Effect of diagnosis and treatment of clinical endometritis based on vaginal discharge score grading system in postpartum Holstein cows

  • OKAWA Hiroaki
    United Graduate School of Veterinary Science, Yamaguchi University, Yamaguchi 753-8515, Japan Fukuoka Prefecture Dairy Cooperative Association, Fukuoka 819-0373, Japan
  • FUJIKURA Atsushi
    Fukuoka Prefecture Dairy Cooperative Association, Fukuoka 819-0373, Japan
  • WIJAYAGUNAWARDANE Missaka M.P.
    Department of Animal Science, University of Peradeniya, Peradeniya 20400, Sri Lanka
  • VOS Peter L.A.M.
    Department of Farm Animal Health, Utrecht University, Yalelaan 7, 3584 CL Utrecht, the Netherlands
  • TANIGUCHI Masayasu
    United Graduate School of Veterinary Science, Yamaguchi University, Yamaguchi 753-8515, Japan Joint Faculty of Veterinary Medicine, Yamaguchi University, Yamaguchi 753-8515, Japan
  • TAKAGI Mitsuhiro
    United Graduate School of Veterinary Science, Yamaguchi University, Yamaguchi 753-8515, Japan Joint Faculty of Veterinary Medicine, Yamaguchi University, Yamaguchi 753-8515, Japan

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<p>In this study, the prevalence, effectiveness of diagnosis, and treatment based on vaginal discharge score (VDS) of clinical endometritis in cattle were evaluated. To detect clinical endometritis and classify its severity, vaginoscopy was performed during 21 to 60 days postpartum in 164 Holstein cows consisting of 229 lactations. Groups were defined using the 4-point VDS scale. Study groups included the following: non-endometritis (VDS=0; no/clear mucus; NEM group; n=168); mild endometritis, no treatment (VDS=1; mucus containing flecks of white/off-white pus; NTR group; n=30); and severe endometritis, treated with PGF2α (VDS≥2; discharge containing <50% pus; and VDS=3; discharge containing >50% pus, and fluid or uterine horn asymmetry; TEM group; n=31). Cows treated with PGF2α that did not recover (VDS≥1, n=5) received intrauterine procaine penicillin and streptomycin. Prevalence of clinical endometritis (VDS≥1) was 26.6%. The NTR group required significantly more artificial inseminations per pregnancy than NEM and TEM groups (2.8 ± 1.8 vs 2.0 ± 1.3, 1.9 ± 0.8, P<0.05). In survival analysis, the proportion of non-pregnant cows was higher in the NTR group compared to the NEM (P=0.012) and TEM (P=0.076) groups. In the TEM group, calving to first artificial insemination interval tended to be higher in cows treated 41 to 60 days postpartum than cows treated 29 to 40 days postpartum (97.2 ± 27.1 vs 74.4 ± 19.7, P=0.084). Our study suggests that cows with VDS=1 may require treatment to recover fertility. Diagnosis and treatment of clinical endometritis based on a VDS grading system may improve dairy herd reproductive performance.</p>

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