Abstract
Puerperal metritis (PM) is a common infectious disease in dairy cattle. Currently there are discrepancies between clinical case definitions within and between available peer-reviewed literature and on-farms practices. The inconsistent use of PM criteria across studies and on-farm practices can result in disparities related to recommendations for treating cows, affecting judicious use of antimicrobials. Our objective was to systematically review literature for clinical signs used as diagnostic criteria for PM, including local (e.g., vaginal discharge) and systemic signs of infection (e.g., fever, drop in milk).
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