Efficacy of Targeted 5-day Combined Parenteral and Intramammary Treatment of Clinical Mastitis Caused by Penicillin-Susceptible or Penicillin-Resistant Staphylococcus aureus.docVIP

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Efficacy of Targeted 5-day Combined Parenteral and Intramammary Treatment of Clinical Mastitis Caused by Penicillin-Susceptible or Penicillin-Resistant Staphylococcus aureus.doc

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Efficacy of Targeted 5-day Combined Parenteral and Intramammary Treatment of Clinical Mastitis Caused by Penicillin-Susceptible or Penicillin-Resistant Staphylococcus aureus

Acta vet. scand. 2003, 44, 53-62. Ef?cacy of Targeted 5-day Combined Parenteral and Intramammary Treatment of Clinical Mastitis Caused by Penicillin-Susceptible or Penicillin- Resistant Staphylococcus aureus By S. Taponen1, A. Jantunen1, E. Py?r?l?1 and S. Py?r?l?1 1Faculty of Veterinary Medicine, Department of Clinical Veterinary Sciences, University of Helsinki, Saari Unit, Saarentaus, Finland. Taponen S, Jantunen A, Py?r?l? E, Py?r?l? S: Ef?cacy of targeted 5-day combined parenteral and intramammary treatment of clinical mastitis caused by penicillin- susceptible or penicillin-resistant Staphylococcus aureus. Acta vet. scand. 2003, 44, 53-62. – Combined parenteral and intramammary treatment of mastitis caused by Staphylococcus aureus was compared to parenteral treatment only. Cows with clinical mastitis (166 mastitic quarters) caused by S. aureus treated by veterinarians of the Am- bulatory Clinic of the Faculty of Veterinary Medicine during routine farm calls were in- cluded. Treatment was based on in vitro susceptibility testing of the bacterial isolate. Procaine penicillin G (86 cases due to ?-lactamase negative strains) or amoxycillin- clavulanic acid (24 cases due to ?-lactamase positive strains) was administered par- enterally and intramammarily for 5 days. Ef?cacy of treatments was assessed 2 and 4 weeks later by physical examination, bacteriological culture, determination of CMT, so- matic cell count and NAGase activity in milk. Quarters with growth of S. aureus in at least one post-treatment sample were classi?ed as non-cured. As controls we used 41 clinical mastitis cases caused by penicillin-susceptible S. aureus isolates treated with procaine penicillin G parenterally for 5 days and 15 cases due to penicillin-resistant iso- lates treated with spiramycin parenterally for 5 days from the same practice area. Bac- teriological cure rate after the combination treatment was 75.6% for quarters infected with penicillin