BACTERIOLOGICAL, CYTOLOGICAL, AND HEMATOLOGICAL CHANGES ASSOCIATED THE OVINE SUBCLINICAL MASTITIS

Document Type : Research article

Authors

1 Department of Animal Medicine (Infectious Diseases) – Faculty of Vet. Med. – Assiut University

2 Department of Animal Medicine (Internal Vet. Medicine) - Faculty of Vet. Med. – Assiut University

Abstract

The problem of subclinical mastitis and the associated bacteriological, cytological, and hematological changes were studied in a sheep flock consists of 28 lactating ewes. 56 milk and 28 duplicate blood samples were collected. The milk samples were tested firstly by California mastitis test (CMT) and the animal prevalence rate was 85.7% (24/28) while the udder halves prevalence rate was 67.9% (38/56). By bacteriological examination, Coagulase Negative Staphylococci (CNS) were isolated from 37 samples (as a single pathogen from 33 samples and mixed with Staph aureus from 4 samples) with a prevalence rate 66.1%, while Staph aureus was isolated from 5 samples with a prevalence rate 8.9% (as a single pathogen from 1 sample and as mixed infection with CNS from 4 samples). The isolated bacteria were subjected to the antibiotic sensitivity test and it was found that all the CNS isolates were 100% sensitive to both Enrofloxacin and Gentamicin, while the Staph aureus isolates were sensitive to Enrofloxacin and Oxytetracycline. Somatic cell count (SCC) were estimated in these milk samples and 7 samples were found to have SCC in the range from 250x103-500x103 cells/ml and the rest of samples contain SCC level above 500x103 cells/ml. The results of hematological and serum biochemical examinations revealed that there is no significant changes in the examined parameters between infected or control groups.

Keywords


BACTERIOLOGICAL, CYTOLOGICAL, AND HEMATOLOGICAL CHANGES ASSOCIATED THE OVINE SUBCLINICAL MASTITIS

 

KHALED A.S. EL-KHABAZ*; SAFAA S. MALEK* and HUSSEIN A. HUSSEIN**

 

*Department of Animal Medicine (Infectious Diseases) – Faculty of Vet. Med. – Assiut University.

** Department of Animal Medicine (Internal Vet. Medicine) - Faculty of Vet. Med. – Assiut University

 

Email: khaled.sayed@vet.au.edu.eg                                                                       Assiut University web-site: www.aun.edu.eg

 

 

 

ABSTRACT

 

 

Received at: 31/3/2015

 

Accepted: 29/4/2015

 

The problem of subclinical mastitis and the associated bacteriological, cytological, and hematological changes were studied in a sheep flock consists of 28 lactating ewes. 56 milk and 28 duplicate blood samples were collected. The milk samples were tested firstly by California mastitis test (CMT) and the animal prevalence rate was 85.7% (24/28) while the udder halves prevalence rate was 67.9% (38/56). By bacteriological examination, Coagulase Negative Staphylococci (CNS) were isolated from 37 samples (as a single pathogen from 33 samples and mixed with Staph aureus from 4 samples) with a prevalence rate 66.1%, while Staph aureus was isolated from 5 samples with a prevalence rate 8.9% (as a single pathogen from 1 sample and as mixed infection with CNS from 4 samples). The isolated bacteria were subjected to the antibiotic sensitivity test and it was found that all the CNS isolates were 100% sensitive to both Enrofloxacin and Gentamicin, while the Staph aureus isolates were sensitive to Enrofloxacin and Oxytetracycline. Somatic cell count (SCC) were estimated in these milk samples and 7 samples were found to have SCC in the range from 250x103-500x103 cells/ml and the rest of samples contain SCC level above 500x103 cells/ml. The results of hematological and serum biochemical examinations revealed that there is no significant changes in the examined parameters between infected or control groups.

 

 

Keywords: Subclinical mastitis, Staph aureus, Coagulase-negative Staphylococci, Sheep, SCC, CMT

 

 


INTRODUCTION

 

Subclinical mastitis is a worldwide problem and its economic importance attributed mainly to its higher prevalence and effect on quality and quantity of the produced milk. Due to its economic, hygienic and legal importance in Europe (EU directives 46/92 and 71/94 defining the bacteriological quality of milk), subclinical mastitis constitute a significant problem in sheep with a prevalence rate ranged from 7.05% to 92% (Ergün et al., 2009).

 

Subclinical mastitis is the most important factor affecting quality and quantity of sheep milk, and coagulase negative Staph (CNS) is the mostly isolated pathogen from sheep mammary gland (Leitner et al., 2004).

 

Somatic cell count (SCC) considered a very helpful diagnostic tool in diagnosis of subclinical mastitis in dairy ewes (Davasaztabrizi et al., 2013). It correlate very well with the total bacterial count and in case of bacteria free udder the level of SCC is approximately 200x103 cells/ml (Olechnowicz and Jaśkowski, 2012). Level of milk SCC is greatly affected by the type of the invading pathogen (Gonzalo et al., 2002).

 

Staphylococcus spp are the most frequently isolated pathogens from cases of intramammary infection in sheep (Burriel 1998, Ariznabarreta et al.; 2002 and Bergonier and Berthelot 2003).

 

Staph aureus is mostly isolated from sheep cases with clinical mastitis and the Coagulase-negative Staphylococci are the most frequently isolated pathogen from subclinical intramammary infection (Bergonier et al., 2003).

 

Due to their opportunistic nature, the prevalence of CNS increased greatly with the bad milking hygiene (Contreras et al., 2007).

 

Although bovine subclinical mastitis has been widely studied in different regions of Egypt, studying of such problem in sheep to some extent is limited so this study aims to thorough light on the prevalence and the main etiologic agents associated with subclinical mastitis in a sheep flock located in Assiut governorate, Egypt. Study the relation between udder infection and level of milk SCC, determine the effective antibiotics against the isolated pathogens and also study the possible hematological and biochemical changes associated with subclinical mastitis.

 

MATERIALS and METHODS

 

Animals:

28 lactating Ewes were used in this study and they were apparently healthy, and free from clinical mastitis and any other visible udder lesions. Milking hygiene is poor and teat dipping procedures were not used.

 

Samples:

a-   Milk samples:

Milk samples were collected under aseptic conditions from each udder halves after washing of the udder with running water, dried with separate paper towels and the teat orifices were disinfected with cotton swabs soaked in 70% ethyl alcohol. Under aseptic precautions 56 milk samples, representing different 56 udder halves of 28 milking ewes, were separately collected in sterile bottles after discarding the fore milk. Each milk sample was examined for abnormal colour and presence of clots. The milk samples were transported refrigerated to the laboratory.

 

b-   Blood samples:

For each ewe two blood samples were collected by puncture of the jugular vein: one with heparin and the other one without anticoagulant.

 

California mastitis test (CMT):

CMT was performed on all milk samples using the method described by Schalm et al. (1971). According to visible reactions the results were classified into 5 scores: (0) = negative, (±) = trace, (+1) = weak positive, (+2) = distinct positive, and (+3) = strong positive.

 

Somatic Cell Count (SCC) according to Alekish      et al. (2014):

 

Milk samples were thoroughly mixed and from each sample 0.01 ml was spread over an area measures 1 cm² of a glass slide then left to air dried and stained by Newman-Lampert stain and examined microscopically.

 

Bacteriological examination according to (Ariznabarreta et al., 2002):

A standard loopful from each milk sample was spread evenly on 5% sheep blood agar (Himedia laboratories Pvt. Ltd. India) the plates were incubated aerobically at 37°C and examined after 24 and 48 h. Subclinical IMI was defined as growth of five or more identical colonies. In the case of Staph aureus, isolates from one colony perinoculum were considered positive. Growth of three or more bacterial types was considered as contaminated culture and eliminated from the study. Isolated bacteria were identified according to colony morphology, hemolytic pattern on blood agar, microscopic examination (Gram staining) and standard biochemical techniques (catalase test and coagulase test) according to Quinn et al. (1994).

 

Antibiotic sensitivity testing:

Antimicrobial susceptibility testing by using disc diffusion standard technique according to Andrews (2008) was applied. The isolated micro-organisms were tested against Penicillin G 10 u, Amoxicillin/ Clavulanic acid 20/10 mcgm, Gentamicin 10 mcgm, Enrofloxacin 10 mcgm and Oxytetracycline 30 mcgm.

 

Hematological and biochemical examination:

Blood gas analysis and a complete blood count including erythrocyte count, hematocrit, hemoglobin, and total leucocyte count were carried out on the first sample. The blood samples were analysed for pH, bicarbonate (HCO3), partial tension of carbon dioxide (pCO2), partial tension of oxygen (pO2), and base excess (BE) using blood gas analyzer (ABL 5, Radiometer, Copenhagen, Denmark). Hematological analyses of erythrocyte count, hematocrit, hemoglobin and total white blood cells were performed using a Medonic Vet. Hematology Analyzer (Medonic CA 620, Sweden). After centrifugation of the second blood sample, serum samples were collected and then frozen at −20°C for one week; subsequently, analysis of biochemical parameters was carried out. With the serum samples, commercial test kits were used to determine the concentrations of total proteins, albumin, blood urea nitrogen, creatinine and total bilirubin. The activities of aspartate aminotransferase (AST) and γ-glutamyltranspeptidase (GGT) were also measured in serum samples. The biochemical analyses of the selected parameters were spectrophotometrically measured according to the standard protocols of the suppliers.

 

RESULTS

 

Fifty six milk samples from 28 ewes were tested firstly by CMT and 38 samples were found to be positive with different scores with a prevalence rate 67.9%. These positive samples were subjected to bacteriological and cytological examinations and the results in details illustrated in the following tables.


Table 1: Prevalence of subclinical mastitis by CMT.

 

 

Examined

CMT

+ve

%

-ve

%

Ewe

28

24

85.7

4

14.3

Milk samples

56

38

67.9

18

32.1

 

Table 2: Prevalence of CNS and Staph aureus.

 

 

Examined

Single CNS

Single Staph aureus

Mixed

Total

CNS

Total Staph aureus

No.

%

No.

%

No.

%

No.

%

No.

%

Milk samples

56

33

58.9

1

1.8

4

7.1

37

66.1

5

8.9

 

Table 3: Relation between different scores of CMT and isolated bacteria.

 

 

CMT +1

CMT +2

CMT +3

Total

Single CNS

12

13

8

33

Single Staph aureus

1

0

0

1

Mixed

2

1

1

4

Total

15

14

9

38

 

Table 4: Relation between SCC and isolated bacteria.

 

 

SCC (106)

0.25 - 0.5

0.5 - 1

1 - 2

˃ 2

CNS

6

6

8

13

Staph aureus

-

1

-

-

Mixed

1

-

2

1

Total

7

7

10

14

% (n= 38)

18.4

18.4

26.3

36.8

 

Table 5: Results of antibiotic sensitivity test.

 

 

CNS (n=37)

Staph aureus (n=5)

Susceptible

Resistant

Susceptible

Resistant

No.

%

No.

%

No.

%

No.

%

Amoxicillin/Clavulanic acid

24

64.9

13

35.1

4

80

1

20

Enrofloxacin

37

100

0

0.0

5

100

0

0.0

Gentamicin

37

100

0

0.0

4

80

1

20

Oxytetracycline

33

89.2

4

10.8

5

100

0

0.0

Penicillin G

12

32.4

25

67.6

2

40

3

60

 

 

Table 6: Hematological and biochemical findings in subclinical lymastitic and healthy sheep.

 

parameters

Udder groups

Control

CNS

Staph. aureus

Mixed

Erythrocytes, T/L

8.5 ± 0.2

7.8 ± 0.6

8.6 ± 1.3

8.1 ± 1.0

Hematocrit, %

31 ± 2

32 ± 1

33 ± 2

31 ± 1

Hemoglobin, g/L

95 ± 2

92 ± 1

90 ± 2

92 ± 3

Leukocyte count, G/L

6.0 ± 0.2

5.6 ± 0.1

5.5 ± 0.2

5.7 ± 0.2

Total proteins, g/L

73 ± 1

75 ± 0.8

74 ± 1.5

75 ± 1.2

Albumin, g/L

37 ± 0.9

37 ± 0.5

37 ± 0.9

37 ± 0.7

Globulins, g/L

36 ± 2

38 ± 1

37 ± 2

38 ± 1.5

A/G

1.1 ± 0.1

0.97 ± 0.04

1.0 ± 0.07

0.97 ± 0.06

γGT, U/L

27 ± 2

26 ± 1

25 ± 4

27 ± 1

AST, U/L

36 ± 3

32 ± 2

37 ± 5

37 ± 4

Total bilirubin, μmol/L

4.5 ± 0.7

4.9 ± 0.4

4.5 ± 0.7

5.0 ± 0.6

BUN, mmol/L

3.7 ± 0.2

3.6 ± 0.1

3.9 ± 0.2

3.7 ± 0.2

Creatinine, μmol/L

109 ± 2

111 ± 1

113 ± 2

112 ± 1

pH

7.35 ± 0.01

7.34 ± 0.01

7.35 ± 0.01

7.36 ± 0.01

HCO3, mmol/L

24 ± 4

25 ± 5

26 ± 1

25 ± 1

pCO2, mm Hg

43 ± 1

44 ± 0.6

44 ± 1.2

43 ± 0.9

pO2, mm Hg

35 ± 1.1

34 ± 0.6

35 ± 1.1

35 ± 1.0

BE, mmol/L

0.3 ± 0.01

0.3 ± 0.04

0.4 ± 0.08

0.4 ± 0.06

 


DISCUSSION

 

Subclinical mastitis is the most prevalent type of mastitis characterized by no detectable changes in the udder and no visual abnormalities in milk. Giadinis   et al. (2012) reporting the absence of clinical signs specific to subclinical mastitis in sheep. Diagnosis of such cases mainly depends upon bacterial culture results and/or indirect methods as CMT and SCC.

 

Concerning the results of table (1) it is clear that the animal prevalence of subclinical mastitis was 85.7% (24/28), while the udder half prevalence of subclinical mastitis was 67.9% (38/56). Similar results recoded by Alekish et al. (2014) in Jordan as they found that the prevalence of subclinical mastitis between Awassi sheep was 66.9%. While Oliveira    et al. (2013) in Brazil recorded 40.45% prevalence rate of subclinical mastitis in 42 first partum Santa Ines ewes. Beheshti et al. (2010) recorded 17% prevalence rate of subclinical mastitis based on the results of CMT. Difference in prevalence rates may be attributed to difference in mangemental system and study area.

 

Results in table (2) showing that the prevalence of CNS as a subclinical ovine mastitic pathogen was 66.1%, while the prevalence of Staph aureus was 8.9%. Similar results were recorded also by Oliveira    et al. (2013) as they isolated CNS and Staph aureus from sheep with subclinical mastitis and the prevalence rates were 66.93% and 6.3% respectively. Also nearly similar results (76% for CNS and 8% for Staph aureus) recorded by Beheshti et al. (2010), while Vasiu et al. (2008) reported a prevalence rate 54.75% for CNS and 9.52% for Staph aureus. Gonzalo et al. (2002) isolated CNS and Staph aureus from cases of ovine subclinical mastitis in a percentage about 62.25% and 4.3% respectively. Also Ergün et al. (2009) recorded prevalence rates 76.5% and 3.1% for CNS and Staph aureus respectively. Sayed et al. (2012) in Assiut recorded a prevalence rate for CNS about 48.15% and for Staph aureus 22.22%.

 

The high prevalence of CNS may be attributed to the fact that CNS are normal flora of healthy teat skin and so has a great ability to colonize the teat end (Kudinha and Simango, 2002). The ability of different pathogens to colonize the teat canal is very important step for the mammary gland to be infected (Forbes, 1969).

 

Intramammary infections caused by staph aureus is very important from public health point of view due to its ability to produce thermostable enterotoxins and leukotoxins.

 

The variation in the prevalence rates between the present study and other studies could be related to differences in managemental system, health status of the flock, geographical distribution, weather, nutritional status and finally the size of the study sample.

 

Table (3) gives information about the relation between the isolated pathogens and different scores of CMT. It is clear that there're a good correlation between the results of CMT and the bacteriological results so it can be used as an easy and simple indirect test for diagnosis of ovine subclinical mastitis and this is completely agree with Ergün et al. (2009) as they stated that the CMT is very useful technique in diagnosis of subclinical mastitis in lactating ewes.

 

Results in table (4) showing that 27 CNS isolates,       1 Staph aureus and 3 mixed infections were associated with high SCC (more than 500x103/ml) while 6 CNS and 1 mixed isolates were associated with low SCC (less than 500x103/ml). Ariznabarreta et al. (2002) and Gonzalo et al. (2002) recorded that Staph aureus infection characterized by high log SCC while within CNS some species showing high log SCC and others have less intense inflammatory response and low log SCC. The difference in SCC response may be attributed to immune status of the host at time of infection and the pathogenicity of the causative bacteria (Alekish et al., 2014). Many authors suggest different normal SCC limits for ewe's milk, Bergonier and Berthelot (2003) mentioned that sheep with healthy udder having average SCC below 500000 cells/ml throughout the lactation period. Hammadi and Yousif (2013) concluded that ewes with SCC 500x103 cells/ml considered positive for subclinical mastitis, while Pengov (2001) stated that measurements of SCC can be used effectively to detect subclinical lymastitic ewes and the comparison with the bacteriological results showing that the threshold value regarded as upper limit for normal SCC of ewe's milk should be 250x103 cells/ml.

 

Results of table (5) showing the results of antimicrobial sensitivity testing, it is clear that the effective antimicrobial agents are Enrofloxacin and Gentamicin (for CNS), and Enrofloxacin and Oxytetracycline (for Staph aureus). The least effective one was Penicillin G, followed by Amoxicillin/Clavulanic acid and this may be attributed to the misuse of antibiotics and frequently incomplete antibiotic treatment courses (Tras et al., 2007). Similar results recorded also by (Aydin et al., 2009 and Abdel-Naser et al., 2010).

 

Table (6) declared the results of hematological and biochemical findings in subclinical lymastitic ewes (24/28) and healthy control (4/28), it was found that there is no significant changes among the different groups, indicating subclinical mastitis in ewes may has no systemic reaction as the infection is localized in the udder (Ozenc et al.,2011).

 

In conclusion CNS was found to be a major cause of subclinical mastitis in sheep. CMT and milk SCC with threshold level 250x103 cells/ml can be used effectively when rapid diagnosis of subclinical mastitis is needed. The application of antibiotic sensitivity test on the isolated bacteria is quite beneficial before start the treatment. As it is a localized inflammation subclinical mastitis has no effect on hematological or biochemical parameters.

 

REFERENCES

 

Abdel-Naser, Eman, M.; Hussien, M.F. and El-Khabaz, Kh. A.S. (2010): Some bacteriological studies on subclinical mastitis in cattle and itsrelation tochanges in the milk proteinelectrophoreticpattern. Assiut Vet. Med. J. 56 (127):   58-74.

Alekish, M.O.; Alshehabat, M.A. and Abutarbush, S.M. (2014): The prevalence and etiology of subclinical mastitis in Awassi sheep; emphasis on the relationship between the isolated organisms and the somatic cell count. European Journal of Veterinary Medicine. 8:  1-13

Andrews, J.M. (2008): BSAC standardized disc susceptibility testing method (version 7). J. Antimicrob Chemother. 62: 256-278.

Ariznabarreta, A.; Gonzalo, C. and San Primitivo, F. (2002): Microbiological quality and somatic cell count of ewe milk with special reference to staphylococci. J. Dairy Sci. 85: 1370–1375.

Aydin, I.; Kav, K. and Celik, H.A. (2009): Identification and antimicrobial susceptibility of subclinical mastitis pathogens isolated from Hair goats' milk. J. Anim. Vet. Adv. 8(6): 1086-1090.

Beheshti, R.; Shaieghi, J.; Eshratkhah, B.; Ghalehkandi, J.G and Maheri-Sis, N. (2010): Prevalence and Etiology of Subclinical Mastitis in Ewes of the Tabriz Region, Iran. Global Veterinaria, 4 (3): 299-302.

Bergonier, D. and Berthelot, X. (2003): New advances in epizootiology and control of ewe mastitis. Livest Prod Sci.79:1-16.

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Burriel, A.R. (1998): Isolation of coagulase-negative staphylococci from the milk and environment of sheep. J. Dairy Res. 65, 139–142.

Contreras, A.; Sierra, D.; Sánchez, A.; Corrales, J.C.; Marco, J.C.; Paape, M.J. and Gonzalo, C. (2007): Mastitis in small ruminants. Small Ruminant Research. 68: 145–153.

Davasaztabrizi, A.; Shafavi, O. and Samimi, A. (2013): Prevalence of Subclinical Mastitis in Ewe with Somatic Cell Count Procedure in Tabriz Area of Iran. World J. Zool., 8 (2):   167-169.

Ergün, Y.; Aslantaş, Ö.; Doğruer, G.; Kireçci, E.; Saribay, M.K.; Ateş, C.T.; Ülkü, A. and Demir, C. (2009): Prevalence and etiology of subclinical mastitis in Awassi dairy ewes in southern Turkey. Turk. J. Vet. Anim. Sci. 33(6): 477-483.

Forbes, D. (1969): The pathogenesis of bovine mastitis. Vet. Bull. 39: 529-541.

Giadinis, N.D.; Arsenos, G.; Tsakos, P.; Psychas, V.; Dovas, C.I.; Papadopoulos, E.; Karatzias, H. and Fthenakis, G. (2012): "Milk-drop syndrome of ewes": Investigation of the causes in dairy sheep in Greece. Small Rumin. Res. 106, 33–35.

Gonzalo, C.; Ariznabarreta, A.; Carriedo, J.A. and San Primitivo, F. (2002): Mammary Pathogens and Their Relationship to Somatic Cell Count and Milk Yield Losses in Dairy Ewes. J. Dairy Sci. 85: 1460-1467.

Hammadi, Kh. M. and Yousif, A.A. (2013): Prevalence of clinical and subclinical ovine mastitis caused by Staphylococcus aureus. Al-Anbar J. Vet. Sci.  6 (1): 57-64.

Kudinha, T. and Simango, C. (2002): Prevalence of coagulase-negative staphylococci in bovine mastitis in Zimbabwe. J. S. Afr. Vet. Ass.73 (2): 62–65.

Leitner, G.; Merin, U.; Silanikove, N.; Ezra, E.; Chaffer, M.; Gollop, N.; Winkler, M.; Glickman, A. and Saran, A. (2004): Effect of subclinical intramammary infection on somatic cell counts, NAGase activity and gross composition of goats’ milk. J. Dairy Res., 71: 311-315.

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Ozenc, E.; Seker, E.; BakiAcar, D.; Birdane, M.; Darbaz, I.; Dogan, N. (2011): The importance of staphylococci and threshold value of somatic cell count for diagnosis of sub-clinical mastitis in Pirlak sheep at mid-lactation. Reprod Dom Anim 46, 970–974.

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التغيرات البکتريولوجية، الخلوية والدموية المصاحبة لإلتهاب الضرع الخفى فى الأغنام

 

خالد أحمد سيد الخباز ، صفاء سيد مالک ، حسين عوض حسين

 

Email: khaled.sayed@vet.au.edu.eg            Assiut University web.site: www.aun.edu.eg

 

اجريت هذه الدراسة للتعرف على التغيرات البکتريولوجية والخلوية والدموية المصاحبة لإلتهاب الضرع الخفى فى قطيع من الأغنام (يبلغ عدده 28 نعجة حلوبة) وقد تم تجميع عدد 56 عينة لبن و28 عينة دم مزدوجة. تم إختبار عينات اللبن أولا بواسطة إختبار الکاليفورنيا ووجد أن 38 عينة کانت إيجابية والتى خضعت للفحص البکتيريولوجى والعد الخلوى. وقد زرعت العينات على مستنبتات آجار الدم وقد تم عزل 37 عترة من ميکروب المکور العنقودى السالب للتجلط (33 کعترة منفردة ، 4 عترات مختلطة مع الميکروب المکور العنقودى الذهبى) وکذلک تم عزل 5 عترات من الميکروب المکور العنقودى الذهبى (1 عترة منفردة ، 4 عترات مختلطة مع ميکروب المکور العنقودى السالب للتجلط). وقد أظهرت نتائج العد الخلوى للخلايا الجسمية باللبن أن 7 عينات کانت تحتوى على خلايا جسمية بين 250 ألف إلى 500 ألف خلية/ مل أما باقى العينات فقد وجد أنها تحتوى على عدد أکبر من 500 ألف خلية/مل. وعند إخضاع العترات المعزولة لإختبار الحساسية للمضادات الحيوية وجد أن جميع عترات الميکروب المکور العنقودى السالب للتجلط حساسة بنسبة 100% لکلا من الإنروفلوکساسين والجنتاميسين ، بينما کانت عترات الميکروب المکور العنقودى الذهبى حساسة بنسبة 100% لکلا من الإنروفلوکساسين والأوکسيتتراسيکلين. وبالنسبة للفحوصات الدموية والبيوکيميائية على مصل الدم فقد أظهرت النتائج عدم وجود أى تغير معنوى بين الحيوانات السليمة والمصابة بإلتهاب الضرع الخفى. وقد تم مناقشة جميع النتائج بالتفصيل بالبحث. 

REFERENCES
 
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