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氟苯尼考治疗临床型和亚临床型牛乳腺炎的疗效。

Efficacy of florfenicol for treatment of clinical and subclinical bovine mastitis.

作者信息

Wilson D J, Sears P M, Gonzalez R N, Smith B S, Schulte H F, Bennett G J, Das H H, Johnson C K

机构信息

Quality Milk Promotion Services, Cornell University, Ithaca, NY 14850, USA.

出版信息

Am J Vet Res. 1996 Apr;57(4):526-8.

PMID:8712519
Abstract

OBJECTIVE

To evaluate efficacy of florfenicol treatment for bovine mastitis caused by Streptococcus agalactiae, Staphylococcus aureus nonagalactiae streptococci, coagulase-negative staphylococci, Escherichia coli, Klebsiella sp, and others.

DESIGN

Double blind study with cases randomly assigned to 1 of 2 treatment groups.

SAMPLE POPULATION

861 cows/10 commercial dairy farms.

PROCEDURE

Experimental (750 mg of florfenicol) or control (200 mg of cloxacillin) treatment was administered by intramammary infusion every 12 hours for 3 treatment to all cases. Treatments were randomly assigned identified only by numerical labels. To retain blinding, the longer withdrawal time was adhered to for all cases. Cases remained in the study only if there was no other treatment. Quarter samples were recultured 14, 21, and 28 days later. If all samples after day 1 were culture negative, the case was defined as cured. If only 1 of the follow-up results was positive, the case was considered cured if the day-28 somatic cell count was < 300,000/ ml. Failure of treatment was defined as 2 or more culture positive follow-up samples.

RESULTS

Florfenicol and cloxacillin did not differ significantly in efficacy versus clinical (n = 85) or subclinical (n = 71) bovine mastitis, or for any etiologic agent (X2). Overall cure rates for mastitis were: Str agalactiae, 5 of 8 (63%); Sta aureus, 5 of 54 (9%); Streptococcus sp, 16 of 35 (46%); Staphylococcus sp, 7 of 33 (21%); E coli, 5 of 11 (46%); Klebsiella sp, 3 of 6 (50%); others, 1 of 9 (11%); and all cases, 42 of 156 (27%).

CONCLUSIONS

Florfenicol did not offer any advantage over cloxacillin in efficacy against bovine mastitis. Overall cure rates were low. As with most mastitis treatment regimens poor efficacy may be partly attributable to the short duration of treatment.

摘要

目的

评估氟苯尼考治疗由无乳链球菌、金黄色葡萄球菌、非无乳链球菌、凝固酶阴性葡萄球菌、大肠杆菌、克雷伯菌属等引起的牛乳腺炎的疗效。

设计

双盲研究,病例随机分配至2个治疗组中的1组。

样本群体

10个商业奶牛场的861头奶牛。

程序

对所有病例每12小时进行一次乳房内灌注,给予试验组(750毫克氟苯尼考)或对照组(200毫克氯唑西林)治疗,共治疗3次。治疗随机分配,仅用数字标签标识。为保持盲法,所有病例均遵循较长的停药时间。只有在没有其他治疗的情况下,病例才留在研究中。在第14、21和28天对乳腺样本进行再次培养。如果第1天之后的所有样本培养均为阴性,则该病例定义为治愈。如果随访结果只有1次为阳性,且第28天的体细胞计数<300,000/毫升,则该病例视为治愈。治疗失败定义为2次或更多次随访样本培养阳性。

结果

氟苯尼考和氯唑西林在治疗临床(n = 85)或亚临床(n = 71)牛乳腺炎方面,或对任何病原体(X2)的疗效上无显著差异。乳腺炎的总体治愈率为:无乳链球菌,8例中的5例(63%);金黄色葡萄球菌,54例中的5例(9%);链球菌属,35例中的16例(46%);葡萄球菌属,33例中的7例(21%);大肠杆菌,11例中的5例(46%);克雷伯菌属,6例中的3例(50%);其他,9例中的1例(11%);所有病例,156例中的42例(27%)。

结论

氟苯尼考在治疗牛乳腺炎的疗效上并不比氯唑西林有任何优势。总体治愈率较低。与大多数乳腺炎治疗方案一样,疗效不佳可能部分归因于治疗时间短。

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