Canadian Bovine Mastitis Research Network, C.P. 5000, St-Hyacinthe, Québec, J2S 7C6, Canada.
J Dairy Sci. 2012 Jul;95(7):3766-80. doi: 10.3168/jds.2011-5148.
Major mastitis pathogens such as Staphylococcus aureus, Streptococcus uberis, Streptococcus dysgalactiae, and coliforms are usually considered more virulent and damaging to the udder than minor mastitis pathogens such as Corynebacterium spp. and coagulase-negative staphylococci (CNS). The current literature comprises several studies (n=38) detailing analyses with conflicting results as to whether intramammary infections (IMI) with the minor pathogens decrease, increase, or have no effect on the risk of a quarter acquiring a new IMI (NIMI) with a major pathogen. The Canadian Bovine Mastitis Research Network has a large mastitis database derived from a 2-yr data collection on a national cohort of dairy farms, and data from this initiative were used to further investigate the effect of IMI with minor pathogens on the acquisition of new major pathogen infections (defined as a culture-positive quarter sample in a quarter that had been free of that major pathogen in previous samples in the sampling period). Longitudinal milk samplings of clinically normal udders taken over several 6-wk periods as well as samples from cows pre-dry-off and postcalving were used to this end (n=80,397 quarter milk samples). The effects of CNS and Corynebacterium spp. on the major mastitis pathogens Staph. aureus, Strep. uberis, Strep. dysgalactiae, and coliform bacteria (Escherichia coli and Klebsiella spp.) were investigated using risk ratio analyses and multilevel logistic regression models. Quarter-, cow- and herd-level susceptibility parameters were also evaluated and were able to account for the increased susceptibility that exists within herds, cows and quarters, removing it from estimates for the effects of the minor pathogens. Increased quarter-level susceptibility was associated with increased risk of major pathogen NIMI for all pathogens except the coliforms. Increased somatic cell count was consistently associated with elevated risk of new major pathogen infections, but this was assumed to be a result of low sensitivity of bacteriology to diagnose major pathogen NIMI expediently and accurately. The presence of CNS in the sample 2 samplings before the occurrence of a NIMI increased the odds of experiencing a Staph. aureus NIMI 2.0 times, making the presence of CNS a risk factor for acquiring a Staph. aureus NIMI. Even with this extensive data set, power was insufficient to make a definitive statement about the effect of minor pathogen IMI on the acquisition of major pathogen NIMI. Definitively answering questions of this nature are likely to require an extremely large data set dedicated particularly to minor pathogen presence and NIMI with major pathogens.
主要乳腺炎病原体,如金黄色葡萄球菌、无乳链球菌、停乳链球菌和大肠埃希菌和克雷伯菌属,通常被认为比次要乳腺炎病原体,如棒状杆菌属和凝固酶阴性葡萄球菌(CNS)更具毒力和破坏性。目前的文献包括几项研究(n=38),详细分析了次要病原体的乳腺内感染(IMI)是否降低、增加或对新的主要病原体感染(NIMI)的风险没有影响。加拿大牛乳腺炎研究网络拥有一个大型乳腺炎数据库,该数据库源自对全国奶牛场队列的为期 2 年的数据收集,该倡议的数据被用于进一步研究次要病原体 IMI 对新的主要病原体感染(定义为在采样期内以前样本中没有该主要病原体的季度中培养阳性的季度样本)的影响。为此,使用了在几个 6 周期间对临床正常乳房进行的纵向牛奶采样以及干奶前和产后奶牛的样本(n=80397 个季度牛奶样本)。使用风险比分析和多层次逻辑回归模型研究了 CNS 和棒状杆菌属对金黄色葡萄球菌、无乳链球菌、停乳链球菌和大肠埃希菌和克雷伯菌属(大肠杆菌和肺炎克雷伯菌属)等主要乳腺炎病原体的影响。还评估了季度、牛和牛群水平的易感性参数,并能够解释牛群、奶牛和季度内存在的易感性增加,从而消除了对次要病原体影响的估计。除大肠埃希菌和肺炎克雷伯菌属外,所有病原体的 NIMI 风险均与更高的季度易感性相关。体细胞计数增加与新的主要病原体感染的风险增加相关,但这被认为是由于细菌学对快速准确诊断主要病原体 NIMI 的敏感性低所致。在发生 NIMI 之前的 2 次采样中存在 CNS 会使金黄色葡萄球菌 NIMI 的发生几率增加 2 倍,这使 CNS 的存在成为金黄色葡萄球菌 NIMI 的危险因素。即使有了这个广泛的数据集,也没有足够的能力对次要病原体 IMI 对获得主要病原体 NIMI 的影响做出明确的结论。要确定地回答这类问题,可能需要一个专门针对次要病原体存在和主要病原体 NIMI 的大型数据集。