Proper Dry-Off Procedures to Prevent New Infections and Cure Existing Cases of Mastitis. Stephen C. Nickerson University of Georgia

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Proper Dry-Off Procedures to Prevent New Infections and Cure Existing Cases of Mastitis Stephen C. Nickerson University of Georgia scn@uga.edu

Michelle Arnold, DVM DABVP (Food Animal) Ruminant Extension Veterinarian University of Kentucky Veterinary Diagnostic Laboratory

2015 Conference Sponsors Platinum Multimin USA Zoetis Gold Elanco Maryland-Virginia Producers Cooperative Association Silver CPC Commodities Kentucky Dairy Development Council Contributor Bluegrass Dairy and Food, Inc. DFA Mid-East DFA Southeast W.D. Hoard & Sons Thank you for your support!

Dry Cow Therapy Prevent new infections by environmental organisms Eliminate infections present at dry off

Keys to Prevention of New Infections Environmental Management-Clean, dry, cool, comfortable Dry cow therapy Teat Sealants Nutrition Vaccination-Enviracor J-5, J-Vac, Endovac Dairy

Mastitis Definition: IMI Mastitis (intramammary infection) occurs when bacteria enter the teat orifice, multiply within the mammary gland, and elicit an inflammatory response ( SCC). Result: Decreased milk quality & yield Adversely affects animal health

An understanding of: Physiology of the dry period Anatomy of teat end tissues Clinical/Subclinical Mastitis Instrumental in maximizing benefits of properly drying off mammary quarters to cure IMI and prevent new infections

Physiology of the Dry Period Function of the mammary gland during lactation: continuous synthesis/secretion of large quantities of milk; then dried off. The mammary gland progresses through three distinct stages: 1) Active involution 2) Steady state involution 3) Colostrum formation Colostrogenesis After dry-off Dry Period: Needed to optimize milk production in next lactation ( Susceptibility to mastitis)

6-fold higher (2-3 wk) Majority: Environmentals: Escherichia coli Streptococcus uberis (In addition to existing IMI) 1 2 3 Active Steady state >50% of all CM in early lactation: Environmentals acquired during the dry period ---Lactation--- Colostrogenesis Why the increased susceptibility (305 at d) the beginning and end of the dry period? (60 d)

1. Active Involution (Termination of milking 3-4 wk into dry period) Maximum accumulation of fluid occurs within ~2 to 3 days of drying off. Milk Milk volume decreases significantly by ~4 days of involution. Fluid volume continues to decrease through at least day 16 of the dry period, and probably through day 30. Result of: Resorption, some leakage

Elevated rate of new infections during active involution due to: Flushing of colonized bacteria terminated - No more 2-3 times a day milking Udder sanit. & teat dipping discontinued - Bacteria accumulate on the skin Dilation and shortening of teat duct - Milk pressure, leakage, keratin Leukocytes more active in removing milk components than microorganisms Casein & fat: Inefficient

2. Steady State Involution (1-2 wk) Susceptibility to new infections due to: 1. High levels of antibacterial factors: Antibodies & Lactoferrin (sequesters Fe) 2. Reduced rate of bacterial penetration through the teat canal Lower level of teat end exposure to potential mastitis pathogens The development of a keratin plug (Functions as a physical & chemical barrier: antimicrobial proteins & fats)

3. Colostrogenesis (1-3 wk prepartum) Susceptibility to new infection is increased just prior to calving: Increased fluid volume dilation of the teat canal (leaking) allowing bacterial entry Reduced leukocyte numbers and loss of their ability to engulf microorganisms. Utilization of milk components by mastitis microorganisms growth & multiplication. Absence of residual antimicrobial activity of dry cow therapy. Lack of antibiotic residues from treatment of all four quarters at the time of drying off

Role of mammary gland anatomy in preventing new mastitis cases Teat cistern Keratin Physical plug Antibacterial -Proteins -Fatty acids Teat canal Maintains tight closure Teat canal (duct) is the 1 st line of defense, providing: (A) Keratin and (B) Sphincter muscle as physical/chemical barriers

Protection of teat end tissues at time of drying off: IMPORTANT When treatments are applied to the teat end, the natural tissue architecture (keratin, sphincter) should be protected as much as possible to maximize treatment efficacy, e.g., Antibiotic or Teat seal

Proper infusion procedures: (Antibiotic or Teat sealant) Kills contaminating bacteria Using gloves **Sanitize teat orifice, use partial insertion technique, dip teats

Management factors to consider at dry-off to minimize stress and environmental exposure Reduce feed over last 2 wk to reduce yield Feed high fiber diet; eliminate grain; switch from alfalfa to grass, or straw for very high producers. Reducing water intake is questionable as it is the most crucial nutrient and promotes animal health. Dry-off at a BCS of ~3.5 Abrupt cessation or intermittent milking Intermittent alleviates back pressure on milkproducing cells; prolongs milk production. After dry-off switch to balanced gestation diet Provide adequate ventilation in housing moisture (reduces bacterial growth; mastitis) *

Method of Drying Off Abrupt cessation vs. Intermittent milking Milk for 305-day lactation Milking Infuse with DCT +/or TS Place in far-off pasture/lot Milk for ~291-298 days 1-2 wk prior to dry-off date For last 1-2 wk of lactation: Eliminate conc. (hay only) Limit water intake???? Milk intermittently, e.g., 1X Infuse/place in far-off lot ( production 22-47%) Accelerates involution New IMI at calving

Keratin plug Cows with greater milk yield at dry-off leak milk incomplete keratin plug formation at teat end Increases chances for bacterial entry through the teat canal Within several days-weeks, teat canal closes up, with the formation of a keratin plug Decreases bacterial penetration: Physical barrier, antimicrobials

Mammary quarter infection status at dry-off: 2. Uninfected Infected 1. 1. Infected Uninfected 2. 1. Existing intramammary infections that should be treated & eliminated 2. Uninfected quarters that should? be treated to prevent new infections a) Antibiotic? b) Teat seal? c) Teat seal + antibiotic? d) No treatment?

Research into the use of Treat all 4 quarters of all Blanket Dry Cow Therapy: cows at drying off Treat all 4 quarters Blanket of all cows DCT (1950s) Treat & Prevent Mastitis (No TS)

Prevalence, cure rates, and new IMI of quarters treated at drying off with various penicillin & cephalosporin products Qtr infection Rate Qtr Cure Rate New Qtr IMI No. (%) No. (%) No. (%) S. aureus 18 (2.78%) 17 (94.4%) 14 (2.16%) S. agalactiae 23 (3.55%) 23 (100.0%) 11 (1.70%) S. dysgalactiae 10 (1.54%) 10 (100.0%) 3 (0.46%) S. uberis 0 0 1 (0.16%) CNS 137 (21.14%) 107 (78.1%) 80 (12.34%) E. faecalis 2 (0.31%) 2 (100.0%) 2 (0.31%) E. coli 1 (0.15%) 1 (100.0%) 0 Other 2 (0.31%) 2 (100.0%) 2 (0.31%) DCT: Cures IMI at drying off & prevents new IMI Total 193 (29.78%) 162 (83.9%) 113 (17.44%) Petzer et al., 2009 Avg: 70-90% 40% (Avg: 50-80%)

Multiple antibiotic infusions? Improve cure rates? Treating twice at drying off, or At dry off & at some later time(s) Not demonstrated to be beneficial Subsequent treatments after dry-off may pose additional risks: Introducing bacteria into the gland via the syringe cannula Increasing risk of residues in bulk tank milk after freshening Single infusion/qtr. recommended Antimicrobial activity persists 2-4 wk

Selective Dry Cow Therapy (DCT) Selecting only the infected or potentially infected quarters or cows to treat To reduce expense, drug use, & development of antibiotic resistant bacterial strains Selection based on culture, SCC (Electronic, CMT) Reasonable threshold: 200,000/ml (treat >this level) For cows/qtrs assumed uninfected (<200,000/ml): Teat sealants may prevent new infections: X External Internal

Effects of Blanket vs. Selective DCT on the prevention of new infections 729 low SCC cows (<200,000); 16 herds % Quarters infected at calving 1. Blanket: All 4 qtrs received DCT + Teat seal 2. Selective: Only infected cows received DCT + Teat seal based on + bacterial culture results Culture-negative cows received teat seal only Conclusion: Selectively treating culture+ cows = blanket therapy at dry off *When SCC at dry-off are <200,000/ml Cameron et al., 2014

Use of Internal Teat Sealants at Dry-off Bismuth/paraffin based Infused at drying-off + after dry cow therapy Removed at 1 st milking Orbeseal Bismuth subnitrate/mineral oil Teatseal Bismuth subnitrate/paraffin oil Physical barrier to Bacteria

Teat seals: Initial studies - United Kingdom (Huxley et al., 2002) New infection rate with various mastitis pathogens 183 162 42 35 25 24 15 * 21 *Orbeseal use: 70% fewer E. coli IMI (P<0.01) Orbeseal = DCT, but better in preventing coliform IMI

Efficacy of Orbeseal + DCT in 437 cows (1748 qtrs) 1. All 4 qtrs infused with DCT 2. 2 contralateral qtrs: Orbeseal Godden et al., 2003 RF LF RR LR Compared with DCT alone, DCT + Orbeseal 30% fewer new infections during dry period 33% less likely to develop clinical mastitis Lower SCC in early lactation Combination superior to DCT alone

Efficacy of Orbeseal + DCT in 949 cows (multi-herd) 1. 2 qtrs infused with DCT alone 2. 2 contralateral qtrs: DCT + Orbeseal RF LF RR LR Compared with DCT alone, quarters treated with DCT + Orbeseal: 27% less likely to acquire new IMI (all pathogens) during dry period 38% less likely to acquire new IMI (environmentals) during dry period 58% less likely to acquire new IMI (coliforms) during dry period Combination superior to DCT alone, vs. *environmentals, **coliforms Sanford et al., 2006

Other management factors to consider Cooling during warm season (H 2 O/sprinklers) comfort, DMI, immune function ( mastitis) Daily bedding maintenance/clean pasture pathogen load at teat end ( mastitis) Provide proper nutrition & supplements Se, Cu, Zn; Vit. A, D, E; additives (Omnigen) Improve leukocyte function vs. mastitis pathogens Length of the non-lactating or dry period 1 ST lactation cows: 50-60 d; Multiparous cows: 35-45 d By milking high-producing cows longer (45- vs. 60-day dry period), yield will be lower when it is time to dry them off Vaccination against environmental mastitis

Coliform vaccination schedule Up to 80% effective in preventing new cases of clinical coliform IMI Endovac bovi J-VAC 2X, 2-3 weeks 2X, 2-4 apart wk Envirocore later 3X, 7 & 8 mo, <2 wk calving

Summary Proper dry-off methods DO promote udder health Decrease dietary energy last 1-2 wk; increase fiber Abrupt cessation = Intermittent milking/diet change Intermittent: High producers ( production, leakage at DO) Dry period length- Heifers: 50-60 d; Multi: 35-45 d Milk high producers longer to decrease yield ( volume) Selective = Blanket for low SCC cows <200,000/ml DCT + Teat seal recommended to maximize benefits Use Blanket DCT for high SCC cows/herds >200,000/ml Use recommended infusion techniques (keratin, sphincter) Coliform vaccines: Immunity CM in early lactation

Stepping up to prevent mastitis through dry cow management

Questions?