Newbould F H
Can J Comp Med. 1974 Oct;38(4):411-6.
Experimental infections were produced in 78 quarters of 17 cows by the infusion of small numbers of a single strain of Staphylococcus aureus. In each single experiment three quarters in a cow were infected, with the fourth left as a control. At times varying from three to 60 days after the infusion of organisms, a standard intramammary antibiotic treatment was administered on a single occasion. A cure was arbitrarily defined as the absence of the organism in foremilk, from direct plating and replated incubated milk, together with return to normal somatic cell count levels as determined by an electronic counter. With these standardized conditions the effects of a number of cow associated factors on the outcome of the therapy were determined.Forty-three of the 78 quarters (55%) were cured by the standard treatment. Significant differences in percentages of quarters cured were found to be associated with the duration of infection before therapy, the lactation age of the cow, the length of time in lactation, somatic cell count in milk at time of treatment, the location of the quarter in the udder and individual cows. No significant effects on the outcome of the standard treatment were found associated with the number of bacteria in the secretion at the time of treatment, previous infection and cure in a quarter nor the season of the year in which treatment was given. Of the 35 quarters in which infection recurred following treatment, organisms were reisolated from 12 within four days, 18 between five and nine days, four between ten and 17 days and one after 28 days. From these data it is apparent that if, as has been suggested, models such as described are to be used for efficacy trials, standardization of some parameters is essential.
通过向17头奶牛的78个乳腺中注入少量单一菌株的金黄色葡萄球菌来进行实验性感染。在每一项单独实验中,给一头奶牛的三个乳腺进行感染,而将第四个乳腺留作对照。在注入细菌后的3至60天不等的时间,一次性给予标准的乳房内抗生素治疗。治愈被随意定义为通过直接接种和再接种培养的乳汁,在前奶中未发现该生物体,同时体细胞计数水平恢复到由电子计数器测定的正常水平。在这些标准化条件下,确定了一些与奶牛相关的因素对治疗结果的影响。78个乳腺中有43个(55%)通过标准治疗得以治愈。发现治愈乳腺的百分比存在显著差异,这与治疗前感染的持续时间、奶牛的泌乳年龄、泌乳时间长度、治疗时牛奶中的体细胞计数、乳腺在乳房中的位置以及个体奶牛有关。未发现治疗时分泌物中的细菌数量、之前该乳腺的感染和治愈情况以及治疗所在的年份季节对标准治疗结果有显著影响。在治疗后感染复发的35个乳腺中,在4天内从12个乳腺中重新分离出了细菌,在5至9天内从18个乳腺中重新分离出了细菌,在10至17天内从4个乳腺中重新分离出了细菌,在28天后从1个乳腺中重新分离出了细菌。从这些数据可以明显看出,如果要像所建议的那样,将所描述的此类模型用于疗效试验,一些参数的标准化至关重要。