Treatment strategies and antibiotic usage practices in mastitis management in Kenyan smallholder dairy farms

Background: Mastitis is a common driver of antibiotic use in dairy farms and is exacerbated in low-income settings by the lack of diagnostics and treatment strategies. We assessed the decision-making process of animal health providers (AHPs) in managing mastitis in small-holder dairy farms in Kiambu...

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Autores principales: Muloi, Dishon M., Ibayi, Eugine L., Nyotera, Sharon, Kirimi, Hildah, Abdi, Abdullahi M., Mutinda, Silvester M., Abigael, Chemutai, Moodley, Arshnee
Formato: Journal Article
Lenguaje:Inglés
Publicado: BioMed Central 2025
Materias:
Acceso en línea:https://hdl.handle.net/10568/173954
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author Muloi, Dishon M.
Ibayi, Eugine L.
Nyotera, Sharon
Kirimi, Hildah
Abdi, Abdullahi M.
Mutinda, Silvester M.
Abigael, Chemutai
Moodley, Arshnee
author_browse Abdi, Abdullahi M.
Abigael, Chemutai
Ibayi, Eugine L.
Kirimi, Hildah
Moodley, Arshnee
Muloi, Dishon M.
Mutinda, Silvester M.
Nyotera, Sharon
author_facet Muloi, Dishon M.
Ibayi, Eugine L.
Nyotera, Sharon
Kirimi, Hildah
Abdi, Abdullahi M.
Mutinda, Silvester M.
Abigael, Chemutai
Moodley, Arshnee
author_sort Muloi, Dishon M.
collection Repository of Agricultural Research Outputs (CGSpace)
description Background: Mastitis is a common driver of antibiotic use in dairy farms and is exacerbated in low-income settings by the lack of diagnostics and treatment strategies. We assessed the decision-making process of animal health providers (AHPs) in managing mastitis in small-holder dairy farms in Kiambu County, Kenya. Data were collected from 114 AHPs and using item response theory, scales were developed to measure attitudes toward udder health, and multivariable linear regression was used to analyse demographic factors associated with these attitudes. Results: Overall, 90% of AHPs diagnose clinical mastitis based on clinical symptoms such as visible udder signs and milk changes, with little diagnostic testing support. Antibiotic treatment was initiated immediately after clinical examination by all, 80% and 50% of AHPs in severe, moderate, and mild mastitis cases, respectively. β-lactams (namely penicillins) and aminoglycosides which were administered mostly parenterally, were the frequently reported antibiotic classes used in treatment of mastitis irrespective of the severity. AHPs with a larger farmer client base and those who did not treat mild mastitis cases with antibiotics had significantly higher mean attitude scores. Treatment of mastitis is primarily based on clinical judgment, with limited microbiological diagnostic support, and parenteral antibiotics are used empirically as first-line therapy. Conclusions: We recommend development of mastitis management support tools such as treatment guidelines and advocate for adoption of routine on-farm rapid testing supported by bacterial culture to guide treatment decision making and antibiotic choice.
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spelling CGSpace1739542025-10-26T12:55:14Z Treatment strategies and antibiotic usage practices in mastitis management in Kenyan smallholder dairy farms Muloi, Dishon M. Ibayi, Eugine L. Nyotera, Sharon Kirimi, Hildah Abdi, Abdullahi M. Mutinda, Silvester M. Abigael, Chemutai Moodley, Arshnee antimicrobial resistance dairying disease control mastitis Background: Mastitis is a common driver of antibiotic use in dairy farms and is exacerbated in low-income settings by the lack of diagnostics and treatment strategies. We assessed the decision-making process of animal health providers (AHPs) in managing mastitis in small-holder dairy farms in Kiambu County, Kenya. Data were collected from 114 AHPs and using item response theory, scales were developed to measure attitudes toward udder health, and multivariable linear regression was used to analyse demographic factors associated with these attitudes. Results: Overall, 90% of AHPs diagnose clinical mastitis based on clinical symptoms such as visible udder signs and milk changes, with little diagnostic testing support. Antibiotic treatment was initiated immediately after clinical examination by all, 80% and 50% of AHPs in severe, moderate, and mild mastitis cases, respectively. β-lactams (namely penicillins) and aminoglycosides which were administered mostly parenterally, were the frequently reported antibiotic classes used in treatment of mastitis irrespective of the severity. AHPs with a larger farmer client base and those who did not treat mild mastitis cases with antibiotics had significantly higher mean attitude scores. Treatment of mastitis is primarily based on clinical judgment, with limited microbiological diagnostic support, and parenteral antibiotics are used empirically as first-line therapy. Conclusions: We recommend development of mastitis management support tools such as treatment guidelines and advocate for adoption of routine on-farm rapid testing supported by bacterial culture to guide treatment decision making and antibiotic choice. 2025-03-28 2025-04-01T11:36:43Z 2025-04-01T11:36:43Z Journal Article https://hdl.handle.net/10568/173954 en https://hdl.handle.net/10568/152205 Open Access BioMed Central Muloi, D.M., Ibayi, E.L., Nyotera, S., Kirimi, H., Abdi, A.M., Mutinda, S.M., Abigael, C. and Moodley, A. 2025. Treatment strategies and antibiotic usage practices in mastitis management in Kenyan smallholder dairy farms. BMC Veterinary Research 21: 212.
spellingShingle antimicrobial resistance
dairying
disease control
mastitis
Muloi, Dishon M.
Ibayi, Eugine L.
Nyotera, Sharon
Kirimi, Hildah
Abdi, Abdullahi M.
Mutinda, Silvester M.
Abigael, Chemutai
Moodley, Arshnee
Treatment strategies and antibiotic usage practices in mastitis management in Kenyan smallholder dairy farms
title Treatment strategies and antibiotic usage practices in mastitis management in Kenyan smallholder dairy farms
title_full Treatment strategies and antibiotic usage practices in mastitis management in Kenyan smallholder dairy farms
title_fullStr Treatment strategies and antibiotic usage practices in mastitis management in Kenyan smallholder dairy farms
title_full_unstemmed Treatment strategies and antibiotic usage practices in mastitis management in Kenyan smallholder dairy farms
title_short Treatment strategies and antibiotic usage practices in mastitis management in Kenyan smallholder dairy farms
title_sort treatment strategies and antibiotic usage practices in mastitis management in kenyan smallholder dairy farms
topic antimicrobial resistance
dairying
disease control
mastitis
url https://hdl.handle.net/10568/173954
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