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      Are Severe Mastitis Cases in Dairy Cows Associated with Bacteremia?

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          Abstract

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          The occurrence of bacteremia associated with cases of severe mastitis in dairy cows is an under-researched topic and of great practical importance for the development of evidence-based strategies in mastitis therapy. The aim of this study was to determine the occurrence of bacteremia in lactating dairy cows with severe mastitis cases. For this purpose, we worked on the detection of culturable pathogens in the blood to obtain information on whether systemic antibiotic therapy is necessary in cases of severe mastitis. Detection of culturable pathogens in the blood of cows with severe clinical mastitis was apparently rare (1.4%). Further studies are necessary to estimate the occurrence of bacteremia in severe bovine mastitis.

          Abstract

          The objective of this study was to investigate the occurrence of bacteremia in dairy cows with severe mastitis. Milk samples were collected from affected udder quarters, and corresponding blood samples were collected from dairy cows with severe mastitis at the time of diagnosis before any therapeutic measures were undertaken. The cultural detection of pathogens in blood classified a bacteremia. Further diagnostic tests were performed to provide evidence of bacteremia. This was realized by PCR with regard to S. aureus, E. coli and S. uberis and the Limulus test. Detection of culturable pathogens in the blood of cows with severe clinical mastitis was rare and occurred in only one of 70 (1.4%) cases. Overall, bacterial growth was detected in 53 of 70 (75.7%) milk samples. S. uberis (22/70), E. coli (12/70) and S. aureus (4/70) were the most frequently isolated pathogens from milk of cows with severe mastitis. PCR was performed in 38 of 70 (54.3%) blood samples. PCR was positive in eight of 38 cases. S. uberis was found most frequently in six blood samples (8.6%). E. coli was found on PCR in one blood sample (1.4%). S. aureus was identified in one blood sample (1.4%). When Coliforms were detected in the quarter milk sample, a Limulus test was performed in the corresponding blood sample. In three of 15 cases, the Limulus test was positive (4.3% of samples). Further studies are needed to investigate the occurrence of bacteremia in cows with severe mastitis in a higher population size.

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          'My five moments for hand hygiene': a user-centred design approach to understand, train, monitor and report hand hygiene.

          Hand hygiene is a core element of patient safety for the prevention of healthcare-associated infections and the spread of antimicrobial resistance. Its promotion represents a challenge that requires a multi-modal strategy using a clear, robust and simple conceptual framework. The World Health Organization First Global Patient Safety Challenge 'Clean Care is Safer Care' has expanded educational and promotional tools developed initially for the Swiss national hand hygiene campaign for worldwide use. Development methodology involved a user-centred design approach incorporating strategies of human factors engineering, cognitive behaviour science and elements of social marketing, followed by an iterative prototype test phase within the target population. This research resulted in a concept called 'My five moments for hand hygiene'. It describes the fundamental reference points for healthcare workers (HCWs) in a time-space framework and designates the moments when hand hygiene is required to effectively interrupt microbial transmission during the care sequence. The concept applies to a wide range of patient care activities and healthcare settings. It proposes a unified vision for trainers, observers and HCWs that should facilitate education, minimize inter-individual variation and resource use, and increase adherence. 'My five moments for hand hygiene' bridges the gap between scientific evidence and daily health practice and provides a solid basis to understand, teach, monitor and report hand hygiene practices.
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            Guidelines for evaluation of new fever in critically ill adult patients: 2008 update from the American College of Critical Care Medicine and the Infectious Diseases Society of America.

            To update the practice parameters for the evaluation of adult patients who develop a new fever in the intensive care unit, for the purpose of guiding clinical practice. A task force of 11 experts in the disciplines related to critical care medicine and infectious diseases was convened from the membership of the Society of Critical Care Medicine and the Infectious Diseases Society of America. Specialties represented included critical care medicine, surgery, internal medicine, infectious diseases, neurology, and laboratory medicine/microbiology. The task force members provided personal experience and determined the published literature (MEDLINE articles, textbooks, etc.) from which consensus was obtained. Published literature was reviewed and classified into one of four categories, according to study design and scientific value. The task force met twice in person, several times by teleconference, and held multiple e-mail discussions during a 2-yr period to identify the pertinent literature and arrive at consensus recommendations. Consideration was given to the relationship between the weight of scientific evidence and the strength of the recommendation. Draft documents were composed and debated by the task force until consensus was reached by nominal group process. The panel concluded that, because fever can have many infectious and noninfectious etiologies, a new fever in a patient in the intensive care unit should trigger a careful clinical assessment rather than automatic orders for laboratory and radiologic tests. A cost-conscious approach to obtaining cultures and imaging studies should be undertaken if indicated after a clinical evaluation. The goal of such an approach is to determine, in a directed manner, whether infection is present so that additional testing can be avoided and therapeutic decisions can be made.
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              Economic effects of bovine mastitis and mastitis management: a review.

              Several studies have been published since 1990 on the economics of mastitis and mastitis management. However, hardly any of these studies has discussed the consistency of results with other studies. In the present paper, the economic factors associated with mastitis are explained, providing a framework for economic analysis. As a second step calculations of the costs of mastitis and the costs in relation to the benefits of mastitis management published since 1990 in peer-reviewed journals are extensively reviewed and analysed. The result shows a large variation in the calculated costs and benefits of mastitis and mastitis management between the different studies. Moreover, it is clear that important factors were ignored in some of the studies. The framework provided in this paper can provide a basis for analysis for future studies on the economics of mastitis and mastitis management.
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                Author and article information

                Contributors
                Role: Academic Editor
                Journal
                Animals (Basel)
                Animals (Basel)
                animals
                Animals : an Open Access Journal from MDPI
                MDPI
                2076-2615
                05 February 2021
                February 2021
                : 11
                : 2
                : 410
                Affiliations
                [1 ]Department of Microbiology, Faculty of Mechanical and Bioprocess Engineering, University of Applied Sciences and Arts, 30453 Hanover, Germany; brenner3108@ 123456googlemail.com (J.B.); nicole.wente@ 123456hs-hannover.de (N.W.)
                [2 ]Cattle Health Service of the Mecklenburg Vorpommern Animal Disease Fund, Neustrelitzer Str. 120/C, D-17033 Neubrandenburg, Germany; u.falkenberg@ 123456tskmv.de
                [3 ]Department of Veterinary and Animal Sciences, University of Copenhagen, 1870 Frederiksberg C, Denmark
                Author notes
                Author information
                https://orcid.org/0000-0001-7513-9478
                https://orcid.org/0000-0002-5678-2502
                Article
                animals-11-00410
                10.3390/ani11020410
                7914541
                33562677
                cf11b367-0a5c-4b71-bbcd-af31b075406f
                © 2021 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 23 November 2020
                : 02 February 2021
                Categories
                Article

                severe mastitis,bacteremia,e. coli
                severe mastitis, bacteremia, e. coli

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