CMT could cut dry-cow antibiotics use by half, study shows

Using the Californian Mastitis Test (CMT) at drying off could help cut antibiotics use by 50% without impacting clinical mastitis, a study has found.
In the first large-scale investigation to identify at-risk quarters in high-cell count cows, veterinarian researchers from Quality Milk Management Services (QMMS) found quarter-level antibiotics administration reduced antimicrobial use/cure.
However, the study concluded it was “unjustified” in animals with low-cell count.
See also: 3 steps to reduce mastitis risk in dairy cows at housing
At the recent British Mastitis Conference, lead researcher Andrew Bradley said the findings suggest selective use of dry-cow therapy at the quarter level in cows with high-cell count – on well-managed farms with low somatic cell counts (SCC) and a low prevalence of major mastitis pathogens – could result in a substantial reduction in antibiotics.
However, he said the addition of antibiotics is probably unjustified in low SCC cows and is unlikely to result in significant gains.
Quarter-level application of antibiotics has previously not been recommended due to the risk of missing a major pathogen infection in another quarter.
However, evidence shows independent quarters are less marked with environmental pathogens than contagious ones. Contagious pathogens are more likely to spread between quarters and become persistently infected.
Concern is growing around prophylactic use of antibiotics at drying off, but researchers say the highest proportion of antibiotics comes from systemic (injectable) use.
About the study
Six commercial dairy herds in Somerset, with bulk milk samples less than 200,000 cells/ml, took part in the study, with data collected from 766 cows (3,064 quarters).
Cows were split into two groups:
- Infected (381 cows): Those that recorded SCC higher than 200,000 cells/ml on three consecutive tests, with cases of clinical mastitis
- Uninfected (383 cows): Those that recorded SCC below 200,000 cells/ml on three consecutive tests, with no previous cases of clinical mastitis.
Each group was randomly assigned to one of three treatments.
Treatment groups
- SCLT (cow level treatment): All quarters given internal teat sealant only, or in combination with antibiotics dry cow therapy
- SQLT1 (quarter level treatment CMT>1): Quarters scoring below one at drying off (no reaction to the CMT) received internal teat sealant only. Quarters scoring above this threshold also got antibiotics
- SQLT2 (quarter level treatment CMT>2): Quarters scoring below two at drying off (only a trace reaction to the CMT) received internal teat sealant only. Quarters above this threshold also got antibiotics
Bacteriology and SCC data were then collected again from each quarter at calving, at seven and 14 days into lactation and, finally, 100 days post-calving.
How the CMT works
The reagent breaks down the DNA of white blood cells, forming a gel. The risk of mastitis is determined by the viscosity of the liquid:
- 0 = No change
- 1 = Little bit of gel formed
- 2 = Obvious gel formed
- 3 = Solid mix[
Results from the QMMS study
- Major pathogen infection was low and minor pathogens much higher at drying off and calving.
- Gram-positive infections were also very low in both infected and uninfected groups (around 2.5%) at drying off.
- On average, 10 tubes/cure were used for major pathogens in the high-cell count group when a selective quarter approach was not used.
- In the high-cell count group, antibiotics use could be reduced by 50% by targeting individual quarters that had negative CMT results.
- In lower-cell-count cows (uninfected group), the cure rate did not differ across the three treatment protocols.
- Infected cows from the SQLT1 group were at lower risk of being infected at calving with a minor pathogen, compared with the SCLT group.
- No differences were seen in clinical mastitis in the first 100 days of lactation.
Key advice at dry cow stage
- Use milk recording data to identify high-cell count cows (those recording higher than 200,000 cells/ml in their last three milk recordings)
- Use the CMT to identify which quarters are at risk
- The CMT is cheap (costs 1p/quarter) to use and is very efficient at identifying at-risk quarters
- Remove antibiotics from quarters that score 0 on the CMT
- Continue to treat low-cell count cows (less than 200,000 cells/ml) with sealant only