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A Global Organizaon for Mass Control and Milk Quality<br />
Make Responsible Treatment Choices<br />
Connued from page 7<br />
properly store quarter milk samples (for pathogen determinaons), discard abnormal milk and then nofy a<br />
herdsperson/owner for further examinaon of the cow. “No treatment decisions should be made in the<br />
parlor. You do not have me there to make a treatment decision,” Ruegg stated.<br />
For cows needing further examinaon, the herdsperson should assign a severity score to determine if<br />
immediate treatment is necessary and work closely with the herd veterinarian to ensure compliance with<br />
approved treatment protocols. Cows that present with severe clinical mass (CM) are medical emergencies<br />
and require immediate symptomac treatment. Cows that present with non‐severe CM do not require<br />
immediate treatment. For these cases, review the cow’s medical history and only administer anbiocs if<br />
the cow may benefit from treatment.<br />
Customize treatments<br />
Environment and prevalent pathogens vary from dairy to dairy. “Work with your herd veterinarian to<br />
develop appropriate treatment protocols – customized for your dairy operaon,” Ruegg noted.<br />
To develop appropriate treatment protocols, Ruegg said, you’ll need to do some “CSI” (cowside<br />
invesgaon) work. Don’t give anbiocs to cows that are unlikely to benefit. For example, cows that have a<br />
previous diagnosis of mass caused by a refractory pathogen (e.g., Mycoplasma bovis, Staph. aureus,<br />
Prototheca and Serraa) should not receive anbiocs. Most likely, cows with these infecons will not respond<br />
to anbioc treatment. Similarly, do not treat cows that have chronic mass symptoms (three or<br />
more CM cases during the current lactaon or more than 4 months of SCC greater than 200,000 cells/mL). In<br />
these instances, discard abnormal milk (usually about four to six days) and monitor these cows in case<br />
mass severity progresses. (This does not happen oen.)<br />
For proper anbioc selecon (and determine if needed) and therapy duraon, idenfy the bacteria causing<br />
a mass infecon. Also, consider parity, stage of lactaon and history of previous clinical or subclinical<br />
mass cases before choosing and using an anbioc to treat clinical mass. These factors influence the<br />
probability of successful immune responses and cure aer intramammary infecons (Burvenich et al., 2003;<br />
Pinzon‐Sanchez and Ruegg, 2011).<br />
Work closely with your veterinarian to ensure that drugs are used appropriately on cale. And, establish a<br />
wrien agreement with your veterinarian that defines the veterinarian’s role. This agreement forms the<br />
basis for ensuring proper drug use and oversight that minimizes the risk of milk and/or meat drug residues.<br />
Resources regarding extra‐label drug use can be found on the Food Animal Residue Avoidance Database<br />
website (www.farad.org).<br />
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