Disease frequencies of tied zero-grazing dairy cows and of dairy cows on pasture during summer and tied during winter

Disease frequencies of Swedish Red and White Breed (SRB) and Swedish Friesian Breed (SLB) in tied herds with zero-grazing management system and in tied herds with pasture periods are presented. Incidences are compared both with respect to season and between the two systems. Figures are given for accidents and nine different diseases.In zero-grazing cows no seasonal difference could be demonstrated except for a higher risk of ketosis and tramped teat during wintertime for SRB.Cows of both breeds kept on pasture had lower risks of dystocia, ketosis, mastitis and tramped test during this period, but an increased risk of accidents and inflammation of the hoof(s). SRB cows also had higher risks of retained placenta, parturient paresis and non-inflammatory diseases of the hoof(s) during pasture period.Comparison of year-round incidence in the two management systems revealed a higher risk of retained placenta in zero-grazing cows of both breeds and higher risk or parturient paresis in zero-grazing SRB cows. The risk of accidents was decreased in zero-grazing cows of both breeds.The relative risks of tramped teat, mastitis and diseases of the hoof(s) varied depending on the herd size distribution of the control group. Increased risk of mastitis in zero-grazing cows of both breeds and of tramped teat in zero-grazing SLB cows was found when comparing with cows from a group of mainly smaller herds with pasture feeding during summer. However, comparison with cows from a group of herds with the same herd size distribution as zero-grazing cows revealed decreased risk of tramped teat, mastitis and inflammation of the hoof(s) in zero-grazing SRB cows and decreased risk of diseases of the hoof(s) in zero-grazing SLB cows.     

A hospital-based study of the relationship between retained placenta and mastitis in dairy cows

We investigated the relation between retained placenta and mastitis in Holstein dairy cows admitted to the New York State College of Veterinary Medicine. Cows with retained placenta were three times more likely to develop mastitis during hospitalization than animals without retained placenta. Since the hospital population was not representative of the general population, the possibility of a bias existed; a large bias was not likely because most distorting variables occurred equally in animals both with and without retained placenta. The literature suggests that the relationship between retained placenta and mastitis may be mediated through activity of the peripheral leukocytes. Further research is necessary to test this hypothesis.     

Disease frequencies in dairy cows in Sweden. v. mastisis

An epidemiologic study of mastisis in dairy cows in Sweden covering 137 002 calvings and subsequent lactations is presented and various risk factors identified.

Swedish Friesian breed (SLB) had a higher incidence of mastisis than Swedish Red and White breed (SRB). The incidence was higher during the first part of lactation and increased with parity until the seventh lactation in SRB and the sixth lactation in SLB.

Dystocia, retained placenta and parturient paresis increased the risk of mastisis during the first part of lactation in SRB, and retained placenta increased the risk of mastitis during the first part of lactation in SLB. No associations between these periparturient disorders and the occurrence of mastitis in the latter part of lactation could be found. The incidence of mastitis was increased among teat-tramp-positive cows, and a positive report of mastitis increased the risk of mastitis in subsequent calvings.

The influence of environmental factors on the occurrence of mastitis was demonstrated by a higher incidence during housing as opposed to pasture, and a decreased incidence in loose-housed cows when compared to tied zero-grazing cows during the later part of lactation. During the first part of lactation, no seasonal variation could be found, and loose-housed cows had only slightly decreased incidence during this part of lactation when compared to tied zero-grazing cows.

The removal rate was increased in the mastitis-positive cow population.     

Status of bovine mastitis and associated risk factors in subtropical Jeju Island, South Korea

The present investigation was carried out to study the prevalence of mastitis in 136 Holstein cows from a subtropical province of South Korea. Out of 527 milk samples studied, 22.6 % were found positive for mastitis. On animal level, prevalence was estimated at 55.2 %. Late lactating cows were at higher risk for mastitis development as compared to those in early and mid lactations. The study revealed that the risk of an increase in somatic cell count (SSC) and mastitis increased with advanced age and in animals with higher parity. The highest infection rate of 71.4 % was found in the age group >9 years followed by cows with higher than fifth parity (65.5 %). On severity and quarter basis, cows of <3 years of age had higher occurrence (12.5 %) of severe mastitis. From the present study, it may be concluded that a positive relationship exists between increased prevalence of mastitis and high SCC and the advance in age and parity of Holstein cows.     

Reduced concentrations of apolipoproteins B-100 and A-I in serum from cows with retained placenta.

The purpose of the present study was to evaluate apolipoprotein B-100 and A-I concentrations in cows with retained placenta. Animals used were cows with retained placenta alone (n = 10), those with both retained placenta and ketosis (n = 7), and controls (n = 10). Apolipoprotein B-100 concentrations at 2 to 4 d after parturition were significantly (P < 0.01) decreased in cows with retained placenta alone (mean +/- SD, 0.084 +/- 0.029 mg/ML of serum) when compared with those in control cows (0.154 +/- 0.022 mg/mL). Apolipoprotein A-I concentrations (0.713 +/- 0.177 mg/ML) were also significantly (P < 0.05) lower than those of controls (0.895 +/- 0.159 mg/mL). These decreases were more distinct for apolipoproteins B-100 (55% of controls) than A-I concentrations (80% of controls). Concentrations of apolipoprotein B-100 (0.071 +/- 0.032 mg/mL; P < 0.01) and A-I (0.708 +/- 0.189 mg/mL; P < 0.05) in the cows with both retained placenta and ketosis were also reduced, when compared with values in controls. Other than apolipoproteins, cows with retained placenta alone had significantly (P < 0.01) higher serum nonesterified fatty acids, and lower triglyceride concentrations. Significantly (P < 0.01) higher nonesterified fatty acids and lower triglyceride concentrations were similarly observed in cows with both retained placenta and ketosis.     

The Association Between Disease, Production and Culling in a University Dairy Herd

The impact of ten diseases of dairy cattle on milk production, calving interval and culling were studied in a university operated dairy herd. Cows with clinical mastitis, ketosis or displaced abomasum had lowered milk production. Cows with metritis, retained placenta, cystic graafian follicles or ovarian hypofunction had longer calving intervals. Cows with clinical mastitis, metritis, pneumonia or retained placenta had increased risks of culling.The relationship between disease and culling was based on the medical history of culled and nonculled cows using a case control approach. Therefore, it is likely that in many cases, the association between disease and culling is due to the impact of that disease on productivity.     

Effect of dry period length on the effect of an intramammary teat sealant on the risk of mastitis in cattle treated with antibiotics at drying off

AIM: The aim of this study was to evaluate, under farm conditions, the use of a teat sealant in addition to whole herd dry cow antibiotic therapy on the risk of clinical mastitis in dairy cattle at pasture, and to evaluate the impact of dry period length on that risk and the impact of the teat sealant on that risk.

METHODS: Dairy cows in three herds which used routine whole herd antibiotic therapy were randomly assigned to receive either treatment with an internal teat sealant (n=322) or no additional treatment (n=313) at drying-off between March and May 2010. All clinical mastitis cases during the dry period and to the end of the subsequent lactation were recorded by farm staff; factors affecting risk of clinical mastitis were then analysed using a Cox proportional hazards model.

RESULTS: Median duration of the dry period was 112 days with >25% of cows having a dry period >130 days. The incidence risk of mastitis during lactation for cows treated with teat sealant was 9.9 (95% CI=6.9–13.7) cases per 100 cows compared with 17.9 (95% CI=13.8–22.6) cases per 100 cows for cows treated with antibiotic alone. The addition of a teat sealant to dry cow antibiotic therapy decreased the risk of clinical mastitis only in the first 33 days after calving (Hazard risk 0.24 (95% CI=0.12–0.48)). Length of dry period did not significantly affect the risk of clinical mastitis, or the effect of adding teat sealant to dry cow antibiotic therapy on the risk of clinical mastitis.

CONCLUSIONS: In these herds where, based on the mastitis history, whole herd antibiotic therapy had been recommended, the use of a teat sealant significantly reduced the risk of clinical mastitis. This effect was limited to the first 33 days after calving; subsequently there was no significant effect of treatment. There was no effect of dry period length on risk of clinical mastitis, nor any significant interaction with treatment.

CLINICAL RELEVANCE: Combination therapy with teat sealant and antibiotic was effective under New Zealand conditions in herds using whole herd antibiotic treatment at drying off. Teat sealant reduced risk of clinical mastitis in cattle with dry periods substantially longer than 100 days, and there was no evidence that this effect changed as dry period length increased.     

Susceptibility to disease in the dairy cow and its relationship with occurrences of other diseases in the current of preceding lactation

The association between occurrences of pairs of diseases (hypocalcaemia, ketosis, hypomagnesaemia, dystocia, retained placenta, endometritis, mastitis and lameness) was studied in 2109 lactations over 6 years in 894 British Friesian, Ayrshire and Holstein crossbred cows. The recurrence of disease in 1215 pairs of consecutive lactations was also examined.Cows with ketosis or hypocalcaemia in one lactation were twice as likely to have hypocalcaemia in the next, and the occurrence of ketosis in consecutive lactations was also related. The proportions of cows with mastitis were 0.38 and 0.23 depending on whether the cow had or did not have mastitis in the preceding lactation, and cows with lameness showed similar increased probabilities of the same lesion recurring in the next lactation. In contrast, cows with retained placenta, dystocia or endometritis in one lactation showed no increased likelihood of having the same disease in the next.As anticipated, within lactations, the occurrence of endometritis was strongly associated with dystocia and retained placenta. Endometritis was also linked with a two-fold increase in the incidence of ketosis and susceptibility to interdigital cleft lesions. Hypocalcaemia and ketosis occurred three times more often during lactations in which hypomagnesaemia also occurred, but occurrences of mastitis appeared to be generally unrelated to other diseases.     

Effects of diseases on reproductive performance in Swedish Red and White dairy cattle

The objectives of this study were to evaluate the effect of diseases on days open (DO), days to first breeding (DFB) and days from first breeding to conception (DFBC) using survival analysis models, and to assess the significance of the sire component and its possible confounding effect. The data consisted of a random sample of 20% of all herds enrolled in Swedish recording system and using 100% artificial insemination with at least 15 Swedish Red and White cows calving in 1991. The follow-up period was from 45 to 145 d after calving. After editing, the data sets had 23,927, 28,197, and 22,089 cows for days open, days to first breeding, and days from first breeding to conception, respectively. The Cox models included parity, calving season, cow milk production and age at first calving as fixed effects, and herd and sire as random effects. Ten disease groups were considered as possible risk factors for the reproductive traits. Disease groups were treated differently if they occurred before or after 45 d postpartum. Diseases occurring in the first 45 d after calving were treated as time-independent covariates and diseases occurring after day 45 were treated as time-dependent covariates for days open and days to first breeding. The percentages of censored cows were 35% for days open, 19% for days to first breeding, and 33% for days from first breeding to conception. Days open increased in cows with dystocia, stillbirth, retained placenta, metritis, or other diseases occurring in the first 45 d after calving, and in cows with metritis, mastitis, or other diseases occurring after 45 d. Days to first breeding increased in cows with stillbirth, retained placenta, milk fever, mastitis, foot and leg problems, or other diseases occurring before day 45, and in cows with metritis, mastitis, foot and leg problems, or other diseases occurring after 45 d. Days to first breeding decreased in cows treated for ovulatory dysfunctions either before or after 45 d. Days from first breeding to conception increased in cows with dystocia, stillbirth, retained placenta, metritis, or ovulatory dysfunctions occurring before first breeding, and in cows with mastitis occurring after first breeding. Although the additive genetic components were significant for all traits considered, the sires did not act as confounders because only a small amount of variability for the traits considered in this study was explained by the sires, with estimated heritabilities of 2% on the logarithmic scale and from 3 to 4% on the real scale.     

The relationship between bovine clinical mastitis at the time of parturition and retained placenta]

868 parturitions were examined to determine the relation between the clinical mastitis around partition and the loosening process of the placenta in the bovine. The occurrence of mastitis in heifers and cows around parturition was 18.7%. The frequency of retained placenta in animals with mastitis was significantly higher (p less than 0.01) than that in animals without mastitis influenced the loosening process of the afterbirth. The results support an hypothesis, that mastitis and retentio secundinarum can regard as signs of the decrease in the activity of the immune system.     

Associations between use of electric cow-trainers and clinical diseases, reproductive performance and culling in Swedish dairy cattle

The aims of this follow-up study were: (a) to evaluate the role of ECT technology as a risk factor for several diseases; and (b) to determine if the effects of these diseases on cows' reproductive performance and as risk factors for culling are influenced by exposure to ECTs. Diseases considered were retained placenta, metritis, ketosis, cystic ovaries, silent heat, milk fever, clinical mastitis, and foot and leg problems. We used historical and contemporary controls (with control herds selected to match the experimental herds for size and location). Data consisted of 10264 Swedish Red and White (SRB) and 5461 Swedish Friesian (SLB) lactation records in 150 herds of which 33 used cow-trainers. Logistic regression was used to estimate the effects of parity and exposure to electric cow-trainers on the risks of diseases and the effects of diseases and exposure to electric cow-trainers on risk of culling. The least-squares procedure was used to estimate the effects of diseases on reproductive performance.

The dominant effects associated with use of electric cow-trainers were an increased risk for silent heat, clinical mastitis, ketosis and culling relative to cows in herds not using cow-trainers. Diseases had negative effects on reproductive performance and the effects were larger for cows in herds using cow-trainers. In herds using electric cow-trainers, the largest increase in the interval from first service to conception (58 days) was caused by the occurrences of silent heat, cystic ovaries and the combination of two or more diseases. Retained placenta, metritis, cystic ovaries, clinical mastitis and a combination of two or more diseases increased the risk of culling about two times relative to healthy primiparous cows with the increase being greater for cows in herds using cow-trainers. Silent heat did not increase risk of culling in control groups, but was the largest risk factor for culling in the exposed group. We concluded that exposure to electric cow-trainers increased the incidence risk of silent heat, clinical mastitis, and ketosis and changed silent heat from a neutral disease with respect to culling to a major risk factor. Finally, exposure to cow-trainers increased the general negative effect of diseases on the cows' reproductive performance and risk for culling.     

Associations between health disorders of French dairy cows and early and late culling within the lactation

Data from an observational study, carried out during a 4.5 year period (1986–1990), were used to quantify the effects of health disorders on the risk of culling. The study population consisted of 47 commercial Holstein dairy herds from western France, comprising 4123 cows.

Logistic regression was used to assess the relationships between health disorders and early and late culling. Fourteen main health disorders with clinical signs and one subclinical disease were studied: abortion, periparturient accident, calving provided with assistance, digestive disorders, ketosis, locomotor disorders, mastitis, metritis, milk fever, cystic ovaries, respiratory disorders, retained placenta, teat injuries, non-traumatic udder disorders and status with respect to milk somatic cell count. Adjustments were made for year, month of calving, parity, breeding value for milk, best of the two first milk production records and reproductive performance. The possible effects of interactions among variables were also studied. The herd effect was taken into account using random effect models.

Non-traumatic udder disorders, teat injuries, milk fever and the occurrence of both ketosis and assistance at calving were significantly associated with an increased risk of being early culled (odds ratios (OR) ranging from 1.6 to 10.3). Early and late abortion, late metritis, poor peproductive performance, retained placenta, non-traumatic udder disorders within 45 days post-partum and mastitis occurring in the first 3 months of the lactation were positively associated with a late culling (OR ranging from 1.2 to 6.6). Cows with lower breeding value for milk and higher parities were high risk groups for culling. A lower level of milk production and occurrence of both reproductive disorders and poor reproductive performance were risk factors for late culling.     

An epidemiological and genetic study on registered diseases in Finnish Ayrshire cattle. II. Reproductive disorders

The epidemiology and genetic variability of the most common reproductive diseases were examined. The data set consisted of the lactation records of 70,775 Finnish Ayrshire dairy cows. Each cow was under observation for 2 days before for 305 days after calving. Lactation incidence rates (%) were: dystocia (DYST) 0.9, retained placenta (RTPL) 4.5, metritis (METR) 2.3, anoestrus and suboe&trus (ESTR) 5.2, and ovulatory dysfunction (CYST) 7.0. These diseases formed 33 % of all first treatmetns by veterinarians during farm visits. The occurrence of DYST, RTPL and METR was lowest in parity 2. ESTR decreased and CYST increased with parity. Cows calving during the dark season (September-February) had a higher risk of ESTR, METR and CYST (odds ratios (OR) 2.2–1.1) and a lower risk of RTPL (OR 0.9) than those calving during the light season (March-August). The increase in herd milk yield was positively associated with the occurrence of reproductive disorders. The cows with a history of parturient paresis had a higher risk of contracting CYST, RTPL and METR (OR 6.6–1.8), the cows with retained placenta of contracting metritis (OR 5.1), the cows with metritis of contracting ESTR and CYST (OR 1.5–1.7), the cows with mastitis of contracting METR and ESTR (OR 2.0–1.3) and the cows with ketosis of contracting METR, ESTR and CYST (OR 2.7–1.6). Heretabilities were determined for 5 diseases and for infertility in general. Heritability estimates for parity 2 were: DYST 2 %, RTPL 3 %, METR 7 %, ESTR 12 %, CYST 12 %, and infertility in general 5 %. Heritability for calving interval was 5 % in parity 1 and 6 % in parity 2.     

Heifer rearing conditions affect length of productive life in Swedish dairy cows

Associations between rearing conditions and the risk of culling in dairy cows were studied by survival analysis. Data were collected from 1039 Swedish Red cows, 1029 Swedish Holsteins, and 56 cows of other milk or cross-breeds, representing all female animals born in 109 Swedish herds during 1998. Length of productive life was defined as the number of days from 1st calving to culling. The applied Weibull proportional hazards model included time-independent effects of breed, housing from 3 to 7 months of age, number of housing changes before calving, grazing before 1st calving, herd median age at 1st calving, age at 1st calving, cow housing, herd lactational incidence risk of veterinary-reported clinical mastitis, and the random effect of herd. Time-dependent effects were year, month, the interaction year by month, parity, number of breedings, pregnancy status, the interaction parity by pregnancy status, herd mean milk-production level, relative milk yield within breed-parity, and veterinary-reported clinical mastitis. The lactation was divided into six stages in which pregnancy status was assumed to be known by the farmer and culling could occur. Median productive life time in culled cows was 780 d and 14% of the records were censored due to terminated data collection. An individual calving age of 28.2–30.9 months was associated with the highest culling risk, 1.2-fold higher than calving at ≤25.3 months, whereas the risk decreased almost linearly with a higher herd median age at 1st calving. Housing in slatted pens with >7 calves from 3 to 7 months was associated with a 1.7-fold increase in risk, relative to litter pens. If a cow had changed housing system 4 times before 1st calving it increased the risk of culling 1.4 times, relative to two housing changes. These results show that rearing factors affect the productive life time of dairy cows in Swedish family operations.     

Management of dairy heifers and its relationships with the incidence of clinical mastitis

AIM: To describe aspects of management of dairy heifers before calving and determine risk factors for clinical mastitis postpartum in heifers, at the herd level, under pasture-based management systems in the Waikato and Taranaki regions of New Zealand. METHODS: Dairy herdowners (n=578) provided information via a prospective survey about their practices for rearing heifers and management of mastitis. A proportion of herdowners (n=250) subsequently provided data on the cases of clinical mastitis in their herds, including the date, cow identification, age and quarter affected from cases occurring in the 4 months after the planned start of calving (PSC) in the subsequent lactation. The relationship between management factors and the proportion of heifers diagnosed with clinical mastitis within a herd was examined using bivariate and multivariate analyses. RESULTS: The herd average percentage of heifers with clinical mastitis was 13.6 (95% confidence interval (CI)=12.3-14.9)%, and multiparous cows with clinical mastitis was 9.0 (95% CI=8.2-9.8)% in the first 4 months of lactation. There were positive relationships between the proportion of heifers with clinical mastitis and average milk production per cow (kg milksolids/ lactation; p<0.001), number of cows milked per labour unit (p=0.003), stocking rate (<> 3.30 cows/ha; p=0.002), and incidence of clinical mastitis in multiparous cows (%/120 days; p<0.04), in the final multivariate model. The proportion of heifers with clinical mastitis per herd was lower in herds that milked their lactating cows in multiple groups (p=0.02). CONCLUSIONS: The risk of clinical mastitis in heifers was significantly associated with management practices. It may be possible to reduce the incidence of clinical mastitis in heifers by modification of management practices at the herd level, and further studies are required to investigate this.     

Associations between periparturient disorders and reproductive efficiency in Holstein cows in northern Mexico

Interrelationships among parity, twinning, retained placenta, abortion, metritis, cystic ovaries, milk fever and postpartum reproductive events were investigated in Holstein cows in northeast Mexico. Data were from 6565 lacations from a large commercial dairy herd. Path analysis was used to model the direct and indirect effects of these variables. The risk of reproductive disorders in cows having a particular periparturient complication was assessed by odds ratio analysis. Milk fever was dropped out of the restricted model, mainly because of the low lactational incidence of this disease (0.5%).

The most important implied cause and effect relationships among the periparturient events were twinning causing retained placenta and retained placenta causing metritis (odds ratio = 5.2 and 4.7, respectively; P * 05). Excluding abortion, most reproductive disorders and twinning increased the days from parturition to first estrus (from 4.4 to 9.2 days), the days from parturition to conception (from 1.3 to 21.4 days), the services per conception (from 0.28 to 0.5) and the calving interval (from 14.7 to 21.3 days). Only in associations between retained placenta and reproductive parameters were the indirect components an important part of the total causal association.     

Risk of clinical mastitis in dairy herds with a high proportion of low individual milk somatic-cell counts

The relationships between the herd-somatic-cell count (SCC) pattern on a test day and the incidence of clinical mastitis in the subsequent period were studied by collecting health data and monthly records from 2 years (1995-1997) from 121 farms located in the west of France. A total of 980 herd-periods (from one test day to the following one) were analyzed. The outcome variable was the incidence density of clinical mastitis (ICM) within the herd-period. The herd-SCC pattern on a test day was described by cross-combining the proportions of cows with low SCC (<50,000 cells/ml) or with high SCC (>250,000 cells/ml). The relationship between herd-SCC pattern and subsequent ICM was assessed using a generalized linear mixed model. A sensitivity analysis evaluated the effect of different proportions of cows with low SCC on significance and magnitude of the relationship. Risk of clinical mastitis was expressed as a risk ratio (RR) in comparison to a moderate herd-SCC level (with low proportions of cows with low or high SCC).Median ICM was 0.38 cases per 365 cow-days at risk (first and third quartiles: 0 and 0.88). In the situations where few cows (<15%) had SCC>250,000 cells/ml, ICM was higher (RR>1.31) when the proportion of cows with low SCC exceeded 50% than in the reference situation. Risk ratios increased as the proportion of cows with low SCC increased from 40 to 60%. In the situations where the proportion of cows with SCC>250,000 cells/ml exceeded 15%, ICM was higher compared to the reference situation (whatever the proportion of low SCC). Risk ratios were also higher when the proportion of cows with low SCC were >40-60%, compared to the pattern with the proportion of cows with low SCC below 40%. Herd situations with a high proportion of cows with low SCC appeared to be at increased risk of clinical mastitis.     

Peripartal changes in serum alkaline phosphatase activity and lactate dehydrogenase activity in dairy cows.

Peripartal serum alkaline phosphatase activity and lactate dehydrogenase activity were measured in 30 dairy cows in order to examine the association between retained fetal membranes and enzyme activity. Daily blood samples were obtained from pregnant cows, starting 15 days before the expected day of calving until eight days after parturition. Sera from 15 cows which retained fetal membranes longer than 24 hours and 15 cows which shed fetal membranes within six hours after parturition were analyzed for alkaline phosphatase and lactate dehydrogenase enzyme activities. Mean alkaline phosphatase enzyme activities ranged from 15.93 to 32.6 U/L in retained and nonretained placenta cows. There was a trend towards higher serum alkaline phosphatase activities in retained placenta cows but the differences were not significant among the groups (P greater than 0.05). Mean lactate dehydrogenase activities ranged from 307.2 to 438.86 U/L in nonretained and retained placenta cows. Lactate dehydrogenase enzyme activities in nonretained and retained placenta cows were similar (P greater than 0.05). The alkaline phosphatase and lactate dehydrogenase enzyme activities peaked at the time of parturition in both groups. However, the differences in alkaline phosphatase and lactate dehydrogenase activities on different days within non-retained and retained placenta cows were significant (P less than 0.05). Results indicate that prepartal changes in alkaline phosphatase and lactate dehydrogenase enzyme activities are not predictive of placental retention postpartum.     

Clinical and bacteriological response to treatment of clinical mastitis with one of three intramammary antibiotics

AIM: To compare the proportions of clinical and bacteriological cure of glands of dairy cows diagnosed with clinical mastitis, following treatment with one of three different intramammary antibiotic preparations. METHODS: Cows from dairy cow herds (n=28) across New Zealand which were diagnosed with clinical mastitis in one or more glands at any stage of lactation were randomly assigned at the cow level within sequentially presented groups of three animals to be treated with one of three intramammary antibiotics. The treatments were 1 g procaine penicillin, 0.25 g cefuroxime, and a combination of 1 g procaine penicillin and 0.5 g dihydrostreptomycin (DHS). All treatments were infused on three occasions at 12-hourly intervals. Duplicate milk samples were collected for bacteriology before initial treatment, and 21-42 days later. Logistic regression or generalised linear mixed models were used to analyse the proportion of cows or quarters retreated for mastitis within 30 days of initial treatment ('clinical treatment failure'), and the proportion of glands from which bacteria were isolated initially but from which the same bacterial species was not re-isolated ('bacteriological cure'). RESULTS: The annual herd average cumulative incidence rate of clinical mastitis was 12.7 cases/100 cows. The incidence rate was higher in young (2-year-old) and old (> or = 9-year-old) cows relative to 3- and 4-year-old cows, and was higher in Friesian than Jersey or crossbred cows. Streptococcus uberis was the pathogen most commonly isolated, and its relative prevalence declined with time postpartum. Cows treated with cefuroxime were more likely (p<0.01) to be re-treated for clinical mastitis in the 30 days after initial treatment than cows treated with procaine penicillin or procaine penicillin and DHS. Bacteriological cure occurred in 74% of treated glands and there was no difference in the proportion of cures among the treatments (p=0.4). The proportion of cures was lower when treatment occurred 28-72 days after calving (p<0.01) and if a major pathogen was isolated (p<0.001). CONCLUSIONS AND CLINICAL RELEVANCE: There was no benefit in terms of clinical or bacteriological cure rate in treating clinical mastitis cases with the combination of procaine penicillin and DHS compared to treatment with procaine penicillin alone. The proportion of clinical mastitis cases re-treated differed among herds, and more cows treated with cefuroxime were retreated within 30 days of initial treatment. However, the bacteriological cure proportion was the same among the treatments. Cure proportions were lower in cows from which major mastitis pathogens were isolated and when treatment commenced 28-72 days after calving.