathogens include Streptococcus agalactiae, Staphylococcus aureus, and Mycoplasma spp. Coagulase-negative staphylococci and Corynebacterium bovis are considered minor contagious mastitis pathogens. Contagious pathogens survive in the udder of the cow; milk from infected cows is the main source of bacteria for uninfected cows, and new infections occur primarily during milking. Control measures for contagious pathogens focus on proper practices surrounding milking (Ruegg, 2003).
Environmental pathogens are commonly found in the cow resting environment. Environmental organisms include gram-negative species (coliform bacteria such as Escherichia coli and Klebsiella spp.), and Streptococcus spp. (Streptococcus uberis, Streptococcus dysgalactiae, and other Streptococcus spp.). Streptococcus spp. not identified as Strep. agalactiae are generally referred to as environmental streptococci. Moisture and fecal matter combine to increase the risk of teat-end exposure to environmental pathogens. Control of environmental mastitis depends on reducing exposure of the teat end to these organisms through maintenance of dry, clean bedding material in resting areas and diligent premilking udder preparation (Smith and Hogan, 1993). Other organisms may cause IMI, such as yeasts and algae, but these are not common pathogens (Wilson et al., 1997).
Control strategies differ for contagious and environmental organisms. Milk microbiological culture can be used to define the prevalence of contagious and environmental infections in a herd and aid in the development of a mastitis control program. Samples of milk for microbiological culture may be obtained from individual cows or from the bulk tank. A culture of bulk tank milk provides a useful screening tool to identify the presence of contagious mastitis organisms in a herd. However, microbiological culture of milk samples from individual cows remains the most effective strategy to identify causative mastitis organisms and to develop an effective control program (Ruegg, 2003). Milk samples may be collected from each individual functional mammary quarter (quarter sample), or mammary quarter samples may be combined into a single sample for each cow (composite sample).
Ragusa Province is the major milk-producing region in Sicily (Licitra et al., 1998). More than 350 dairy herds subscribe to the Associazione Regionale Allevatori–Ragusa record service (ARAR, equivalent to a DHIA organization). The Friesian breed comprises the majority of cows and herds. Mean herd size is 23 cows and production is 22.5 kg of milk/d per cow. Mean SCC per cow is 620,000 cells/mL; mean linear score (MLS) is 4.16 units per cow [linear score = –3.621272 + 1.437903 x natural log (SCC x 0.001)]. Many herds in Ragusa have not been able to meet the European standard for bulk milk SCC, which is based on a running 3-mo geometric mean bulk tank SCC below 400,000 cells/mL (Hillerton and Berry, 2004). Establishing a milk quality program is important for herds in Ragusa Province.
One of the goals of the CoRFiLaC organization is to present information and recommend practices to farm managers and service providers that improve net economic returns on dairy farms in Ragusa. This is accomplished through research and outreach, which document management programs that, when used by farm managers, may improve the competitiveness of Ragusa dairy herds (Licitra et al., 1998). Improvement in milk quality is a major management strategy that can enhance competitiveness and improve the quality of traditional milk products, such as Ragusana cheese.
Prevalence of mastitis organisms in Ragusa dairy herds has not been described. The purpose of this study was to describe the prevalence of major mastitis pathogens in milk samples collected from Ragusa dairy herds from October 2000 to June 2006. This information will be used to develop more effective extension programs to improve milk quality in the Ragusa region.
| MATERIALS AND METHODS |
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Milk was collected into individual 5-mL sealable plastic containers by personnel from CoRFiLaC. Briefly, teat ends were cleaned and disinfected with alcohol wipes, the initial milk stream was diverted, and the subsequent stream was captured into the plastic vial and capped. Milk vials were labeled with quarter (when appropriate), cow identification, and date of collection, and then refrigerated or frozen on the farm until transport in a cooler on ice to the Milk Microbiology Laboratory at CoRFiLaC (CMML). On arrival at the laboratory, they were assigned a unique acquisition number.
In the laboratory, samples were handled according to Federation Internationale de Laiterie–International Dairy Federation Laboratory Methods for Use in Mastitis Work, Document 132. Briefly, 0.01 mL of milk was streaked onto a portion of 5% blood agar Petri dishes and incubated at 35°C to 37°C for 24 h. Plates were examined for growth at 24 and 48 h. Bacteria were identified by colony morphology and Gram stain. For gram-positive cocci, catalase tests were performed to distinguish catalase-negative Streptococcus spp. from catalase-positive Staphylococcus spp. The Christie, Atkins, and Munch-Peterson (CAMP) test on bile esculin agar was used to distinguish Strep. agalactiae from other Streptococcus spp. Catalase-positive, gram-positive cocci (Staphylococcus spp.) were further identified by using a coagulase test, hemolysis patterns, and mannitol salt agar. Gram-negative bacilli were identified by an oxidase test, motility, indole and ornithine decarboxylase, and Simmons citrate.
Organisms were classified as follows: Strep. agalactiae, environmental streptococci (Streptococcus spp.), Staph. aureus, CNS, coliform bacteria (E. coli, Klebsiella spp.), and other organisms. A milk sample from a cow was classified as positive for contagious organisms if at least one colony-forming unit of Strep. agalactiae or Staph. aureus was isolated. Three or more colony-forming units were necessary to classify a milk sample as positive for CNS, environmental streptococci, or coliform bacteria. Samples were classified as contaminated if growth was not identified as a major mastitis pathogen or if 3 or more bacterial types were isolated from one milk sample.
Classification of Samples
Results of the bacteriological culture for each sample were stored in a database, which was merged with data on the cow, date of collection, and herd of origin. Each sample was assigned a class variable associated with sample type (quarter or composite), bedding type [none, sand, organic (straw or sawdust)], and housing type (bedded pack, free stall, tie stall, paddock) for the lactating group in which the cow was physically present at time of sample collection.
The raw prevalence of bacterial isolate was examined by milk sample and also by cow sample event. A cow was defined as having an IMI based on isolation of bacteria within the date a sample was collected. A cow could have more than one IMI classification because of isolation of different mastitis bacteria from different quarter samples or up to 2 bacteria isolated from an individual milk sample (quarter or composite). Each date of sample collection from a cow was treated as an independent event. If no bacteria were isolated, the cow was defined as not having an IMI. A general category of mastitis (MAST) was calculated as the presence of any mastitis pathogen within a milk sample or within a cow for a sample collection date. Prevalence of bacteria and MAST were examined at the level of sample and cow sample event.
Herd Classification and Milk Production Records
Milk records from all Ragusa dairy herds on DHIA test in 2006 were used to create a ranking system based on herd MLS. Herds with an MLS <3.3 (MLS1) ranked in the 90th percentile and were considered excellent in control of milk quality. Herds with an MLS between 3.31 and 3.99 (MLS2) ranked between the 60th to 90th percentile of herds and were considered good in control of milk quality; herds with a MLS between 4.00 and 4.50 (MLS3) ranked between the 40th and 60th percentile of herds and were considered average in control of milk quality, and herds with a MLS greater than 4.50 (MLS4) ranked below the 40th percentile and were considered poor in control of milk quality.
Milk records were available for 68 herds from the Ragusa region that also had submitted samples for bacteriological analysis. Herd monthly mean values for milk volume, protein and fat content, linear score, DIM, and lactation number were computed for each herd in Ragusa from January 2001 through June 2006. The production records were merged with monthly cow sample bacteriological IMI prevalence by herd, month, and year. Herd MLS groups were as follows: MLS1 (excellent, n = 11), MLS2 (good, n = 20), MLS3 (average, n = 20), MLS4 (poor, n = 17). Herds with no milk records were assigned a separate MLS category (MLS5, no records, n = 33). Prevalence of bacteria in milk samples and cow sample event was examined for each MLS group by using logistic regression.
A program classification (PROGn) was assigned to a herd based on the number of unique years samples were collected: PROG1, 1 yr; PROG2, 2 yr; PROG3, 3 yr; PROG4, 4 yr; PROG5, 5 yr; and PROG6, 6 yr. The prevalence of contagious (Staph. aureus and Strep. agalactiae combined), environmental (Streptococcus spp. and coliform bacteria combined), CNS, and other IMI by year of submission for PROGn class was examined by using logistic regression.
Statistical Methods
Prevalence of bacteria was modeled by using logistic regression with the descending option in PROC GEN-MOD (SAS Institute, 1999). Separate logistic regression models were examined for prevalence of bacteria in a milk sample and prevalence of bacteria for a cow within a sampling event. Independent variables in both models included sample type, housing, bedding, season, and year. Sample type, bedding, and housing were nested within herd, and herd was coded as a repeated measure. The statistical model was as follows:
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where Yhijklmn is the prevalence of the hth bacteria or IMI; housej is the jth housing type (stall, bedded pack); Bedk is the kth bedding type (none, sand, straw); Qsampl is the quarter sample (yes, no); Seasm is the mth season (winter, spring, summer, fall); Yearn is the nth year; and
ijklmn is the residual error. Prevalence of IMI was calculated from the least squares mean coefficient for each explanatory variable by using the following formula:
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The 95% confidence limit (CL) was computed by subtracting or adding 1.95 times the SEM to the least squares mean coefficient. To compare IMI prevalence between groups, the odds ratio (OR) was calculated by exponentiation of the difference between the least squares mean coefficients of the groups of interest.
Prevalence of IMI was examined for MLS group by using logistic regression as described above (PROC GENMOD, SAS Institute, 1999). Independent variables were MLS group, season, and year of sample submission. Herd was treated as a repeated observation and MLS group was nested within herd. Prevalence of IMI by major contagious organisms (Staph. aureus and Strep. agalactiae), CNS, and environmental organisms (Streptococcus spp. and coliform bacteria) was examined for PROG class by using logistic regression (PROC GENMOD, SAS Institute, 1999). Independent variables included PROG and year, with herd as a repeated observation.
Mean herd monthly milk production was merged with mean herd monthly prevalence of IMI. In addition to each individual bacterial class, overall mastitis prevalence was computed by combing all IMI within a month. Months in which milk samples were not collected from a herd for bacterial culture were deleted. The PROC MIXED in SAS statistical software (1999) was used to examine the association between prevalence of IMI and mean milk production, mean milk protein and fat content, and MLS. Herd, year of sample collection, and month of sample collection were class variables and prevalence was treated as a continuous variable for regression analysis to estimate the association between prevalence and mean herd monthly production variables. Mean DIM and lactation number were treated as continuous variables and were included for covariate adjustment. Herd was treated as a repeated observation.
| RESULTS |
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Raw prevalence of bacteria isolated in milk samples was as follows (% of total samples): CNS, 14.6%; Staph. aureus, 12.5%; environmental Streptococcus spp., 6.6%; Strep. agalactiae, 1.4%; coliform bacteria, 1.7%; and other bacteria, 3.3% (Table 2
). Samples with other growth or with 3 or more bacteria were classified as contaminated (3.3% other growth and 0.5% multiple growth, 3.8% contaminated samples; Table 2
). The prevalence of contamination was substantially greater in 2000 (23.1%) and in 2001 (10.9%; Table 2
). Growth of bacteria was greater in composite samples than in individual quarter samples (proportion of samples with bacterial growth, 47.4 vs. 34.3% for composite vs. quarter samples, respectively). This was true for every individual class of bacteria. Because only 26 samples were submitted in 2000 and the prevalence of bacterial growth and contamination was extreme, this year was deleted from the logistic regression analysis. The final number of milk samples used in the logistic analysis was 18,685, collected at 9,721 unique cow sample dates from 5,261 individual cows.
The most frequent housing system was free stalls (57 herds, 11,456 milk samples, 5,783 cow samples) followed by a bedded pack (37 herds, 4,943 samples, 3,008 cow samples), an open paddock (17 herds, 1,712 milk samples, 747 cow samples), and tie stalls (4 herds, 574 samples, 183 cow samples). Bedding at the time of sample collection was as follows: straw, 50 herds, 11,165 milk samples, 5,279 cow samples; sawdust, 1 herd, 253 milk samples, 67 cow samples; no bedding, 61 herds, 6,178 milk samples, 3,933 cow samples; sand, 3 herds, 1,089 milk samples, 442 cow samples. For analysis, straw and sawdust were combined as organic bedding, because only 1 herd used sawdust bedding.
Bedding in free-stall herds was as follows: no bedding, 43 herds; straw, 12 herds; sand, 1 herd; sawdust, 1 herd. Bedded-pack herds most frequently used straw bedding (35 herds); 2 herds used sand bedding. Paddocks were usually not bedded (16 herds) and had a dirt base; however, 1 herd used straw spread through the paddock area. Tie stalls were bedded with straw (2 herds) or nothing (2 herds). Herds that did not use bedding in resting areas housed cows in outside paddocks or in free stalls and tie stalls with mattress surfaces. Within some herds, the housing and bedding system varied with season or lactation group; therefore, the number of herds for housing and bedding systems summed to a total (115) greater than the number of herds (101).
The cow-level logistic models for bacterial prevalence are reported in this paper, because these reflect IMI for a cow and the associations for bacterial prevalence within a milk sample were similar to the cow-level models. Milk samples were collected from 5,261 individual cows at 9,721 cow sampling events. Sixty-one percent of cows had 1 sampling event, 18.9% had 2, 8.7% had 3, and 11.4% of cows had 4 or more sampling events. At a sampling event, a cow could have been classified as having more than one IMI, because at least 2 organisms could be found within one milk sample and different bacteria could be isolated from individual quarter samples. A cow was classified as having an IMI at a sample collection if at least one milk sample was positive for a mastitis pathogen. Each sample collection date was treated as an independent event for a cow.
Prevalence of IMI by cow for a sample collection is presented in Table 3
. Bacteria were isolated in 49.4% of cows at a sampling (Table 3
). The most common IMI in a cow was CNS (22.6% of cow samples). The next most frequent IMI was Staph. aureus (20.6% of cow samples), followed by environmental streptococci (11.1% of cow samples), coliform bacteria (2.9% of cow samples), and Strep. agalactiae (2.3% of cow samples; Table 3
). Unidentified bacteria and contaminated samples (other) bacteria were isolated in 5.8% of cow samples (Table 3
).
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In cows with more than one bacterial isolate, the isolation of multiple IMI was influenced by bacterial species. A cow with a Strep. agalactiae IMI was more likely to have an Staph. aureus IMI than a cow without a Strep. agalactiae IMI [OR, 1.54 (CL 1.04, 2.27)]. Cows with a CNS IMI were unlikely also to have a Staph. aureus IMI compared with cows that did not have a CNS isolate IMI [OR, 0.44 (CL 0.30, 0.66)]. A cow without a coliform bacterial isolate IMI was more likely to have a Staph. aureus IMI than a cow with a coliform bacterial isolate IMI [OR 1.85 (CL 1.24, 2.75)]. Cows with a coliform bacteria isolate IMI, if they had a second IMI, were more likely to have an environmental streptococcus isolate (P < 0.001) than cows without a coliform bacteria isolate IMI [OR 2.39 (CL 1.69, 3.38)]. Cows with an environmental streptococcus IMI were not different in prevalence of Staph. aureus compared with cows that did not have an environmental streptococcus isolate.
Table 4
presents the logistic regression least squares mean coefficients for the prevalence of IMI for a cow at a sample collection adjusted for sample type, herd, housing, bedding, season, and year. The prevalence of Staph. aureus IMI in a cow differed by bedding (P < 0.01) and tended to differ by season (P < 0.06) and year (P < 0.07; Table 4
). Cows housed with no bedding had a greater least squares mean prevalence of Staph. aureus IMI compared with cows housed with organic or sand bedding [prevalence: no bedding, 24.5% (CL 17.4%, 33.3%), organic bedding, 12.7% (CL 8.7%, 18.3%), sand bedding, 12.3% (CL 6.8%, 21.4%); OR: none vs. organic, 2.22 (CL 1.32, 3.73), none vs. sand, 2.31 (CL 1.23, 4.34)]. The least squares mean prevalence of Staph. aureus IMI for a cow was greater in winter and spring compared with fall [prevalence: winter, 20.0% (CL 13.7%, 28.3%), spring, 19.0% (CL 13.0%, 26.9%), fall, 11.5% (CL 7.4%, 17.3%); OR: winter vs. fall, 1.93 (CL 1.22, 3.06), spring vs. fall, 1.81 (CL 1.13, 2.90)]. Prevalence of a Staph. aureus IMI for a cow in summer (14.1%, CL 8.8%, 21.9%) was not different from prevalence in fall, winter, or spring (Table 4
). There was a trend for the prevalence of Staph. aureus IMI to decrease across years. The prevalence of Staph. aureus IMI was 32.3% (CL, 19.2%, 49.0%) in 2001 and 6.9% (CL 3.4%, 13.4%) in 2006, with the prevalence ranging from 12.4 to 19.3% in the intermediate years.
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Prevalence of Streptococcus spp. IMI for cows sampled differed by housing (P < 0.02) and tended to differ by season (P < 0.06; Table 4
). The least squares mean prevalence of environmental streptococci IMI for cows sampled by housing type was as follows: tie stalls, 22.1% (CL 13.9%, 33.3%), bedded packs, 12.8% (CL 9.6%, 16.9%), free stalls, 8.4% (CL 6.7%, 10.6%), and paddocks, 7.0% (CL 3.5%, 13.5%; Table 4
). Prevalence of Streptococcus spp. was significantly less for sampled cows housed in bedded packs, free stalls, or paddocks compared with cows sampled from tie stalls [OR: bedded packs vs. tie stalls, 0.52 (CL 0.32, 0.84), free stalls vs. tie stalls, 0.32 (CL 0.20, 0.54), paddocks vs. tie stalls, 0.26 (CL 0.11, 0.62); Table 4
]. The prevalence of Streptococcus spp. IMI for cows sampled from bedded packs tended to be greater than the prevalence of Streptococcus spp. in cows sampled from free stalls and paddocks [OR: bedded packs vs. free stalls, 1.60 (CL 1.25, 2.03), bedded packs vs. paddocks, 1.95 (CL 0.94, 4.08)]. Prevalence of Streptococcus spp. in cows from free-stall housing was not different from prevalence of Streptococcus spp. in cows sampled from paddocks. Seasonal prevalence of Streptococcus spp. in sampled cows was greatest in spring and winter compared with summer [prevalence: spring, 14.2% (CL 10.3%, 19.4%), winter, 13.1% (CL 9.4%, 18.0%), summer 9.0% (CL 6.3%, 12.7%); OR: spring vs. summer, 1.68 (CL 1.18, 2.40), winter vs. summer, 1.53 (CL 1.10, 2.14); Table 4
]. Prevalence of Streptococcus spp. in cows sampled in summer was not different from fall [prevalence: fall, 10.5% (CL 7.2%, 15.1%); Table 4
].
The least squares mean prevalence of coliform bacteria in cows sampled varied across year of sample submission (P < 0.0026; Table 4
). The highest coliform bacteria prevalence in sampled cows was in 2005, and the least prevalence was in cows sampled in 2002 [prevalence: 2005, 1.6% (CL 0.9%, 2.9%), 2002, 0.5% (CL 0.2%, 0.9%); Table 4
]. The prevalence of coliform bacteria in cows sampled in 2002 was lower than the prevalence in cows sampled in 2004 and 2005 [OR: 2002 vs. 2004, 0.37 (CL 0.21, 0.63), 2002 vs. 2005, 0.28 (CL 0.14, 0.58); Table 4
]. The prevalence of coliform bacteria in cows sampled in 2001 was less than the prevalence in cows sampled in 2005 [OR: 2001 vs. 2005, 0.41 (CL 0.19, 0.91)], and the prevalence of coliform bacteria in cows sampled in 2003 was less than that in cows sampled in 2005 [OR: 2003 vs. 2005, 0.46 (CL 0.25, 0.83); Table 4
].
The model for prevalence of Strep. agalactiae, which included housing and bedding, could not be solved; therefore, these terms were not included in the final model in Table 4
. The least squares mean prevalence of Strep. agalactiae for sampled cows was 1.1% (CL 0.4%, 3.0%) and was not different across season and year of sample submission. Bedding was aggregated as organic (straw and sawdust) and inorganic (sand and none) in a subsequent model. Prevalence of Strep. agalactiae differed by cows housed on inorganic bedding, 3.8% (CL 1.8%, 8.0%), compared with cows housed on organic bedding, 0.6% [CL 0.3%, 1.1%; OR: inorganic vs. organic, 6.39 (CL 2.39, 17.07)].
Prevalence of other bacteria in cows sampled was different across bedding (P < 0.04) and year of sampling (P < 0.01). Prevalence of other bacteria in cow samples was least in sand and organic bedding and greatest in no bedding [prevalence: sand, 2.6% (CL 0.5%, 11.9%), organic bedding, 3.3% (CL 2.1%, 5.3%), none, 6.2% (CL 4.0%, 9.4%); Table 4
]. Prevalence of other bacteria in sampled cows varied by year and was greatest in 2001, 2006, and 2005 compared with 2004, the year with the least prevalence of other IMI [prevalence: 2001, 10.4% (CL 4.9%, 20.7%), 2006, 7.6% (CL 2.9%, 18.6%), 2005, 5.1% (CL 2.6%, 9.9%), 2004, 1.3%, (CL 0.5%, 3.8%)]. Prevalence of other IMI was intermediate in 2002 and 2003 [prevalence: 2002, 2.4% (CL 1.1%, 5.5%), 2003, 2.1% (CL 1.0%, 4.6%); Table 4
].
Table 5
presents the least squares mean prevalence of bacterial isolates by herds grouped by MLS. Herds in MLS1 had the greatest mean monthly milk production and least mean monthly linear score compared with the other MLS herd groups (Table 5
). Mean linear score class was significantly associated with the prevalence of MAST and Staph. aureus IMI. Herds in group MLS1 had the lowest prevalence of all MAST (35.8%) and Staph. aureus IMI (5.8%) compared with all other MLS herd groups (Table 5
). Herds in categories MLS2 and MLS3 had lower Staph. aureus prevalence compared with herds in the MLS4 group (14.0 and 16.8% vs. 64.5%, respectively; Table 5
). Prevalence of Staph. aureus was the greatest in cows from herds grouped in MLS4 (Table 5
). No other bacterial isolates varied by MLS herd group.
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Table 6
presents coefficients of association for prevalence of IMI with mean monthly production of milk, milk protein and fat content, and monthly linear score. An increase in the monthly prevalence of Staph. aureus was associated with a reduction in the herd monthly mean daily production per cow of –1.42 kg/d (SEM 0.51; Table 6
). An increase in prevalence of Staph. aureus increased the monthly MLS by 1.00 unit/d (SEM 0.16) per cow (Table 6
). An increase in prevalence of Streptococcus spp. was associated with a reduction in monthly mean daily milk production of –1.31 kg/d (SEM 0.64) per cow and an increase in the MLS of 0.59 units/d (SEM 0.22) per cow (Table 6
). Mean monthly herd linear score per cow increased by 1.43 units/d (SEM 0.44) per cow with an increase in the prevalence of Strep. agalactiae (Table 6
), but milk production was not altered significantly by the increase in Strep. agalactiae. An increase in the cow sample prevalence of other IMI was associated with a reduction in milk protein content of –0.13%/d (SEM 0.05) per cow (Table 6
). Changes in the monthly prevalence of CNS or coliform bacteria were not associated with a change in mean herd monthly test-day milk production, mean milk fat or protein content, or monthly MLS. An increase in monthly MLS was quadratically associated with a reduction in mean monthly milk production, –0.12 kg/d MLS2 (SEM 0.03) per cow (Table 6
).
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| DISCUSSION |
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The prevalence of mastitis pathogens reported in this paper is based on milk sample submissions to CMML and the laboratory protocols used within the CMML. The CMML identified only major bacterial mastitis pathogens and did not identify other potential pathogens, such as Mycoplasma spp. and Prototheca spp., or subclassify Streptococcus spp. or CNS species. Prevalence estimates of mastitis organisms may differ absolutely from other studies because of the bacteria identified as mastitis pathogens, the proportion of quarter vs. composite milk samples in the study, and the number of colony-forming units used to define a positive milk sample.
Although the raw prevalence of bacterial isolates in milk samples was numerically different compared with other reports (Makovec and Ruegg, 2003; Pitkälä et al., 2004; Østerås et al., 2006; Tenhagen et al., 2006), patterns were similar in that gram-positive bacteria were the predominate isolate, and the prevalence of sterile milk samples and specific bacterial organisms were within ranges reported by others (González et al., 1988; Makovec and Ruegg, 2003; Pitkälä et al., 2004; Østerås et al., 2006; Tenhagen et al., 2006). In Ragusa, 4.0% of milk samples had more than one bacterial species isolate compared with the 17.20% reported by Makovec and Ruegg (2003), 3.7% by Pitkälä et al. (2004), and 6.87% by Østerås et al. (2006). The prevalence of contaminated milk samples (3.8% of all milk samples) in Ragusa was lower than reported by Makovec and Ruegg (2003; 16.58% of samples), by Pitkälä et al. (2004; 4.15% of milk samples), and by Østerås et al. (2006; 6.9% of samples). A total of 50.6% of cow samples in this study had sterile milk samples, which is similar to that observed by Wilson et al. (1997; 51.5% of composite milk samples), but less than those observed by González et al. (1988; 78% of cows) and Pitkälä et al. (2004; 69% of cows).
In cows with clinical mastitis, the National Mastitis Council (1989) reported that 25 to 40% of milk samples do not have a bacterial isolate. For a high probability of bacterial isolation from a sample of milk, there needs to be at least 100 cfu/mL of milk (National Mastitis Council, 1989). A truly infected quarter may have a concentration of bacteria below 100 cfu/mL of milk if the infection is modest and bacteria are shed intermittently; white blood cells in milk have engulfed and sequestered bacteria, preventing isolation; or poor sample handling and collection have reduced the bacterial concentration (National Mastitis Council, 1989). In addition, some less common mastitis pathogens require other culture procedures for isolation, which were not performed by the CMML. The proportion of samples positive for bacterial growth is also influenced by the type of milk sample, whether an individual quarter milk sample or a composite milk sample (Lam et al., 1996).
Prevalence of bacterial isolation from a milk sample was greatest in 2000, next greatest in 2001, reduced in 2002 relative to 2001, but greater in 2002 compared with 2003 through 2006. Makovec and Ruegg (2003) reported a decrease in the prevalence of positive milk samples over a period of time (1994 to 2001), but they also indicated that management factors possibly contributing to a decrease in the prevalence of positive samples across time were not examined. In this study, housing, bedding, and number of years of sample submission from an individual herd were examined in relation to prevalence of IMI. Several factors in this study may have contributed to a reduction in positive samples. First, the proportion of samples collected from cows with clinical mastitis in 2000 and 2001 compared with later years was reduced (M. Gambina, personal observation). After 2001, samples were collected as a component of a milk quality program to identify cows infected with contagious mastitis organisms and ascertain the prevalence of IMI within a herd. The decrease in the proportion of positive samples after 2002 may be related to a change in sampling practices. A high prevalence of samples can be expected to be sterile in a surveillance program compared with samples submitted from cows with a clinical mastitis infection. In addition, it is possible that the emphasis on milk quality improved mastitis control measures on farms and resulted in a reduction in the prevalence of positive samples in years after 2002, but this is unlikely across all farms that submitted samples. Supporting this observation was the lower prevalence of positive milk samples from herds that had been participating in the program for more than 1 yr compared with herds submitting samples for the first time (37.7 vs. 46.5%, respectively, P < 0.03). Samples from repeat herd collection represented 61.8% of samples after 2002. In herds submitting samples for the first time, prevalence of bacteria growth was not different in samples from 2001 through 2006. Last, positive samples may have decreased because of improved collection techniques or improved laboratory handling procedures. This would be suggested by the decrease in contaminated milk samples over sequential years. The prevalence of contaminated samples decreased from 10.9% in 2002 to 3.0% or less in 2002, 2003, 2004, and 2005, but increased slightly to 5.3% in 2006. Therefore, the decrease in positive samples over time appears to be related in part to the participation of herds in the program and a reduced prevalence of infection and in part from improved collection techniques after 2001.
The most frequent IMI was gram-positive cocci, CNS (14.7% of milk samples, 22.6% of cows, 86.1% of herds) and Staph. aureus (12.5% of milk samples, 20.6% of cows, 88.1% of herds). The next most frequent IMI was Streptococcus spp., present in 6.6% of milk samples, 11.1% of cows, and 85.1% of herds. The least frequent gram-positive bacteria was Strep. agalactiae, which had a prevalence of 1.4% in milk samples, 2.3% of cows, and 35.6% of herds.
Prevalence of Staphylococcus aureus in milk samples (12.5%) and cows at a sample collection (20.6%) was greater than that reported by Hogan et al. (1987; 2.79%), Makovec and Ruegg (2003; 9.70%), Pitkälä et al. (2004; 3.40%), and Tenhagen et al. (2006; 5.7%) but similar to the prevalence of Staph. aureus IMI reported by Østerås et al. (2006; 8.2% of quarter samples, 22.2% of cows). Prevalence of Staph. aureus in Ragusa for a sampled cow (20.6%) was similar to that reported by Erskine et al. (1987) for high-SCC herds (22.20%) but greater than the cow prevalence reported by González et al. (1988; 9.09%) and Wilson et al. (1997; 9.1%). Prevalence of Staph. aureus within a herd was 88.1% based on submitted samples. González et al. (1988) found Staph. aureus in 100% of the 50 herds they sampled. The low prevalence of Staph. aureus in quarter milk samples reported by Pitkälä et al. (2004; 3.40%) represents a 50-yr effort to eradicate contagious mastitis from dairy herds. Prevalence of Staph. aureus in Ragusa suggests that a concerted effort is needed to eradicate this organism. This is especially apparent because increases in the monthly prevalence of Staph. aureus had the greatest association with a reduction in mean monthly milk production.
Herds that subscribed to the milk quality program for more than 3 yr reduced the prevalence of contagious bacteria in cow samples (Figure 1
). The reduction in prevalence of Staph. aureus may be a dilution effect associated with an increase in samples taken for surveillance, but this is unlikely because these herds had also experienced a reduction in mean monthly herd linear score (data not shown) over a similar time period. Zecconi et al. (2003) observed that after 9 mo on a mastitis control program targeted for control of Staph. aureus IMI, the incidence of new IMI with Staph. aureus was reduced in 7 of 9 herds. Zecconi et al. (2003) identified routine culture and segregation of infected cows as important components of a control program. Herd managers in Ragusa who were interested in controlling contagious organisms, particularly Staph. aureus, were encouraged to create separate groups based on contagious IMI, where possible. However, in this study, specific herd control measures were not examined by prevalence of IMI.
Cow prevalence of IMI was more consistently associated with bedding type (Staph. aureus, CNS, Strep. agalactiae, and other) than with housing (Streptococcus spp.). In general, cows housed with no bedding had a greater prevalence of IMI with Staph. aureus, Strep. agalactiae, and other bacteria than cows housed with organic or sand bedding. In contrast, cows housed with no bedding had the least prevalence of CNS IMI compared with cows housed with organic or sand bedding. Bedding had no association with Streptococcus spp. or coliform bacteria.
Prevalence of Staph. aureus and CNS IMI were exactly converse of each other for bedding, and a cow with a CNS IMI had a lower risk of a Staph. aureus IMI. This pattern would suggest that an infection with CNS was protective against an IMI with Staph. aureus, which was observed by Nickerson and Boddie (1994) in challenge studies. Green et al. (2005) observed that when CNS was isolated from a quarter, the probability of isolating Staph. aureus as a secondary IMI was reduced in multiple-quarter infections for cows sampled across the dry period in England. As Staph. aureus IMI have decreased in mastitis control programs in Finland, prevalence of CNS has increased (Pitkälä et al., 2004), but this is not necessarily an associative effect. In fact, Nickerson and Boddie (1994) also reported that the protective effect of CNS on Staph. aureus IMI has not been observed consistently across studies. Generally, CNS are part of the normal skin flora and may colonize the streak canal. Therefore, habitation of skin surfaces by CNS may competitively inhibit Staph. aureus habitation and reduce the risk of Staph. aureus IMI yet increase the risk of CNS IMI. Herds using bedding may have encouraged a local environment that supported CNS flora on skin surfaces compared with herds not using bedding.
Typically, organic bedding is considered a risk for environmental organisms (coliform bacteria and Streptococcus spp.) when it is wet and contaminated with feces and urine (Hogan and Smith, 1997). However, Elbers et al. (1998) observed that risk factors for clinical mastitis with Staph. aureus included irregular disinfection of stalls and replacement of bedding, particularly if bedding was thick, making removal difficult. In the Ragusa data, Staph. aureus prevalence was greater in cows (and individual milk samples) from herd groups with no bedding, which represented paddocks or free stalls and tie stalls with mattress surfaces. Management factors that have been associated with Staph. aureus IMI, such as udder preparation and postmilking teat disinfection, frequency of disinfection of stall surfaces, and cows leaking milk or with damaged teats, were not examined in this study but should be in future work. It is possible that herds using no bedding routinely follow some other practices that increase the risk of Staph. aureus IMI.
Only the prevalence of Streptococcus spp. IMI was associated with housing system. Cows housed in tie stalls had the greatest prevalence of Streptococcus spp. IMI, cows housed on bedded packs had an intermediate prevalence of IMI, and cows housed in free stalls and paddocks had the least prevalence of Streptococcus spp. IMI (Table 4
). A buildup of urine and feces in bedded packs and tie stalls may have contributed to the higher prevalence of Streptococcus spp. IMI in cows housed in these systems. Cows in tie stalls and on bedded packs may have been exposed to feces and urine for longer periods of time than cows housed in free stalls and paddocks. Paddocks were dirt lots, and cows typically had access to paddocks in drier seasons of the year. Thus, cows in paddocks would not have been exposed to as much wet organic material as cows in tie stalls on bedded packs, which may have reduced the risk of Streptococcus spp. IMI. It was surprising that Streptococcus spp. and coliform bacteria IMI were not associated with any bedding type, although bedded-pack herds were primarily bedded with straw. Free stalls were bedded with nothing, sand, straw, or sawdust. The interaction between bedding and housing was not examined in this study. A larger data set would be needed to identify interactions between bedding type and housing.
Peeler et al. (2000) observed that straw yard housing, which may be comparable to a bedded pack, increased the risk of contagious mastitis compared with cubicle housing. However, in Ragusa, bedded-pack and tie-stall housing were associated with an increased prevalence of Streptococcus spp. IMI and not contagious mastitis organisms. Herds that used no bedding had a higher prevalence of contagious mastitis organisms. Possibly, the higher prevalence of CNS IMI in herds with organic (primarily straw) and sand bedding was protective against contagious IMI. Peeler et al. (2000) reported on the pattern of mastitis in low-SCC herds, which appear to have a different risk of IMI than high-SCC herds (Barkema et al., 1998, 1999). In this study, the majority of herds would classify as high-SCC herds; thus, risk factors associated with housing and bedding may be different from those observed for low-SCC herds.
The prevalence of CNS IMI was 22.6% in cow samples in this study compared with a prevalence of 0.76% reported by González et al. (1988), 28.20% reported in cows in low-SCC herds and 24.90% reported in cows in high-SCC herds by Erskine et al. (1987), and 11.3% reported in Wilson et al. (1997). Hogan et al. (1987) reported that CNS prevalence was higher in milk samples collected from herds in which teats were not dipped in a germicidal solution following milking (11.0%) compared with herds in which teats were dipped in a germicidal solution following milking (7.2%). In this study, even herds that reduced the prevalence of contagious IMI over time (PROG3, PROG4, PROG5, and PROG6 herds) did not experience a significant change in CNS IMI. Therefore, it is unlikely that the prevalence of CNS IMI was influenced by postmilking practices. The prevalence of CNS IMI has been reported to be 10 to 20% of quarter samples (National Mastitis Council, 2000). The prevalence of CNS was highest in composite milk samples (17.36%) compared with quarter milk samples (10.16%), but the high prevalence of CNS cannot be explained by sample type alone.
There was not a significant association between herd prevalence of CNS IMI and mean monthly milk production or linear score (Table 6
). Hogan et al. (1987) observed that CNS did not increase log10 SCC to as great a concentration as Staph. aureus or Strep. agalactiae, although cell counts were greater than for milk samples with negative bacterial isolation. Wilson et al. (1997) did not find a significant reduction in milk yield associated with CNS infection. Coagulase-negative staphylococci are considered minor milk pathogens (National Mastitis Council, 2000). The significance of CNS as a pathogen may vary from herd to herd (Wilson et al. 1997). In this study, CNS had minor associations with herd-level production variables.
The prevalence of Strep. agalactiae in Ragusa was 1.4% in milk samples and 2.3% at the cow level, and prevalence was highest in herds with inorganic bedding, particularly in herd groups with no bedding. Although the overall prevalence of Strep. agalactiae in milk samples and cows was low, the herd prevalence was greater than 30%. Therefore, many herds may have a few cows with Strep. agalactiae. The association with inorganic bedding may reflect poorer management practices in these herds, particularly because herds with no bedding had a higher prevalence of Staph. aureus IMI. Monthly prevalence of Strep. agalactiae was not significantly associated with mean monthly milk production, but was significantly associated with mean herd linear score (Table 6
). Generally, IMI with Strep. agalactiae do not dramatically reduce milk yield unless the infection is chronic, although the SCC may rise quickly. In this study, the small prevalence of Strep. agalactiae IMI at the cow level may reflect a moderate infection rate in a herd with insignificant long-term chronic infection; thus, no effect of the prevalence of Strep. agalactiae was observed on milk production. The increase in linear score with Strep. agalactiae would, however, reduce milk quality and cheese production (Barbano et al. 1991).
Coliform organisms were isolated from 1.6% of milk samples and 2.9% of cow samples, which was higher than reported by Wilson et al. (1997; 0.6%) and Pitkälä et al. (2004; 0.14%), but lower than reported by Makovec and Ruegg (2003; 5.24%). Udder infection with coliform organisms tends to be of short duration compared with gram-positive organisms, because the innate immune system often rapidly kills invading coliform organisms, resulting in negative culture results (Ruegg, 2003). Organic bedding is reported to be a risk factor for coliform IMI, particularly during wet, humid conditions (Smith and Hogan, 1993). Season and bedding type were not associated with prevalence of coliform IMI in this study. Prevalence of coliform bacteria IMI was not associated with a change in monthly mean milk production or mean herd linear score (Table 6
). Often a coliform bacteria IMI does not have a dramatic influence on SCC in milk, and production changes may be of short duration.
Season was associated with prevalence of Staph. aureus, CNS, and Streptococcus spp. Prevalence of Staph. aureus was greatest in winter and spring, CNS in fall and winter, and Streptococcus spp. in winter and spring. There are 2 seasons in Ragusa, a hot, dry season from April through October and a wet, cool season from November through March. Winter is cool and wet, and cows are confined (Licitra et al., 1998). In warm weather, cows have more access to pasture, particularly in bedded-pack and paddock herds. Surprisingly, coliform bacteria did not increase with season, possibly because the wet season is a cooler season and the hot season is a dry season. Coliform IMI often increase with hot, humid weather and with the use of sawdust bedding (National Mastitis Council, 1989). Summer in Ragusa is hot and dry, whereas the wet season is during the winter months when weather is cooler. Thus, seasonal effects may be somewhat different in Ragusa compared with more temperate regions.
Herd prevalence of IMI (mastitis) and Staph. aureus was significantly associated with MLS classification. The excellent herds (MLS1) had a significantly lower prevalence of all IMI and Staph. aureus in cow samples among all other MLS categories. Good and average herds (MLS2, MLS3) had a lower prevalence of mastitis and Staph. aureus than poor herds (MLS4). Herds with no MLS data (MLS5) had a high prevalence of all organisms, but were not significantly different from average herds. The mean milk production was higher in the excellent herds (MLS1), although many factors other than the lower prevalence of mastitis may contribute to this observation.
Increasing herd prevalence of Staph. aureus, Streptococcus spp., and Strep. agalactiae increased the monthly MLS (Table 6
). Erskine et al. (1987), González et al. (1988), and Elbers et al. (1998) observed that herds with greater bulk tank linear scores had a higher prevalence of contagious IMI and a higher prevalence of infection across all cows. Increasing the mean herd linear score resulted in a quadratic decrease in milk production (Table 6
). The magnitude of milk decrease was consistent with that summarized by Ott and Novak (2001) from 8 studies. Green et al. (2006) reported that milk production losses with increasing linear score were not linear and were greater as the SCC increased from less than 200,000 to greater than 400,000 cells/mL of milk. Losses of milk reported by Ott and Novak (2001) and Green et al. (2006) were based on individual cow production. Losses estimated in this paper are based on changes in mean monthly herd milk production and herd monthly MLS.
Increasing prevalence of Staph. aureus and Streptococcus spp. IMI were associated with decreases in mean herd milk production (Table 6
). Wilson et al. (1997) reported mean 305-d production for cows classified by IMI. Cows infected with CNS produced more milk than cows infected with Staph. aureus and cows infected with Strep. agalactiae produced less milk than cows positive for Staph. aureus (Wilson et al., 1997). It is generally recognized that chronic udder infections, which create long-term inflammation, may damage alveoli, resulting in scarring and loss of productive tissue. Infections of short duration have less of an impact on milk production because less permanent damage is caused in the udder. The milk loss associated with Staph. aureus and Streptococcus spp. suggest more udder damage. An increasing prevalence of Strep. agalactiae did not reduce milk yield, which is not consistent with the behavior of this organism in dairy herds. However, the prevalence of IMI with Strep. agalactiae was low, and this may have contributed to the lack of a significant herd-level association.
| CONCLUSIONS |
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| ACKNOWLEDGEMENTS |
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Received for publication December 29, 2006. Accepted for publication August 17, 2007.
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