One of the cornerstone recommendations of a standard mastitis control program is the early recognition and prompt treatment of all cases of clinical mastitis. However, as udder health management strategies have evolved, it is important to reevaluate this recommendation. Our understanding of the epidemiology, pathophysiology, and response to treatment for the various microorganisms involved in mastitis has greatly improved. In addition, concerns about residue avoidance and the economics of therapy have made it inappropriate to treat some intramammary infections during lactation. Each dairy producer should work with their veterinarian and health management advisors to design a mastitis treatment program for lactating cows in their herd.Every dairy has cases of clinical mastitis and every case of clinical mastitis requires a medical decision. We need to ask who makes the decision and what treatment options are being used?
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