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* Department of Population Medicine, Ontario Veterinary College, Guelph, Ontario, Canada N1G 2W1
Department of Animal Science, Iowa State University, Ames 50011
1 Corresponding author: dingwell{at}uoguelph.ca
| ABSTRACT |
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Key Words: teat sealant dry period adherence linear score
| INTRODUCTION |
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Availability of internal teat sealants has created a new area of research and has been the topic of multiple clinical trials worldwide over recent years (Huxley et al., 2002; Godden et al., 2003; Sanford et al., 2006). Internal teat sealers function as inert physical barriers in the teat cistern, with the goal of preventing the penetration of bacteria from the environment into the udder. As nonantibiotic devices designed to seal and protect the teat canal for the entire dry period, proper aseptic technique during intramammary administration at drying off is critical. Teat sealers can be used alone in noninfected cows to prevent new IMI and decrease the use of DCT. Alternatively, they can be used in conjunction with DCT to provide protection beyond that achieved with DCT alone.
In contrast, results reporting the use of external sealants during the dry period have not been published in the peer-reviewed literature. When studying external sealants applied at drying off and during the peripartum periods with barrier dips made for lactating cows, researchers have not generally observed significant reductions in the rate of new IMI in primiparous (Edinger et al., 2000) and multiparous cows (McArthur et al., 1984; Matthews et al., 1988). Timms (2001) demonstrated that a key strategy in the application of external sealants is to apply the sealant as needed. This is particularly true in the prepartum period. Dipping teats once at dry-off and thereafter as often as needed prepartum (whenever the sealant has worn off) resulted in significantly reduced infection rates in heifers and cows. Recently, some benefit was observed when external teat sealants were applied prepartum to first-calf heifers (Acuna Pasuqualini et al., 2006). Adherence of the teat sealant was meager, suggesting that insufficient duration of adherence was a probable cause for the absence of any benefit (McArthur et al., 1984; Matthews et al., 1988). However, no effort was made to quantitatively assess the relationship between duration of sealant adherence and any of the measured outcomes.
The objective of this study was to determine quarter-level and cow-level variables affecting duration of adherence when the sealant was applied at drying off. Another objective was to determine the impact of sealing teats at drying off on the infection status at calving. Finally, the impact of duration of sealant adherence to the teat-end was evaluated to assess the incidence of new IMI.
| MATERIALS AND METHODS |
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Treatment Protocol
Following the last milking before drying off, treatment was randomly assigned among quarters within the same cow in a systematic manner. Two teats were infused with an approved dry-cow antibiotic formulation containing benzathene cloxacillin (DryClox; Wyeth Animal Health, Guelph, Ontario, Canada) using the partial insertion method of administration. The teats treated with DCT were then dipped with a 1% iodine solution. The remaining 2 teats were coated in a dry-cow teat sealant formulation containing polyether and polyurethane in a tetrahydrafuran base with benzoin gum (Stronghold; DeLaval, Kansas City, MO). Sealant application was carried out in accordance with the manufacturers directions. Teats were first wiped with a dry towel to remove any moisture and dirt. Then the teat and teat-end were thoroughly cleaned with a cotton swab soaked with 70% isopropyl alcohol, and allowed to air dry. The sanitized teat was dipped into the sealant formulation using an applicator cup so that at least two-thirds of the teat was coated with sealant.
Three months following the commencement of the trial, an investigation was begun to assess the effect of double sealant application at drying off. Hence, 1 of the teats in the sealant group was dipped a second time. Duplicate sealant application occurred 3 to 5 min after the initial application. Therefore, treatments at drying off were: DCT (n = 345), single sealant application (single, n = 219), and double sealant application (double, n = 124).
Approximately 3 d before the expected day of calving, cows were moved to a maternity pen. Teats that were dipped in sealant at drying off were dipped in sealant again after appropriate teat-end preparation. One coating of sealant was applied at this time.
Recorded Variables
The degree of sealant adherence to the teat was recorded once each day for the first 2 wk after drying off. Subsequent observations were made every week until the sixth week after drying off. Adherence was scored on a scale of 1 to 5, with a score of 5 corresponding to a tightly covered teat, with very few or no signs of the sealant being shed. Conversely, a score of 1 corresponded to the sealant coating completely removed. If the sealant was almost completely worn off, but the teat end was still covered, this was a score of 2. Light and early signs of removal to moderate or significant wear corresponded to scores of 4 and 3, respectively.
At drying off, physical traits of teats and teat-ends were observed by a single trained technician. These characteristics included teat-end shape, teat-end lesion, teat shape, teat length, and skin condition of the teat (Table 1
; Britt and Farnsworth, 1996).
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Microbiological and Somatic Cell Counting Procedures
Each quarter milk sample was assessed for bacteriological growth and analyzed for SCC at the University of Guelph Mastitis Research Laboratory. Culturing of samples followed the procedures of the NMC (1999). An inoculum of 0.01 mL of the sample was streaked onto a Columbia base agar containing 5% sheep blood, and 0.1 mL was streaked onto MacConkey agar. Plates were incubated for 48 h at 37°C. Tentative diagnoses were based on colony characteristics, morphology, patterns of hemolysis, size, and gram staining. Gram-positive cocci and rods both underwent a catalase test to differentiate each morphology group into either staphylococci or streptococci. Staphylococcal isolates were tested for coagulase production with the tube coagulase test, and streptococcal isolates were subcultured on agar containing esculin, and underwent a CAMP test. Gram-negative isolates were tentatively diagnosed on gross appearance and reaction to an oxidase test and then a citrate test to differentiate Escherichia coli from Klebsiella spp. If a sample contained 3 or more different organisms, it was considered contaminated.
Concentrations of somatic cells were measured using a Fossomatic 215 electronic cell counter (Foss North America, Inc., Eden Prairie, MN), where the maximum allowable SCC reading was 9,999,000 cells/mL.
Data Calculations
All data were entered and maintained in an Excel 2000 spreadsheet (Microsoft Corp., Redmond, WA). Duplicate data entry was conducted to minimize data entry errors. To meet the objectives of the investigation, several outcomes were analyzed.
Outcomes of Interest
The number of days that the sealant covered the teat-end was used to determine the factors affecting sealant adherence at drying off. Calculation for days of adherence was done so that sealants that were absent from the teat-end on the first day of observation had 0 d of adherence. Teat-ends that remained covered for 14 d of observation had 14 d of adherence. The log-transform of this outcome was modeled to facilitate statistical analysis, so that statistical tests based on normal distribution theory could be conducted. An adjustment factor of 0.5 d was added to observations of 0 d of adherence, so that the log-transformed value could be determined.
To determine the impact of treatment at drying off on the level of infection at calving, 2 outcomes were used. A major outcome was the SCC at 14 to 21 d postcalving. Linear SCC scores (LS) were used to facilitate statistical analysis, as calculated according to the following formula:
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where log refers to the natural logarithm, loge.
Quarter milk samples that could not be analyzed due to the presence of clots were assigned the maximum SCC reading (9,999 x 103 cells/mL).
Pathogens that were cultured in the bacteriological analysis were identified as Staphylococcus aureus, Streptococcus agalactiae, environmental streptococci, coliforms, CNS, and Corynebacterium bovis. A quarter was defined as infected with 1 of these pathogens at drying off if that pathogen was cultured in at least 1 of the 2 pre-dry period samples, whereas a quarter was defined as uninfected with that pathogen at drying off if neither of the pre-dry period samples were culture positive for that pathogen. A quarter was defined as uninfected with a particular pathogen at drying off, if 1 of the samples was missing culture results and the other was negative for that pathogen. Similar criteria were used to define infection status after calving.
In the subsequent analysis, only newly infected quarters (uninfected at drying off and infected after calving) and quarters that remained uninfected over the dry period (uninfected at drying off and uninfected after calving) with respect to environmental streptococcal and coliform pathogens were analyzed to determine the impact of treatment at drying off on the level of infection after calving.
Descriptive and Statistical Analyses
Descriptive analysis was carried out to identify general trends in the data. Univariate and multivariate analyses were conducted on the log-transform of days of sealant adherence, LS at 14 to 21 d postcalving, and new infection status after calving caused by environmental pathogens. All statistical analyses were carried out using SAS software (version 8.0; SAS Institute, Inc., Cary, NC).
Continuous outcomes (log-transform of days of sealant adherence and LS at 14 to 21 d postcalving) were analyzed using the MIXED procedure in SAS, and least squares regression was used in the univariate and multivariate analyses. Binary outcomes (new infection status caused by environmental streptococci and coliforms) were analyzed with the GENMOD procedure using logistic regression and specifying the binomial distribution and logit link.
For both continuous and discrete outcomes, parameter estimates and standard errors in the multivariate modeling were adjusted for the correlation among quarters using generalized estimating equations (Liang and Zeger, 1993). This was conducted by invoking the repeated statement in both SAS procedures. A compound symmetry covariance structure was specified to allow quarters from the same cow to be similarly correlated. In addition, the effects of herd and parity were forced into all multivariate models as fixed effects to adjust for confounding.
In the multivariate modeling, the statistical significance of each analyzed variable was evaluated using a forward stepwise selection process based on the likelihood ratio test. Biologically plausible interactions among these variables were considered. With the exception of treatment, herd, and parity, only variables that were associated with P < 0.20 were included in the final model for each outcome. In the analysis of days of adherence, statistical significance was declared at P < 0.05, whereas in the analysis of LS and bacteriological outcomes, statistical significance was declared at P < 0.10. Model fit was assessed using the Akaike information criterion, as well as through an examination of the residuals to ensure that model assumptions were met.
| RESULTS |
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3 lactations, and analyzed together.
The distribution of quarters observed for all recorded teat-level variables are presented in Table 2
. In both farms, the distribution of quarters observed for each teat-level variable was similar (P > 0.05). Because the decision to evaluate the effects of the double application of sealant occurred 3 mo after the trial had commenced, approximately 32 and 18% of quarters were dipped in sealant once and twice at drying off, respectively. Combined over both farms, most teat-ends were classified as pointed (39.7%) or round (38.1%). No teat-end lesions (lesion score 5) were observed in either farm, and because few teat-ends were classified as having a lesion score of 4, subsequent analysis combined levels 3 and 4. Most teats were classified as having a cylindrical shape (70.8% combined for both farms) and were of average length (78.3% combined for both farms). None of the teats was classified as having rough skin.
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Season of application at drying off was highly significant in both farms. Teats that were dipped during the winter and spring months (December to May) were protected with sealant for a longer period (3.79 ± 0.28 d) than teats dipped during the summer (2.35 ± 0.26 d) and fall (2.52 ± 0.21 d) months (P < 0.05). Combined over both farms, the average duration of sealant adherence during the summer, fall, winter, and spring seasons were 2.35, 2.52, 3.79, and 3.51 ± 0.29 d, respectively.
In the final multivariate model (Table 3
), frequency of sealant application (P < 0.01), season of drying off (P < 0.01), and teat length (P = 0.01) were associated with the log-transformation of days of sealant adherence. Parameter estimates for the final model, and corresponding estimates of the mean days of adherence for each of these variables are provided.
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Significant differences in adherence were observed between the herds. The mean duration of adherence was 1.24 d longer in the Ponsonby herd.
LS at 14 to 21 d Postcalving
In both herds, the mean LS was greatest in the sample taken at 0 to 7 d postcalving (4.68 ± 0.11), and lowest in the sample taken at 14 to 21 d postcalving (2.22 ± 0.10). The mean LS 1 wk before drying off and at drying off were 3.52 ± 0.09 and 3.46 ± 0.09, respectively. To ensure that the level of udder health at drying off was similar across all levels of treatment, statistical comparisons of the mean LS associated with the sample collected at drying off were made. No significant differences were observed in the Elora and Ponsonby herds.
In the multivariate modeling of LS, duration of sealant adherence was evaluated when assessing the effect of treatment at drying off. Several parameterizations were evaluated for statistical significance. The parameterization that provided the best fit to the data was a variable treatment by time (TREAT_TIME) that had the following 5 levels: antibiotics only (DCT); single sealant application and duration of adherence between 0 and 3 d (single:0 to 3); single sealant application and duration of adherence
4 d (single:4+); double sealant application and duration of adherence between 0 and 3 d (double:0 to 3); and double sealant application and duration of adherence
4 d (double:4+).
In the final multivariate model, TREAT_TIME (P = 0.09), season of calving (P < 0.01), and LS at drying off (P < 0.01) were associated with the LS after calving. Parameter estimates and least squares means for the LS at 14 to 21 d postcalving associated with this model are provided in Table 4
. Teats in the "single:0 to 3" group were associated with the highest LS at 14 to 21 d postcalving (2.69). Linear score for the remaining levels of TREAT_TIME ranged from 1.89 to 2.27.
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Bacteriological Analysis
At drying off, the most common bacteria identified as causing an infection were CNS (51.4%) and C. bovis (22.7%). The proportion of samples that were positive for a contagious pathogen was higher in the Ponsonby herd compared with the Elora herd at all 4 sampling intervals (5.3, 5.4, 4.2, and 4.0% vs. 2.8, 2.5, 2.9, and 2.9%, respectively, at 7 d before drying off, at drying off, 0 to 7 d postcalving, and 14 to 21 d postcalving. Streptococcus agalactiae was not cultured in any of the quarter milk samples collected in the Elora herd, but was identified in 6 quarters in the Ponsonby herd. In both herds, environmental streptococci were more frequently cultured than coliforms over all sampling intervals (2.3, 1.7, 3.6, and 2.1% vs. 0.3, 0.5, 2.4, and 0.2%, respectively, for the 4 sampling intervals).
The second outcome that was used to determine the impact of treatment at drying off was the number of new IMI caused by environmental pathogens at calving. Only quarters that were uninfected at drying off were used in the analysis. For new environmental streptococci, the number of uninfected quarters at drying off was 593, whereas for new coliform IMI, 604 quarters were uninfected.
There was a significant association between treatment assigned at drying off and new environmental streptococci infections after calving in the Elora herd (Table 5
). In this herd, the proportion of quarters that were newly infected with environmental streptococci was highest in quarters that had been dipped in sealant only once (6.1%), and lowest in quarters treated with antibiotics (1.7%). A total of 2.3% of the quarters that had been dipped twice were newly infected. Treatment was not significantly associated with new IMI caused by environmental pathogens in the Ponsonby herd, or overall in both herds combined. New environmental streptococci infections were identified more frequently for funnel-shaped or round teat-ends (P = 0.02, combined for both herds). None of the other measured teat characteristics was significantly associated with new environmental streptococci infections over the dry period in either farm.
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3 compared with only 0.4% of quarters with a lesion score of 2). When analyzed separately, this effect was not observed in the Elora or Ponsonby herds. No statistical associations were identified with any of the other recorded teat-level variables.
Season of drying off and season of calving were not statistically associated with new environmental streptococcal infections at calving in either herd. Although parity was statistically associated with new environmental streptococcal infections in the Elora herd, new environmental streptococcal infections occurred most frequently in cows that had completed
3 lactations before entering the dry period (6.5%) compared with parity 1 or 2 cows (2.6 and 1.5%, respectively). Although the effect of parity was significant in the Ponsonby herd, no new environmental streptococcal infections were identified in cows that had completed 3 or more lactations (0 of 30 quarters). Combined over both farms, the effect of parity was not significant. Parameter estimates in the final multivariate model for new infections caused by environmental streptococci are provided in Table 6
. After accounting for the correlation among quarters, and forcing in parity and herd as fixed confounding effects, TREAT_TIME was not significant in the final model.
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In the final multivariate model for new infections caused by coliforms over the dry period, TREAT_TIME was not significant. Similar to the results for new IMI caused by environmental streptococci, standard errors derived in these models were large and parameter estimates were highly unreliable. In the multivariate modeling, none of the analyzed variables was statistically associated with new coliform infections at calving.
| DISCUSSION |
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Of all the recorded teat characteristics, only teat length was significantly associated with duration of adherence to the teat-end at drying off. Because increased intramammary pressure during involution causes the teat canal to dilate (Comalli et al., 1984), teat characteristics evaluated on the day of dry-off may have changed subsequently over the ensuing crucial period. Therefore, statistical associations between duration of adherence and teat characteristics may not have been detectable under the current study design. Furthermore, even with parity in the model, teat length was significantly associated with sealant adherence to the teat-end. Therefore, although teat characteristics may reflect the physical changes associated with increasing parity, parity certainly does not fully account for teat characteristics. Therefore, teat characteristics should always be considered in any investigation of teat sealant adherence.
Application of the dry-cow teat sealant during the winter and spring seasons (December to May) demonstrated superior adherence compared with application during the summer and fall seasons (June to November). Beneficial results of cooler temperatures were observed in other studies in which sealants were refrigerated before application (Hemling et al., 1998; Creasey et al., 2002). It was proposed that a thicker barrier was formed as a result of the increased viscosity of the sealant at cooler temperatures.
The mean duration of adherence was different between the Elora and Ponsonby herds. Results from other studies indicate that the duration of sealant adherence to the teat-end varies between herds (Hemling et al., 1998; Edinger et al., 2000; Creasey et al., 2002). Specific herd management practices, including different environmental conditions, may account for some of these differences.
LS After Calving
Somatic cell counts are frequently used as an indicator of udder infection. A threshold of 200,000 cells/mL, which is equivalent to an LS of 4, had high sensitivity and specificity for identifying infections (Dohoo, 2001). Moreover, there is debate about the level that SCC is elevated during the first week after calving (Sargeant et al., 2001), so it was decided to use the second postcalving sample for the LS analysis. Furthermore, due to the power of the study and to avoid making a type II epidemiological error, the P-value at which significance was declared was relaxed to P
0.10. A type II error occurs when it is declared on the basis of trial results that no true effect exists, when in fact a variable may produce a worthwhile effect (Martin et al., 1987).
Counterintuitive results were obtained when the outcomes indicative of IMI were modeled. We would have hypothesized that treatment and adherence would influence the occurrence of new IMI, which would correspondingly influence LS. Indeed, treatment and duration of sealant adherence were significantly associated with LS at 14 to 21 d postcalving; however, there was no overall significant association identified between treatment and new environmental streptococcal or coliform IMI. Parameter estimates derived in the final multivariable models for the latter outcomes were highly unstable. Attempts to increase the power by modeling both environmental pathogens together did not yield significant results. It is possible that the sampling regimen and associated definition failed to discern these new IMI. Studies report that environmental infections are generally short in duration (Smith et al., 1985b; Todhunter et al., 1995). Furthermore, the number of observations available for analysis of the discrete IMI variable might have been insufficient in power to detect a statistical difference.
In the final multivariable model for LS at 14 to 21 d postcalving, treatment assigned at drying off had a significant impact on the outcome. Furthermore, duration of sealant adherence to the teat-end was an important consideration in comparing the effects of these treatment groups. Due to the highly skewed distribution of adherence times that were observed, the data supported minimal comparisons among adherence times of 0 to 3 d, and greater than or equal to 4 d. Teats that were coated with only 1 layer of sealant for 0 to 3 d (single:0 to 3) were associated with the highest LS after calving (2.69). Duration of sealant adherence significantly influenced LS. In particular, teats in the single:0 to 3 group were associated with a 0.57-unit increase in LS after calving, compared with teats in the single:4+ group. This difference could be related to the increased duration of protection from exposure to the environment.
In addition to duration of adherence to the teat-end, the frequency of sealant application was associated with efficacy. Teats that were coated with sealant for 0 to 3 d using a double sealant application were associated with significantly lower mean LS after calving (0.80 unit). The thicker coating achieved by a second application may have enhanced the integrity of the seal, thus making it less likely to split at the teat-end. Therefore, if a split formed in the sealant coating at the teat-end before falling off, that would have made the teat susceptible to infection sooner than was recorded by observation of overall adherence. Leaking teats have been associated with an increased likelihood of IMI (Schukken et al., 1993; Waage et al., 2001). This has been attributed to the patency of the teat canal, which increases the likelihood of infection (Dingwell et al., 2003). Therefore, if the integrity of the seal is compromised, bacteria from the environment may contaminate and enter the teat canal.
Previous studies that assessed the effect of sealant use on infection status at calving have involved dry-cow therapy of all quarters (Edinger et al., 2000; Timms, 2001). In the current study conducted in research herds, none of the sealed quarters included in the analysis received dry-cow antibiotics. In the final multivariate model, quarters with high LS at drying off (
4) were significantly associated with a 0.80-unit increase in LS after calving. This agrees with studies in which the presence of an infection by a major pathogen at drying off increased the likelihood of infection during the dry period and subsequent lactation (Osteras et al., 1999).
Seasonal trends were identified with IMI (Smith et al., 1985b; Todhunter et al., 1995). In the final multivariate model, the season of calving was more predictive than the season of drying off. This could be an indication that infections that occurred during the latter part of the dry period were not adequately controlled by any of the treatments assigned at drying off. Infections incurred during this time are more likely to persist to lactation (Smith et al., 1985b; Todhunter et al., 1995).
Cows that calved during the spring and summer seasons (March to August) were associated with higher LS after calving. This agrees with findings from other studies, which have reported that more coliform infections occur during these seasons (Smith et al., 1985b; Todhunter et al., 1995). This relationship was attributed to the increased numbers of bacteria found in bedding during the summer for coliforms and other gram-negative bacteria (Smith et al., 1985b; Todhunter et al., 1995). Other sources of contamination were suggested for environmental streptococci infections. In both herds, a higher number of coliform infections were observed within 1 wk after calving. The inclusion of season of calving in the final model may be an indication that treatment at drying off controlled new infections caused by environmental streptococci and coliforms during the early dry period. Moreover, the increased incidence of coliform infections often observed during the latter part of the dry period (Smith et al., 1985b; Todhunter et al., 1995) may not have been prevented by the dry-cow teat sealant.
No statistical associations were identified between any of the recorded teat characteristics and the LS after calving. However, teat-end shape was highly significant in the final multivariate model for new IMI caused by environmental streptococci. Although this may have been a spurious statistical association, some researchers have identified that the teat-end shape is related to the teat canal diameter, which in turn has been associated with the susceptibility to infection (Jorstad et al., 1989; Chrystal et al., 1999). More research needs to be conducted to confirm the biological validity of this finding.
| CONCLUSIONS |
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Results demonstrated that prolonged coverage of the teat-end reduces the LS after calving, and that achieving a durable seal through double application has a beneficial effect. Meaningful conclusions about the effect of treatment on the incidence of new IMI caused by environmental pathogens after calving could not be drawn from this study. The results of this investigation suggest that the use of dry-cow teat sealants have a beneficial impact on the level of infection at calving if a durable seal is formed and remains on the teat-end for a prolonged period at drying off.
Received for publication August 11, 2006. Accepted for publication September 27, 2006.
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