Potentiel de systèmes de culture bactériologique à la ferme et validation de la cytologie pour le diagnostic de l’endométrite chez la vache laitière en période post-partum

Endometritis is a disease affecting reproductive performance in dairy cows. It is defined by the presence of excessive inflammation in the uterine body during the postpartum period. From a curative point of view, the use of antibiotic treatment in the form of intrauterine infusion is one of the most widely used methods which has a beneficial effect on subsequent reproductive performance in positive cases of endometritis. Considering the modern issues concerning the use of antibiotics in animal production, the use of a diagnostic method based on the presence of inflammation in order to administer antibiotic treatment is questionable. In that sense, the main objective of this research project was to validate the accuracy of the results of bacteriological culture medium used on the farm (Tri-plate and Petrifilm) based on the ones from diagnosis laboratory. A secondary objective was to verify the concordance between the bacterial and cytological results. To do this, a cross-sectional observational study was set up within two commercial dairy herds followed by the bovine outpatient clinic of the Faculty of Veterinary Medicine of the Université de Montréal. A total of 189 cows in the postpartum period (30 to 43 days in milk) were systematically enrolled in order to collect 2 uterine samples from cytobrush during the same examination. The first cytobrush was used to directly inoculate the Tri-plate medium and then be sent to the reference laboratory (Diagnostic service of the FVM of the Université de Montréal) for aerobic bacterial analysis. The second cytobrush was initially used to make a microscopic smear for cytological analysis (polymorphonuclear cell proportion (PMNL)) and subsequently diluted in 1 ml of saline to inoculate the Petrifilm medium. After an incubation period of 24 hours, the colony count was made for each culture medium. From these data, statistical analyses were completed in order to optimize the summation of sensitivity and specificity (Se + Sp) of the two culture medium according to the results of the reference laboratory. For the Tri-plate medium, the cutoff of ˃ 90 colonies resulted in the maximum Se + Sp, which was 167.7. For the Petrifilm medium, the threshold of ˃100 colonies gave the maximum Se + Sp, which was 129. Regarding the concordance between the cytological and bacterial diagnosis, the results of our project show that 64.3% of cows positive for cytological criteria (˃6% PMNL) were found to be negative from a bacterial point of view. In conclusion, this study shows that Tri-plate and Petrifilm medium used on-farms were best to reproduce the results obtained by laboratory analysis using 90 and 100 colony threshold respectively. Our results also support a lack of agreement between cytological and bacterial diagnosis. It therefore seems relevant that other projects are completed in order to deepen the bacterial screening for endometritis and to analyze its diagnostic potential.

Keyphrases: Diagnostic, Dairy cow, Endometritis, Diagnosis, Bacteriology, Cytology