Hill Farm Research Station

MASTITIS IN HEIFERS
Stephen C. Nickerson

Hill Farm Research Station
Louisiana Agricultural Experiment Station
Louisiana State University Agricultural Center
 snickerson@agcenter.lsu.edu
 
Introduction
Replacement heifers, whether they are raised on the farm, purchased from other dairies, or contract raised by growers, are critical to herd productivity because they represent the future milking stock in all dairy operations. In rearing these young dairy animals, the goal is to provide an environment for heifers to develop full lactation potential at the desired age with minimal expense. Animal health and well-being play vital roles in achieving this potential, and one disease that can influence future productivity is mastitis.

In most cases, intramammary infection is considered a disease of mature lactating and dry cows, and several mastitis control practices have been developed for this age group of animals. These include proper milking time hygiene, the use of functionally adequate milking machines, dipping of teats both before and after milking, use of dry cow therapy, prompt treatment of clinical cases of mastitis, and culling of those chronically infected cows that do not respond to repeated attempts at therapy. Management practices and disease control in heifers, however, emphasize proper housing, vaccination against calfhood diseases, adequate nutrition, and artificial insemination, without any regard to mastitis control. It must be emphasized that intramammary infections can develop in these young dairy animals, and mastitis-causing bacteria may be found in heifers with mammary secretions as early as 6 months of age.

Unfortunately, most dairymen regard young heifers as uninfected, and the presence of mastitis is not noticed until freshening or until the first clinical flare-up in early lactation. Thus, an animal may carry an intramammary infection for a year or more before it is diagnosed. The greatest development of milk-producing tissue in the udder occurs during the first pregnancy, so it is important to protect the mammary gland from pathogenic microorganisms to insure maximum milk production during the first and possibly the subsequent lactations. Research in New Zealand has shown that Staphylococcus aureus mastitis in heifers results in significant production losses during the first lactation, which carries over into the subsequent lactation even if the infected quarters are successfully treated.

Research and Commercial Herd Studies
Scientists at the Hill Farm Research Station became interested in heifer mastitis in the mid-1980s after several area dairymen complained that a large percentage of their heifers were freshening with clinical signs of mastitis. A subsequent study of postpubertal animals in the Hill Farm Research Station dairy herd revealed that intramammary infections were initially diagnosed at approximately 9 months of age, and infections persisted throughout pregnancy and into lactation. A follow-up study in four commercial dairies demonstrated that about 97% of breeding age and bred heifers (12 to 24 months of age) were infected. Most of the infections were caused by the coagulase-negative staphylococci (Staphylococcus chromogenes, Staphylococcus hyicus) followed by Staph. aureus (almost 20%) and the environmental streptococci (Figure 1); Streptococcus agalactiae were never isolated, and coliforms were only rarely found.
Figure 1. Frequency of bacterial isolates from mammary secretions (%)

Somatic cell counts (SCC) are used to assess the udder health status of mature, lactating cows, and this parameter has been examined in heifer mammary secretions. In secretions from uninfected quarters, SCC were over 5 x 106/ml; the volume of mammary secretion is very low in breeding-age animals, thus SCC become concentrated, resulting in high SCC. However, SCC were almost 20 x 106/ml in quarters infected with Staph. aureus and over 12 x 106/ml in those infected with the coagulase-negative staphylococci and environmental streps. Such elevated SCC over a long period of time suggests that the affected quarter would be in a state of chronic inflammation, which would adversely affect development of the milk-producing tissue. In fact, histological analysis of the mammary tissues obtained from several bred heifers chronically infected with Staph. aureus demonstrated that the potential for milk production was significantly reduced compared with tissues from uninfected quarters.

Efficacy of Antibiotic Treatment
Because of the high level of infection found in heifers at local dairies, especially that caused by Staph. aureus, an attempt to treat infected quarters was made, while management procedures to prevent the disease were developed. The various staphylococcal isolates obtained from heifers were tested for susceptibility to antibiotics commonly incorporated into mastitis infusion tubes. Results indicated that antibiotic resistance was low and that greater than 90% of the mastitis-causing bacteria were killed by the drug preparations tested. From a practical standpoint, the administration of antibiotics by a parenteral route would be preferred; however, neither subcutaneous nor intramuscular injections of drugs were found to cure intramammary infection. Parenteral treatment was ineffective because sufficient antibiotic did not pass into the mammary gland as evidenced by the analysis of secretion samples as well as tissue biopsy samples for drug residues. Thus, intramammary infusion became the route of choice.

A product containing 1 million units of penicillin and 1 gram of streptomycin (Quartermaster, Pharmacia & Upjohn, Kalamazoo, MI) was used initially in several herds to treat both breeding-age heifers as well as those in various stages of pregnancy with confirmed infections caused by various bacterial species; several animals of all age groups served as untreated controls. Heifers were restrained in a squeeze chute equipped with a head gate, and teat ends were scrubbed with cotton balls soaked in 70% alcohol or with the pledgets accompanying mastitis tubes in order to sanitize the teat orifice prior to infusion. While administering the antibiotic, the partial insertion technique was used to avoid stretching the teat canal as well as to avoid the introduction of bacterial contaminants. Infected quarters of each animal were treated in an attempt to cure existing infections, and remaining uninfected quarters were treated prophylactically. After infusion, teats were immersed in a barrier teat dip to seal the teat orifice and prevent entrance of bacteria.

When the treated and untreated control animals freshened, milk samples were taken and processed to determine infection status. Results showed that the overall infection level in treated heifers was reduced almost 60% compared with controls, whereas the infection level did not change in untreated controls (Figure 2).
 

 
Figure 2. Prevalence of mastitis at time of treatment and
at calving in heifers

The percentage of quarters infected with Staph. aureus was reduced 91% in heifers that had received treatment compared with infected quarters not receiving treatment. This cure rate for Staph. aureus is far greater than the 25% cure rate observed after heifers are treated during lactation for this disease using conventional lactating cow therapy. Reasons for this high cure rate are unclear, but the relatively small secretory tissue area of heifer mammary glands compared with mature cows might allow for greater drug concentrations in the udder. Similarly, histological studies have demonstrated less scar tissue and abscess formation in the mammary glands of heifers compared with older cows, which would allow for better drug distribution and better contact with colonized bacteria. Detection of antibiotic residues demonstrated that on the day of calving, 2.9% of treated heifers were positive, which was attributed to two heifers whose expected calving dates were miscalculated that had been treated within 45 days of freshening.

In one of the Jersey herds evaluated, an economic analysis was performed to justify use of the heifer treatment program. Production data collected over the first two months of lactation demonstrated that mastitic heifers that had received nonlactating cow therapy during pregnancy produced an average of 5.4 lbs more milk per day than herdmates that did not receive treatment. At the milk price received at that time, this greater yield translated to a $42.12 increase for treated heifers, which was well worth the $5.00 cost of treatment.
 
Subsequent investigations using other nonlactating intramammary infusion products have been equally rewarding in treating heifers with Staph. aureus mastitis. For example, the treatment of animals 8 to 12 weeks prior to expected calving date with 300 mg cephapirin benzathine (Tomorrow®, Franklin Laboratories, Inc., Fort Dodge, IA) resulted in a 96% cure rate. An examination of SCC showed that at the time of treatment, SCC were 15 x 106/ml, but decreased to 4 x 106/ml 1 wk later and to 700,000/ml on the day of calving. If infected quarters were left untreated, heifers freshened with Staph. aureus-infected quarters with an average SCC of 5 x 106/ml. When these later animals were treated with a lactating cow product containing 200 mg cephapirin sodium (Today®, Franklin Laboratories, Inc.) immediately after calving, cure rate was only 50%. Thus, cure rates were greater when a nonlactating cow product was administered several weeks prepartum than when a lactating cow product was given shortly after calving.
 
Lactating cow products have been used successfully in heifers when treating infections caused by the coagulase-negative staphylococci immediately prior to calving. In a Tennessee study, quarters of infected heifers were infused one time 1 week prepartum with either Today® (Franklin Laboratories, Inc.), 200 mg sodium cloxacillin (Dairyclox®, Smith Kline Beecham, West Chester, PA), or left untreated. At the time of infusion, approximately 90% of heifers were infected in one or more quarters, and if left untreated, 78% of animals remained infected at time of calving. However, only 18% of the heifers remained infected at calving if they were treated prepartum, regardless of the treatment used. By 3 days postpartum, antibiotic residues were not detected in milk from heifers infused with sodium cloxacillin, but about 39% of samples from those treated with cephapirin sodium were positive for residues; however, by 10 days, residues were not detected. This study also examined the influence of prepartum antibiotic treatment on subsequent lactational performance and found that heifers receiving treatment produced approximately 1000 lbs more milk per lactation than untreated controls.

Thus, prepartum treatment with lactating cow therapy was shown to be effective for quarters infected with the coagulase-negative staphylococci, but waiting until this time to treat chronic Staph. aureus mastitis might be too late. A mammary gland that has been infected with Staph. aureus for several months to a year will not develop normally, and treatment during the immediate prepartum period would most likely be of little, if any, benefit. At this point, the damage is already done, and affected quarters should have been treated earlier in gestation to cure the existing infections, reduce the chronic inflammation, and allow the mammary tissue to develop normally during the later stages of pregnancy.

The question arises as to when is the best time to treat bred heifers for optimizing cures against Staph. aureus mastitis. A 2-year study involving 175 Jersey heifers was designed to answer this question. In this trial, heifers were sampled shortly after they were confirmed pregnant and at 4-week intervals thereafter. After the initial sampling, animals were treated with a one-time infusion of one of four nonlactating cow infusion products (Cefa-Dri®, Bristol Laboratories, Syracuse, NY; Micotil® 300 @ 1 cc/infusion, Elanco Animal Health, Indianapolis, IN; Quartermaster®; or Albadry Plus®, Pharmacia & Upjohn) during the first (0 to 90 days), second (91 to 180 days), or third (181 to 270 days) trimester of pregnancy; a nontreated control group was also included. Treatment with Micotil® was purely experimental, as this product is not labeled for use as an intramammary infusion product.
 
Prior to treatment at the initial sampling, an average of 16.5% of quarters were infected with Staph. aureus, and the range among treatments was 12.9 to 21.3% (Figure 3).

 

 
Figure 3. Prevalence of Staph. aureus in bred heifers at precalving and calving
samplingsacross antibiotic treatments

In untreated control quarters, the percentage of quarters remaining infected with Staph. aureus remained above 20% through much of the prepartum period, then decreased to 13.3% at calving. Among the treated quarters, percentages of quarters infected with Staph. aureus decreased to less than 5% at the first sampling and remained low through calving. To date, an examination of cure rates among treatments indicates that all antibiotics used were equally effective in curing infections, and there was no apparent effect of the timing of therapy; treatment efficacy ranged from 83.3 to 100% (Figure 4).
 

 
 Figure 4. Cure rate of Staph. aureus by treatment product for each
trimester of pregnancy

Because therapy during the first, second, or third trimester of gestation had no effect on treatment efficacy, the timing of treatment, if deemed necessary, is probably best determined by what is most convenient for the management practices of a particular dairy or custom grower operation. For example, heifers could be treated during the first, second, or third AI service; during routine rectal palpation to determine pregnancy status; or when moved to a close-up pen, as long as treatment is administered no less than 45 days prior to expected calving date.

The treatment of heifers during pregnancy with a nonlactating cow product is advantageous because the cure rate is higher than during lactation, especially against Staph. aureus. In addition, there are no milk losses during therapy, the risk of antibiotic residues is minimal, SCC at calving is reduced, and milk production is increased in successfully treated cows. Treatment is indicated only in herds experiencing a high prevalence of heifers calving with clinical mastitis. The potential for residues at calving should be considered, especially in animals that calve early. Residue testing should be carried out before mixing milk from treated animals with herd milk.
 

Influence of Dietary Supplementation
Another management tool to reduce the level of infection and SCC when heifers calve as well as throughout lactation is through dietary supplementation with micronutrients. Diet appears to play a role in udder resistance to infection because certain nutrients affect various mammary resistance mechanisms, i.e., leukocyte function, antibody transport, and mammary tissue integrity. In one study, heifers received selenium (0.3 ppm/day) and vitamin E (50 to 100 ppm/day) supplementation starting 60 days prepartum. A selenium booster injection (50 mg) was administered 21 days prior to freshening, and the dietary supplementation was continued throughout lactation. Dietary supplementation reduced staphylococcal and coliform infections at calving by 42%. Although rate of new infection during lactation did not differ from unsupplemented controls, duration of infection caused by organisms other than Corynebacterium bovis was reduced 40% to 50% in supplemented heifers. Clinical mastitis in supplemented heifers was reduced (57%) in early lactation as well as throughout lactation (32%), and mean SCC was lower. Thus, vitamin E and selenium improved udder health of heifers, and the effect of dietary supplementation was most evident at calving and in early lactation.
 
Role of Vaccination in Mastitis Control
Recent research has demonstrated that several experimental Staph. aureus vaccines as well as one commercial vaccine can effectively increase antistaphylococcal antibody titers and reduce the new IMI rate in heifers.

A Staph. aureus vaccine formulated to stimulate pseudocapsule and alpha toxin antibodies was evaluated in heifers in New York. At 4 and 2 weeks prior to calving, heifers were given subcutaneous injections in the SMLN, and after calving, heifers were challenged with Staph. aureus. Vaccinates demonstrated a 52% reduction in new IMI; in addition, 64% of IMI in control cows became chronic compared with 12% in vaccinates.

A field study in Norway evaluated a Staph. aureus vaccine that contained 2 strains of whole, formalin-inactivated bacteria with pseudocapsule, alpha and beta toxoids, and mineral oil as an adjuvant. A total of 108 pregnant heifers on 16 farms with an average Staph. aureus prevalence of 19.2% was used. Vaccinates were injected sc. in the area of the SMLN with a dose of 2.5 ml at 8 and 2 weeks before calving, resulting in a 46% reduction in new IMI during the subsequent lactation. In a separate analysis, the antibody response to the above vaccine trial was evaluated. Antibody titers to Staph. aureus pseudocapsule and alpha toxin were markedly elevated in the serum of vaccinates, and these titers remained significantly higher in serum and milk during the entire lactation compared with those of controls.

The Australians developed an inactivated, cell-toxoid prepared from 2 strains of Staph. aureus that produced pseudocapsular material and beta and gamma hemolysins, and mixed this with an adjuvant consisting of mineral oil/dextran sulphate. They evaluated this vaccine using 1819 cows in 7 dairy herds. The vaccine was administered im. in the neck twice at 4- to 6-week intervals during the last 10 weeks of pregnancy. Over the subsequent lactation, the number of clinical cases of Staph. aureus mastitis across all herds was lower in vaccinates compared with controls (45 vs. 67), but the difference was not significant. However, in cows of the 1 herd with a history of Staph. aureus mastitis, the number of clinical cases in vaccinates was significantly lower than that in controls. Likewise, for both cows and heifers in this herd, vaccinated animals had a significantly lower prevalence of subclinical mastitis compared with controls.

In Argentina, a vaccine was developed based on an inactivated, highly encapsulated Staph. aureus strain, a crude extract of Staph. aureus strain exopolysaccharides, and inactivated unencapsulated Staph. aureus and Strep. species in an aluminum hydroxide adjuvant. This formulation was evaluated in 3 groups of 10 24- to 26-month-old heifers each in a 7-month trial. The first group received an intramuscular injection of the vaccine in the neck at 8 and 4 weeks prepartum, the second group was vaccinated similarly at 1 and 5 weeks postpartum, and a third group (control) received placebo injections at 8 and 4 weeks prepartum. The research herd from which the heifers were selected had bulk tank SCC ranging from 480 x 103 to 730 x 103/ml, and 19% of quarters were infected with Staph. aureus. This immunization program showed that the frequency of Staph. aureus IMI was reduced from 18.8% in controls to 6.7 and 6.0% for heifers vaccinated prepartum and postpartum, respectively, and this protective effect was maintained for at least 6 months.
 
In a subsequent study in Argentina, the vaccine used above was evaluated in 164 cows in 2 commercial dairy herds during a 4-month period. Initial SCC of the dairies ranged from 580 x 103 to 600 x 103/ml and the percentage of quarters infected ranged from 15 to 16%. Eighty-two lactating cows received the vaccine administered as above and the 2 doses were given within a 4-week period during lactation. Results demonstrated a 40.2% reduction in Staph. aureus mastitis in vaccinates.
 
In view of more recent studies showing success of vaccines in heifers, researchers in Louisiana evaluated a commercially available Staph. aureus vaccine in young dairy animals. The vaccine (Lysigin®) was a lysed culture of polyvalent somatic antigens in aluminum hydroxide. At 6 months of age, heifers were vaccinated using a 5-ml dose im., and 14 days later, vaccinates received a booster dose, which was repeated at 6-month intervals. Results demonstrated that the number of quarters exhibiting chronic IMI during pregnancy was reduced 43.1% in vaccinates compared with controls, rate of new IMI during pregnancy was reduced 44.8%, and rate of new IMI at freshening was reduced 44.7%.
 

Other Factors to Consider
Breed. In other investigations of mastitis in heifers, additional parameters have been evaluated. For example, the overall prevalence of infection was found to be approximately twice as high in Jerseys (67.7%) compared with Holsteins (35%).

Flies. Heifers with scabs and abrasions on the teat skin surface, presumably induced by flies, had a higher frequency of infection (70%) than heifers with normal teats (40%). Moreover, herds using some form of fly control had markedly fewer infections with environmental streptococci and Staph. aureus and somewhat fewer coagulase-negative staphylococcal infections than those without fly control (Figure 5).

Figure 5. Prevalence of mastitis in heifers in herds with and without fly control
 
Insecticide-impregnated tail tags have been developed in attempts to control flies as well as mastitis in dairy heifers. In North Carolina, heifers reaching puberty in the summer months were fitted with tags, and the presence or absence of abnormal milk was noted at calving. Results indicated a beneficial effect of this control measure. A subsequent study using beef animals conducted during the spring and summer in Louisiana demonstrated that the same tail tags were successful in reducing fly populations (60% decrease) and the incidence of new intramammary infections during the first 2 months after placement, but thereafter, there was little control of either parameter. In animals with tags, the incidence increased from 8.6 to 15% over 2 months, while in controls, incidence increased from 17.2 to 52.4% (Figure 6).
 
 
Figure 6. Incidence of mastitis in cows fitted with tail tags during the first 2 months after placement
 
Clinical Mastitis. An examination of the frequency of clinical mastitis during pregnancy among bred heifers in four commercial dairies revealed a level of 7.5%. At the time of calving, frequency of clinical cases increased to 24%, indicating that either the presence of new infections during the prepartum period led to flare-ups of clinical mastitis at freshening or that chronically infected quarters in heifers should be controlled prepartum rather than at or following freshening. Somatic cell counts in uninfected quarters decreased from 7.6 x 106/ml at the initial sampling during pregnancy to 1.5 x 106/ml at time of calving. In infected quarters, SCC decreased from 23.1 x 106/ml during pregnancy to 4.1 x 106 at calving. This again indicates the need for infected heifers to be treated in order that they enter the milking herd with low SCC.

Secretion characteristics. The monitoring of mammary secretion characteristics demonstrated that quarters with a honey-like consistency exhibited low frequencies of infection (10%), whereas those with a thin, watery secretion with clots and flakes exhibited a high frequency of infection (78%).

Season. The effect of season on prevalence of infected quarters in breeding age heifers demonstrated that level of infection decreased through winter (55.6%), spring (42.3%), and summer (30.3%) and increased in the fall (49.6%). This trend is just the opposite of what was expected in view of the association of mastitis and the fly season in this region. However, at time of calving, prevalence of infection increased from winter (44.8%) to spring (49.6%) and summer (60.5%), and decreased in the fall (35.9%).
 

Sources of Infection
How do heifers get intramammary infections? No one knows for sure. Sources may include 1) bacteria that are the normal flora on udder skin that are in an opportunistic position to colonize the teat end and enter the teat orifice; 2) bacteria harbored in the oral cavities of calves, which suckle other calves; 3) bacteria present in the heifers' environment, such as those found in soil, manure, and bedding materials; and 4) bacteria present on biting flies that congregate on teat ends. Normal flora would be almost impossible to control, as these microorganisms are naturally found on the udders and teat skin. Perhaps daily teat dipping would reduce bacterial populations, but this practice would be highly impractical. The transfer of mastitis-causing bacteria through cross-suckling of calves fed mastitis milk can be prevented by housing calves in individual hutches, and this management practice has become fairly routine. As with attempts to control normal udder flora, the control of environmental mastitis-causing bacteria has its limitations; however, the percentage of intramammary infections caused by the environmental streptococci and coliforms is low. Flies have certainly been implicated in the etiology of heifer mastitis. The horn fly (Haematobia irritans) has been found feeding on scabs and abscesses infected with Staph. aureus and has been shown to spread mastitis-causing bacteria among heifers.
 
Summary
Currently, there are no established management practices to prevent young dairy heifers from contracting intramammary infections, other than use of individual calf hutches to prevent cross-suckling. As stated above, whether such infections are caused by flies, bacteria in the environment, or natural oral and udder skin flora remains to be proven. However, once an intramammary infection is diagnosed, the use of nonlactating cow therapy has proven highly effective in curing this disease. The dairyman has the responsibility of ensuring that an animal remains healthy in his care, then this responsibility should include udder health. It is his responsibility to culture any new animals that are brought into his herd to avoid the introduction of contagious mastitis-causing microorganisms such as Staph. aureus. Some dairymen and veterinarians worry that sampling heifers for presence of mastitis may destroy the keratin plug, leading to new infections. However, studies designed to test this theory demonstrated that as long as teat ends were properly sanitized, samples were taken aseptically, and teats were dipped in a barrier type product after sample collection, there was no effect on new infection rate.
 
Whether heifers are raised on the dairy or custom grown, managers of these young dairy animals should be vigilant of udder health. Visual and manual examination of the developing udders, mammary fluid, and teat skin will help identify swollen quarters, abnormal secretions, and presence of teat scabs. Individual swollen quarters with abnormal secretions (clots and flakes) and those with teats exhibiting scabs and abrasions are most likely infected and should be treated. It is suggested that nonlactating cow therapy of heifers be carried out if greater than 5% of animals are freshening with Staph. aureus mastitis. Managers should be cautioned, however, that treatment of bred heifers may constitute extra-label drug use and should be carried out under the supervision of the herd veterinarian within the context of a valid veterinary/client/patient relationship.
 
Selected References
1. Boddie, R. L., S. C. Nickerson, W. E. Owens, and J. L. Watts. (1987) Udder microflora in nonlactating heifers. Agri-Practice. 8:22-25.

2. Nickerson, S. C., and R. L. Boddie. (1992) Prevalence of heifer mastitis in Northwest Louisiana. Louisiana Dairyman. pp. 2-3, April.

3. Oliver, S. P., M. J. Lewis, B. E. Gillespie, and H. H. Dowlen. (1992) Influence of prepartum antibiotic therapy on intramammary infections in primigravid heifers during early lactation. J. Dairy Sci. 75:406-414.

4. Owens, W. E., S. C. Nickerson, P. J. Washburn, and C. H. Ray. (1991) Efficacy of a cephapirin dry cow product for treatment of experimentally induced Staphylococcus aureus mastitis in heifers. J. Dairy Sci. 74:3376-3382.

5. Owens, W. E., S. C. Nickerson, P. J. Washburn, and C. H. Ray. (1993) Prepartum antibiotic therapy with a cephapirin dry cow product against naturally occurring intramammary infections in heifers. Vet. Med. B. 41:90-100.

6. Smith, K. L., H. R. Conrad, B. A. Amiet, and D. A. Todhunter. (1985) Incidence of environmental mastitis as influenced by dietary vitamin E and selenium. Kieler Milchwirtschaftliche Forschungsberichte. 37:482-486.

7. Trinidad, P., S. C. Nickerson, and R. W. Adkinson. (1990) Histopathology of staphylococcal mastitis in unbred dairy heifers. J. Dairy Sci. 73:639-647.

8. Trinidad, P., S. C. Nickerson, and T. K. Alley. (1990) Prevalence of intramammary infections and teat canal colonizations in unbred and primigravid dairy heifers. J. Dairy Sci. 73:107-114.

9. Trinidad, P., S. C. Nickerson, T. K. Alley, and R. W. Adkinson. (1990) Efficacy of intramammary treatment in unbred and primigravid dairy heifers. J.A.V.M.A. 197:465-470.

10. Trinidad, P., S. C. Nickerson, and D. G. Luther. (1990) Antimicrobial susceptibilities of staphylococcal species isolated from mammary glands of unbred and primigravid dairy heifers. J. Dairy Sci. 73:357-362.


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