Evaluation of methods for the diagnosis of Streptococcus agalactiae intramammary infections in dairy cattle.

The sensitivity, specificity, and positive and negative predictive values were compared for six methods of collecting or culturing milk samples for the diagnosis of chronic Streptococcus agalactiae intramammary infection. Cows in four dairy herds were cultured three times in 2 wk to determine infection status. At the second sample period, individual quarter and composite milk samples were taken before and immediately after milking, and two volumes of milk from the composite samples were streaked on culture plates. The sensitivity, specificity, and predictive values for these cultures ranged between 95 and 100% for all diagnostic methods, and no significant differences were found between methods. The results indicate that when either quarter or composite samples are collected before or immediately after milking, 95 to 100% of S. agalactiae culture-positive cows will be infected with S. agalactiae in herds with a prevalence of S. agalactiae between 35 and 55%. A similar proportion of culture-negative cows will be uninfected.