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20. Mastitis

Causative agents 
1. Contagious pathogens 
   Staphylococcus aureus
   Streptococcus agalactiae
   Corynebacterium bovis



2. Environmental pathogens 
   Streptococci other than Str.agalactiae
   Coliforms
   Coagulase negative staphylococci (CNS)
-  Arcanobacterium pyogenes, Yeast-like fungi,
   Pseudomonas aeruginosa occasionally found
   particularly in clinical cases


Differential diagnosis  
   Nonspecific (aseptic) mastitis
   (No microorganisms isolated from milk samples)


1. History taking  
-  high SCC herds
-  milking procedure and milk hygiene
-  milking system
-  herd management


2. Clinical examination  
Clinical mastitis
-  the infected quarter swollen, painful to touch
-  the milk visibly altered by the presence of clots,
   flakes or discolored serum and sometimes blood
Subclinical mastitis
- apparently normal udder and milk
- However, microorganisms and WBC (somatic
  cells) found in elevated numbers in milk


3. Bacterial isolation 
Sampling
-  Before sampling, teats swabbed with 70% Alcohol
-  Quarter milk samples separately collected
-  Milk samples immediately chilled .
-  Each quarter milk sample identified as A,B,C and D
Culture on 5% Sheep Blood agar plates
-  One plate for one cow by quadrantizing the plates
-  10 µl of each quarter sample is streaked

-  Incubated aerobically at 37°C
-  Plates examined after 18 hours and reincubated
   for 18-24 hours


4. California Mastitis Test (CMT)  
-  Estimation of somatic-cell counts (SCC) in milk

Table : CMT reaction and SCC
Reaction   Gelling Somatic cell count
Neg : None <100,000
Trace : Slight >300,000
+1 : Slight-moderate >900,000
+2 : Moderate >2,700,000
+3 : Heavy >8,100,000

The results not necessarily correlating with bacterial examination


Control 
1. Contagious mastitis pathogens 
    (Spread from cow to cow during milking. Disease
    prevalence correlates with aging and lactation
    period)
Spread control:
    -    separate infected cows
    -    milk uninfected cows first
    -    use effective sanitizer in wash water
    -    wash and dry teats with clean towels
    -    dip teat immediately after milking
Reservoir control:
-   Str. agalactiae
    - primary pathogen in udder
    -can be eliminated from herd
    - very susceptible to penicillin
-    Sta. aureus
    - adhere firmly to epithelial cells
    - may develop resistance to antibiotics


2. Environmental mastitis pathogens 
    (Infection spreads anytime. Irresponsible to age.
     Predominantly around calving)
Spread control:
    - Clean and dry teats
Reservoir control
    - Clean, dry, hazard-free environment



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