Critically important antimicrobials are generally not needed to treat nonsevere clinical mastitis in lactating dairy cows: Results from a network meta-analysis

Nobrega, D. B. and Naqvi, S. A. and Dufour, S. and Deardon, R. and Kastelic, J. P. and De Buck, J. and Barkema, H. W.

J Dairy Sci (2020) 103: 10585–10603

DOI: 10.3168/jds.2020-18365

Abstract

There is ongoing debate regarding whether critically important antimicrobials (CIA) should be used to treat infections in food-producing animals. In this systematic review, we determined whether CIA and non-CIA have comparable efficacy to treat nonsevere bovine clinical mastitis caused by the most commonly reported bacteria that cause mastitis worldwide. We screened CAB Abstracts, Web of Science, MEDLINE, Scopus, and PubMed for original epidemiological studies that assessed pathogen-specific bacteriological cure rates of antimicrobials used to treat nonsevere clinical mastitis in lactating dairy cows. Network models were fit using risk ratios of bacteriological cure as outcome. A total of 30 studies met inclusion criteria. Comparisons of cure rates demonstrated that CIA and non-CIA had comparable efficacy for treatment of nonsevere clinical mastitis in dairy cattle. Additionally, for cows with nonsevere clinical mastitis caused by Escherichia coli and Klebsiella spp., bacteriological cure rates were comparable for treated versus untreated cows; therefore, there was no evidence to justify treatment of these cases with CIA. Our findings supported that CIA in general are not necessary for treating nonsevere clinical mastitis in dairy cattle, the disease that accounts for the majority of antimicrobial usage in dairy herds worldwide. Furthermore, our findings support initiatives to reduce or eliminate use of CIA in dairy herds.

Citation

Nobrega, D. B., Naqvi, S. A., Dufour, S., Deardon, R., Kastelic, J. P., De Buck, J., & Barkema, H. W. (2020). Critically important antimicrobials are generally not needed to treat nonsevere clinical mastitis in lactating dairy cows: Results from a network meta-analysis. J Dairy Sci, 103(11), 10585–10603. https://doi.org/10.3168/jds.2020-18365 Animals, Female, Cattle, treatment, Anti-Bacterial Agents/*therapeutic use, Lactation, Escherichia coli, dairy cow, mastitis, Network Meta-Analysis, critically important antimicrobial, Klebsiella, Mastitis, Bovine/*drug therapy/microbiology

Keywords

• Animals
• Female
• Cattle
• treatment
• Anti-Bacterial Agents/*therapeutic use
• Lactation
• Escherichia coli
• dairy cow
• mastitis
• Network Meta-Analysis
• critically important antimicrobial
• Klebsiella
• Mastitis
• Bovine/*drug therapy/microbiology