by Anita Tiwari
Ph.D. Scholar, School of Public Health
& Zoonoses, GADVASU, Ludhiana – 141004
Mastitis
involves an inflammation of the mammary gland through bacterial infection,
trauma, or injury to the udder. One of the most common diseases incurring huge
losses to the diary industry, it not only reduces the productive capacity of
the cows but is also expensive to treat. Mastitis, mainly of tow types –
sub-clinical and
clinical,
is responsible for heavy economic losses due to reduced milk yield, milk
discard after treatment, treatment costs and premature culling.
Mastitis
an inflammation of the mammary gland caused by bacterial infection, trauma, or
injury to the udder, remains the most common and expensive disease affecting
dairy
cattle
throughout the world. Mastitis is caused by several different bacteria that can
invade the udder, multiply there and produce harmful substances that result in
inflammation.
It
reduces the productivity of the cow as well as the quality of milk causing enormous losses for breeders and
consequently, to the national income of the country.
Etiology
This
disease can be caused by an infectious or non-infectious etiological agent. The
infectious type of mastitis is the most important one that frequently occurs
due to infection by one and / or the other pathogens, such as bacteria,
viruses, mycoplasma, yeasts and algae (DaRong et al, 2010). Classically, the
mastitis pathogens may either be contagious or environmental. The contagious
pathogens are the organisms which are adapted to survive
within
the host, in particular within the mammary gland, and are capable of
establishing sub-clinical infections, which are typically spread from cow to
cow at or around the time of milking (e.g. Staphylococcus aureus, Streptococcus
agalactiae, Str. Dysgalactiae) (Bradley 2002). The environmental pathogens are
opportunistic invaders of the mammary gland which typically invade, multiply,
engender a host immune response and are rapidly eliminated (e.g. Escherichia
coli, Klebsiella species, Enterobacter aerogees, Streptococcus uberis, Corynebacterium bovis, Mycoplasma species,
Serratia, Pseudomonas, Proteus species, environmental Streptococci) (Bedada and
Hiko, 2011). Despite intensive research, the etiology of around 20-35% of clinical
cases of bovine mastitis cannot be established readily.
Types of mastitis
Mastitis
is mainly of two types. It may be Sub-clinical type in which although there are no visible changes in the appearance
of the milk and / or the udder, milk production decreases by 10% to 20% with
undesirable effect on its constituents and nutritional value rendering it of
low quality and unfit for processing (Rady and Sayed, 2009). Sub-clinical
mastitis is the most common and economically most harmful; and gradual decline
in milk production is its characteristic feature although there are no visible
or palpable external changes inspite of the presence of infection and
inflammation in the udder. The milk has a normal or slightly increased somatic
cell count. Normally the bacterial count of herd milk is not affected and will
remain below 50,000 per ml. It is estimated that 50% of all cows have
subclinical mastitis in one quarter of their udder. The other type is Clinical Mastitis in which there is an
inflammatory
reaction characterized by heat, pain, swelling and redness of the udder, along
with reduced as well as an abnormal nature of milk yield. It is usually accompanied by a mild fever and the animal is
depressed. The affected quarter is sensitive to
touch and painful to the animal. If acute mastitis is not attended and the inflammatory process persists for long, it
gets converted into chronic mastitis which may further lead to a progressive fibrosis (hardness) of the
gland thereby rendering the milk secreting tissue unable to produce
any more milk. These changes are generally incurable and permanent. Often one
or more quarters or even the whole udder may become permanently dysfunctional.
Effect on dairy industry
Mastitis
is responsible for heavy economic losses due to reduced milk yield (up to 70%),
milk discard after treatment (9%), treatment costs (75), premature culling (14%)
(Bhikane and Kawitkar, 2000), decrease in milk quality and price due to high
bacterial / somatic cell count,
increased
risk of subsequent mastitis, herd replacement, antibiotics residue in milk and
its products and rejection by processor and consumer (Harmon, 1994). Though
cows with clinical mastitis have more dramatic changes in milk yield and
composition than cows with subclinical mastitis, the losses due to latter are
more severe than those due to the former (Muhamed et al, 2011). The Indian
diary industry suffers and annual loss of approximately 526 millions dollars
due to mastitis, 70% of which is due to subclinical mastitis (Rady and Sayed,
2009).
Diagnosis
While
acute clinical mastitis is easily suspected/recognized even by farmers and is
readily diagnosed due to udder swelling, pain and drastic decrease in milk
production, the sub-clinical mastitis has neither visual abnormalities in the
mammary gland (swelling, hotness, cracks etc.) nor in the milk (blood, clots,
flakes etc.). Therefore, routine physical examination of udder and diagnostic
screening tests for early detection of mastitis and proper treatment
of
affected animal are of paramount importance in order to minimize losses due to
sub-clinical and clinical mastitis. Physical examination of udder: It can be
done by visual
observation
and digital palpation. Physical examination of each gland must be made immediately
after milking when the hormone stimulation has ceased and the udder is
completely
relaxed and empty (Sharma et al, 2009).
Milk examination
The
visible abnormalities like presence of flakes or clots in the milk, changes in
the consistency and colour of milk (which may be thin or watery and at times
yellow in color)
are noted
(Sharma et al, 2009). For convenience milk examination tests may be divided
into two groups, viz: — Direct or cultural test: These are the standard
tests for determining the presence and identity of mastitis organisms in the
milk, but are time consuming and
require
technical skill and laboratory facilities. — Indirect Tests: These depend upon the
development of palpable lesions in the udder or changes in the composition of milk.
Indirect tests (e.g. Somatic cell count, California Mastitis Test, Strip cup
test etc.) are useful in determining the quality of milk in the absence of
laboratory facilities. These are simple,
economical,
fast and easy to use as a cow-side test.
Treatment
The
treatment of clinical mastitis is generally based on clinical signs, number of
episodes and the likelihood of response. It should include supportive therapy,
milk-out, and observation until culture results are available the following
day. In case of contagious pathogen, all 4 quarters should be treated to ensure
elimination of pathogen and to prevent possible cross-infection of a non infected
quarter. Drug manufacturer's instructions
regarding
frequency, duration and level of treatment should be precisely followed. Udder
balm may be applied on the udder to reduce inflammation. For anti bacterial treatment,
the drug (usually an antibiotic) must reach the causative bacteria in the
udder. Therefore, an intra-mammary treatment is by far the most common method
for all forms of mastitis. The antibiotic must be administered into the teat of
the affected quarter after it has been emptied of milk.
Antibiotic therapy
a)Parenteral administration-Severe
mastitis is usually treated systemically, although intra-mammary therapy will
often be used adjunctively.
b)Intra-mammary administration-This route is accepted as the route of choice in the treatment of
subclinical, chronic or mild clinical mastitis and as prevention during dry
clinical mastitis and as prevention during dry cow therapy. It permits delivery
of the antibiotic directly intothe mammary gland.
Hygiene and management:
The
infection easily spreads from one cow to the other during milking via contaminated
milk, hands of the milker, and udder cloths (in case of milking machine).
Infection may also occur
during
the interval between milking. Possible routes are contaminated beddings,
licking of teats and udder, contact of the udder with the tail and legs and
files. Therefore strict
hygiene
has to be maintained. Cows with a high cell count can be separated from healthy
cows with
a low cell count. Disinfection of the entire teats immediately after milking in
a safe and effective teat dip is perhaps the most important single measure a
dairy farmers
can take
to reduce new infections in a herd. Most commercially available teat dips will
reduce new infections by atleast 50%.
Control and prevention
Cows
suffering from mastitis may recover spontaneously, but usually drug therapy is
required to maintain productivity. It is a good practice to empty the affected quarters
as often as possible by stripping the concerned teats several times per day.
Improved animal husbandry, hygiene and good management are the only practical methods
of prevention and disease control. To prevent cows from damaging their teats
barbed wires should be
removed
from the premises.In conclusion the most effective measures to prevent
mastitis
are:
— Maintaining a consistent high standard of management and hygiene
before, during and after milking;
— Using a good milking technique or an adequately functioning
milking machine;
— Use of teat-dip with a disinfectant on all cows after every
milking;
— Treating all cows with evidence of clinical mastitis promptly;
— Applying the somatic cell count monthly to monitor the health
status of the herd;
— Applying antibiotics to all cows after the last milking at the
time they are dried off;
— Attending immediately to any minor injury to the teat or udder
tissue;
— Culling of cows suffering from recurrent clinical mastitis.
— Providing adequate nutrition to preclude increased susceptibility
to mastitis.
Conclusion
Mastitis
not only reduces the productive capacity of the cows, it is also expensive to
treat. Therefore, its prevention should be the prime concern of each farmer. Effective
mastitis control strategies including prudent use of antibiotics, adequate
strategies including prudent
use of
antibiotics, adequate housing with proper sanitation and regular screening for
early detection and treatment, follow up of chronic case, culling of older cows
with repeated attacks, avoiding consecutive milking and susceptibility testing
of the mastitis pathogens before treatment are recommended to alleviate the
problem.