Hillerton J Eric, Kliem Kirsty E
Institute for Animal Health, Compton, United Kingdom.
J Dairy Sci. 2002 Apr;85(4):1009-14. doi: 10.3168/jds.S0022-0302(02)74161-1.
Antibiotic regimens (intramammary antibiotic, penicillin-based parenteral treatment) and intramuscular oxytocin were tested for effectiveness against experimental infection by Streptococcus uberis with the following results from 54 animals: a) no treatment led to deterioration of infected quarters, requiring intervention within 48 h for cow health; b) aggressive intramammary antibiotic at every milking achieved 70% clinical cure in 3 d and 100% cure within 6 d; overall bacteriological cure was 80%; c) parenteral treatment alone used about 14 times as much antibiotic with 18% clinical cure in 3 d and 91% within 6 d; overall bacteriological cure was 80%; d) combination of aggressive intramammary and parenteral treatments achieved 61% clinical cure in 3 d and 100% within 6 d; overall bacteriological cure was 72%; e) intramammary antibiotic at labeled rates (1x for 3 d) achieved 27% clinical cure in 3 d but 91% within 6 d of treatment; overall bacteriological cure was 64%; f) use of oxytocin alone for 3 d failed to achieve clinical improvement with an increase in the severity of mastitis; g) combining oxytocin with labeled use of intramammary antibiotic (1x for 3 d) was unsuccessful: 0% clinical cures in 3 d, 10% in 6 d; significantly poorer than intramammary antibiotic alone. Extended treatment periods with parenteral or intramammary antibiotics resulted in positive inhibitory tests for milk from individual quarters up to 8 d after treatment. Aggressive intramammary antibiotic was the most effective treatment for fastest cure clinically and bacteriologically using least antibiotic.
对54头奶牛进行了抗生素治疗方案(乳房内注射抗生素、基于青霉素的全身治疗)和肌肉注射催产素对乳房链球菌实验性感染的有效性测试,结果如下:a)不进行治疗会导致感染乳区恶化,48小时内需要对奶牛健康进行干预;b)每次挤奶时积极进行乳房内抗生素治疗,3天内临床治愈率达70%,6天内达100%;总体细菌学治愈率为80%;c)仅进行全身治疗使用的抗生素量约为前者的14倍,3天内临床治愈率为18%,6天内为91%;总体细菌学治愈率为80%;d)积极的乳房内和全身联合治疗,3天内临床治愈率为61%,6天内为100%;总体细菌学治愈率为72%;e)按标记剂量(连续3天每天1次)进行乳房内抗生素治疗,3天内临床治愈率为27%,但治疗6天内达91%;总体细菌学治愈率为64%;f)单独使用催产素3天未能实现临床改善,乳腺炎严重程度反而增加;g)将催产素与按标记剂量使用乳房内抗生素(连续3天每天1次)联合使用未成功:3天内临床治愈率为0%,6天内为10%;明显低于单独使用乳房内抗生素。使用全身或乳房内抗生素延长治疗期会导致治疗后长达8天个别乳区的牛奶抑制试验呈阳性。积极的乳房内抗生素治疗是临床上和细菌学上治愈最快且使用抗生素最少的最有效治疗方法。