哺乳期结束时的乳房内输注次硝酸铋内部乳头密封剂(ITS),无抗生素成分已被证明是在干燥期间减少新的乳腺内感染(IMI)的有效方法。有,然而,在放牧牧场条件下,不同品牌ITS之间的比较研究很少。这项研究的目的是,因此,确定是否使用了新的次硝酸铋内部蓝绿色密封剂(Shutout®,MSD动物健康,惠灵顿,新西兰)不劣于Teatseal(Zoetis,奥克兰,新西兰)关于端点,例如a)产卵后检测ITS产品,b)干旱期和泌乳早期的临床乳腺炎,和c)牛奶中30-60天的亚临床乳腺炎。在2个农场共招募了1105只混龄牛,比较了2种ITS产品,以检测产牛和预防临床和亚临床乳腺炎的ITS。两种ITS均含有在≤1.4g矿物油中乳化的65%(2.6g)铋盐(Shutout®作为研究产品;IVP和Teatseal作为对照产品;CP)。在干燥时,每头母牛都有治疗。所有奶牛都符合行业最佳实践标准,可以在不使用抗生素的情况下使用ITS治疗。结果包括农民首先剥离乳房时检测到ITS,临床乳腺炎(CM)在产卵后30d干燥至30d,而亚临床乳腺炎(SCM)在产卵后30-60d。对于ITS检测,使用广义混合线性回归模型对数据进行建模,牛内四分之一的聚类是通过将牛作为随机截距来解释的。CM在牛水平上使用费希尔精确检验进行分析,SCC采用负二项分布建模。产卵后,IVP不劣于CP的ITS检测。与CP治疗组中的1076/1604(67.1%)相比,IVP中检测到ITS的四分之一为1344/1800(71.5%)。季度级CM发病率风险较低(4324个季度中有45例;1.04%)。总体奶牛水平CM风险为4.1%(44/1081),IVP组动物中有20/540(3.7%)例,CP组动物中有24/541(4.4%)例。对于奶牛级乳腺炎的发病率,IVP不劣于CP。所有动物的中位SCC为23,000个细胞/mL,平均92,000个细胞/mL。IVP组动物的反向转换估计边际平均估计SCC为84,800(95%CI75,200-95,600)细胞/mL,和98,800(95%CI87,600-111,300)细胞/mL的CP组的动物。IVP是,因此,对于所有测量的结果都是非劣质的。
The intramammary infusion at the end of lactation of a bismuth subnitrate internal teat sealant (ITS), with no antibiotic component has been shown to be an effective means of reducing new intramammary infections over the dry period. There has, however, been very few comparative studies between different brands of ITS under grazed pasture conditions. The objectives of this
study were, therefore, to determine if a new bismuth subnitrate internal teal sealant (ShutOut, MSD Animal Health) was noninferior to Teatseal (Zoetis) regarding end-points such as (a) detection of the ITS product after calving, (b) clinical mastitis during the dry period and early lactation, and (c) subclinical mastitis at 30 to 60 d in milk. A total of 1,105 mixed-age cattle were enrolled across 2 farms comparing 2 ITS products for detection of the ITS at calving and prevention of clinical and subclinical mastitis. Both ITS contained 65% (2.6 g) bismuth salts emulsified in ≤ 1.4 g of mineral oil (ShutOut as investigational product, IVP; Teatseal as control product, CPT). At dry-off, treatment was allocated to every second cow. All cows met industry best practice criteria for using ITS treatment without antibiotics. Outcomes included detection of ITS at first stripping of the udder by the farmer, clinical mastitis (CM) from dry-off to 30 d following calving and subclinical mastitis at 30 to 60 d following calving. For ITS detection, a generalized mixed linear regression model was used to model the data, with clustering of quarters within cow accounted for by including cow as a random intercept. Clinical mastitis was analyzed at the cow-level using a Fisher\'s exact test, and SCC was modeled using a negative binomial distribution. The IVP was noninferior to the CPT for ITS detection following calving. There were 1344/1800 (71.5%) of quarters with ITS detection in the IVP in comparison to 1076/1604 (67.1%) of quarters in the CPT treated group. The quarter-level CM incidence risk was low (45 cases out 4,324 quarters; 1.04%). The overall cow-level CM risk was 4.1% (44/1081), with 20/540 (3.7%) cases in animals in the IVP group and 24/541 (4.4%) cases in animals in the CPT group. The IVP was noninferior to the CPT for cow-level mastitis incidence. The median SCC for all animals was 23,000 cells/mL, with a mean of 92,000 cells/mL. The back-transformed estimated marginal mean estimated SCC was 84,800 (95% CI 75,200-95,600) cells/mL for animals in the IVP group, and 98,800 (95% CI 87,600-111,300) cells/mL for animals in the CPT group. The IVP was, therefore, noninferior for all outcomes measured.