Clinical Endometritis Research Articles

Extended lactation in high-yielding dairy cows. II. Effects on milk production, udder health, and body measurements

The objective of this prospective field study was to evaluate the effects of extending the lactation period of high-yielding dairy cows on milk production, udder health characteristics, and development of body condition. On 40 d in milk (DIM), an examination of the genital tract (transrectal palpation, sonography, vaginoscopy) was performed. Cows without signs of clinical endometritis were blocked by parity and were randomly allocated to 1 of 3 experimental groups with a voluntary waiting period of 40, 120, and 180 d, respectively (G40, n = 135; G120, n = 141; G180, n = 139). Mean daily milk and energy-corrected milk production did not differ between the 3 groups regarding the first 305 d or for the whole lactation (d 1 and up to dry off, culling, or 600 DIM). In late lactation (306 to 600 DIM), G40 had lower average productivity (23.8 kg) compared with G120 (26.5 kg), with G180 showing intermediate values (25.7 kg). The extended lactation groups showed greater persistency, as the rate of decline based on a Wilmink function was lower for G120 (c = -0.063 and -0.045 for milk and energy-corrected milk, respectively) and G180 (c = -0.061 and -0.047) compared with G40 (c = -0.071 and -0.056). We found no difference between the 3 groups regarding the evaluated udder health characteristics (somatic cell count, incidence of mastitis, and days off milk due to mastitis). More cows in G180 (7.9%) were culled due to low productivity compared with G40 (0.7%) and as a tendency compared with G120 (2.8%). Moreover, cows of G180 showed higher median body condition score at the time of dry off compared with cows of both G40 and G120 (3.50 for G180 vs. 3.25 for both G40 and G120). At the time of dry off, G180 cows also had greater backfat thickness (25.0 mm) compared with both G40 (22.2 mm) and G120 cows (21.6 mm). Based on our results, the extension of the voluntary waiting period of high-yielding cows up to 120 d has no adverse effects regarding milk production, involuntary culling, udder health, or BCS gain.

Improved detection of biomarkers in cervico-vaginal mucus (CVM) from postpartum cattle

BackgroundIn the postpartum cow, early diagnosis of uterine disease is currently problematic due to the lack of reliable, non-invasive diagnostic methods. Cervico-vaginal mucus (CVM) is an easy to collect potentially informative source of biomarkers for the diagnosis and prognosis of uterine disease in cows. Here, we report an improved method for processing CVM from postpartum dairy cows for the measurement of immune biomarkers. CVM samples were collected from the vagina using gloved hand during the first two weeks postpartum and processed with buffer alone or buffer containing different concentrations of the reducing agents recommended in standard protocols: Dithiothriotol (DTT) or N-Acetyl-L-Cysteine (NAC). Total protein was measured using the bicinchoninic acid (BCA) assay; interleukin 6 (IL-6), IL-8 and α1-acid glycoprotein (AGP) were measured by ELISA.ResultsWe found that use of reducing agents to liquefy CVM affects protein yield and the accuracy of biomarker detection. Our improved protocol results in lower protein yields but improved detection of cytokines and chemokines. Using our modified method to measure AGP in CVM we found raised levels of AGP at seven days postpartum in CVM from cows that went on to develop endometritis.ConclusionWe conclude that processing CVM without reducing agents improves detection of biomarkers that reflect uterine health in cattle. We propose that measurement of AGP in CVM during the first week postpartum may identify cows at risk of developing clinical endometritis.

Effect of purulent vaginal discharge on ovarian cyclicity, pregnancy, pregnancy loss, and cow survival in a large multi-farm population of Holstein cows

Uterine diseases, such as metritis and endometritis, are highly prevalent in dairy cows. Clinical endometritis, more precisely identified as purulent vaginal discharge (PVD), is characterized by presence of purulent (>50% pus) uterine discharge detectable in the vagina ≥21 days after parturition, or mucopurulent (approximately 50% pus, 50% mucus) discharge detectable in the vagina >26 days postpartum. This condition has been associated with variable degrees of reduced fertility; however, the reported effects on subsequent survival in the herd are conflicting. The analysis of a large experimental data set, using a standardized disease definition would help to clarify these long-term responses. Therefore, the objective was to analyze the effect of PVD on multiple reproductive responses and survival in a large population of Holstein cows across US regions.

Antimicrobial resistance, virulence gene profile and molecular typing of Staphylococcus aureus isolates from dairy cows in Xinjiang Province, northwest China.

Staphylococcus aureus (SA) is a major pathogen causing dairy cow mastitis and endometritis. Recently, animal-derived SA strains pose a serious public-health threat. However, little is known about antimicrobial resistance and virulence factors of SA isolated from dairy cows in Xinjiang, China. In this study, antimicrobial resistance, virulence gene profiles and genotypes of SA from clinical mastitis and endometritis in dairy cows were investigated. A total of 337 clinical samples (186 milk samples from clinical mastitis cases and 151 endometritis swab samples) were collected from 15 large-scale dairy farms and were screened for SA. All SA isolates were subjected to antimicrobial susceptibility testing, detection of virulence genes and molecular typing. A total of 155 SA strains were isolated; 22 (14.2%) were methicillin-resistant S. aureus (MRSA). Resistance of MRSA isolates was significantly higher than that of methicillin-susceptible S. aureus (MSSA). The percentage of virulence genes varied between MSSA and MRSA. The strains could be divided into two SCCmec types (I and IVa), three agr types (I, II and III) and four spa types (t779, t2883, t13751 and t1939). MLST identified 14 sequence types, among which ST1 and ST9 had relatively high detection rates. These findings revealed that ST9-t1939-agrI was the main genotype of MSSA, whilst ST1-SCCmecI-t1939-agrI was the main genotype of MRSA from dairy cows. More significantly, a novel ST (STX) was identified for the first time. The majority of SA strains from dairy cows were multidrug-resistant and carried multiple virulence genes, posing a potential public-health risk.

Short communication: Meta-analysis on therapy of bovine endometritis with prostaglandin F2α—An update

The objective of the study was to update a prior meta-analysis on the efficacy of the treatment of bovine endometritis with PGF2α. Clinical endometritis in cattle is defined as the presence of a purulent or mucopurulent vaginal discharge after 20 or 26 d, respectively, postpartum. Although the prevalence and impact of this disease are well known, the questions of whether and how to treat endometritis are still controversially discussed. Hence, to ensure timeliness of scientific results, we updated an existing meta-analysis published in 2013 that showed no treatment effect of PGF2α in cases of bovine endometritis. As in the prior meta-analysis, a comprehensive literature search was conducted. After applying specific inclusion and exclusion criteria, 3 trials remained that could be added to the 6 trials in the initial meta-analysis. Data for each trial were analyzed using the meta-analysis software Review Manager (version 5.3; The Nordic Cochrane Centre, Copenhagen, Denmark). Estimated effect sizes of PGF2α were calculated on calving to first service interval (CFSI) and calving to conception interval (CCI). As revealed by the initial meta-analysis, PGF2α treatment still had no effect on both reproductive parameters. Heterogeneity remained substantial for CFSI and CCI and even increased for CCI compared with the initial meta-analysis. Subgroup analysis, however, did not reveal a source of heterogeneity. In updating the meta-analysis, publication bias for trials reporting CCI became even more pronounced, suggesting that studies with higher standard error (i.e., usually smaller studies) that reported a prolonging effect on CCI after a PGF2α treatment were less likely to be published. Finally, although the number of trials published on the chosen topic and their comparability are still limited, this update of our meta-analysis now provides results that are based on approximately twice the number of included cows. The overall outcome, however, has not substantially changed and a positive effect of a PGF2α treatment in case of clinical endometritis could not be shown. Therefore, we do not recommend a treatment of bovine endometritis with PGF2α as a means to improve reproductive performance.

Phagocytic and oxidative burst activity of phagocytic cells in peripheral blood and uterine washings in cows with clinical endometritis before and after intrauterine use of cephapirin and methisoprinol.

The aim of the study was to evaluate phagocytic and killing activity of phagocytic cells in blood and uterine flush of cows with endometritis before and after intrauterine (i.u.) administration of cephapirin and methisoprinol. The research was carried out on 28 cows with clinical endometritis. Animals were divided into four groups, each composed of seven cows, depending on the i.u. treatment used: Group A-cephapirin; Group B-methisoprinol; Group C-cephapirin and methisoprinol at the same time; and a control group-without medication. Using flow cytometry technique, the phagocytic activity of granulocytes and monocytes was identified, as well as the oxidative burst activity of neutrophils in the peripheral blood and uterine washings. Summarizing the results of the research, i.u. infusion of cephapirin caused a reduction in the phagocytic and killing activity of phagocytes. The i.u. use of methisoprinol increased phagocytic and killing activity of phagocytes in the uterus. Administering both listed substances simultaneously showed a decrease in phagocytosis, presumably due to the dominating inhibitor effect of the antibiotic. However, also an increase of mean fluorescence intensity was observed, presumably caused by the methisoprinol. Intrauterine use of immunostimulatory substances, can improve the effectiveness of the treatment of endometritis in cows.

Associations between serum calcium concentration and postpartum health and reproductive performance in dairy cows

In the present study, the aim was to evaluate the associations between serum calcium concentration after calving and serum metabolites, postpartum disorders, and reproductive performance in dairy cows. Blood samples were collected from 200 Holstein cows immediately and 1, 2, 4, 6, and 8 weeks after calving to measure serum metabolites and progesterone concentrations. Cows were divided into three groups on the basis of the mean serum calcium concentration after calving: a Low group (<7.9 mg/dL, n = 52), a Moderate group (7.9–9.6 mg/dL, n = 100), and a High group (≥9.7 mg/dL, n = 48). Total cholesterol (TCH) concentration was greater in the High group than in the Moderate group during the postpartum period (P < 0.01). The High group had greater albumin concentrations during the postpartum period (P < 0.01) and glucose concentrations after calving and 1 week postpartum (P < 0.05) than the Low and Moderate groups. The High group had a lesser incidence of retained placenta than the Low (P < 0.1) and Moderate (P < 0.01) groups, and a lesser incidence of clinical endometritis than the Moderate group (P < 0.05). The probability of resuming estrous cyclicity by 8 weeks postpartum was greater in the High group than in the Low group (hazard ratio = 3.71, P < 0.05). In conclusion, greater serum calcium concentration after calving is associated with greater serum TCH, albumin, and glucose concentrations, a lesser incidence of retained placenta, and clinical endometritis, and earlier resumption of estrous cyclicity in dairy cows.

Genomic characterisation, detection of genes encoding virulence factors and evaluation of antibiotic resistance of Trueperella pyogenes isolated from cattle with clinical metritis

Trueperella pyogenes is one of the most important microorganisms causing metritis in post-partum cattle. Co-infection with other bacterial species such as Escherichia coli or Fusobacterium necrofurom increases the severity of the disease and the persistence of bacteria in utero. The aim of this study was to investigate the frequency of T. pyogenes strains, and their virulence and antimicrobial resistant profiles in metritis cases. The study was carried out on 200 samples obtained from metritis discharges of postpartum cattle on 18 farms around Tehran, Iran. Sixty-five T. pyogenes isolates (32.5%) were identified, of which 16 isolates were detected as pure cultures and the other 49 isolates from cultures most commonly mixed with E. coli or F. necrofurom. In terms of diversity in biochemical characteristic of T. pyogenes strains, 8 different biotypes were identified among the isolates. Single or multi antimicrobial resistance was observed in 48 isolates (73.9%), which was mostly against trimethoprim sulfamethoxazole, azithromycin, erythromycin and streptomycin. The tetracycline resistance gene tetW and macrolide resistance genes ermB and ermX were detected in 30, 18 and 25 isolates, respectively. In the screening of genes encoding virulence factors, fimA and plo genes were identified in all tested isolates. Genes encoding nanP, nanH, fimC, fimG, fimE and cbpA were detected in 50, 54, 45, 40, 50 and 37 of isolates, respectively. Thirteen different genotypes were observed in these T. pyogenes isolates. A significant association between clonal types and virulence factor genes, biochemical profile, CAMP test result, severity of the disease and sampling time was detected.

Metabolic stress and endometritis in dairy cattle

Endometritis is a significant condition in postpartum dairy cattle because it causes infertility.1 Although pathogenic bacteria underlie the aetiology of clinical endometritis (Box 1), peripartum problems such as dystocia and...

Changes in biomarkers serum amyloid A and haptoglobin following treatment of endometritis in dairy cows

Monitoring of changes in acute phase proteins following the treatment of endometritis can help us to improve treatment protocols. In total, 81 dairy cows affected by clinical endometritis were selected in 30 days in milk (DIM) and treated with hyperimmune serum. Cervical mucus cytology was used to determine the neutrophil percentage. Levels of amyloid A (SAA) and haptoglobin (Hp) in blood serum were measured just before and 2 weeks after the treatment. The cows were timed-inseminated with Heat Synch following the treatment, and pregnancy was diagnosed 35 ± 3 days after AI. Variables such as parturition (abnormal and normal), 305 days milk production, pregnancy status, number of AI, endometritis score, days open, and parity were considered in statistical analysis. Concentrations of SAA and Hp were significantly lower after the treatment of cows affected by endometritis (P 9000kg milk production. There was significantly higher Hp concentration in the pretreatment of cows that had been pregnant after the treatment of endometritis. Post-treatment cows with days open ≤ 100 days showed higher SAA than those cows with days open > 100 days. The results showed a positive significant correlation (r = 0.44, P = 0.02) between SAA and Hp in pre-treatment cows, but this correlation was not significant after the treatment (r = 0.01, P = 0.98). Treatment of cows affected by clinical endometritis with hyperimmune serum could decrease SAA and Hp, and factors such as milk production, pregnancy status, and days open affected their concentrations.

Assessment of daily activity patterns and biomarkers of pain, inflammation, and stress in lactating dairy cows diagnosed with clinical metritis

The objectives of the present case-control study were to assess (1) daily activity patterns (lying time, number of steps, number of lying bouts, and lying bout duration), and (2) circulating concentrations of biomarkers of pain (substance P), inflammation (haptoglobin), and stress (cortisol) in lactating dairy cows diagnosed with clinical metritis. Lactating dairy cows (n = 200) from 2 commercial dairy herds were enrolled in the present study. Cows diagnosed with clinical metritis (n = 100) at 7 ± 3 d in milk were matched according to lactation and days in milk to cows without clinical metritis (NO-CM; n = 100). On study d 1, clinical metritis was diagnosed (using a Metricheck device, Simcro Tech Ltd., Hamilton, New Zealand) by the presence of watery, reddish, or brownish foul-smelling vaginal discharge, and blood samples were collected for assessment of circulating concentration of substance P, haptoglobin, cortisol, total calcium, β-hydroxybutyrate, and blood cells. In addition, on study d 1 body condition of cows was visually assessed, and activity monitors were placed on the hind leg of a subset of cows (CM, n = 56; CON, n = 56) and were kept until study d 7. Cows showing any other signs of other diseases were not included in the study. Cows with clinical metritis tended to spend more time lying (CM = 628.92 min/d; NO-CM = 591.23 min/d) compared with NO-CM cows. Activity analysis by parity revealed that primiparous cows with clinical metritis spent more time lying compared with primiparous cows without clinical metritis. However, no differences in daily lying time were observed between multiparous cows with and without clinical metritis. Furthermore, cows in the CM group had a higher circulating concentration of substance P (CM = 47.15 pg/mL; NO-CM = 37.73 pg/mL) and haptoglobin (CM = 233.00 µg/mL; NO-CM = 99.98 µg/mL) when compared with NO-CM cows. Cows with clinical metritis had lower body condition score, and a greater proportion of cows in this group had hypocalcemia when compared with cows without clinical metritis. The circulating concentration of leukocytes and erythrocytes were decreased in cows with clinical metritis compared with cows without clinical metritis. Results from this study showed that concentrations of markers of inflammation, stress, pain, and activity were affected in cows diagnosed with clinical metritis; thus, strategies aimed to minimize the negative effects associated with clinical metritis may be required to improve the welfare of dairy cows.

Effects of some diseases observed at postpartum period of cows in dairy farms: Economic perspective

In this study, financial losses due to several endemic diseases at the postpartum period of dairy cows were calculated, using the incidence rates and the financial losses from each clinical case of the endemic diseases reported in the literature. The median values of the incidence rates reported in the literature for retained placenta, clinical hypocalcemia, subclinical hypocalcemia, clinical metritis, clinical mastitis, clinical ketosis, subclinical ketosis, lameness and displaced abomasum were 8.6, 3.9, 33, 13.3, 7, 2.5, 19.8, 4.3 and 1.8% respectively. The average losses per case arising from retained placenta, clinical hypocalcemia, clinical metritis, clinical mastitis, clinical ketosis, lameness and displaced abomasum were calculated to be $257, $279, $278, $212, $109, $223 and $340 respectively. Using the above stated findings, the financial losses for each average cow arising from retainedplacenta, clinical hypocalcemia, clinical metritis, clinical mastitis, clinical ketosis, lameness, displaced abomasum and the total of 7 diseases were estimated to be $22, $11, $37, $15, $3, $9, $6 and $103 respectively.

Single dose ceftriaxone and metronidazole versus multiple doses for antibiotic prophylaxis at elective caesarean section in Mulago hospital: A randomized clinical trial

Objective: To compare the incidence of post-operative infections among mothers who received single dose pre-operative ceftriaxone and metronidazole compared to multiple doses after delivery by elective caesarean section. Methods: This was (parallel, balanced randomization, 1:1) open label randomized controlled trial conducted Mulago Hospital, Department of Obstetrics and Gynaecology. Participants included in this study were pregnant women who had been admitted for elective caesarean section. The mothers were randomized to receive single dose of ceftriaxone and metronidazole minutes before the operation or multiple doses 30-60 during the operation and postoperatively. The primary outcome was post-operative wound infection. Secondary outcomes were clinical endometritis and febrile morbidity. The 174 eligible participants were randomized into one of the two treatment arms in a ratio of 1:1. The research assistants who collected the outcomes were blinded to the study allocation. Results: Of the 174 eligible participants who recruited; 87 were randomized to the single dose group while 87 to the multiple doses group. The participants were recruited from 17th September 2015 up to 29th February 2016. All the participants were followed up for two weeks after delivery. Outcome data was available for 79 women in the single dose group and 81 women in the multiple dose group. There were no differences in the incidence of post-operative wound infections between the single dose arm versus the multiple dose arm (RR 1.895; 95% CI (0.2-21.4). There was no clinical endometritis and febrile morbidity observed during the 14 days of follow up. Conclusion: Single dose pre-operative antibiotic prophylactic with ceftriaxone and metronidazole is as effective as multiple doses in prevention of post-operative infectious morbidity in women who undergo elective caesarean section. We recommend the use of single dose ceftriaxone and metronidazole in women undergoing elective caesarean section in our setting. Trial registration: NCT02736682. Registration date, 7th April, 2016.

Treatment of Infectious Endometritis with a Novel Protein, VPI‐O22, in Cows

BackgroundEndometritis, usually caused by an infection in 7–20% of dairy cows within 10 days of postpartum, deteriorates health, decreases milk production, and causes a huge economic loss to farms. In addition, treatment of infectious endometritis with antibiotics raises concern about the development of bacterial resistance. Therefore, an alternative remedy of antibiotics is desirable.AimsA natural, novel protein, VPI‐O22 could inhibit bacterial infection and restore uterine tone and health.MethodsCows with clinical endometritis (n=4) were identified based on the clinical signs, rectal temperature, score of mucus characteristics, total polymorph numbers, pH of uterine discharge, uterine swab analysis, and bacterial culture, along with healthy cows (control, n=4). Two hundred ml of VPI‐O22 (5%) were infused intrauterine with a special pipette attached to a pump in the treatment group. Seven days later, all the above parameters were reexamined. Total number of polymorph in uterine discharge was counted using a hemocytometer, stained with Giemsa and Gram stain. Bacterial culture was performed on blood agar, nutrient broth, and nutrient agar media and were identified using Gram stain. Zone of inhibition studies were performed with different concentrations of VPI‐O22 and 0.1% of chlorhexamide as a positive control.ResultsRectal temperature was higher in cows with endometritis and was found to be normal after one week of VPI‐O22 treatment. Mean pH of uterine discharge from metritis cows was 8.8 (control 6.8) and changed to 7.0 after one week of VPI‐O22 treatment. Mucus score was 6 times higher, and total number of polymorph was more than 70 times higher in cows with metritis and significantly (p&lt;0.01) reduced (2 and 4 times higher, respectively, compared with control) after VPI‐O22 treatment. Bacterial culture of uterine swab demonstrated the presence of different types of bacteria including gram positive, gram negative, α‐ and β‐hemolytic, rods, and cocci. Zone of inhibition studies with different concentrations of VPI‐O22 demonstrated that 5% would be more than enough to kill all types of bacteria found in these studies.ConclusionVPI‐O22 is a potent antimicrobial protein and has the ability to kill different types of bacteria in in‐vitro and clinical applications.This abstract is from the Experimental Biology 2018 Meeting. There is no full text article associated with this abstract published in The FASEB Journal.

Factors affecting reproductive performance in dromedary camel herds in Saudi Arabia

A survey of 7122 dromedary camels in 115 herds in Saudi Arabia was used to estimate the effects of herd size (HZ; < 25 vs. 25-49 vs. 50-100 vs. > 100 camels), herder/camels ratio (H/C; 1:< 25 vs. 1:25-50 vs. 1:> 50), manager experience (ME; < 5 vs. 5-10 vs. > 10years), male/females ratio (M/F), housing system (HS; free vs. closed vs. mixed), length of the breeding season (winter vs. winter and spring vs. fall, winter and spring), age at first mating (3 vs. > 3years), and time of mating after parturition (≤ 3 vs. > 3months) and their interactions on the overall pregnancy rate. Barren females of these herds (n = 886) were examined for the causes of infertility. Results showed that herds with H/C of 1:< 25 had higher overall pregnancy rate (95.29%) than herds with H/C of 1:25-50 (79.84%) and those with H/C of 1:> 50 (72.79%) (p = 0.003). Herds having ME of > 10years revealed greater overall pregnancy rate (94.89%) than herds with ME of 5-10years (80.54%) and those with ME of < 5years (72.5%) (p = 0.001). There were significant interactions between H/C × HZ (p = 0.003), H/C × HS (p = 0.006), and ME × HS (p = 0.02). The overall pregnancy rate did not significantly differ between herds bred females by age of 3years and those bred females by age > 3years and in females bred within 3months after parturition and in those bred after 3months. The mean calving interval was shorter (p = 0.008) in camels mated within 3months of parturition (15.25 ± 2.8months) than in those mated after that time (24.33 ± 6.5months). Clinical endometritis, ovarian hydrobursitis, and vaginal adhesions were the common clinical findings in barren females. Thus, efforts to reduce the age at first mating and the interval after calving, increase the number of herders/camels, and control reproductive disorders could improve the reproductive performance and quality of camel herds in Saudi Arabia.

Associations of periparturient plasma biochemical parameters, endometrial leukocyte esterase and myeloperoxidase, and bacterial detection with clinical and subclinical endometritis in postpartum dairy cows.

This study was aimed at demonstrating associations between peripheral biochemical parameters, endometrial leukocyte esterase (LE) and myeloperoxidase (MPO), and bacterial detection with the degree of endometrial inflammation, and determining the best time postpartum for diagnosing endometritis to predict subsequent fertility in dairy cows. Plasma albumin, blood urea nitrogen (BUN), total cholesterol (T-cho), NEFA, and BHBA concentrations were analyzed in 43 Holstein cows at 3, 5 and 7 weeks postpartum (W3, W5 and W7). Endometrial samples were collected at W3, W5 and W7 to examine LE and MPO activities, bacterial detection rates, and PMN% profiles. The 43 cows were divided into healthy (HE), subclinical endometritis (SE), and clinical endometritis (CE) groups, classified differently at W3, W5 and W7 based on the definitions of SE and CE for each of the three weeks pp. LE level had an association with PMN% in all weeks pp (P<0.05). Albumin and BUN levels had weak negative associations with endometrial PMN% at W3. Pathogenic bacterial detection rates were higher in the cows with endometritis at W3 and W5. Conception rate at first artificial insemination tended to be lower (P=0.057) in the cows diagnosed with endometritis at W3 than in the healthy cows. In conclusion, associations were found between endometrial LE and endometritis, but not for MPO and endometritis. Diagnosing endometritis in W3 may be the best moment to predict subsequent fertility.

Treatment of cows with clinical endometritis III as cows affected by pyometra-Non antibiotic treatment of severe clinical endometritis

Objective: To confirm the efficacy of non-antibiotic treatment with prostaglandin F2 α (PGF2 α) in dairy cows affected by severe clinical endometritis in (30±3) days in milk. Methods: Cows with clinical endometritis 1 (n=399) were aligned into three groups randomly. The first group (n=115) received PGF2 α, the second group (n=84) received intrauterine infusion (lUI) of oxytetracycline 10% + PGF2 α, and the third group (n=200) received IUI. Cows were inseminated following estrus. The pregnancy status, parity, calving and artificial insemination season, ovaries with corpus luteum at the time of treatment, dystocia, body condition score and treatment groups were included in data analysis. Results: Total pregnancy rate was 40.1% after the first insemination and 94.2% after the third insemination. Overall pregnancy rate of treated cows with IUI+PGF2 α (84.5%) was significantly lower than the treated cows with PGF2 α(98.3%) or IUI (96%) (P

Pathogenesis of uterine diseases in dairy cattle and implications for fertility.

Uterine diseases in cattle occur at all stages of the reproduction cycle but the majority of cases is found in the postpartum period. The inflammation of the uterus is generally defined as metritis or endometritis, with several graduations, e.g. puerperal metritis, clinical metritis, clinical or subclinical endometritis. Whether uterine diseases have a negligible, moderate or detrimental effect on fertility is still under discussion and depends on definitions and classification. In the past, it was assumed that the pregnant uterus is free of pathogens, but recent studies found several species including pathogens in the uterus and endometrium of pregnant cows. After parturition, a broad diversity of bacteria with >200 different species has been found in the early postpartum period. Not all of these bacteria, however, are considered as pathogens. Furthermore, bacteriological findings provide only evidence for infection but not for inflammation. For some bacteria, particularly Escherichia coli and Trueperella pyogenes pathogenic mechanism resulting in metritis and endometritis have been elucidated in detail. The role of bacteria that can be regarded as opportunistic or potential pathogens, e.g. Bacillus pumilus, is still under investigation. The understanding of the uterine microbiota and its interactions is increasing with the use of modern high-resolution techniques such as Fourier- transform infrared spectroscopy. Endometrial cytology provides additional information about alterations in the endometrium. Knowledge of innate uterine defense mechanism in cattle has increased a lot in the recent past. It can be speculated that improving or modulating uterine defense mechanism will be part of future prevention and treatment approaches beyond the use of antimicrobials. In this context, cellular and molecular defense mechanisms have been in the focus of interest, e.g. the role of interleukins or mucins. This review gives a short overview on some aspects of recent research on uterine diseases in cattle.

Current facts of endometritis diagnosis in dairy cows

In a decreasing order, the main three disorders that result in an increased percentage of dairy cow culling are hoof diseases, clinical mastitis and the puerperal pathologies of the genital sphere. The latter are mostly represented by placenta reten­tion, acute or chronic cervicitis, toxic acute metritis, cli­ni­cal metritis, clinical and subclinical endometritis. The repeat breeding syndrome is a difficult problem for prac­ti­tio­ners because endometritis are one of the causes of this syndrome. Often, cows suffering from endometrial in­flam­mation may have clinical signs and sometimes do not. It cannot be a key to success in endometritis diagnosis, but by bringing in better monitoring of the puerperium, and applying certain managerial and diagnostic mea­sures, we can achieve satisfying reproductive results in close correlation with nutrition and climatic factors.

DIAGNOSIS OF ENDOMETRITIS IN INFERTILE ARABIAN MARES USING ULTRASONOGRAPHY AND BACTERIOLOGICAL EXAMINATION

Endometritis is one of the biggest problems affecting horses after colic and lameness. The current study was carried out on 26 mares (4-19 years old) of Straight Egyptian Arabian mares located in different 4 private farms. Ultrasonography revealed that most cases of endometritis were showing intraluminal fluid accumulation, although there was certain cases did not show fluid accumulation yet they suffered from endometritis and subfertility. The degree and severity of fluid accumulation was increased with age of mares. Additionally, there was a relationship between the fluid accumulation and echogenicity and the type of isolated microorganism whereas isolation of Staph and Strept associated with fluid formation and observation of clinical endometritis while in contrast with E.coli, it produced little amount of fluid only high degree of uterine edema was evident. Concerning bacterial isolation there were many incriminated bacteria for example Staphylococcus spp (35.1%), E.coli (18.9%), Proteus vulgaris (13.5%), Streptococcus spp (10.8%), Klebsiella pneumoniae (5.5%), and Pseudomonas aeriogenosa (2.7%) and there was 13.5% bacteriologically negative cases.