American-Eurasian Journal of Scientific Research 7 (2): 86-91, 2012 ISSN 1818-6785 IDOSI Publications, 2012 DOI: 10.5829/idosi.aejsr.2012.7.2.6391 Mastitis in Lactating Cows at Hawassa Town: Prevalence, Risk Factors, Major Bacterial Causes and Treatment Response to Routinely Used Antibiotics Bekele Megersa, Admasu Manedo, Mesele Abera Alemayehu Regassa and Fufa Abunna Hawassa University, School of Veterinary Medicine, P.O. Box, 05, Hawassa, Ethiopia Abstract: A cross sectional study was carried out from November 2009 to May 2010 in Hawassa town to estimate the overall prevalence, risk factors and major bacterial pathogens of mastitis in lactating dairy cows. A total of 245 cross breed lactating cows were examined clinically as well as by California mastitis test (CMT) to detect clinical and sub clinical mastitis. Milk from quarters showing positive result for clinical as well as sub clinical mastitis was subjected to bacteriological examination. From the total of 980 quarters examined 13 (1.3%) quarters were blind. Out of 245 lactating dairy cows and 980 quarters examined prevalence of 34.3% (84/245) at cow level and 20. 4% (200/ 980) at quarter level was recorded. In this study, the prevalence of clinical and subclinical mastitis was 3.3% and 31.0% respectively. Bacteriological examination of mastitis positive quarters revealed Staphylococcus aureus (53.5%); Streptococcus agalactiae (26.5%), E. coli (12.5%), Klebsiella spp (2.5%) and Enterobacter spp (5%). This indicate contagious mastitis was predominant in the study area. The result of this study also showed older cows (> 6 years) and cows with udder injuries had significantly higher risk for mastitis. Therefore, culling of older cows and protecting udder from injury have to be practiced to reduce the risk of mastitis. Mastitis treatment response showed steady increase during the first week of post treatment period, while only slight changes were observed during the consecutive weeks, where, 57.2% and 42.9% treatment responses were achieved by short acting oxytetracycline (SAOTTC) and Penstrept, respectively. From this study further research to identify mastitis causing pathogens at molecular level and their association with potential risk factors and antimicrobial sensitivity of major bacterial pathogens in the area should be done. Key words: Mastitis Cows Prevalence Bacteriology Treatment CMT Ethiopia INTRODUCTION Ethiopia. In this region, the low local milk production is a result of many factors including low genetic potential for Dairy production is biologically efficient system milk production of indigenous breeds, the extensive and that converts large quantities of roughages, the most low- in put husbandry practices under which they are abundant feed in the tropics, to milk, the most nutritious reared and wide spread live stock disease [2]. food known to man. Where there is access to market dairy The traditional small holder system which is mainly based is preferred to meat production since it make more income on indigenous breed produces 97% of the total national to producers, it also more labor intensive and supports milk production and 75% of the commercial milk substantial employment in production, processing and production [2]. Accordingly, few improved exotic breed marketing. The challenge represented by the expanding animals that mostly limited in urban and peri-urban areas demand for milk and dairy products in tropical countries are yet not in position to satisfy the growing demand for is great and the resultant opportunities for small holders milk of nation [3]. Conversely, low annual per capita are large [1]. consumption of milk in Ethiopia is 17-19 liters witnesses Dairy enterprise has shown dramatic changes in the gap between supply and basic demand of milk in Europe and North America mainly through genetic urban areas [4]. Consequently, adequacy of the domestic improvements whereas the development of this sector is milk production to cover the local demand has resulted in very gradual in countries of sub Saharan Africa, like improving a considerable amount of dairy products. Corresponding Author: Fufa Abunna, Hawassa University, School of Veterinary Medicine, P.O. Box, 05, Hawassa, Ethiopia. Mob: +251-911-899435. 86
According to FAO [5] in Ethiopia 42% of total cattle factors in study area, to identify the major bacterial for private holdings are milking cows, however, milk pathogens causing mastitis and to assess the treatment production often doesn t satisfy the countries milk responses to antibiotics commonly used for mastitis requirement due to multitude factors. Mastitis is among treatment. various factors contributing to reduced milk production. In Ethiopia, mastitis is a major and prevalent disease of MATERIALS AND METHODS dairy cows causing huge economic loss as a result of milk yield and early culling of productive cows [6]. According Study Population: The study animals include all cross to FAO [7], the total annual national milk production in breed lactating dairy cows managed in Hawassa town and Ethiopia ranges from 797, 900 to 1,197,500 metric ton raw its surrounding small holder dairy farms. Dairy cows were milk equivalents. Out of total national milk production, kept as source of milk and yoghurt for the town and kept between 85 and 89% is contributed from cattle. However, by dairy farms and small holder farms. The average this amount is by far below the national demand from milk holding capacity per households was 6 but the range is and milk products in the country. Many reasons could be from 1 to 22. All the cows in this study were hand milked described for the low annual national milk yield among and most of them milked two times a day during lactation which mastitis is one of the most important factors. period. A number of reports indicated that mastitis is a serious problem in the dairy industry of Ethiopia. Study Design and Sampling: A cross-sectional study Mastitis is the major bottleneck impacting the milk involving a simple random sampling of the households production of the Ethiopian dairy sector [8]. It remains the and cows within the households was carried out from major cause in economic losses of dairy industry all over November 2009 to May 2010 in which all milking cross the world according to the studies carried out in England breed cows in each dairy farm were included. Sample size and Wales from 1979 to 1982 the average cost of case of was calculated according to Kassa et al. [18]. mastitis due to antibiotic used, milk discarded by cow was estimated 60 pound for each case [9]. Based on the Study Methodology research works, most estimates show that on the average Milk Sample Collection: After testing with CMT, the teat the affected quarter suffers a 30% reduction in orifice of cows showing positive result was cleaned using productivity and affected cows to loss 15% of its cotton soaked in 70% ethyl alcohol and by following strict production [10]. Dairy problem in Ethiopia small holder aseptic measures 3 to 4 ml of milk for bacteriology dairy farms since the production system is non-organized examination were collected after discarding 3-4 streams [11]. of milk by holding sterile tube nearly horizontal. Dirty In Ethiopia, the available information indicates teats were washed with a clean towel and disinfectant that bovine mastitis is one of the most frequently solution and then dried. The tubes were labeled and encountered diseases of dairy cows [12]. According to transported immediately to the Hawassa University, [13] the major diseases of cross breed cows in Addis department of veterinary medicine. The samples were Ababa milk shed, clinical mastitis is the second most stored at 4 C and cultured within 24 hrs [19, 20]. frequent disease next to reproductive disease, in which 171 cows out of 556 were found to be affected. Generally, Isolation of the Organisms: In the laboratory a loop full the prevalence of clinical and sub clinical mastitis in of the milk sample was streaked on blood agar base different parts of Ethiopia ranges from 1.2 to 21.5% enriched with 7% sterile sheep blood and MacConkey respectively [13-17]. These limited studies showed that agar and incubation was made at for 24 to 48 hours. bovine mastitis is among the problems hindering dairy productivity in Ethiopia and this requires the development Data Analysis Management: Biological data and other of methodologies of control program under the prevailing husbandry system. While [17] reported that so far efforts have been concentrated only on the treatment of clinical cases. On the other hand, losses from mastitis have been attributed mainly to decreased milk production from sub clinical mastitis. Therefore, the objectives of this study were to estimate mastitis prevalence and associated risk information were recorded on Microsoft Excel spread sheet as data base. The data were tabulated and the frequency of mastitis and possible effect of exposure variables (tick infestation, use of anti-sucking device, udder lesion, age groups and parity) were evaluated using Fisher s exact test. Linear relationship was assessed between parity number and overall mastitis prevalence. 87
Table 1: Prevalence of mastitis and blind teats on animal (n = 245) and udder (n = 967 quarters) levels Animal level Quarter level -------------------------------------------------------- --------------------------------------------------------------------- Udder health problems No Positive % No Positives % Blind teats 245 13 5.3 980 13 1.3 Clinical mastitis 245 8 3.3 980 8 0.8 Sub clinical mastitis 245 76 31.0 980 193 20.0 Total mastitis 245 84 34.3 980 201 20.8 Total udder problems 245 97 39.6 980 214 21.8 Table 2: Prevalence of mastitis and associated risk factors Risk factors No. examined No. (%) positive Crude OR (95% CI) Adjusted OR (95% CI) P-values Age <6 yrs 96 17 (17.71) 1 1 >6 yrs 149 67 (44.97) 3.8 (2.1-7.0) 2.9 (1.3-6.5) 0.010 Parity 1-2 144 36 (25.00) 1 1 >2 101 48 (47.52) 2.7 (1.6-4.7) 1.4 (0.7-2.9) 0.399 Stage of lactation <3month (early) 77 29 (37.66) 1 1 3-6 month (mid) 99 30 (30.30) 1.4 (2.6-0.7) 1.6 (0.8-3.2) 0.179 >6 month (late) 69 25 (36.23) 1.1 (2.1-0.5) 1.3 (0.6-2.8) 0.477 Udder injury Present 20 17 (85.00) 1 1 Absent 225 67 (29.78) 13.4 (3.8-47.1) 13.5 (3.6-50.6) 0.001 Data were analyzed using the statistical data analysis of STATA version 9 (Stata Corp. College Station, TX). Age of the camels and parity number were grouped into two categories, 5-10 and > 10 years and 1-2 and >2, respectively. Udder tick infestation was considered when more than two ticks were present as well as presence of tick on teat. RESULTS From a total of 245 lactating cows examined over all mastitis prevalences of 34.3% at cow level and 20.4% at quarter level were recorded. In this study the prevalences of clinical and sub clinical mastitis was 3.3 and 31.0 % respectively (Table1). From 8 cases of clinical mastitis, 8 cows (100%) showed local signs and 2 cows (25%) showed systemic signs of mastitis. Out of 980 quarters examined from 245 lactating cows, 13 quarters (1.33%) from 12 cows were blind. From cows having blind teats (quarters), 11 (91.67%) cows had only one blind quarter, 1(8.33%) cow had two blind quarters and there were no cows with three blind quarters. The results of univarate and multivariable logistic regression analysis of risk factors of mastitis showed that age had significant effect on prevalence of mastitis whereas parity and stage of lactation had no Table 3: Summary of culture results in clinical and sub clinical mastitis Type of mastitis No. examined Culture Positive Percentage Clinical 8 8 100.00 Sub clinical 76 75 98.68 Total 84 83 98.81 Table 4: Proportions of pathogens isolated from cows with clinical and sub clinical mastitis. No. of isolates -------------------------------------- Isolates Clinical Sub clinical Total Percentage Staphylococcus aureus 12 95 107 53.5 Streptococcus agalactiae 16 37 53 26.5 E. coli 4 21 25 12.5 Enterobacter spp 0 10 10 5 Klebsiella spp 0 5 5 2.5 Total 32 168 200 100 significance associated with prevalence of mastitis (Table 2). All clinical mastitis case subjected to bacteriological examination showed positive result whereas milk samples from sub clinical mastitis were (83/84) 98.68% positive for culture result (Table 3). From 84 mastitis positive cows subjected to bacteriological examination, a total of 200 isolates was culture positive and among these isolates Staphylococcus aureus comprising 53.5%, Streptococcus agalactiae 26.5%, E. coli 12.5%, Klebsiella species 2.5% and Enterobacter species 5% (Table 4). 88
60 Reduction in CMT postives (%) 50 40 30 20 10 PENSTR SAOTTC LAOTTC CONTROL 0 week0 week1 week2 week3 week4 Post treatment period Fig. 1: Trends of post-treatment reduction (%) in CMT positive cows in comparison of treatment versus non-treatment controls Mastitis treatment response showed steady increase sub clinical mastitis is predominant in the studied area during the first week of post treatment period, while only due to lack of herd health monitoring and empirical slight changes were observed during the consecutive treatment of only clinical cases suggesting the existence weeks. Figure 1 displays the trends of post treatment of management problem in the farms. reduction in CMT positive cows in respective treatment Out of 20 cows with injured udder, 17(85%) were groups. Percent reduction in mastitis prevalence due to mastitis positive and 3 (15%) were mastitis negative. the three drugs treatment did not show a satisfactory Therefore, udder injury was significantly affecting the therapeutic treatment response. The maximum (57.2%) and prevalence of mastitis due to lack of primary defense minimum (42.9%) treatment responses were achieved by barrier to reduce bacterial colonization. It has been SAOTTC (short acting oxy-tetracycline) and Penstrept, demonstrated that udder lesions due to ticks, thorny respectively. This indicated that about half of the treated bushes and poor udder hygiene are the major hindrance cows may have chance of recovery by systemic treatment to overcome the udder health issues of dairy cows. using commonly circulating and used antibiotics. A These conditions may be responsible directly causing spontaneous cure was also observed in non treatment injury and predisposing the udder to bacterial invasion control groups at the second week of treatment period. [26]. The increasing prevalence of mastitis with an increase DISCUSSION in age is in agreement with [27], who found that the risks of mastitis increase significantly with advancing age of The prevalence recorded in this study (34.29%) is in cows. The increasing prevalence of mastitis with an agreement with that of many workers; [21] (35.7%), [8] increase in age is due to insufficient treatment efficacy (38.9%), [6] (38.65%), [22] (39.5%) and [23] (36.9%) and the physiological defense mechanism of the udder reported in and around Addis Ababa, Adami Tullu reduced with advancing age to overcome bacterial district, Northern part of Ethiopia, Central part of Ethiopia pathogens, so that pathogenic organisms get access to (Debre Zeit) and Alemaya respectively. This prevalence is the glandular tissue and cause inflammation of mammary relatively higher than that reported by [24] (24.9%) in glands. Sellale (Northern Showa) area. However, the result of this In this study, the occurrence of Staphylococcus study is much lesser than the reports of [15] (57%), [25] aureus and Streptococcus agalactiae at cow level and (61.11%) and [26] (68.1%) in different parts of Ethiopia. quarter level is found to be higher. The variation in the prevalence of bovine mastitis The results of univarate and multivariable logistic between different reports could suggest the complexity of regression analysis of risk factors of mastitis showed the disease, which involves the interaction of several that age had significant effect on prevalence of mastitis factors mainly of management, husbandry system and whereas parity and stage of lactation were not environment, type of breed, causative agent and significantly associated with prevalence of mastitis. veterinary service coverage. The result of this study also Mastitis, which is one of the most complex diseases shows prevalence of 3.3% for clinical mastitis and 31.0 % of dairy cows that generally involves interplay between for sub clinical mastitis. This indicates the prevalence of the management practice and infectious agents, has high 89
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