Identification, followed by separating and milking those cows last, can work well.
An effective teat spraying programme is critical, with iodine often the most effective.
Studies show that only between 10 per cent and 30 per cent of cases will be cured by “conventional” therapy, with older cows with persistent infections proving the most difficult.
These may be better candidates for culling.
A long-acting dry cow antibiotic therapy at dry-off can see a cure in some cases.
A serious outbreak will require specialist veterinary advice.