moyanos hernandez, joel - uab barcelona...mastitis pathogens isolated from acute cases of clinical...

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INTRODUCTION The majority of diseases in dairy cows are treated by application of antibiotic treatment. Spain is the third country on sales of veterinary antimicrobial agents in Europe. Mastitis is the most common disease of dairy cows and is the main reason why cows are treated with antibiotics. Nowadays, pressure to reduce their use in livestock is increasing due to problems derived from the treatment with antibiotics and their impact on public health: emergence of pathogenic organisms resistant to antimicrobials and the presence of antibiotic residues. Pathogens (Table 1) causing mastitis can be divided into 2 groups: contagious and opportunistic or environmental. Evaluation of preventive and curative therapies against infectious diseases in dairy cows OBJECTIVES The aim of this research is to review the use of antibiotics to treat and prevent commonly occurring infections Make recommendations to reduce the use of antimicrobial agents Staphylococcus aureus Streptococcus uberis Coliforms Catalonia 6,4 % (1) 9,4 % (1) 9,5 % (1) Germany 10 % (2) 8.5 % (2) 10.2 % (2) France 15.8 % (2) 22.1 % (2) 16 % (2) Netherlands 18.9 % (2) (3) 9.6 % (2) 28 % (3) Sweden 28.4 % (2) 15.2 % (2) 21.9 % (2) United Kingdom 3 % (3) 25 % (3) 21 % (3) Spain 15.5 % (4) 8.% (4) - (1) ALLIC, 2016 ; (2) Thomas et al., 2015; (3) Ruegg, 2014; (4) Marco et al., 2000 Table 2. Most common pathologies MATERIAL AND METHODS 23.129 heads 28.968 heads 22.209 heads 7 heads n = 3.915 Antibiotic use questionnaire was conducted between February and April 2016 in 10 dairy herds in Girona. Representing 2% of farms in Catalonia and contain 13.5% of cattle in Girona. The sample size does not allow a statistical study with the corresponding statistical tests. RESULTS AND DISCUSSION Herd size ranged from 100 to 910 cows, averaging 429 cows. Seven of the herds were housed in freestalls and 3 in bedded housing system. Annual milk production among those herds ranged from 9.647 L to 11.800 L, averaging 10.884 L. Bulk tank milk SCC ranged from 185.000 cells/mL to 371.000 cells/mL, averaging 253.000 cells/mL. Regarding the different pathologies present in farms, the predominant disease is mastitis, followed by lameness (Table 2). Antimicrobial classes Drug farms Fluoroquinolones Enrofloxacin 7 Lincosamins Lincomycin 1 β-lactam Penicillin 7 Cephalosporin 1 st G 1 Cephalosporin 3 rd –4 th G 1 Aminoglycosides Neomycin 1 Kanamycin 1 Streptomycin 1 Framicetin 1 Pathologies Farm Size (milking cows) Mastitis per year (%) New cases mastitis (%) Repetitive cases (%) Metritis (% ) Lameness (%) Ketosis (%) 1 840 56,7 30,7 46 18,8 34,5 0 2 751 55,1 33,9 38,9 15 68,5 22,2 3 712 29,4 26,2 10,9 - 13,6 1,5 4 209 15 14 6,7 - 7 - 5 123 25 23 8 - - - 6 145 - 40 - 1,5 25 - 7 470 65 45 30,7 5 1 1 8 215 12 - - 2 3,5 1 9 94 34 25,84 24 10,3 14,5 - 10 356 103,5 53,4 48,5 16,8 22,5 - Average 391,5 47,96 31,51 26,7 13,18 23,09 - SD 284,09 30,81 15,34 18,74 7,57 20,70 - 0% 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% % Resistence E coli Staph coag neg Streptococcus spp S uberis Strep. Dysgalactiae Farm Selection criteria Evaluation of effectivity Regular rotation? Prescription 1 withdrawal period Subjective No Herd veterinarian 2 withdrawal period Subjective No Vet com. 3 Price Subjective No Vet com. 4 Price Subjective No Vet com. 5 Price Not evaluated No Vet com. 6 Price Not evaluated No Vet com. 7 Price Subjective No Vet com. 8 effectivity Subjective No Vet com. 9 withdrawal period Subjective No Vet com. 10 withdrawal period Subjective No Herd veterinarian Mastitis is the most prevalent disease on farms studied, as is shown by the results obtained. Farmers has an easy way to buy antimicrobials, but this will change with the new legislation. Some questionable treatments are routinely carried out on farms studied as treatments with last choice drugs. Measures to reduce antimicrobial use can be adopted: Administering intramammary infusions instead of systemic treatments Implementation of a selective drying treatment and applying non-antibiotic sealants may be another alternative Reduce the use of antibiotics causes a decrease in resistance and a lower risk of transferring to people. CONCLUSIONS Table 1. Percentage of isolation of most common pathogens Moyanos Hernandez, Joel June 2016 Table 3. Drugs most commonly used in farms Many producers are treating clinical mastitis with intramuscular or subcutaneous drugs alone. Supplying last choice treatments (7/10) as fluorquinolones rather than treating with first choice drugs (penicillin or 1 st G Cephalosporin) intramammary (Table 3). The use of fluorquinolones and 3rd generation cephalosporin increases the risk of emergence of resistant pathogens and should not be used as 1 st option. Following Prudent Use Guidelines fluoroquinolones should be reserved for the treatment of clinical conditions that have responded poorly, or are expected to respond poorly, to other classes of antimicrobials and should only be used where susceptibility testing has first been carried out. Figure 1. Distribution of dairy cows on Catalonia. Prepared by the author Table 4. Use of antibiotics on farm Figure 2. Percentage of resistance to most common drugs used on farms. Data shows there is a big presence of resistance to most common drugs used on farms, mainly to Penicillin and Ampicillin. E coli shows resistance, and has the biggest percentage of resistance, to a wider range of drugs. Data from antibiogram results realized by ALLIC during 2015 (n=67). BIBLIOGRAPHY 1. Epidemiology data from Associació Lletera Interprofesional de Catalunya 2. Thomas V, De Jong A, Moyaert H, Simjee S, El Garch F, Morrisey I, Marion H, Vallé M. «Antimicrobial susceptibility monitoring of mastitis pathogens isolated from acute cases of clinical mastitis in dairy cows across Europe: VetPath results.» International Journal of Antimicrobial Agents 46, 2015: 13-20. 3. Ruegg PL. «Risks, realities and responsibilities associated with mastitis treatments.» Proc. Reg. Meeting National Mastitis Council, 2014: 4-6. 4. Marco JC, Rodriguez M, Gonzalez M, Ziluaga I, Salazar LM, Palomino A, Mendez A, Díaz A, Fernandez G. «Etiologia de las mamitis bovinas en España.» 2000.

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  • INTRODUCTIONThe majority of diseases in dairy cows are treated by application of antibiotictreatment. Spain is the third country on sales of veterinary antimicrobial agentsin Europe.

    Mastitis is the most common disease of dairy cows and is the main reason whycows are treated with antibiotics. Nowadays, pressure to reduce their use inlivestock is increasing due to problems derived from the treatment withantibiotics and their impact on public health: emergence of pathogenicorganisms resistant to antimicrobials and the presence of antibiotic residues.

    Pathogens (Table 1) causing mastitis can be divided into 2 groups: contagiousand opportunistic or environmental.

    Evaluation of preventive and curative therapies against infectious diseases in dairy cows

    OBJECTIVES The aim of this research is to review the use of antibiotics to treat and

    prevent commonly occurring infections Make recommendations to reduce the use of antimicrobial agents

    Staphylococcus aureus

    Streptococcus uberis

    Coliforms

    Catalonia 6,4 % (1) 9,4 % (1) 9,5 % (1)

    Germany 10 % (2) 8.5 % (2) 10.2 % (2)

    France 15.8 % (2) 22.1 % (2) 16 % (2)

    Netherlands 18.9 % (2) (3) 9.6 % (2) 28 % (3)

    Sweden 28.4 % (2) 15.2 % (2) 21.9 % (2)

    United Kingdom 3 % (3) 25 % (3) 21 % (3)

    Spain 15.5 % (4) 8.% (4) -(1) ALLIC, 2016 ; (2) Thomas et al., 2015; (3) Ruegg, 2014; (4) Marco et al., 2000

    Table 2. Most common pathologies

    MATERIAL AND METHODS

    23.129heads

    28.968heads

    22.209heads

    7heads

    n = 3.915

    Antibiotic use questionnairewas conducted betweenFebruary and April 2016 in 10dairy herds in Girona.

    Representing 2% of farms inCatalonia and contain 13.5%of cattle in Girona.

    The sample size does notallow a statistical study withthe corresponding statisticaltests.

    RESULTS AND DISCUSSIONHerd size ranged from 100 to 910 cows, averaging 429 cows. Seven of the herdswere housed in freestalls and 3 in bedded housing system. Annual milkproduction among those herds ranged from 9.647 L to 11.800 L, averaging10.884 L. Bulk tank milk SCC ranged from 185.000 cells/mL to 371.000 cells/mL,averaging 253.000 cells/mL.

    Regarding the different pathologies present in farms, the predominant diseaseis mastitis, followed by lameness (Table 2).

    Antimicrobialclasses

    Drug Nº farms

    Fluoroquinolones Enrofloxacin 7Lincosamins Lincomycin 1

    β-lactamPenicillin 7Cephalosporin 1st G 1Cephalosporin 3rd – 4th G 1

    Aminoglycosides

    Neomycin 1Kanamycin 1Streptomycin 1Framicetin 1

    Pathologies

    FarmSize

    (milking cows)

    Mastitis per year

    (%)

    New cases

    mastitis (%)

    Repetitive cases (%)

    Metritis(% )

    Lameness (%)

    Ketosis (%)

    1 840 56,7 30,7 46 18,8 34,5 02 751 55,1 33,9 38,9 15 68,5 22,23 712 29,4 26,2 10,9 - 13,6 1,54 209 15 14 6,7 - 7 -5 123 25 23 8 - - -6 145 - 40 - 1,5 25 -7 470 65 45 30,7 5 1 18 215 12 - - 2 3,5 19 94 34 25,84 24 10,3 14,5 -

    10 356 103,5 53,4 48,5 16,8 22,5 -Average 391,5 47,96 31,51 26,7 13,18 23,09 -

    SD 284,09 30,81 15,34 18,74 7,57 20,70 -

    0%10%20%30%40%50%60%70%80%90%

    100%

    % R

    esis

    ten

    ce

    E coli Staph coag neg Streptococcus spp S uberis Strep. Dysgalactiae

    Farm Selection criteriaEvaluation of

    effectivity

    Regular

    rotation?Prescription

    1 withdrawal period Subjective NoHerd

    veterinarian2 withdrawal period Subjective No Vet com.3 Price Subjective No Vet com.4 Price Subjective No Vet com.5 Price Not evaluated No Vet com.6 Price Not evaluated No Vet com.7 Price Subjective No Vet com.8 effectivity Subjective No Vet com.9 withdrawal period Subjective No Vet com.

    10 withdrawal period Subjective NoHerd

    veterinarian

    Mastitis is the most prevalent disease on farms studied, as is shown by the resultsobtained.

    Farmers has an easy way to buy antimicrobials, but this will change with the newlegislation.

    Some questionable treatments are routinely carried out on farms studied astreatments with last choice drugs.

    Measures to reduce antimicrobial use can be adopted:Administering intramammary infusions instead of systemic treatments Implementation of a selective drying treatment and applying non-antibiotic

    sealants may be another alternative Reduce the use of antibiotics causes a decrease in resistance and a lower risk of

    transferring to people.

    CONCLUSIONS

    Table 1. Percentage of isolation of most common pathogens

    Moyanos Hernandez, JoelJune 2016

    Table 3. Drugs most commonly used in farmsMany producers aretreating clinical mastitiswith intramuscular orsubcutaneous drugsalone. Supplying lastchoice treatments (7/10)as fluorquinolones ratherthan treating with firstchoice drugs (penicillinor 1st G Cephalosporin)intramammary (Table 3).

    The use of fluorquinolones and 3rd generation cephalosporin increases the risk ofemergence of resistant pathogens and should not be used as 1st option. Following PrudentUse Guidelines fluoroquinolones should be reserved for the treatment of clinicalconditions that have responded poorly, or are expected to respond poorly, to other classesof antimicrobials and should only be used where susceptibility testing has first beencarried out.

    Figure 1. Distribution of dairy cows on Catalonia. Prepared by the author

    Table 4. Use of antibiotics on farm

    Figure 2. Percentage of resistance to most common drugs used on farms. Data shows there is abig presence of resistance to most common drugs used on farms, mainly to Penicillin andAmpicillin. E coli shows resistance, and has the biggest percentage of resistance, to a widerrange of drugs. Data from antibiogram results realized by ALLIC during 2015 (n=67).

    BIBLIOGRAPHY1. Epidemiology data from Associació Lletera Interprofesional de Catalunya2. Thomas V, De Jong A, Moyaert H, Simjee S, El Garch F, Morrisey I, Marion H, Vallé M. «Antimicrobial susceptibility monitoring of

    mastitis pathogens isolated from acute cases of clinical mastitis in dairy cows across Europe: VetPath results.» International Journalof Antimicrobial Agents 46, 2015: 13-20.

    3. Ruegg PL. «Risks, realities and responsibilities associated with mastitis treatments.» Proc. Reg. Meeting National Mastitis Council,2014: 4-6.

    4. Marco JC, Rodriguez M, Gonzalez M, Ziluaga I, Salazar LM, Palomino A, Mendez A, Díaz A, Fernandez G. «Etiologia de las mamitisbovinas en España.» 2000.