Etifuand Tilahun
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Cross-sectional study design was implemented in Alage dairy farm to determine the overall prevalence
of mastitis, its causative agents, susceptibility patterns and risk factors associated with it. A total of 111
milking dairy cows and 444 quarters were examined. Overall prevalence of mastitis at cow and quarter
levels were 73 and 37%, respectively. Coagulase negative staphylococci (CNS) (37.7%) followed by
Staphylococcus aureus (19.6%), Escherichia coli (9.4%), Staphylococcus intermidius (9.4%), Bacillus
species (8%), Streptococcus species (5.8%), Klebsiella pneumoniae (5.8%), and Enterobacter aerogens
(4.3%) were isolated in that order of decreasing frequency. From a total of seven antibiotics tested,
most isolates were sensitive to Norfloxacin but showed resistance to Ampicillin. Age, stage of lactation,
milk yield, hygiene score, feet problems and udder conformation were found to be risk factors
significantly (P<0.05) associated with mastitis. The high prevalence rate of mastitis in a relatively well
managed dairy farm implied that, it is the trickiest health problem of dairy cows that needs continued
and concerted efforts in its fight.
INTRODUCTION
Various researchers, in different parts of the world, somatic cell count (SCC), costs of drugs, veterinary
revealed mastitis as grievous disease in the dairy services and increased labor costs, increased risk of
industry. The disease has been described as the most subsequent mastitis, herd replacement, and problems
common and costly in dairy production (Seegers et al., related to antibiotics residues in milk and its products are
2003). The risk factors associated of the disease were some of the major issues of concern for the cow, farmer
also reported to be multi-factorial and multi faceted and for the consumers.
showing considerable differences with agro ecological According to Sharma et al. (2007) mastitis is one of the
zones and farming conditions. According to Getahun et most significant health problems of dairy herds as it
al. (2008) loss in milk production, discarding abnormal causes physical, chemical and bacteriological changes in
milk and milk withheld from cows treated with antibiotics, the milk of dairy animals resulting in inferior quality and
decrease in milk quality and price due to high bacterial or quantity of produced milk with possible public health
Author(s) agree that this article remain permanently open access under the terms of the Creative Commons Attribution
License 4.0 International License
Etifu and Tilahun 15
MATERIALS AND METHODS From each quarter of the udder, a squirt of milk sample was
dropped in each of the strip cups on the CMT paddle and an equal
Location amount of 3% CMT reagent was added to each cup and mixed
gently. The test result was interpreted according to Quinn et al.
The study was conducted at the Alage Agricultural Technical (1999) based on the thickness of gel formed by CMT reagent and
Vocational Education Training College (AATVETC) dairy farm milk mixture and as 0 (negative), T (trace), 1(weak positive),
located in the central rift valley agro-ecological zone, 170 Km south 2(distinct positive) and 3(strong positive). Finally quarters with CMT
of Addis Ababa, Ethiopia. score of 1 or above were judged as positive for sub clinical mastitis;
otherwise negative.
Study population and sample size
Bacteriological isolation and identification
The study population consisted of all Holstein Friesian cows
present at AATVETC dairy farm. A cross-sectional type of study Milk samples were bacteriologically examined according to the
was carried out on 111 lactating cows from October 2011 to May procedures employed by Quinn et al. (1999). The milk samples,
2012. taken from infected quarters, were centrifuged so as to increase the
16 Int. J. Livest. Prod.
bacterial load and inoculated separately on to blood agar base second lactations. More than 82% of the cows had body
enriched with 7% ovine blood using quadrant streaking method. condition score of 3-4. Milk yield per day varied from 4 L
The inoculated plates were incubated aerobically at 37°C for 24 to
48 h, after which presence or absence of bacterial growth, colony
to more than 11 L with 53% of the cows producing 8-11 L
morphology, color and hemolytic characteristics were recorded on per day.
primary culture. Prior to further biochemical tests, the isolated
bacteria were sub-cultured into nutrient agar. Each culture was
subjected to gram staining to determine the shape, and gram Prevalence of mastitis
reaction. Catalase test, using 3% Hydrogen per oxide (H 2O2), was
performed to identify catalase positive and catalase negative
bacteria. Mannitol Salt Agar (Oxiod, UK) and purple base agar
The overall prevalence of mastitis at cow level was found
(Difco) with 1% maltose were used to differentiate Staphylococcus to be 73%. Prevalence of Sub clinical and clinical mastitis
species. The culture was incubated at 37°C and examined after 24- at cow level was found to be 56.8 and 16.2%,
48 h for mannitol and maltose fermentation respectively. Tube respectively. The overall prevalence of clinical and sub
coagulase test, using rabbit plasma, was used to identify the clinical mastitis at quarter level was 8.8 and 28.2%,
coagulase positive and coagulase negative Staphylococcus
respectively. Prevalence at right quarters and left
species. Enterobacteriacae species were identified using oxidase
test. Other tests preformed were SIM medium (Oxiod, UK) for sulfur quarters was also found to be 54.5 and 44.5%,
production; indole test (after addition few drops of kovacs reagent) respectively. The details of prevalence rates of clinical
and motility test, (Triple Sugar Iron-Oxiod,UK) to detect sugar and sub-clinical mastitis at cow and quarter levels are
fermentation, sulfur and gas production; MacConkey agar (Oxiod, presented in Tables 2 and 3, respectively. From a total of
UK) for lactose fermentation and colony characteristics; and 444 quarters examined 23(5.2%) were blind quarters.
Simmon’s citrate agar (Oxiod, UK) to differentiate bacteria based on
citrate mutilation.
Data were coded, cleaned and entered into Microsoft Excel Table 5 shows the relationship of animal and
computer software. Statistical analysis was carried out using SPSS management related factors with mastitis prevalence at
version 20. Data were analyzed using descriptive statistics and Alage Dairy Farm. Prevalence rate was 88, 77 and 63%,
associations of the different variables with interest of outcome was respectively in older, mid age and young cows. There
analyzed using a Chi-squared (χ2) test. The association was
considered significant when odds ratio was greater than one and p-
was statistically significant difference among different age
value was less than 0.05. groups (p<0.05). Cows in early lactation stage had
highest mastitis prevalence (100%) than those at late
(68%) and mid (43.3%) stages of lactation with highly
RESULTS significant statistical difference, p<0.01. Feet problems
were also significantly (p<0.01) associated with mastitis
Cow data prevalence. Pendulous udder, compared to high up udder
had higher rate and the difference was statistically
Table 1 illustrates some of the physical and productive significant (p<0.01). Animals with poor body condition
characteristics of dairy cows. The age of cows ranged score, multiple parities, and blind teats exhibited higher
from three to more than eight years with highest prevalence rate of mastitis (79, 80 and 91% respectively)
proportion (54%) being aged between 3 and 5 years. The compared to good body condition score, few parities and
majority (58.6%) of the cows were in their first and absence of blind teats (p>0.05) (Table 5).
Etifu and Tilahun 17
Table 1. Physical and productive characteristics of milking cows at Alage dairy farm (n= 111).
Yes 43 38.73
Feet problems
No 68 61.26
High up 45 40.54
Udder conformation
Pendulous 66 59.46
Yes 54 48.65
PETM
No 57 51.35
Table 2. Cow and quarter level mastitis prevalence at Alague Dairy Farm (n=
111).
Table 4. Frequency of occurrence of bacterial isolates from CMT positive milk samples at Alage Dairy Farm.
Status of mastitis
Proportion
Types of bacteria isolated Sub clinical Total
Clinical mastitis (%)
mastitis frequencies
*CNS 15(10.9%) 37(26.8%) 52 37.7
Staphylococcus aureus 5(3.6%) 22(16%) 27 19.6
Escherichia coli 2(1.4%) 11(8%) 13 9.4
Staphylococcus intermidius 2(1.4%) 11(8%) 13 9.4
Bacillus species 4(2.9%) 7(5.1%) 11 8
Strepthococcus species 2(1.4%) 6(4.4%) 8 5.8
Klebsiella pneumoniae 4(2.9%) 4(2.9%) 8 5.8
Enterobacter aerogens 3(2.174%) 3(2.174%) 6 4.3
Total 37(26.8%) 101(73.2%) 138 100
*CNS (coagulase negative staphylococci).
Table 5. Association of animal and management related risk factors with Mastitis at Alage Dairy Farm (n= 111).
Status of mastitis
Total No of
Risk factor Sub- χ2 df P-value OR 95% CI
cows Clinical (%) Over all (%)
clinical (%)
Age1
Young 60 18.3 45 63.3 6.728 2 0.000**
Mid age 18 0 77.8 77
Old age 33 21.2 66.7 87.8
Stages of lactation2
Early 41 22 78 100 16.14 2 0.000**
Medium 30 10 33.3 43.3
Feet problems
Yes 43 19 74 93 12.83 1 0.000** 5.5 2.05-14.68
No 68 15 46 60
Udder conformation
Pendulous 66 18 71 89 22.32 1 0.000** 7.5 3.11-18.085
High up 45 13 36 49
(2008) and Mekonnen and Tesfaye (2010), however clinical quarter wise prevalence which is higher than our
recorded lower level of sub clinical mastitis prevalence in finding. Variations in husbandry practices between
Selalle (13.6%) and Adama area dairies (22.7%). Regasa different areas might, at least, partly explain the
et al. (2010a), on the other hand reported 34.8% sub differences in prevalence rates reported by different
20 Int. J. Livest. Prod.
authors. Quarter level clinical mastitis prevalence in this most frequently isolated bacteria as per the reports of
study was in line with what was reported by Regasa et al. Regassa et al. (2010a), Matios et al. (2009) and Getahun
(2010b), (10% of clinical prevalence at quarter level). But et al. (2008) in dairy farms of Holeta, Asella and Selalle
our findings is higher than those of Mekonnen and towns, respectively.
Tesfaye (2010) and Getahun et al. (2008) who reported The preponderance of contagious mastitis in this study
quarter wise clinical mastitis prevalence of 2.4 and 0.9% may be ascribed to the lack of proper milking procedure
respectively. Matios et al. (2009) reported clinical mastitis before milking, during the time of milking and post
prevalence level as high as 14.9%. milking. For instance absence of pre- and post teat
The 5.2% of the mammary glands examined were dipping using antiseptics, washing of milkers’ hands and
found to be blind in the study animals which is slightly using teats secretion as a lubricant of teats at the time of
higher than the report of Matios et al. (2009) who found milking which is often practiced in the study area might
4.5% of blind quarters. Getahun et al. (2008) and contributed to the spread of these pathogens from
Mekonnen and Tesfaye (2010) reported 2.3 and 3.6% infected teats to healthy ones.
blind quarters respectively in their study herds. Currently, In the present study interestingly environmental
it is a well-accepted fact that agro-ecology, milking bacteria like E. coli was isolated in high proportion
practice, breed difference, management practices and (9.4%). This is in congruence with the reports of
other risk factors influence mastitis prevalence, which Mekonnen and Tesfaye (2010) and Matios et al. (2009)
might explain the observed differences between the who found 7.5% of the total isolates. In contrast, this
reports of different authors in mastitis prevalence. In the figure is higher than the one reported by Regassa et al.
present study, the higher prevalence level of sub-clinical (2010b), Sori et al. (2005) and Getahun et al. (2008) who
mastitis compared to clinical form; indicate the magnitude reported 4.57, 0.75 and 0.5% in different parts of
of subclinical mastitis problem and low level of attention Ethiopia, respectively. The presence of environmental
that given to it in terms of diagnosis and treatment. bacteria might be an implication of unhygienic milking
practice and contamination of cows’ teats and
environment with their dung in the study area. Antibiotic
Bacterial isolation and anti-bio gram susceptibility susceptibility testing of 138 bacterial isolates was
test performed using a panel of seven antimicrobial drugs
(Oxoid, UK) anti-biotic discs used for the test were
In this study the bacteria with the highest prevalence was Norfloxacin (NOR10 µg), Ampicillin (AMP10 µg),
coagulase negative staphylococci (CNS), followed by S. Gentamicin (CN10 µg), Doxycycline (DO30 µg),
aureus, Escherichia coli, Staphylococcus intermidius, Erythromycin (E15 µg), Trimethoprim-Sulfamethoxazole
Bacillus species, Streptococcus species, Klebsiellae (SXT1.25 µg) and Tetracycline (TE30 µg).
pneumoniae, and Enterobacter aerogens with prevalence In this study CNS isolates were susceptible to
rates of 37.7, 19.6, 9.4, 9.4, 8, 5.8, 5.8 and 4.3% Gentamicin, Tetracycline, Trimethoprim-
respectively. Among isolated bacteria, the majority of Sulfamethoxazole, Norfloxacin, Erythromycin,
them were retrieved from sub clinically infected quarters. Doxycycline and Ampicillin with efficacy rates of 100,
This finding is comparable with the report of Mekonnen 100, 95, 90, 87, 70 and 40% in decreasing order
and Tesfaye (2010) and Gizat et al. (2008) who found respectively. S. aureus isolates were also susceptible to
CNS as the predominant bacteria among isolates in Gentamicin (100%), Erythromycin (100%) Trimethoprim-
Adama and Bahirdar dairies, respectively. On the other Sulfamethoxazole (100%) Norfloxacin (87%),
hand, in different previous studies, S. aureus was the Tetracycline (80%), Ampicillin (55%) and Doxycycline
Etifu and Tilahun 21
(43%) with trend of decrement in potency. E. coli were et al. (2010) who identified parity as risk factor for mastitis
100% susceptible to Norfloxacin and Trimethoprim- in the study conducted at different parts of Ethiopia.
Sulfamethoxazole, but less commonly affected by More cows which had experienced mastitis problem
Erythromycin, Ampicillin, Tetracycline and Gentamicin before, were found to be positive to clinical or/and sub
with the potency of ≤50%. Among antibiotics tested in clinical form of mastitis at current investigation than non-
vitro Norfloxacin was the most potent drug followed by exposed ones, 89 and 58% respectively. This is
Trimethoprim-Sulfamethoxazole Gentamicin, Doxycycline, comparable with the findings of Demelash et al. (2005)
Tetracycline and Erythromycin with the efficacy rate of and Mekonnen and Tesfaye (2010) who indicated cows
97, 94 and 89, 84, 82 and 70% respectively. On the other with previous exposure to udder infection were more
hand, Ampicillin was found to be the least potent drug in likely to be re-infected than those never exposed. This
the overall tested bacteria (55%). Anti-bio gram testing might be attributed to possibility of previously exposed
results in this study is in line with the report of Getahun et cows which remained in carrier state and impotency of
al. (2008) who found 100% susceptibility to ampicillin and drugs used for mastitis treatment in the study area.
tetracycline whereas in case of S. intermidius and S. Lactation stage was found to be a risk factor to mastitis
aurues there was a susceptibility rate of 45.3% for and the prevalence was highest in early lactation (100%)
ampicillin which is in line with the report given by Nibret et than mid (43.3%) and late (68%) which is in agreement
al. (2011) who indicated tetracycline showed 40% with Demelash et al. (2005) who reported mastitis
susceptibility rate for E. coli and 44% for CNS but in prevalence was higher in early lactation (45.8%) than mid
case of CNS it is higher than the report given by Nibret lactation (25.8%). But in some research findings,
et al. (2011) who found susceptibility rate of 60% for prevalence of mastitis was higher in late stage of
Erythromycin and 18.5% for S. aureus for Ampicillin. The lactation than early lactation (Getahun et al., 2008; Gizat
differences in susceptibility patterns of bacteria to et al., 2008). The difference in reports of different authors
different antibiotics might be attributed to differences in concerning the stage of lactation in which mastitis is most
utilization of anti-microbial agents for treatment regimen prevalent, could be attributed to different managements
and development of resistance due to repeated use of practiced in different study areas. The highest prevalence
similar antibiotics in different farms for longer period. rate during the early lactation is an indication of infection,
probably prior to freshening. It may also be reflection of
important changes that occur prior to parturition period in
Associated risk factors and the status of mastitis endocrine, nutritional and metabolic status which
compromise the immunity of the cow. In this stage of
Among assessed potential risk factors to the prevalence lactation, milk yield is increasing this can cause
of mastitis, higher infection rates were observed in cows impairment of the immune system due to metabolic
with advanced age, cows with pendulous udder stress. When cows are in negative energy balance, body
conformation, and multiple parity, poor body condition fat is converted to ketone bodies, and hyper ketonemia
score, bad hygiene score, high milk producers, early has been suggested to be one of the most important
lactation stage, previous exposure to mastitis and blind factors causing impairment of the udder defense
teats. mechanisms and it is likely that the impaired immune
The prevalence rate of mastitis at cow level was higher system in cows in early lactation results in reduced ability
as the age advances; 88, 77 and 63% in older, mid age to battle infection (Suriyasathaporn et al., 2000).
and young cows respectively. There was statistically Hygiene of the cow in this study was found to be one of
significant difference among different age groups. This the risk factors. Cows with bad hygiene score had higher
finding is in broad agreement with reports made by prevalence rate ((100%) than good hygiene score (54%)
different authors in different parts of the country which is in line with Matios et al. (2009) and Molalegn et
(Demelash et al., 2005), Regassa et al. (2010b) and al. (2010). In case of this investigation there was highly
Mungube et al. (2004) who reported age considered as significant difference in cows with pendulous udder
potential risk factor to mastitis and older cows were more conformation than the cows with high up udder
affected by mastitis than younger cows. The increase in conformation with prevalence rate of 89 and 49%
prevalence rate with the advancing age may be due to respectively. This is in agreement with Sori et al. (2005)
gradual suppression of immune system of the body, and Girma (2010) reports. This might be attributed to
structural changes in udder and teats and repeated more exposure to the injurious materials and presence of
exposure to milking practices. more contact with contaminated environment.
Parity was considered as associated risk factor for Interestingly in this investigation, there was strong
mastitis in this study in which cows with multiple parities association between feet problems and presence of
showed higher prevalence (80%) than cows in their first mastitis with prevalence rate of 93 and 60% in the cows
or second lactations (68%). This is in agreement with that had problem of feet than none respectively. This
Mungube et al. (2004), Demelash et al. (2005) Matios et might be partly due to longer time the lame cow spends
al. (2009), Gizat et al. (2008), Girma (2010) and Molalegn in horizontal (laying) position that might increase the
22 Int. J. Livest. Prod.
contact with environmental pathogens and will be prone Thesis, Addis Ababa University School of Graduate Studies and
Freie Universitat, Berlin Faculty of Veterinary Medicine.
to mastitis than none affected ones. Body condition score
Chaplin S, Tierney G, Stockwell C. Logue D, Kelly M (2000). An
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