Limit Hospital Pen Moves To Help Protect Dairy Wellness

Hospital pens can put fresh cows at risk

When a dairy cow develops a disease, producers take steps to get her well. Unfortunately, the common task of moving a sick cow to the hospital pen may be doing more harm than good.
“We think about a hospital as a place to get well, but that isn’t necessarily the case,” said Mike Lormore, DVM, MS, MBA, director of Dairy Technical Services, Zoetis. “Hospital pens can be a risky place, especially for fresh cows, and this can affect the entire dairy. Producers need to understand the risks of managing hospital pens and work to avoid unnecessary pen moves.”
Hospital pen risk: Contracting another disease

The U.S. Department of Health and Human Services estimates that one in every 20 inpatients has an infection related to hospital care.1 Similarly, dairy hospital pens can be risky environments, especially for fresh cows that may have depressed immune systems, increasing their likelihood of contracting a new infection.
“With proper treatment and care, a dairy cow has a good chance of recovering from an initial disease incident,” Dr. Lormore said. “However, if a cow gets a second disease, especially Salmonellosis or Mycoplasma mastitis, it’s much more likely that cow will not recover to previous production and health. Additionally, she is at great risk of early removal from the herd.”
The prevalence of Salmonella has been on the rise across U.S. dairies.2 In a hospital pen, the risk is even greater. A cow is 11 times more likely to contract the bacteria in a hospital pen than anywhere else on the dairy.3 Salmonella infections can lead to reduced milk yield, weight loss, poor reproductive performance and death in dairy cows.
Mycoplasma bovis (M. bovis) is another bacterium that easily can be contracted in the hospital pen. In one study, 70% of cows entering the hospital pen contracted M. bovis clinical mastitis within 12 days of entering the hospital pen.4
Hospital pen risk: Controlling disease from the herd

During their stay in the hospital pen, fresh cows can become carriers of disease. If they don’t show signs of a clinical infection and are returned to their regular pen, the bacteria they now are carrying can follow them back to the milking herd. For example, cows with subclinical Salmonella infections can shed the bacteria to their herdmates without showing any symptoms. This puts your entire herd at risk.
Hospital pen risk: Mistakes leading to drug residues

When cows with different illnesses enter the hospital pen, they also have different treatment protocols and needs. Mistakes can happen, which can lead to violative drug residues.
“Drugs don’t cause drug residues — people cause drug residues,” Dr. Lormore said. “When hospital pens get busy, a leg band can be missed, the timing or dosage for a treatment can get confused, and proper records aren’t kept. These mistakes can all lead to violative drug residues which diminish consumer confidence in the food we produce and damage your dairy’s reputation. You could even lose your ability to do business if these mistakes continue.” 
Avoid hospital pen moves with help from your veterinarian

Avoiding hospital pen moves, especially for fresh cows, should be a priority to help protect dairy wellness. Your veterinarian should be your first resource for finding ways to avoid hospital pen moves.
“The biggest mistake dairy producers make is not working with their veterinarian enough on treatment protocol development and execution,” Dr. Lormore said. “Producers need to establish a valid veterinarian-client-patient relationship (VCPR) so they can work together with their veterinarian to find solutions that better manage fresh cows and avoid risky hospital pen moves.”
With a valid VCPR, Dr. Lormore noted your veterinarian can help with several aspects of managing fresh cows. Here are some tasks to discuss with your veterinarian:

  • Review dry and fresh cow management practices to help prevent disease
  • Evaluate the environment and nutrition for dry and fresh cows to ensure optimal cow performance
  • Develop effective treatment protocols if disease arises
  • Consider treatments with zero milk discard to eliminate the need for pen moves
  • Train employees regularly and monitor for compliance with treatment protocols
  • Establish and review good record-keeping practices, and monitor disease incidents and treatments 

To learn more about how to establish a valid VCPR to benefit your dairy, watch this video, brought to you by the Residue Free Guarantee.™* For more information about working with your veterinarian to reduce violative drug residues on your dairy, visit or visit with your veterinarian or local Zoetis representative. The Milk and Dairy Beef Residue Avoidance Manual from the National Milk Producers Federation also serves as a valuable educational tool and resource as you develop your on-farm best management practices necessary to avoid milk and meat residues.
* Residue Free Guarantee: If you use a Zoetis-branded ceftiofur product according to label indications, and experience a violative ceftiofur residue in milk or meat, Zoetis will compensate you for the beef market value of the animal or purchase the tanker of milk at fair market value. You must purchase the product from a Zoetis-approved supplier, use the product according to label indications, have documentation of the product purchase and treatment records, and have conducted training on appropriate use to ensure proper dose and route of administration of the product. Extra-label use as prescribed by a veterinarian is excluded from the guarantee. If you experience a ceftiofur residue violation after following label indications and the above steps, contact Zoetis VMIPS (Veterinary Medical Information and Product Support) at 800-366-5288 to report the situation.
About Zoetis

Zoetis (zō-EH-tis) is the leading animal health company, dedicated to supporting its customers and their businesses. Building on a 60-year history as the animal health business of Pfizer, Zoetis discovers, develops, manufactures and markets veterinary vaccines and medicines, complemented by diagnostic products and genetic tests and supported by a range of services. In 2012, the company generated annual revenues of $4.3 billion.  With approximately 9,300 employees worldwide at the beginning of 2013, Zoetis has a local presence in approximately 70 countries, including 29 manufacturing facilities in 11 countries. Its products serve veterinarians, livestock producers and people who raise and care for farm and companion animals in 120 countries. For more information on the company, visit
Zoetis is the proud sponsor with the Smithsonian Institution Traveling Exhibition Service and the American Veterinary Medical Association of the mobile educational exhibit Animal Connections: Our Journey Together. Families visiting the exhibit will explore the vast bonds between people and animals and learn about the important role veterinarians play in protecting animal and human health.

For further information, Contact:

Jessica Wolf 

Kristina Hopkins 
Bader Rutter & Associates 

1 U.S. Department of Health and Human Services. Health care-associated infections. Available at: Accessed Sept. 19, 2013.
2 National Animal Health Monitoring System. Salmonella and Campylobacter on U.S. Dairy Operations, 1996–2007. APHIS Info Sheet, July 2009, #562.0709.
3 Cobbold RN, Rice DH, Davis MA, Besser TE, Hancock DD. Long-term persistence of multi-drug-resistant  Salmonella enterica serovar Newport in two dairy herds. J Am Vet Med Assoc 2006;228(4):585-591.
4 Punyapornwithaya V, Fox LK, Hancock DD, Gay JM, Wenz JR, Alldredge JR. Incidence and transmission of Mycoplasma bovis mastitis in Holstein dairy cows in a hospital pen: A case study. Prev Vet Med 2011;98(1):74-80.



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