The economic impact of purulent vaginal discharge in dairy herds within a single lactation

The goal of this study was to calculate the cost of purulent vaginal discharge (PVD) in dairy cows. The dataset included 11,051 cows from 16 dairy herds located in 4 regions of the United States. Purulent vaginal discharge was characterized as a mucopurulent, purulent, or reddish-brownish vaginal discharge collected at 28 ± 7 DIM. Gross profit was calculated as the difference between incomes and expenses, and the cost of PVD was calculated by subtracting the gross profit of cows with PVD from the gross profit of cows without PVD. Continuous outcomes such as milk production (kg/cow), milk sales ($/cow), cow sales ($/cow), feed costs ($/cow), reproductive management costs ($/cow), replacement costs ($/cow), and gross profit ($/cow) were analyzed using linear mixed effects models. Pregnancy and culling by 305 DIM were analyzed by generalized linear mixed effects models using logistic regression. Models included the fixed effects of PVD, metritis, parity, region, season of calving, and morbidity in the first 60 DIM, as well as the interactions between PVD and metritis, PVD and parity group, and PVD and morbidity. Farm and the interaction between PVD and farm were considered random effects in all the statistical models. A stochastic analysis was conducted using 10,000 iterations with varying relevant inputs. Cows with PVD produced less milk (9,753.2 ± 333.6 vs. 9,994.6 ± 330.9 kg/cow), were less likely to be pregnant (70.7 ± 1.7% vs. 78.9 ± 1.2%), and were more likely to be culled by 305 DIM (34.6 ± 1.7% vs. 27.2 ± 1.3%) compared with cows without PVD. Consequently, milk sales (4,744.7 ± 162.3 vs. 4,862.1 ± 161.0 $/cow) and residual cow value (1,079.6 ± 23.0 vs. 1,179.3 ± 20.3 $/cow) were lesser for cows with PVD. Replacement (639.4 ± 26.4 vs. 526.0 ± 23.4 $/cow) and reproductive management costs (76.3 ± 2.5 vs. 69.0 ± 2.4 $/cow) were greater for cows with PVD. The mean cost of PVD was $202. The stochastic analysis also showed a mean cost of $202, ranging from $152 to $265. The robust dataset and the stochastic analysis strengthen both the external and internal validity of our findings, offering a deeper understanding of the economic consequences of PVD. In conclusion, PVD resulted in large economic losses to dairy herds by being associated with decreased milk yield, impaired reproduction, and greater culling.