1. Introduction
Bovine mastitis, or inflammation of the mammary gland, is a complex disease considering its etiology and pathogenesis. As reducing antimicrobial usage is a social concern, as well as mastitis causes economic losses (reduced milk yield, discarded milk, culls, therapy costs), it is necessary to further characterize causative pathogens in order to develop control strategies [
1,
2]. A wide variety of microorganisms are discussed as being responsible for the development of mastitis. These can be epidemiologically categorized into contagious, originating from infected quarters or environmental, located in the surroundings of dairy cows [
3,
4,
5,
6]. While the prevalence of contagious mastitis has been reduced by control programs in recent years, environmental pathogens are becoming increasingly important [
4]. Most prevalent environmental microorganisms isolated in milk samples of clinical mastitis cases occurring on German dairy farms are esculin-positive streptococci,
Escherichia coli and
Klebsiella spp. [
7].
The teat skin seems to act as a reservoir of microorganisms, especially Gram-positive catalase-positive bacteria including coagulase-negative staphylococci [
8]. Pathogenic bacteria can enter the udder through the teat canal and may cause intramammary infection (IMI). In recent years, many authors have shown that teat end bacterial load can affect udder health [
9,
10,
11]. To gain more information concerning the variation in the bacterial load on teat epithelia, some researchers described methods quantifying teat end bacterial load. The wet-dry swab technique, described by Paduch and Krömker [
12], enables a semiquantitative investigation of the teat end colonization. Some genera of physiological teat-skin flora are stated to inhibit some isolates of mastitis pathogens [
13,
14]. Nonetheless, generally, the microbial community of the teat surface depends on the respective farm environment. Monsallier et al. [
8] showed that farming practices could interact with microbial flora on teat skin. Early on, it was recommended to reduce the environmental pathogen contamination of the teat end as a method for controlling environmental mastitis [
15]. Cows spend most of the day lying down, making bedding a primary source for environmental pathogens to stick onto the teat end skin. It has been published that numeric differences in the distribution of
Streptococcus spp.,
Staphylococcus spp., and Gram-negative bacteria on teat skin are linked to different kinds of bedding materials [
6,
16,
17]. Furthermore, some researchers observed a reduction in teat-skin bacterial load of environmental pathogens after adding alkaline conditioner to the bedding material [
18,
19]. The detection of
Klebsiella spp. from teat-skin swabs increases if udders are classified as ‘dirty’ [
20]. More frequent cleaning of alley floors decrease the teat end’s coliforms and streptococci counts, as well as milk coliform counts [
21,
22]. Seasonal impact on teat-skin load is noted for coagulase-negative staphylococci, showing a numeric increase throughout the summer months. This effect could not be observed for the colonization of the teat canal [
23]. Similar findings were reported by other authors regarding the bulk milk somatic cell count (SCC) and intramammary infection rate with environmental pathogens [
24].
Factors influencing the teat-skin bacterial load appear to be well studied when considering the effect on individual level. The aim of the present study was to investigate risk factors at herd level, which are associated with higher teat-skin bacterial load of environmental pathogens in order to develop strategies to improve udder health by reducing these risk factors or adjusting farm management measures.
4. Discussion
This is one of the first studies designed to investigate associations between herd level factors and teat-skin bacterial load. However, this was a convenient sample of herds in northwestern Germany visited from September 2018 to August 2019. The mean herd size (205 cows/farm) and milk yield (10,417 kg/cow/year) in the study populations were greater than the national average reported in the 2019 annual report of the DHIA (87 cows/farm; 8907 kg/cow/year). The mean SCC in the milk control of 222,000 SCC/mL was lower than 229,000 SCC/mL reported nationally [
32]. Thus, the visited herds produced milk at a high level, which probably results from the fact that the herds consisted mainly of the dairy breed Holstein Friesian. Nevertheless, the ranges (42–595 cows/farm; 7721–13,933 kg/cow/year; 94,000–579,000 SCC/mL) may show that attempts were made to include as different herds as possible.
Swabbing surfaces to determine their bacterial load is one of the oldest methods employed for this purpose. However, our results are difficult to compare to those from existing literature because sampling methods and the culture media used for bacterial analysis were different. Some authors examined teat skins’ bacterial population by rotating or wiping one cotton or gauze swab, either dry or moistened, around the teat end [
8,
17,
33]. Paduch and Krömker [
12] modified the wet-dry swab technique (DIN 10113–1; 1997–07) used in a previous study for determining the bacterial content in milking equipment to examine the teat end’s environmental pathogen load [
34]. The swab samples obtained in this way enable a semiquantitative investigation of the teat end’s colonization. In previous studies,
Staphylococcus spp. and
Streptococcus spp. were the predominant bacterial types recovered from teat skin, whereas Gram-negative bacteria were less numerous [
17,
19,
35]. Our study may only partially provide this thesis as we only examined esculin-positive streptococci and coliforms. However, we also found higher mean bacterial counts of streptococci compared to coliforms. In addition, esculin-positive streptococci reached the upper detection limit, in contrast to coliforms. Therefore, it is not possible to say whether there were teat-skin samples in which higher streptococci counts appeared. Paduch et al. [
19] reported similar results with the wet-dry swab technique as we did. They found that
Sc. uberis (mean: 1.4 ± 0.2 log
10 cfu/mL) and coliforms (mean: 1.4 ± 0.2 log
10 cfu/mL) are always present on teat skin when housing the animals on untreated bedding, as opposed to for coliforms and enterococci (mean 0.00 log
10 cfu/mL) in a previous study by Paduch and Krömker [
12]. This may lead to the conclusion that esculin-positive streptococci belong to the normal teat-skin flora. This is supported by the results of our study showing mean streptococcal (5.93 ± 1.0 log
10cfu/mL) and coliform (6.00 ± 1.3 log
10 cfu/mL) counts in bedding samples to be quite similar, but revealing different counts on teat skin (2.38 ± 1.1 log
10 cfu/mL vs. 1.77 ± 0.8 log
10 cfu/mL), which is probably due to a shorter survival of coliforms on the teat’s surface. In the study by Paduch and Krömker [
12], there were some teat-skin samples at the lowest detection limit as examined in ours, which may have resulted from, for example, bactericidal pre-cleaning, considering that teat-skin swabs were taken after a pre-cleaning routine. Differences in bacterial counts between the studies may also appear due to differing sample sizes.
Cullen and Hebert [
23] recorded an increase in coagulase-negative staphylococci on teat skin in July, August and September when taking teat-skin swabs from the same cows during a trial period of some months. Since all cows included in the trial were in the same stage of lactation, it could be possible that teat-skin bacterial load increased because these animals were at the end of gestation in the summer months, produced less milk and therefore had spent more time in the stall where environmental bacteria can colonize teat skin. Cows included in our trial were in the first 30 DIM, so that we sampled different cows during every farm visit throughout the trial period. Nevertheless, there was a significant increase in mean pathogen teat-skin load with esculin-positive streptococci and coliforms in the spring and summer, which is remarkable and to our knowledge has not been previously described at herd level. THIs calculated with values measured in the barn (feeding gate) were associated with increasing ratios of coliforms on total bacteria load on teat skin. An explanation may be the impact on microbial growth by moisture, temperature as well as nutrients available on teat skin and in bedding materials. Considering the time cows spend lying down per day, pathogens may be transferred from bedding onto teat skin. In a previous study by Hughes [
36], there were significantly more fecal streptococci when managing to keep the bedding surface below 15 °C and 75 % relative humidity. Both values seem more difficult to achieve in the summer months and with increasing ambient THIs. On the other hand, it could also be possible that the significantly increasing teat-skin pathogen-load in the spring and summer is less due to promoted growth than to a generally reduced time for hygiene management by the farmers since much other work must be done on a farm at this time. Individual influences by the researcher should be minimized by samples being taken by the same researcher during the study period but cannot be excluded [
34]. Irrespective of the explanations for the seasonal fluctuations of esculin-positive streptococci and coliform counts on teat skin, it could be assumed that the teat and bedding management should be seasonally adjusted accordingly. Especially in summer, teats with a lowest possible bacterial load should be ensured, as cows are much more susceptible to environmental mastitis at this time [
24]. Furthermore, the aim should be to achieve an as low as possible THI in the barn (e.g., ventilation/cooling) in order to reduce environmental pathogen load on the teat dip, but also to minimize other effects associated with heat stress in dairies [
37].
Even if our results show no significant impact, previous studies required management strategies to obtain an as low as possible bacterial load in bedding material to reduce teat-skin bacterial load and prevent environmental mastitis [
19,
38,
39]. Therefore, Krömker et al. [
40] published benchmarks for bacterial counts in unused bedding, indicating a reduced risk for cows to develop mastitis: For esculin-positive streptococci and coliforms: 10
4 cfu/g and for total bacteria counts: 10
6 cfu/g (sawdust) or 7 × 10
8 cfu/g (straw). In a recently published study, achievable benchmarks for used bedding were published: For streptococci-like organisms (SSLO): 5 × 10
5 cfu/cm
3 and for coliforms: 10
4 cfu/cm
3 [
25]. Data from previous studies dealing with bacterial growth in bedding materials indicated a nonlinear relationship between time and bacterial counts but a maximum increase within 24 to 36 h of use following contamination of animals and feces [
38,
41]. Fewer changes in bacterial counts in bedding material were recorded after 24 h. Similar results were found by Hogan and Smith [
42] Streptococcal counts,
Klebsiella spp. counts, pH and DM in bedding did not differ between days 1–6, while coliforms were greater at day 1 than at day 6. These steady or decreasing bacteria counts implied that bacteria decreased their growth cycle. In a previous study, it was reported that bacteria counts tended to be lower after extended use than bedding counts within the first days after adding it to the cubicles [
43]. As can be seen from our results, considering the age of bedding, total coliforms were more or less unchanged the older the bedding was. On the other hand, the ratio of coliforms on total bacteria counts was lowest under 48 h, thereafter, showing the most significant increase, which may indicate a decrease in the total bacteria—even if this cannot be shown for absolute total bacteria counts. It may be necessary to narrow down the number of categories in order to detect changes before 48 h. However, in our trial, esculin-positive streptococci on teat skin were not influenced by the age of bedding, therefore drawing the conclusion that streptococci are not influenced by the environment as much as previously thought. Other interactions must be considered, as different types of bedding may enhance the growth of different pathogens [
44,
45] or adding lime to the bedding reduces the population sizes of environmental pathogens [
19]. Furthermore, the cleaning of passageways can reduce muck and slurry being transferred to cows’ cubicles and teats via the cows’ feet [
46]. Statistical analysis revealed no significant associations when including these interactions. From our results can be seen that bedding profoundly affects the microbiological population on teat skin. As supported by our results, Sorter et al. [
39] showed that daily bedding replacement in the rear of the cubicles decreased teat exposure to coliform bacteria, but not to streptococci. From these findings, it can be deduced that daily bedding replacement is necessary to keep the bacterial counts on the teat skin and bedding as low as possible or, if this cannot be implemented, to use bedding with the lowest possible initial bacterial load in unused bedding. Considering the seasonally increased pathogen load on teat skin, it is advisable, especially in spring and summer months to achieve the lowest possible microbial load in bedding materials. Thus, for example, adding lime, using inorganic bedding materials and daily bedding replacement in the rear of the cubicles appears to be most advantageous during this time. In contrast to the replacement interval for bedding, the interval in which the lying area was cleaned had a direct effect on the environmental pathogen load on cows’ teat ends. Coliform bacteria on teat skin decreased the more the cubicles were cleaned per day. Similar results were published by a British study, demonstrating that when collected yards were cleaned at least twice daily a small protective effect on the mastitis incidence could be determined [
47]. This indicates that it seems to be as important to keep the bedding clean as it is to constantly replace it in order to remove organic nutrients that promote pathogenic growth.
There are few published results on total aerobic mesophilic count, which is not surprising as it contains both pathogenic and nonpathogenic bacteria. The latter are not very informative, when considering the reduction in IMIs. This can be confirmed by our results, showing significant associations among herd risk factors and teat end environmental pathogen load, e.g., season, age of bedding or post-dip, which cannot be seen for total mesophilic counts. Therefore, it seems irrelevant when investigating the influence of total bacterial load on teat skin regarding the risk of IMI. The generalized linear mixed model described a significant influence of teats preparation before milking on total bacterial count on teat skin. Not surprisingly, considering that the teat skin was sampled directly after pre-milking and pre-cleaning, highest values occurred on farm visits where no pre-cleaning of teats was conducted. However, examining the influence of pre-cleaning on mesophilic bacteria load could be useful when describing the efficiency of teat cleaning [
17]. Pre-milking teat disinfection is practiced in several countries to reduce the microbial load of the teats prior to milking and to prevent mastitis caused by environmental pathogens. We observed that usage of disinfectant pre-dip is associated with significantly lower counts of total mesophilic bacteria than when practicing no pre-cleaning routine, which is associated with highest bacterial counts on teat skin. Pre-dip is a demonstrated and widely accepted practice to reduce teat-skin environmental-load and control environmental mastitis [
48]. We expected lower bacterial loads when using one wipe for one cow as when using one towel for more than one cow, hypothesizing that dirt residues were transferred from teat-to-teat. However, no significant differences could be seen. We assume that this observation is due to our small sample size, considering that the impact of one farm in our statistics was quite high. Therefore, such results can be obtained from farms that generally have higher levels of pathogens in their environment that try to correct these pathogen levels by implementing a more accurate teat-preparation before milking. Results may be different if the trial had been conducted only on farms with a higher hygiene level. In a previous study, pre-milking routine was not able to remove
Klebsiella spp. from teat skin, especially when udders were dirty. Even when udder preparation procedures include the use of teat disinfectants, they may not be effective in disinfecting the teats of cows with udders that would be classified as category 3 or above [
20]. Nevertheless, teats should be pre-cleaned before milking to achieve lower pathogen loads on teat skin, as all procedures were associated with lower teat end bacterial load than not pre-cleaning the teats.
Usage of teat dips after milking reduced coliforms and the ratio of coliforms in total aerobic mesophilic counts. Considering that teat dipping had been conducted after milking time, before teat-skin samples were taken, using a post-dip seems to have a long-lasting effect on teat-skin pathogen-load. Interestingly, this bactericidal effect does not occur in absolute esculin-positive streptococci counts. Some authors indicated no long-lasting effect of post-dips against
Sc. uberis than
Staphylococcus (S.) aureus, explaining this by saying that
S. aureus is not widely distributed in the environment so that once removed by disinfection it rarely leads to a recontamination [
49]. This does not explain our results, as coliforms as well as esculin-positive streptococci were frequently found in the dairy’s surroundings. Perhaps it can be again suggested that streptococci are a part of facultative teat-skin flora, so that no significant effect of bactericidal treatment after milking can be recognized at the following milking session. Other farm factors may also play a role here, so that implementing a post-dip is an indication of a generally higher standard of on-farm hygiene. However, the usage of a post-dip after milking is strongly recommended based on our results.
In previous studies, results regarding the influence of hyperkeratosis and udder health differ. The study by Paduch et al. [
50] indicated that
E. coli counts in teat canal swabs are significantly associated with the teat ends hyperkeratosis score. Some authors associated higher levels of hyperkeratosis with increasing numbers of intramammary infections, as rough teat apex surfaces are more difficult to clean and are often associated with teat end lesions, leading to a more frequent colonization with bacteria [
11,
51]. However, Guarin et al. [
10] could not find any association between hyperkeratosis and teat-skin load with environmental pathogens. Zoche-Golob et al. [
52] could not observe any variable describing teat condition on the risk of developing mastitis. According to our results, coliform bacterial load on teat ends increases as the percentage of cows with normal and healthy teat apices among all lactating cows per herd increases. We could not find any other previous study that has found this correlation. Our results can be explained with findings by Neijenhuis et al. [
51], who reported that cows with clinical mastitis caused by other pathogens other than
E. coli (e.g.,
S. aureus, coagulase-negative staphylococci) exhibited more teat end callosity. In another study,
S. uberis was most frequently isolated from foremilk samples from cows with HKS 1, while coagulase-negative staphylococci were most frequently isolated from cows with HKS 4 [
53]. With regards to our results, it seems probable that rough teat ends are colonized by microorganisms other than those we studied, for example,
Staphylococcus spp. Subsequently, coliform bacteria were relatively more frequent isolated from herds with a higher percentage of normal teat ends. However, the HKS was not determined in all cows in a herd. In fact, udders were scored on cows that were milked, while teat-skin swabs were taken from cows within the first 30 DIM. Accordingly, either a convenient sample of the herd or an extra group of freshly calved cows was scored, depending on herd size and herd management. This resulted in a preselection and relatively more freshly calved cows that were scored, which may have had lower hyperkeratosis scores and higher teat-skin pathogen-loads, possibly while being housed in a separated resting area. Therefore, our study design may have led to this finding, as the HKS should be determined in all cows in the herd.
It can be concluded that teat-skin bacterial load with environmental mastitis pathogens is to a large extent due to environmental impact, whereby we mainly concentrated on the hygienic aspects at herd level in the present study—namely, teat sanitation, bedding hygiene and air dust pathogen load. In order to identify further risk factors for increased exposure of the teat skin to pathogens, considering management in more detail, further research with a more targeted study design is required. Moreover, research is needed to prove the impact of teat-skin bacterial load on intramammary infection rate at herd level.