Innovation in Mastitis Treatment

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Innovation in Mastitis Treatment Dr Kiro R Petrovski DVM, MVSc, PGDipVCSc, PhD Senior Lecturer March 2014 kiro.petrovski@adelaide.edu.au

Biography Started working with dairy cows at age of 11 First independent calving First cow surgery at 16 Work on mastitis 17 years Mastitis treatment products development since 2004 Bomac, Bayer, Elanco, Pfizer, Homeopathic farm supplies Organic vs. conventional farming Causes of mastitis Economics of mastitis Mastitis management

Biography cont Herd health consultancy NZ (2006-2013) Mastitis consultancy NZ (2006-2013) Europe (2005, 2008) USA (2007) Argentina (2007-2012) Farmer and veterinarians discussion groups and workshops (1997-2013)

What is new in the world Diagnosis Automation Prevention Vaccine development Treatment

Why does mastitis treatment fail? Multifactorial Management of mastitis cows Drugs factors Udder factors Cow factors Herd factors

Management factors Inaccurate diagnosis Delayed initial treatment Improper dose or treatment regime Improper route of administration Depth of insertion of the infusion cannula Duration of treatment Inadequate supportive treatment Failure to treat according to best practice

Prevention management factors Accurate diagnosis Differentiation of sub-clinical and clinical mastitis Differentiation of teat canal infection and clinical mastitis Prompt and appropriate treatment Concepts of super-infection and re-infection Assessment of treatment outcomes Treat with full dose

Prevention management factors cont Proper administration of drugs Route of administration, hygiene and the optimal depth of insertion of the cannula Route of treatment chosen according to presenting signs Compatible products for combined approach Injections and tubes together Action in case of treatment failure

Cow factors Age Lactation stage Location of affected quarter General health Previous history of mastitis Infection level in the herd Level of somatic cells Teat canal infections Uneven distribution of the drug within the gland Circulatory inhibition due to inflammation

Prevention cow factors Best-practice selection of cows for treatment or culling Identifying and avoiding treatment of teat canal infections Appropriate storage conditions for drugs Role of general management practices in reducing mastitis incidence Impacts of high presence of infection in the herd

Severity of mastitis Milk Udder Cow

Drug factors co-amoxiclav cloxacillin erytromycin neomycin tetracycline 100 90 80 70 60 50 40 30 20 10 0 Strep uberis Strep dysgalactiae Staph aureus Coliforms

Why new drugs needed Decreased efficacy of existing drugs No new drugs on the market New strains of pathogen emerge Not susceptible to existing drugs

Honours student: Trish Eats Committed to a great dairy future

The Roseworthy / Luoda Pharma Research Dairy

Animal Husbandry 14 a side herringbone Shedding overnight initially, paddocked now Feedlot with TMR, plus ad. lib straw Milk 2x per day (12hr interval) with portable milking machines Feed moved by trailer, wheelbarrow and shovel Milk dumped into Biobin cubes Disposal of milk and cows re: biosecurity

Our research at Roseworthy In the microbiology laboratories: In vitro Drug Efficacy Safety Milk-borne micro-organism Culture Identification http://www.mycutegraphics.com/graphics/science/scientist-with-clipboard-beaker.html

Our research at Roseworthy At the dairy: Target animal safety Preliminary withholding Preliminary efficacy Other types of studies are proposed and intended pharmacokinetics, pharmacodynamics, challenge modelling, and much more.

What observations do we take? Cow: Mentation, lameness, recumbency, rectal temperature Udders: Palpation score, thermographic image Milk: Appearance, volume, SCC

Thermal imaging

Milk appearance scale

Palpations http://en.wikipedia.org/wiki/file:patates.jpg 0: http:// Score 0: feather pillow (ostrichpillows.blogspot.com.au/2011/08/washing-feather-pillows.html) Score 1: medium to hard or foam pillow (http://www.landofnod.com/kids-comforters-and-pillows/kids-bedding/1) Score 2: bread dough (http://www.seriouseats.com/2012/08/how-to-knead-bread.html) Score 3: roasting piece (http://www.countrycapitalmeats.com/beef) Score 4: potato (http://upload.wikimedia.org/wikipedia/commons/a/ab/patates.jpg) Score 5: rock hard (including teat) (http://www.sculpture-network.org/en/home/members/allmembers/details.html?tx_profile_pi11%5buid%5d=658&chash=ba15fd4fac7133a90cf5c103c533e851)

Quarter milkers Isolate quarters Analyse separately More reliable indication of effects https://webshop.kerbl.de/catalog/showartikel.aspx?skcatalogid=555068&sklanguageid=2&sktreeparentid=555124&sktreeid=555127&skprod uctid=408927&siteid=8&sitetyp=1#

Opening ceremony date TBA! Come along and visit us and check it all out for yourselves. We d love a visit.