On-farm culture and pathogen identification: risks and benefits

A. Manning
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Abstract

Selective treatment of clinical mastitis cases based on the results of on-farm culture (OFC) has been suggested by several international experts. It is based on the theory that mastitis cases caused by Gram-negative species has high resolution rates, and those that do not resolve respond poorly to therapy. Several peer-reviewed studies have evaluated the accuracy of different OFC test kits, which are between 60–85% accurate at identifying Gram-positive pathogens. Implementation studies consistently show a reduction in antimicrobial use, although further research across larger populations is needed to assess the impact on mastitis cure. Any OFC protocol should be regularly reviewed with the herd veterinarian. Herds with a high bulk cell count, a high prevalence of Gram-positive pathogens (e.g. Streptococcus uberis), or with a high prevalence of Klebsiella spp. should carefully consider the impact of deferred or withholding treatment on mastitis cure.
农场培养和病原体鉴定:风险和益处
一些国际专家建议根据农场培养(OFC)的结果对临床乳腺炎病例进行选择性治疗。这是基于这样的理论,即由革兰氏阴性菌引起的乳腺炎病例有很高的治愈率,而那些不能治愈率的乳腺炎对治疗的反应很差。几项同行评议的研究评估了不同OFC检测试剂盒的准确性,这些试剂盒在识别革兰氏阳性病原体方面的准确率在60-85%之间。实施研究一致表明,抗菌药物的使用有所减少,但需要在更大的人群中进行进一步研究,以评估对乳腺炎治疗的影响。应定期与兽群兽医审查任何OFC规程。对于大量细胞计数高、革兰氏阳性病原体(如ubercoccus)高发或克雷伯氏菌高发的畜群,应仔细考虑延迟或不进行治疗对乳腺炎治愈的影响。
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