Comparison of Various Antibiotic Treatments for Cows Diagnosed with Toxic Puerperal Metritis (original) (raw)
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A longitudinal cohort study of acute puerperal metritis cases in Swedish dairy cows
Acta Veterinaria Scandinavica
Background: Acute puerperal metritis affects cows during the early postpartum period and causes fever, fetid vaginal discharge and general depression. The disease is severe and treatment with antimicrobials is often required. This study followed 79 Swedish dairy cows with acute puerperal metritis with registered treatment and outcome in terms of recovery. Bacteria isolated from the uterus and their susceptibility to penicillin were studied. Clinical cases were assigned by participating practitioners who examined the cows, performed uterine swab sampling, decided treatment and provided information about cow health and calving conditions. Fertility and culling data were collected from the official Swedish milk and health recording scheme. Recovery from disease was defined in four levels; as a cow that survived 1 or 4 months, was inseminated and subsequently became pregnant. Intervals from dates of first and latest calving to insemination date were studied. Results: The most common bacterial findings were a mixed culture of Escherichia coli and bacteria such as Gram positive cocci, Fusobacterium necrophorum, Clostridium spp. or Trueperella pyogenes. The Gram positive cocci, Pasteurella spp. and F. necrophorum were generally susceptible to penicillin. The majority of cows (70%) were treated with penicillin in accordance with the Swedish policy on treatment of metritis while 19% were treated with tetracycline and 8% were not treated with antimicrobials. Recovery rates were similar between treatments. Besides "calving to last insemination" interval (CLI) that was 5 days shorter than the national mean, fertility was slightly reduced compared to national means. "Calving to first insemination" interval (CFI) was 4 days longer than national mean and number of inseminations/cow increased from 1.9 to 2.1. Escherichia coli culture positive cows did not become pregnant to the same extent as cows without E. coli in the uterus (P = 0.046). Twin births resulted in a longer CFI (P = 0.034). The culling rate was generally high (42% within 300 days after occurrence of metritis), though death associated with acute disease was low (6%). Conclusions: Escherichia coli was the most common bacterial pathogen isolated from cases of acute puerperal metritis in the present study. This bacterium is inherently resistant to penicillin, but although most cows were treated with penicillin, death due to acute disease was low and recovery and final fertility results were acceptable. In times of emerging antimicrobial resistance and demand for prudent antimicrobial use, we suggest that penicillin is a "good enough" choice if antimicrobial treatment of acute puerperal metritis is needed.
Treatment of Postpartum Metritis in Dairy Cattle
Medico-Legal Update, 2021
After delivery uterine function usually exposed by bacterial contamination of the uterine lumen. This study was conducted on 21 cows of Holstein-Friesian breed, aged between 4-6 years, with parity of 2-4 times suffered from postpartum metritis. The disease diagnosed according to the clinical symptoms and vaginal examination. Animals divided into 3 equal groups. 1 st group treated with PGF 2 α 20 mg/im., 2 nd group treated with 2% lugol's Iodine Intra Uterine, while the 3 rd group treated with lotagen 2% I.U. The results showed that the treatment with PGF 2 α give high efficacy rate 100% (7/7) than that with lugol's Iodine 57% (4/7) and with lotagen 71% (5/7). There was a significant difference (P≤0.05) in treatment with PGF 2 α as compared with other treatments, it was concluded from this study that PGF 2 α give the best results in postpartum metritis treatment.
Journal of dairy science, 2015
The objective was to evaluate the effect of intrauterine infusion of an organic certified product (Optimum UterFlush, Van Beek Natural Science, Orange City, IA) on uterine health, survival, and fertility of cows affected with toxic puerperal metritis (TPM) in an organic dairy farm. Cows with TPM were defined as having an abnormally enlarged uterus and a fetid watery red-brown vaginal discharge, associated with systemic illness and fever (rectal temperature ≥39.5°C), within 12 d postpartum. Cows diagnosed with TPM (n = 220; study d 0) were blocked by parity (1 and ≥2) and randomly assigned into 1 of 2 intrauterine treatments applied every other day for a total of 3 applications: (1) control (CON) = 200 mL of povidone iodine diluted in 2 L of distilled water (n = 113); (2) Optimum UterFlush (UF) = 3.75 mL diluted in 117 mL of distilled water (n = 107). All enrolled cows received hypertonic saline solution (500 mL 7.2% i.v.), dextrose (500 mL 50% i.v.), and oral aspirin (5 boluses/d). ...
2010
Summary. The aim of the study was to test the effect of two treatments on clinical cure and inflammatory response in the case of acute puerperal metritis (APM) associated with retained foetal membranes. Late gestation healthy cows (n=21) were divided into three groups (A, B and C), seven animals in each group. In order to obtain RFM followed by APM, induced parturitions were used. Treatments were started on the third day post-partum (PP). Group A was treated with an oxytocin analogue carbetocin and intrauterine administration of cephapirin. Group B treatment was intramuscularly treated with ceftiofur followed by two injections of PGF2α at an interval of 8 h on the eighth day PP. Group C served as controls. In order to analyze acute phase proteins (APP) as markers of inflammatory response, blood samples were collected twice a week. General health status, body temperature, and vaginal discharge characteristics were recorded daily. Uterine involution was followed by ultrasonographic ex...
Metritis diagnosis and treatment practices in 45 dairy farms in California
Journal of Dairy Science, 2018
Minimizing the risk of antimicrobial-resistant organisms and antimicrobial residues in dairy and dairy beef products is a topic of nationwide interest. To design an effective outreach program on judicious use of antimicrobials, it is imperative to describe actual practices on dairies. Thus, our objective was to report current practices for metritis treatment in 45 dairies in California. Data were collected using a survey tool that included questions on systemic antimicrobial treatments, intrauterine treatments, supportive treatments, and treatment records. Researchers collected information based on cow-side observations and responses from fresh cow evaluators. Most dairies (n = 33; 70%) performed rectal exams for vaginal discharge (VD) evaluation and based systemic antimicrobial administration on the presence of (a) abnormal VD (fetid and nonfetid), regardless of fever (n = 11; 25%); (b) fever regardless of the odor of abnormal VD (n = 11; 25%); (c) fetid VD and fever (n = 1; 2%); (d) fetid VD (n = 3; 9%); or (e) fetid VD or fever (n = 3; 9%). Some dairies (n = 11; 24%) only detected abnormal VD if visible on tail, vulva, or floor; treatment decisions were based on the presence of abnormal VD (n = 9; 20%) or abnormal VD and fever (n = 2; 4%). On 3 (6%) dairies, VD characteristics were evaluated after rectal palpation, but no systemic treatments were administered. Cows exhibiting 1 nonspecific sign of health disorder (depressed general appearance, lack of appetite, or drop in milk yield) plus fever (n = 13; 29%), or even regardless of fever (n = 6; 13%), were treated with systemic antimicrobials. Overall, 8 (18%) dairies justified systemic antimicrobial treatment based on fever alone. Systemic antimicrobials used were ceftiofur products [ceftiofur hydrochloride (n = 26; 55%), ceftiofur sodium (n = 3; 7%), and ceftiofur crystalline-free acid (n = 8; 18%)], penicillin procaine (n = 8; 18%), and ampicillin (n = 3; 7%). Intrauterine infusions were done with penicillin procaine (n = 1; 2%) or oxytetracycline (n = 12; 27%). The dose and treatment length varied across dairies for i.m. ceftiofur hydrochloride (15 to 45 mL/d for 3 to 5 d), s.c. ceftiofur crystalline-free acid (20 to 25 mL once or twice), i.m. ceftiofur sodium (15 to 30 mL/d for 3 to 5 d), i.m. penicillin procaine (20 to 60 mL/d for 3 to 6 d), and i.m. ampicillin (25 to 35 mL/d for 3 to 6 d). The antimicrobial drug of choice, the dose, and the treatment length for metritis varied across the study dairies. Based on accepted industry best-management practices for metritis, a need exists to educate fresh cow evaluators on signs of health disorder indicative of metritis and on appropriate antimicrobial treatment regimens.
Journal of Advanced Veterinary Research, 2020
Breeding of crossbreed cow is of great significance in tropical and subtropical countries in order to maintain both high productivity and high ability to accommodate. To understand the haematological and biochemical changes related with puerperal metritis in crossbred cows as well as the effect of puerperal metritis on the fertility, the current study evaluated the relations of some metabolic, and biochemical changes to the puerperal metritis. After thorough clinical and gynaecological examination, blood and urine samples were collected from both the control cows (n=20) and metritis cows (n=19). Haemoglobin (Hb) concentrations and leukocytes count was determined. The concentrations of glucose, triglycerides, cholesterol, non-esterified fatty acids (NEFA), calcium, phosphorus, sodium, potassium, albumin, total protein, urea and progesterone hormone (P4) in blood, and ketone bodies were detected in urine at the following time-points (prepartum, partum, 1-week postpartum, and 2-weeks p...
Journal of Dairy Science, 2017
Our objective was to evaluate the effect of oral calcium administration on clinical cure, survival, subsequent presentation of peripartal health disorders, and reproductive performance of Holstein cows diagnosed with puerperal metritis (PM) under certified organic management. A second objective was to evaluate the metabolic status at calving and at the time of PM diagnosis (d 0) in affected and matched healthy cows. Cows diagnosed with PM (n = 200) were assigned randomly to receive 1 of 2 treatments: (1) control received 3.75 mL of Optimum UterFlush [Van Beek Natural Science, Orange City, IA, containing yucca extract, cinnamaldehyde, thymol, and a proprietary blend of carvacrol (4-isopropyl-2-methylphenol, at 0.47 g/mL)] diluted in 117 mL of distilled water by intrauterine infusion, administered every other day for a total of 3 treatments (n = 100); (2) calcium-supplemented (CA) received the same intrauterine treatment plus 6 oral capsules providing calcium ('O' Cal-D Cap, Bio-Vet Inc., Barneveld, WI; 7.5-9.0 g of Ca/capsule) once per day, for 3 consecutive days after diagnosis of PM. All cows received hypertonic saline solution (500 mL of 7.2% solution i.v. once), dextrose (500 mL of 50% solution i.v. once), and oral aspirin (5 boluses/d for 3 d). Outcome variables included fever, presence of fetid vaginal discharge, and uterine score at d 6 and 14 after diagnosis, survival at 30 and 100 d in milk, reproductive performance, and incidence of other health disorders after PM. A group of 200 control healthy cows (CH) was matched with PM cows at d 0, and calcium and fatty acid serum concentrations were determined at calving and at the day of diagnosis of PM (d 0). Calcium status was also assessed in PM cows at d 1, 2, 3, and 6 after diagnosis. Treatment effects were tested by logistic regression, repeated measures analysis, and ANOVA. Average calcium serum concentrations at d 0 were lower in PM cows (1.57 mmol/L) compared with CH cows (2.10 mmol/L). In PM cows, calcium concentrations at d 1, 2, 3, and 6 after diagnosis were significantly higher in the CA group. Fatty acid serum concentrations at calving and at d 0 were higher in PM cows compared with CH cows (0.48 vs. 0.37 mmol/L and 0.49 vs. 0.35 mmol/L, for calving and d 0). No effect was observed for calcium administration on health and survival outcomes. However, the proportion of cows inseminated by 150 d in milk was greater for CA compared with control cows (66 vs. 55%). In conclusion, supplementing oral calcium at the time of diagnosing PM had no effect on health. High fatty acid concentrations at calving were significant risk factors for occurrence of PM. Furthermore, cows affected with PM had lower calcium and higher fatty acid concentrations than CH cows at d 0.
Acute-phase response in dairy cows with acute postpartum metritis
Theriogenology, 1999
The diagnostic value of 2 plasma acute-phase proteins, haptoglobin and aracid glycoprotein, and plasma N-acetyl-B-D-glucosaminidase enzyme activity were studied in 29 newly calved dairy cows. Nineteen had developed acute metritis with putrid vaginal discharge within 2 wk after calving; 10 were clinically healthy controls. Plasma haptoglobin coneenlration remained low in most cows with acute postpartum metritis. Only the 3 most severely affected cows exhibited a strong haptoglobin response. These were later culled due to poor condition and reduced fertility. This suggests that in acute uterine infection a highly increased haptoglobin concentration indicates poor prognosis for repeat conception. Plasma al,acid glycoprotein concentration increased in acute postpartum metritis, the response pattern being less prominent than that for haptoglobin. The Otl-acid glycoprotein concentrations did not correlate with severity of disease, and, consequently, the capacity of a~-acid glycoprotein in differentiating genital infections was relatively poor. The highest al-acid glycoprotein concentrations were detected in cows with retained placenta and/or dystocia. Plasma N-acetyl-B-Dglucosaminidase activity levels did not differ between the cows with acute postpartum metritis and healthy control cows.
Bovine Postpartum Metritis and its Therapeutics: A Review
Indian Journal of Science and Technology, 2015
Metritis is the inflammation of the uterus causing severe economic loss to the dairy farmers due to failure of conception at the appropriate time. Variety of microorganisms are responsible for causing metritis, among which Arcanobacterium pyogenes, coliforms and the Gram-negative anaerobes, Fusobacterium and Bacteroides species are frequently involved. Infections generally gain entry during calving and frequently associated with difficult birth (dystocia) and Retention of Fetal Membranes (RFM). Under normal condition the microorganisms are eliminated from the uterus during uterine involution by the normal Uterine Defense Mechanism (UDM). However, when the UDM is compromised due to various factors the clinical symptoms of metritis sets in and sometimes leading to the death of the animal. There is various therapeutics available to counteract metritis around the world with their own merits and demerits. This review presents an overall account of the postpartum metritis in dairy cows and its therapeutic measures.
Journal of Dairy Science, 2007
The objectives of this study were as follows: 1) to evaluate the association among abnormal calving, parity, and season on the incidence of puerperal metritis (PM) and clinical endometritis (CE) during d 3 to 13 and 20 to 30 postpartum, respectively; 2) to describe the rectal temperature (RT) of cows with PM before diagnosis; and 3) to document associations among PM, CE, and reproductive performance in lactating dairy cows. This study followed a prospective observational study design. Cows were classified as having an abnormal calving status (AC), i.e., cows calving with dystocia, twins, retained fetal membranes, or some combination of these conditions, and having a normal calving status (NC). Daily RT was recorded from d 3 to 13 postpartum for all cows, and health examinations were performed on cows that appeared not well. A total of 450 calvings were evaluated. Cows with an AC had greater odds of PM than cows with NC [adjusted odds ratio (AOR) = 4.8; 95% confidence interval (CI) = 2.9 to 8.0). A season by parity interaction showed that primiparous cows that calved during the warm season had lower AOR of PM than during the cool season (0.24; 95% CI = 0.09 to 0.62), whereas multiparous cows did not have seasonal effects on PM (1.43; 95% CI = 0.65 to 3.18). Cows with AC have greater AOR for CE than cows with NC (2.8; 95% CI = 1.7 to 4.9), and greater AOR of CE were detected in cows diagnosed with PM than in cows without PM (2.2; 95% CI = 1.1 to 3.9). Rectal temperature in cows with PM increased significantly 24 h before diagnosis of PM, reaching 39.2 ± 0.05°C on the day of diagnosis. In cows with PM and fever at diagnosis, the RT began to increase from 72 to 48 h before the diagnosis of PM and continued to increase to 39.7 ± 0.09°C on d 0 (day of diagnosis). Nonetheless, cows with PM without fever at diagnosis had no daily increases in RT before diag