<?xml version="1.0" encoding="UTF-8"?><!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Publishing DTD v1.2 20190208//EN" "http://jats.nlm.nih.gov/publishing/1.2/JATS-journalpublishing1.dtd"><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" article-type="review-article" dtd-version="1.2" xml:lang="en">
    <front>
        <journal-meta>
            <journal-id journal-id-type="pmc">F1000Research</journal-id>
            <journal-title-group>
                <journal-title>F1000Research</journal-title>
            </journal-title-group>
            <issn pub-type="epub">2046-1402</issn>
            <publisher>
                <publisher-name>F1000 Research Limited</publisher-name>
                <publisher-loc>London, UK</publisher-loc>
            </publisher>
        </journal-meta>
        <article-meta>
            <article-id pub-id-type="doi">10.12688/f1000research.122115.1</article-id>
            <article-categories>
                <subj-group subj-group-type="heading">
                    <subject>Review</subject>
                </subj-group>
                <subj-group>
                    <subject>Articles</subject>
                </subj-group>
            </article-categories>
            <title-group>
                <article-title>Coagulase-negative staphylococci as an evolving mastitis causing organism in cows: A review</article-title>
                <fn-group content-type="pub-status">
                    <fn>
                        <p>[version 1; peer review: 1 not approved]</p>
                    </fn>
                </fn-group>
            </title-group>
            <contrib-group>
                <contrib contrib-type="author" corresp="yes">
                    <name>
                        <surname>Idamokoro</surname>
                        <given-names>Emrobowansan Monday</given-names>
                    </name>
                    <role content-type="http://credit.niso.org/">Conceptualization</role>
                    <role content-type="http://credit.niso.org/">Validation</role>
                    <role content-type="http://credit.niso.org/">Visualization</role>
                    <role content-type="http://credit.niso.org/">Writing &#x2013; Original Draft Preparation</role>
                    <role content-type="http://credit.niso.org/">Writing &#x2013; Review &amp; Editing</role>
                    <xref ref-type="corresp" rid="c1">a</xref>
                    <xref ref-type="aff" rid="a1">1</xref>
                    <xref ref-type="aff" rid="a2">2</xref>
                </contrib>
                <aff id="a1">
                    <label>1</label>Small-Scale Agribusiness and Rural Non-farm Enterprise, Niche Area, Walter Sisulu University, P/Bag X1, Mthatha 5117., Walter Sisulu University, Mthatha, Eastern Cape, 5117, South Africa</aff>
                <aff id="a2">
                    <label>2</label>Faculty of Commerce and Administration, Department of Economics and Business Sciences, Walter Sisulu University, Mthatha, 5117, South Africa</aff>
            </contrib-group>
            <author-notes>
                <corresp id="c1">
                    <label>a</label>
                    <email xlink:href="mailto:mondayidamokoro@gmail.com">mondayidamokoro@gmail.com</email>
                </corresp>
                <fn fn-type="conflict">
                    <p>No competing interests were disclosed.</p>
                </fn>
            </author-notes>
            <pub-date pub-type="epub">
                <day>25</day>
                <month>7</month>
                <year>2022</year>
            </pub-date>
            <pub-date pub-type="collection">
                <year>2022</year>
            </pub-date>
            <volume>11</volume>
            <elocation-id>824</elocation-id>
            <history>
                <date date-type="accepted">
                    <day>8</day>
                    <month>6</month>
                    <year>2022</year>
                </date>
            </history>
            <permissions>
                <copyright-statement>Copyright: &#x00a9; 2022 Idamokoro EM</copyright-statement>
                <copyright-year>2022</copyright-year>
                <license xlink:href="https://creativecommons.org/licenses/by/4.0/">
                    <license-p>This is an open access article distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
                </license>
            </permissions>
            <self-uri content-type="pdf" xlink:href="https://f1000research.com/articles/11-824/pdf"/>
            <abstract>
                <p>The present review attempts to address the emergence of a fast-growing mastitis causing pathogen &#x2013; coagulase-negative staphylococci (CNS) &#x2013; and its multi-facet roles in dairy farms. CNS is divided into numerous species, but only a few succeed in bovine mastitis. The two predominant CNS species causing mastitis are 
                    <italic toggle="yes">Staphylococcus chromogenes</italic> and 
                    <italic toggle="yes">Staphylococcus simulans.</italic> These two mostly known CNS affects dairy cows at varied parities and at different lactation stages. CNS have been judged to be the most common bovine mastitis isolate in several countries of the world. However, CNS may not likely be as pathogenic as the other primary mastitis pathogens such as 
                    <italic toggle="yes">Staphylococcus aureus</italic> and its infection mostly remains subclinical. Conversely, CNS is capable of triggering persistent infections among dairy herds, resulting in reduced milk quality and high milk somatic cell count (SCC). One negative impact of CNS infection in dairy herds is that it can destroy cow udder tissue, hereby leading to a drop in milk production of dairy cows. CNS mastitis has a high cure rate when treated with anti-biotics as their infection in cows are not known to be a therapeutic problem. Judging from several literatures, it cannot be said whether CNS species act as an ecological or contagious pathogens. Regulator procedures, including pre- and post-milking teat disinfection, may reduce contagious mastitis pathogens of CNS infections in the dairy herd. Phenotypic methods for identification of CNS are not adequately dependable, and molecular techniques of identification may be better substitute for identification. Dairy farmers may benefit greatly from more empirical research on the epidemiology of CNS mastitis and more reliable methods for species identification.</p>
            </abstract>
            <kwd-group kwd-group-type="author">
                <kwd>Milk</kwd>
                <kwd>Mastitis</kwd>
                <kwd>Coagulase Negative Staphylococcus</kwd>
                <kwd>dairy farm</kwd>
            </kwd-group>
            <funding-group>
                <funding-statement>The author(s) declared that no grants were involved in supporting this work.</funding-statement>
            </funding-group>
        </article-meta>
    </front>
    <body>
        <sec id="sec1" sec-type="intro">
            <title>Introduction</title>
            <p>One of the main challenges of udder health problem of bovine species is mastitis disease which could cause inflammation of cow udders in serious cases (
                <xref ref-type="bibr" rid="ref107">Awale 
                    <italic toggle="yes">et al.,</italic> 2012</xref>). The disease is peculiar to livestock that is transferred among dairy herds and presently fingered to cause a severe challenge in the dairy sector globally (
                <xref ref-type="bibr" rid="ref110">Gill 
                    <italic toggle="yes">et al.,</italic> 2006</xref>). A number of micro-organisms of known fungi, bacteria, mycoplasmas, and algae cause mastitis in cows (
                <xref ref-type="bibr" rid="ref108">Batavani 
                    <italic toggle="yes">et al.,</italic> 2007</xref>). The chief mastitis causing organisms include 
                <italic toggle="yes">Streptococcus uberis</italic>, 
                <italic toggle="yes">Streptococcus dysgalactiae, Staphylococcus aureus</italic>, and 
                <italic toggle="yes">Streptococcus bovis</italic> (
                <xref ref-type="bibr" rid="ref69">Pitkala 
                    <italic toggle="yes">et al.,</italic> 2004</xref>; 
                <xref ref-type="bibr" rid="ref93">Tenhagen 
                    <italic toggle="yes">et al.,</italic> 2006</xref>). These micro-organisms cause a high bacteria count and low milk quality in lactating cows (
                <xref ref-type="bibr" rid="ref3">Barbano 
                    <italic toggle="yes">et al.,</italic> 2006</xref>; 
                <xref ref-type="bibr" rid="ref60">Oliver, 2012</xref>). Dairy cows with mastitis are reported to have low milk production, which in turn reduces market profits of farmers (
                <xref ref-type="bibr" rid="ref111">Halasa 
                    <italic toggle="yes">et al.,</italic> 2009</xref>; 
                <xref ref-type="bibr" rid="ref106">Ampe 
                    <italic toggle="yes">et al.,</italic> 2012</xref>). The disease is one of the most expensive diseases that affect dairy farms all over the world (
                <xref ref-type="bibr" rid="ref19">Dufour 
                    <italic toggle="yes">et al.,</italic> 2012</xref>; 
                <xref ref-type="bibr" rid="ref12">De Buck 
                    <italic toggle="yes">et al.,</italic> 2021</xref>). The monetary loss often experienced by farmers due to mastitis disease could be up to an estimated 70 % of all avoidable losses resulting from milk production (
                <xref ref-type="bibr" rid="ref114">Sumathi 
                    <italic toggle="yes">et al.,</italic> 2008</xref>). This review is based on a dissertation submitted by the author in partial fulfilment of the requirement for a Master of Science (MSc) in Animal Science (
                <xref ref-type="bibr" rid="ref32">Idamokoro, 2013</xref>).</p>
            <p>
                <italic toggle="yes">Staphylococcus</italic> species are known bacteria that are commonly identified in milk samples of most cows infected with clinical and subclinical mastitis (
                <xref ref-type="bibr" rid="ref69">Pitkala 
                    <italic toggle="yes">et al.,</italic> 2004</xref>; 
                <xref ref-type="bibr" rid="ref93">Tenhagen 
                    <italic toggle="yes">et al.,</italic> 2006</xref>). They are classified as coagulase-positive staphylococci (CPS) and coagulase-negative staphylococci (CNS) and have been linked with the cause of subclinical and clinical mastitis (
                <xref ref-type="bibr" rid="ref109">De Vliegher 
                    <italic toggle="yes">et al.,</italic> 2003</xref>; 
                <xref ref-type="bibr" rid="ref90">Taponen 
                    <italic toggle="yes">et al.,</italic> 2006</xref>; 
                <xref ref-type="bibr" rid="ref12">De Buck 
                    <italic toggle="yes">et al.,</italic> 2021</xref>). The regular species of CNS include 
                <italic toggle="yes">Staphylococcus Chromogenes</italic>, 
                <italic toggle="yes">Staphylococcus xylosus</italic>, 
                <italic toggle="yes">Staphylococcus epidermidis</italic>, 
                <italic toggle="yes">Staphylococus hyicus, Staphylococcus simulans,</italic> and 
                <italic toggle="yes">Staphylococcus haemolyticus</italic> (Thorberg 
                <italic toggle="yes">et al.,</italic> 2009) while examples of CPS comprise of 
                <italic toggle="yes">Staphylococcus aureus</italic> and 
                <italic toggle="yes">Staphylococcus hyicus</italic> (
                <xref ref-type="bibr" rid="ref107">Awale 
                    <italic toggle="yes">et al.,</italic> 2012</xref>). Of late, CNS has emerged in dairy farms as a mastitis causing organism (
                <xref ref-type="bibr" rid="ref113">Simojoki 
                    <italic toggle="yes">et al.,</italic> 2011</xref>). CNS is becoming a significant mastitis causing organism in several nations including developing countries (
                <xref ref-type="bibr" rid="ref67">Petzer et al., 2009</xref>; 
                <xref ref-type="bibr" rid="ref86">Sender 
                    <italic toggle="yes">et al.,</italic> 2017</xref>). These micro-organisms are frequently isolated from the cow udder duct, udder teats, skin, and milk of cows that have signs of clinical and subclinical symptoms (
                <xref ref-type="bibr" rid="ref109">De Vliegher 
                    <italic toggle="yes">et al.,</italic> 2003</xref>; 
                <xref ref-type="bibr" rid="ref90">Taponen 
                    <italic toggle="yes">et al.,</italic> 2006</xref>).</p>
            <p>CNS are commonly treated as a group even though they differ in both their phenotypic and genotypic traits (
                <xref ref-type="bibr" rid="ref41">Layer 
                    <italic toggle="yes">et al.,</italic> 2007</xref>; 
                <xref ref-type="bibr" rid="ref61">Onni 
                    <italic toggle="yes">et al.,</italic> 2010</xref>). For easy identification of the various species of CNS, numerous methods including analytical profile index (API staph 32 ID) and the Staph Zym test have been adopted. The prevalence at the species level is necessary in order to ascertain the impact that they play in causing mastitis in dairy farms (
                <xref ref-type="bibr" rid="ref71">Pyorala and Taponen 2009</xref>). This manuscript seeks to address the trending emergence of CNS in relation with their prevalence, pathogenicity, global incidence indices in bovine milk and some possible panacea for curbing its spread in dairy farms.</p>
            <sec id="sec13">
                <title>Incidence of Staphylococcus species in dairy farms</title>
                <p>The topic of mastitis is of a great concern despite strategies put in place to curb the prevalence in dairy farms. The resultant cause of mastitis infection has led to poor performance of cows in terms of milk quality and milk production, and increased cost of treatment of affected animals (
                    <xref ref-type="bibr" rid="ref31">Hunderra 
                        <italic toggle="yes">et al.,</italic> 2005</xref>). Mastitis is reported to be subclinical in most instances and it results into udder health problems. Lately, CNS has been revealed to cause subclinical mastitis and at other instances they cause mild form of clinical mastitis (
                    <xref ref-type="bibr" rid="ref92">Taponen 
                        <italic toggle="yes">et al.,</italic> 2009</xref>). Their contribution in instigating udder health problems is a worry to farmers, researchers, and veterinarians globally. With these concerns, it may be safe to say that more research on tackling the threat that they may pose to the dairy industry be adequately addressed. 
                    <xref ref-type="fig" rid="f1">Figure 1</xref> gives a summary of the multi-facet dimensions of CNS mastitis in relation to issues of its infections in dairy farms.</p>
                <fig fig-type="figure" id="f1" orientation="portrait" position="float">
                    <label>Figure 1. </label>
                    <caption>
                        <title>Summary of varied dimensions of issues surrounding coagulase-negative staphylococci (CNS) mastitis organism and infections.</title>
                    </caption>
                    <graphic id="gr1" orientation="portrait" position="float" xlink:href="https://f1000research-files.f1000.com/manuscripts/134061/253fd6d9-14fc-46ae-854a-25a65e265c26_figure1.gif"/>
                </fig>
                <p>Some pathogenic bacteria are the main cause of mastitis. Others are mentioned as minor pathogens as a result of the fact that they have insignificant or no impact in causing mastitis in cows. Among the pathogenic bacteria previously classified as minor pathogen by scientists is CNS. However, in recent times, several reports have shown their involvement in mastitis infection (
                    <xref ref-type="bibr" rid="ref69">Pitkala 
                        <italic toggle="yes">et al.,</italic> 2004</xref>; 
                    <xref ref-type="bibr" rid="ref72">Rajala-Schultz 
                        <italic toggle="yes">et al.,</italic> 2004</xref>). Among these CNS mastitis-causing organisms are 
                    <italic toggle="yes">Staphylococcus epidermidis</italic>, 
                    <italic toggle="yes">Staphylococcus simulans</italic>, 
                    <italic toggle="yes">Staphylococcus chromogenes</italic>, 
                    <italic toggle="yes">Staphylococcus xylosus,</italic> and 
                    <italic toggle="yes">Staphylococcus haemolyticus</italic> (
                    <xref ref-type="bibr" rid="ref1">Aarestrup 
                        <italic toggle="yes">et al.,</italic> 1999</xref>; 
                    <xref ref-type="bibr" rid="ref90">Taponen 
                        <italic toggle="yes">et al.,</italic> 2006</xref>). Some identified chief mastitis pathogens are 
                    <italic toggle="yes">Streptococcus dysgalactiae</italic>, 
                    <italic toggle="yes">Escherichia coli</italic>, Streptococci 
                    <italic toggle="yes">agalactiae</italic>, 
                    <italic toggle="yes">Staphylococcus aureus,</italic> and 
                    <italic toggle="yes">Streptococcus uberius</italic> (
                    <xref ref-type="bibr" rid="ref66">Peterrson-Wolfe 
                        <italic toggle="yes">et al.,</italic> 2010</xref>; 
                    <xref ref-type="bibr" rid="ref68">Philip 
                        <italic toggle="yes">et al.,</italic> 2011</xref>; 
                    <xref ref-type="bibr" rid="ref85">Schmidt 
                        <italic toggle="yes">et al.,</italic> 2015</xref>). The incidence and prevalence of mastitis causing agents have been associated with several factors such as cow health, management practices, cow immunity, mammary gland physiology, and dairy farm environment (
                    <xref ref-type="bibr" rid="ref98">Waage 
                        <italic toggle="yes">et al.,</italic> 2000</xref>; 
                    <xref ref-type="bibr" rid="ref103">Zadoks 
                        <italic toggle="yes">et al.,</italic> 2002</xref>; 
                    <xref ref-type="bibr" rid="ref64">Oviedo-Boyso 
                        <italic toggle="yes">et al.,</italic> 2007</xref>).</p>
            </sec>
        </sec>
        <sec id="sec2">
            <title>Infection pathogenesis and prevalence of CNS species</title>
            <p>
                <italic toggle="yes">Staphylococcus</italic> species is a niche of bacteria that is grouped according to their capability to coagulate blood plasma. They are classified as CNS on one hand and CPS on the other hand. Overall, an aggregate of 50 
                <italic toggle="yes">Staphylococcus</italic> species and subspecies has been categorized and identified from this group (
                <xref ref-type="bibr" rid="ref71">Pyorala and Taponen, 2009</xref>). Cow udders become very red and swollen in severe cases due to of infection resulting from bacterial pathogens that are linked with mastitis (
                <xref ref-type="bibr" rid="ref19">Dufour 
                    <italic toggle="yes">et al.,</italic> 2012</xref>). Whereas CNS is noted to be a pathogen of less economic significance in bovine mastitis, their role in intra mammary infection leading to mastitis in cows is still very much relevant (
                <xref ref-type="bibr" rid="ref71">Pyorala and Taponen, 2009</xref>). The transfer of mastitis infection through the mammary gland from one cow to another is caused mostly by bacteria such as CNS seen in subclinical mastitis (
                <xref ref-type="bibr" rid="ref16">Djabri 
                    <italic toggle="yes">et al.,</italic> 2002</xref>; 
                <xref ref-type="bibr" rid="ref56">Nyman 
                    <italic toggle="yes">et al.,</italic> 2018</xref>). The isolation of CNS from bovines with clinical and subclinical mastitis has been well reported (
                <xref ref-type="bibr" rid="ref34">Jorun, 1991</xref>; Myllvs, 1995; 
                <xref ref-type="bibr" rid="ref93">Tenhagen 
                    <italic toggle="yes">et al.,</italic> 2006</xref>; 
                <xref ref-type="bibr" rid="ref37">Koivula 
                    <italic toggle="yes">et al.,</italic> 2007</xref>). Suffice to say is that, the two predominant CNS species causing mastitis are 
                <italic toggle="yes">Staphylococcus chromogenes</italic> and 
                <italic toggle="yes">Staphylococcus simulans.</italic> These two most known CNS affects dairy cows at varied parities and at different lactation stages.</p>
            <p>The ability of CNS to cause mastitis hints that they should be researched on as an important mastitis causing agent and not merely as minor pathogens of bovine skin micro flora (
                <xref ref-type="bibr" rid="ref92">Taponen 
                    <italic toggle="yes">et al.,</italic> 2009</xref>). Over the years, researchers have yet to come to terms on the right definition for intra mammary infection resulting from various bacteria in cows due to mastitis (
                <xref ref-type="bibr" rid="ref2">Andersen 
                    <italic toggle="yes">et al.,</italic> 2010</xref>). Information on the effect of CNS in relation to mastitis and human health is however rare (
                <xref ref-type="bibr" rid="ref95">Thorberg, 2008</xref>; 
                <xref ref-type="bibr" rid="ref62">Osman 
                    <italic toggle="yes">et al.,</italic> 2015</xref>). This has put the issue of redressing the role of CNS as a mastitis causing organism on researchers&#x2019; spotlight.</p>
            <p>The infections of cows caused by CNS and their capability to cause mastitis often happens at different lactation stages. Cows that have calved only once are reported to be infected with CNS at the early lactation stage while multiparous cows are infected at the late lactation period (
                <xref ref-type="bibr" rid="ref27">Grohn 
                    <italic toggle="yes">et al.,</italic> 2004</xref>; 
                <xref ref-type="bibr" rid="ref91">Taponen 
                    <italic toggle="yes">et al.,</italic> 2007</xref>). Species of CNS that infect heifers differ from the ones that infect cows; because bovine infections caused by CNS are age dependent (
                <xref ref-type="bibr" rid="ref71">Pyorala and Taponen, 2009</xref>). The regularly isolated mastitis causing CNS species are 
                <italic toggle="yes">Staphylococcus chromogenes</italic>, 
                <italic toggle="yes">Staphylococcus xylosus</italic>, 
                <italic toggle="yes">Staphylococcus haemolyticus, Staphylococcus epidermidis, Staphylococcus simulans</italic>, and 
                <italic toggle="yes">Staphylococcus hyicus</italic> (
                <xref ref-type="bibr" rid="ref97">Trinidad 
                    <italic toggle="yes">et al.,</italic> 1990</xref>; 
                <xref ref-type="bibr" rid="ref48">Matthews 
                    <italic toggle="yes">et al.,</italic> 1992</xref>; 
                <xref ref-type="bibr" rid="ref96">Thorberg 
                    <italic toggle="yes">et al.,</italic> 2006</xref>; 
                <xref ref-type="bibr" rid="ref21">Frey 
                    <italic toggle="yes">et al.,</italic> 2013</xref>). Persistent CNS intra mammary infection (
                <xref ref-type="bibr" rid="ref42">Leroy 
                    <italic toggle="yes">et al.,</italic> 2015</xref>) may linger for a long time during lactation, when milking cows are detected and treated late by dairy farmers (
                <xref ref-type="bibr" rid="ref1">Aarestrup 
                    <italic toggle="yes">et al.,</italic> 1999</xref>; 
                <xref ref-type="bibr" rid="ref59">Oliver 
                    <italic toggle="yes">et al.,</italic> 2003</xref>; 
                <xref ref-type="bibr" rid="ref24">Gillespie 
                    <italic toggle="yes">et al.,</italic> 2009</xref>).</p>
            <p>The spread and prevalence of mastitis caused by CNS varies from one country to another (
                <xref ref-type="table" rid="T1">Table 1</xref>). Season dynamics and weather changes also add to the proportion of CNS pathogens that results in mastitis spread among herds (
                <xref ref-type="bibr" rid="ref45">Makovec and Ruegg, 2003</xref>; 
                <xref ref-type="bibr" rid="ref118">Osteras 
                    <italic toggle="yes">et al.,</italic> 2006</xref>). Furthermore, the type of housing system, parity, lactation stage, variation in sampling techniques, level of farm production, and method of species identification are other factors that influence the spread and prevalence of mastitis caused by 
                <italic toggle="yes">Staphylococcus</italic> species (
                <xref ref-type="bibr" rid="ref95">Thorberg, 2008</xref>). Often times, CNS occurs more in subclinical mastitis when compared to those of clinical mastitis (
                <xref ref-type="bibr" rid="ref71">Pyorala and Taponen, 2009</xref>). Lack of sensitization of farmers on the potential threat of CNS to cause mastitis infection may be reason for mastitis problems, and information on the prevalence of CNS is useful in the control of mastitis spread caused by CNS (
                <xref ref-type="bibr" rid="ref71">Pyorala and Taponen, 2009</xref>).</p>
            <table-wrap id="T1" orientation="portrait" position="float">
                <label>Table 1. </label>
                <caption>
                    <title>Percentage of coagulase-negative staphylococci (CNS) isolated from subclinical mastitis from various nations as reported by literature between 2000 and 2010.</title>
                </caption>
                <table content-type="article-table" frame="hsides">
                    <thead>
                        <tr>
                            <th align="left" colspan="1" rowspan="1" valign="top">Nation of origin</th>
                            <th align="left" colspan="1" rowspan="1" valign="top">Percentage (%)</th>
                            <th align="left" colspan="1" rowspan="1" valign="top">Source</th>
                        </tr>
                    </thead>
                    <tbody>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Canada and USA</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">15</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">
                                <xref ref-type="bibr" rid="ref15">Dingwell 
                                    <italic toggle="yes">et al.</italic> (2004)</xref>
                            </td>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Estonia</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">16</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">
                                <xref ref-type="bibr" rid="ref28">Haltia 
                                    <italic toggle="yes">et al.</italic> (2006)</xref>
                            </td>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Finland</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">24-50</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">
                                <xref ref-type="bibr" rid="ref69">Pitkala 
                                    <italic toggle="yes">et al.</italic> (2004)</xref>; 
                                <xref ref-type="bibr" rid="ref37">Koivula 
                                    <italic toggle="yes">et al.</italic> (2007)</xref>
                            </td>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">France</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">13.7</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">
                                <xref ref-type="bibr" rid="ref7">Botrel 
                                    <italic toggle="yes">et al.</italic> (2010)</xref>
                            </td>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Germany</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">35</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">
                                <xref ref-type="bibr" rid="ref93">Tenhagen 
                                    <italic toggle="yes">et al.</italic> (2006)</xref>
                            </td>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Netherland</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">6</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">
                                <xref ref-type="bibr" rid="ref70">Poelarends 
                                    <italic toggle="yes">et al.</italic> (2001)</xref>
                            </td>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Norway</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">16</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">
                                <xref ref-type="bibr" rid="ref118">Osteras 
                                    <italic toggle="yes">et al.</italic> (2006)</xref>
                            </td>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">South Africa</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">61</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">
                                <xref ref-type="bibr" rid="ref67">Petzer 
                                    <italic toggle="yes">et al.</italic> (2009)</xref>
                            </td>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">USA (Tennessee)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">28 (Herds with high SCC)
                                <break/>12-41 (Herd prevalence)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">
                                <xref ref-type="bibr" rid="ref76">Roberson 
                                    <italic toggle="yes">et al.</italic> (2006)</xref>
                            </td>
                        </tr>
                    </tbody>
                </table>
                <table-wrap-foot>
                    <p>SCC = Somatic cell count.</p>
                    <p>Source: Modified from 
                        <xref ref-type="bibr" rid="ref32">Idamokoro (2013)</xref>.</p>
                </table-wrap-foot>
            </table-wrap>
            <p>Isolation of CNS from cows with clinical mastitis has also been reported in some countries (
                <xref ref-type="table" rid="T2">Table 2</xref>) and seasons is a factor that determines the prevalence of CNS mastitis in different countries. A study by 
                <xref ref-type="bibr" rid="ref37">Koivula 
                    <italic toggle="yes">et al.</italic> (2007)</xref> in Finland and 
                <xref ref-type="bibr" rid="ref118">Osteras 
                    <italic toggle="yes">et al.</italic> (2006)</xref> in Norway revealed that there is seasonal influence on the prevalence of CNS mastitis in bovines. With regards to intra mammary infection in dairy herds, the prevalence of CNS is higher in heifers when compared with older cows (
                <xref ref-type="bibr" rid="ref81">Sampimon 
                    <italic toggle="yes">et al.,</italic> 2009a</xref>). The understanding of CNS spread within certain areas and their species-specific prevalence will help to fight the issue of mastitis related to CNS.</p>
            <table-wrap id="T2" orientation="portrait" position="float">
                <label>Table 2. </label>
                <caption>
                    <title>Percentage of coagulase-negative staphylococci (CNS) isolated from clinical mastitis from different countries as reported by literature from 1998 to 2007.</title>
                </caption>
                <table content-type="article-table" frame="hsides">
                    <thead>
                        <tr>
                            <th align="left" colspan="1" rowspan="1" valign="top">Nation of origin</th>
                            <th align="left" colspan="1" rowspan="1" valign="top">Percentage (%)</th>
                            <th align="left" colspan="1" rowspan="1" valign="top">References</th>
                        </tr>
                    </thead>
                    <tbody>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Finland</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">18</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">
                                <xref ref-type="bibr" rid="ref37">Koivula 
                                    <italic toggle="yes">et al.</italic> (2007)</xref>
                            </td>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Israel</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">9</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">
                                <xref ref-type="bibr" rid="ref87">Shpigel 
                                    <italic toggle="yes">et al.</italic> (1998)</xref>
                            </td>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Wisconsin (USA)</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">17.5</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">
                                <xref ref-type="bibr" rid="ref45">Makovec and Ruegg (2003)</xref>
                            </td>
                        </tr>
                        <tr>
                            <td align="left" colspan="1" rowspan="1" valign="top">Poland</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">14.6</td>
                            <td align="left" colspan="1" rowspan="1" valign="top">
                                <xref ref-type="bibr" rid="ref46">Malinowski 
                                    <italic toggle="yes">et al.</italic> (2006)</xref>
                            </td>
                        </tr>
                    </tbody>
                </table>
                <table-wrap-foot>
                    <p>Source: Modified from 
                        <xref ref-type="bibr" rid="ref32">Idamokoro (2013)</xref>.</p>
                </table-wrap-foot>
            </table-wrap>
            <sec id="sec3">
                <title>Seasonal influence on the distributional spread of CNS pathogens</title>
                <p>In the dairy sector the issue of mastitis incidence in herds is one of the criteria and parameters utilized for determining udder health (
                    <xref ref-type="bibr" rid="ref58">Olde-Riekerink 
                        <italic toggle="yes">et al.,</italic> 2007</xref>). Specific cow and bulk tank somatic cell counts are other parameters used to detect udder health problem (
                    <xref ref-type="bibr" rid="ref58">Olde-Riekerink 
                        <italic toggle="yes">et al.,</italic> 2007</xref>). However, the incidence level of mastitis is influenced by season (
                    <xref ref-type="bibr" rid="ref52">Morse 
                        <italic toggle="yes">et al.,</italic> 1988</xref>; 
                    <xref ref-type="bibr" rid="ref58">Olde-Riekerink 
                        <italic toggle="yes">et al.,</italic> 2007</xref>). Cows are subjected to high incidences of clinical mastitis in the fall (December) than in summer (
                    <xref ref-type="bibr" rid="ref58">Olde-Riekerink 
                        <italic toggle="yes">et al.,</italic> 2007</xref>). Inter-play of specific mastitis disease causing organisms in cows with regards to seasons likewise exist (
                    <xref ref-type="bibr" rid="ref118">Osteras 
                        <italic toggle="yes">et al.,</italic> 2006</xref>). A higher prevalence of CNS and 
                    <italic toggle="yes">Streptococcus dysgalactiae</italic> was declared in winter than in other seasons (
                    <xref ref-type="bibr" rid="ref118">Osteras 
                        <italic toggle="yes">et al.,</italic> 2006</xref>). 
                    <xref ref-type="bibr" rid="ref29">Hogan 
                        <italic toggle="yes">et al.</italic> (1989)</xref> and 
                    <xref ref-type="bibr" rid="ref45">Makovec and Ruegg (2003)</xref>, in their studies also reported that the incidence rate of mastitis was higher for streptococci and coliforms in summer. In addition, mastitis prevalence caused by 
                    <italic toggle="yes">Staphylococcus aureus</italic> and 
                    <italic toggle="yes">Streptococcus uberis</italic> increased in summer compared to other seasons (
                    <xref ref-type="bibr" rid="ref118">Osteras 
                        <italic toggle="yes">et al.,</italic> 2006</xref>).</p>
            </sec>
        </sec>
        <sec id="sec4">
            <title>CNS species colonization of cow udder quarters and their protective functions</title>
            <p>Recent studies show that some CNS species display inhibitory traits against key mastitis causing pathogens that may want to result into intra mammary infection in dairy cows thereby acting as a protection to cow teats and udders (
                <xref ref-type="bibr" rid="ref74">Reyher 
                    <italic toggle="yes">et al.,</italic> 2012a</xref>). For instance, 
                <italic toggle="yes">Staphylococcus chromogenes</italic> is a type of CNS species that represses other important mastitis causing organisms from infecting the udder of bovines (
                <xref ref-type="bibr" rid="ref14">De Vliegher 
                    <italic toggle="yes">et al.,</italic> 2004</xref>). There are contradictory reports as to whether CNS actually gets involved in a protective role or promotes the risk of infection on udder quarter of cows (
                <xref ref-type="bibr" rid="ref26">Green 
                    <italic toggle="yes">et al.,</italic> 2002</xref>; 
                <xref ref-type="bibr" rid="ref75">Reyher 
                    <italic toggle="yes">et al.,</italic> 2012b</xref>). According to 
                <xref ref-type="bibr" rid="ref102">Zadoks 
                    <italic toggle="yes">et al.</italic> (2001)</xref>, CNS species do not display a protective influence against the udder quarter of cows and they also do not expose them to risk of infection by major mastitis pathogens. 
                <xref ref-type="bibr" rid="ref49">Matthews 
                    <italic toggle="yes">et al.</italic> (1990)</xref> and 
                <xref ref-type="bibr" rid="ref39">Lam 
                    <italic toggle="yes">et al.</italic> (1997)</xref> in their study reported that cow quarters infected with CNS are likely to show resistance to any later infections by Streptococci species and 
                <italic toggle="yes">Staphylococcus aureus.</italic>
            </p>
            <p>Conversely, an 
                <italic toggle="yes">in-vitro</italic> study conducted by 
                <xref ref-type="bibr" rid="ref14">De Vliegher 
                    <italic toggle="yes">et al.</italic> (2004)</xref> revealed the inhibition of 
                <italic toggle="yes">Streptococcus uberis</italic>, 
                <italic toggle="yes">Staphylococcus aureus</italic>, 
                <italic toggle="yes">and Streptococcus dysgalactiae</italic> by 
                <italic toggle="yes">Staphylococcus chromogenes.</italic> 
                <xref ref-type="bibr" rid="ref18">Dos Santos Nascimento 
                    <italic toggle="yes">et al.</italic> (2005)</xref> in their study likewise revealed the inhibition of 
                <italic toggle="yes">Staphylococcus agalactiae,</italic> which is a major mastitis pathogen by some strains of CNS. The secretion of antibacterial peptides by CNS species is a likely mechanism used in the inhibition of major mastitis (
                <xref ref-type="bibr" rid="ref18">Dos Santos Nascimento 
                    <italic toggle="yes">et al.,</italic> 2005</xref>; 
                <xref ref-type="bibr" rid="ref84">Sawant 
                    <italic toggle="yes">et al.,</italic> 2009</xref>). In the study by 
                <xref ref-type="bibr" rid="ref14">De Vliegher 
                    <italic toggle="yes">et al.</italic> (2004)</xref>, 
                <italic toggle="yes">Staphylococcus chromogenes</italic> secreted substances that repressed the growth of 
                <italic toggle="yes">Staphylococcus aureus</italic> and other streptococci. Contradicting studies by 
                <xref ref-type="bibr" rid="ref9">Compton 
                    <italic toggle="yes">et al.</italic> (2007)</xref> and 
                <xref ref-type="bibr" rid="ref65">Parker 
                    <italic toggle="yes">et al.</italic> (2007)</xref> reported that CNS do not show any protective effect on udder quarters of cows against major mastitis. In order to properly understand the protective and risk factor effect of CNS bacteria on udder quarter of cows factors such as age, lactation stage, immunity level, and anatomy of cows are to be considered (
                <xref ref-type="bibr" rid="ref75">Reyher 
                    <italic toggle="yes">et al.,</italic> 2012b</xref>). With various contradictory reports from studies on the actual role played by CNS in protecting cow udder or their ability to cause mastitis, scientist should be cautious on their claims (giving empirical facts) when reporting to the global scientific world of the actual role of CNS.</p>
        </sec>
        <sec id="sec5">
            <title>Antimicrobial resistance by cow CNS mastitis</title>
            <p>There is high urge to increase individual cow performance and productivity. As a result of this, farmers have become more dependent on antibiotics (
                <xref ref-type="bibr" rid="ref50">McKenna, 2011</xref>) as they are utilized for the treatment and prevention of bovine metritis and mastitis (
                <xref ref-type="bibr" rid="ref100">Walther 
                    <italic toggle="yes">et al.,</italic> 2008</xref>). They are also used for improving growth in livestock, as therapeutics and prophylactics agents (
                <xref ref-type="bibr" rid="ref83">Sawant 
                    <italic toggle="yes">et al.,</italic> 2005</xref>). Some of the antibiotics used in farms include penicillin, oxacillin, tobramycin, ciprofloxacin, tetracycline, erythromycin, cefazolin, clindamycin, and beta lactams (
                <xref ref-type="bibr" rid="ref83">Sawant 
                    <italic toggle="yes">et al.,</italic> 2005</xref>; 
                <xref ref-type="bibr" rid="ref22">Gao 
                    <italic toggle="yes">et al.,</italic> 2012</xref>). Studies reveal certain variations in resistance to antibiotics by different CNS at their species level (
                <xref ref-type="bibr" rid="ref44">Luthje and Schwardz, 2006</xref>; 
                <xref ref-type="bibr" rid="ref99">Waller 
                    <italic toggle="yes">et al.,</italic> 2011</xref>; 
                <xref ref-type="bibr" rid="ref78">Saini 
                    <italic toggle="yes">et al.,</italic> 2012</xref>; 
                <xref ref-type="bibr" rid="ref17">Dorneles 
                    <italic toggle="yes">et al.,</italic> 2018</xref>). 
                <xref ref-type="bibr" rid="ref84">Sawant 
                    <italic toggle="yes">et al.</italic> (2009)</xref> in their study, reported that 
                <italic toggle="yes">Staphylococcus epidermidis</italic> was resistant against pirlimycin, erythromycin, and methicillin but other CNS species including 
                <italic toggle="yes">Staphylococcus hyicus, Staphylococcus simulans</italic>, and 
                <italic toggle="yes">Staphylococcus chromogenes</italic> were susceptible to them. Resistance against ampicillin by 
                <italic toggle="yes">Staphylococcus hyicus</italic>, 
                <italic toggle="yes">Staphylococcus epidermidis,</italic> and 
                <italic toggle="yes">Staphylococcus chromogenes</italic> was also indicated by 
                <xref ref-type="bibr" rid="ref84">Sawant 
                    <italic toggle="yes">et al.</italic> (2009)</xref>. 
                <xref ref-type="bibr" rid="ref69">Pitkala 
                    <italic toggle="yes">et al.</italic> (2004)</xref> also reported the resistance pattern of some antibiotics for 
                <italic toggle="yes">Staphylococcus aureus</italic> and CNS including erythromycin, streptomycin, gentamycin, and oxacillin was between 0-5.1% and 0-9.96% respectively. In that study, resistance to penicillin was high for 
                <italic toggle="yes">Staphylococcus aureus</italic> and CNS (52.1% and 32% respectively).</p>
            <p>The prevalence of antimicrobial resistant CNS bacteria such as 
                <italic toggle="yes">Staphylococcus haemolyticus</italic>, 
                <italic toggle="yes">Staphylococcus chromogenes, Staphylococcus epidermidis</italic>, and 
                <italic toggle="yes">Staphylococcus simulans</italic> against penicillin was 70%, 33%, 18%, and 0%, respectively (
                <xref ref-type="bibr" rid="ref80">Sampimon, 2009</xref>). Resistance against oxacillin, tetracycline, sulphonamides, trimethoprim, clindamycin, methicillin, and kanamycin by CNS has also been indicated (
                <xref ref-type="bibr" rid="ref23">Gentilini 
                    <italic toggle="yes">et al.,</italic> 2002</xref>; 
                <xref ref-type="bibr" rid="ref51">Moon 
                    <italic toggle="yes">et al.,</italic> 2007</xref>; 
                <xref ref-type="bibr" rid="ref5">Bengtsson 
                    <italic toggle="yes">et al.,</italic> 2009</xref>; 
                <xref ref-type="bibr" rid="ref21">Frey 
                    <italic toggle="yes">et al.,</italic> 2013</xref>). Apart from dairy cows (
                <xref ref-type="bibr" rid="ref73">Raspanti 
                    <italic toggle="yes">et al.,</italic> 2016</xref>), other farm animals have been pointed to show resistance to antibiotics by CNS. 
                <xref ref-type="bibr" rid="ref43">Lollai 
                    <italic toggle="yes">et al.</italic> (2008)</xref> revealed resistance in isolates of milk samples retrieved from sheep against some antibiotics by CNS. Resistance to penicillin in sheep is lesser than that of cattle (
                <xref ref-type="bibr" rid="ref43">Lollai 
                    <italic toggle="yes">et al.,</italic> 2008</xref>). Factors including incidence of disease, level of education, cost of treatment, type of antibiotics, and farm management practices influence the use of antibiotics for treatment of mastitis (
                <xref ref-type="bibr" rid="ref25">Grave 
                    <italic toggle="yes">et al.,</italic> 1999</xref>; 
                <xref ref-type="bibr" rid="ref83">Sawant 
                    <italic toggle="yes">et al.,</italic> 2005</xref>). The continual utilization of antibiotics in livestock farming has resulted in the increase in resistance to several antibiotics by bacteria. Regularly monitoring antimicrobial profiles in livestock is very vital to collect data for trends/emergence in antimicrobial resistance genotypes and phenotypes to recognize and identify new or emerging resistance profiles (
                <xref ref-type="bibr" rid="ref11">Crespi 
                    <italic toggle="yes">et al.,</italic> 2022</xref>).</p>
        </sec>
        <sec id="sec6">
            <title>Virulence traits of CNS</title>
            <p>The impact CNS species play in infecting cow udders cannot be over emphasized. Despite the fact that antibiotics have been used to manage and treat cows that show mastitis and persistence intra mammary infections caused by CNS species (
                <xref ref-type="bibr" rid="ref90">Taponen 
                    <italic toggle="yes">et al.,</italic> 2006</xref>; 
                <xref ref-type="bibr" rid="ref88">Simojoki 
                    <italic toggle="yes">et al.,</italic> 2009</xref>), treatment has always been carried out in clusters as a group. Recently it was reported that different species of CNS exhibit different virulence characteristics (
                <xref ref-type="bibr" rid="ref105">Zhang and Maddox, 2000</xref>; 
                <xref ref-type="bibr" rid="ref99">Waller 
                    <italic toggle="yes">et al.,</italic> 2011</xref>). There are variations in the virulence determinates of CNS. Often times CNS are not identified at the species level but as a group. The reason for this is because the diagnostic significance of CNS species in dairy maintenance has not yet been rightly looked into (
                <xref ref-type="bibr" rid="ref104">Zadoks and Watts, 2009</xref>).</p>
            <p>It is important to recognize mastitis pathogens at the species level including CNS (
                <xref ref-type="bibr" rid="ref77">Rossitto 
                    <italic toggle="yes">et al.,</italic> 2002</xref>; 
                <xref ref-type="bibr" rid="ref69">Pitkala 
                    <italic toggle="yes">et al.,</italic> 2004</xref>). Pathogens that cause mastitis have varied levels of pathogenicity and virulence characteristics (
                <xref ref-type="bibr" rid="ref105">Zhang and Maddox, 2000</xref>; 
                <xref ref-type="bibr" rid="ref99">Waller 
                    <italic toggle="yes">et al.,</italic> 2011</xref>). The severity of infection caused by 
                <italic toggle="yes">Staphylococcus chromogenes</italic> in livestock is much higher than other CNS (
                <xref ref-type="bibr" rid="ref40">Lasagno 
                    <italic toggle="yes">et al.,</italic> 2018</xref>). 
                <italic toggle="yes">Staphylococcus chromogenes,</italic> which have been indicated as a minor mastitis pathogen, can cause severe damage to cow udders when compared to 
                <italic toggle="yes">Staphylococcus aureus</italic> (
                <xref ref-type="bibr" rid="ref53">Myllys 
                    <italic toggle="yes">et al.,</italic> 1994</xref>). Additional studies and research on species-specific differences as related to their virulence traits will assist in effective mastitis control management in dairy farm.</p>
        </sec>
        <sec id="sec7">
            <title>CNS identification in cow milk samples</title>
            <p>CNS are a collection of 
                <italic toggle="yes">Staphylococcus</italic> species commonly isolated from the milk of cows with clinical subclinical mastitis and microbes-free clean milk. They are reported to be pathogens that are becoming dominant in the cause of cow mastitis. About 39 various species of CNS have been classified at the species level. The recognition and identification of CNS in most cases is treated as a collection/group and not as individual species. It was recently revealed that different species of CNS display different virulence traits (
                <xref ref-type="bibr" rid="ref105">Zhang and Maddox, 2000</xref>; 
                <xref ref-type="bibr" rid="ref99">Waller 
                    <italic toggle="yes">et al.,</italic> 2011</xref>). Identifying CNS as a group may not be enough when considering effective therapy and mastitis control program but identifying them at the species level using more precise methods (such as gene sequencing) may suffice (
                <xref ref-type="bibr" rid="ref38">Lange 
                    <italic toggle="yes">et al.,</italic> 2015</xref>).</p>
            <p>The standard identification process for CNS at the species level is the utilization of conventional biochemical methods. This includes growth of species in various prepared media, morphology of species in colonies, gram staining, catalase production, and coagulase tests among others. The use of conventional biochemical tests is more demanding, expensive, and time consuming (
                <xref ref-type="bibr" rid="ref10">Couto 
                    <italic toggle="yes">et al.,</italic> 2001</xref>). Plenty of the commercial biochemical kits have been manufactured to identify CNS at the species level phenotypically. The Staph-zym system, ID 32 staph test, and ATB 32 staph differentiation system are some commercial biochemical test kits that have been utilized to identify CNS at the species level (
                <xref ref-type="bibr" rid="ref13">Deinhofer and Pernthaner, 1995</xref>; 
                <xref ref-type="bibr" rid="ref94">Thorberg and Brandstrom, 2000</xref>; 
                <xref ref-type="bibr" rid="ref8">Capurro 
                    <italic toggle="yes">et al.,</italic> 2009</xref>). The use of ID 32 staph test for identifying CNS is efficient and also cheap when compared to the staph-zym test (
                <xref ref-type="bibr" rid="ref94">Thorberg and Brandstrom, 2000</xref>; 
                <xref ref-type="bibr" rid="ref82">Sampimon 
                    <italic toggle="yes">et al.,</italic> 2009b</xref>). Conversely, there is limitation in the utilization of commercial biochemical kits for identification of all species of CNS from animal source (
                <xref ref-type="bibr" rid="ref6">Bes 
                    <italic toggle="yes">et al.,</italic> 2000</xref>). The use of molecular test procedures for identifying CNS species still remains the best till date (
                <xref ref-type="bibr" rid="ref104">Zadoks and Watts, 2009</xref>).</p>
        </sec>
        <sec id="sec8">
            <title>Risk management procedures and distribution of CNS species during milking</title>
            <p>CNS also demonstrate a threat to the cow udder in a poorly managed milking parlour and farm environment (
                <xref ref-type="bibr" rid="ref31">Hunderra 
                    <italic toggle="yes">et al.,</italic> 2005</xref>; 
                <xref ref-type="bibr" rid="ref68">Philip 
                    <italic toggle="yes">et al.,</italic> 2011</xref>). These CNS pathogens are very contagious and can persist in the udder and the cow teat canal of infected cows hereby increasing the risk of infection to healthy cows during milking (
                <xref ref-type="bibr" rid="ref66">Peterrson-Wolfe 
                    <italic toggle="yes">et al.,</italic> 2010</xref>; 
                <xref ref-type="bibr" rid="ref47">Mahmmod 
                    <italic toggle="yes">et al.,</italic> 2018</xref>). Proper monitoring and management practices and hygiene in the milking parlour are important in avoiding the widespread of microbes and bacteria when cows are been milked (
                <xref ref-type="bibr" rid="ref101">Yuen 
                    <italic toggle="yes">et al.,</italic> 2012</xref>). The risk of infection for contagious and environmental mastitis pathogens including CNS becomes much higher when milking machines are ineffectively managed (
                <xref ref-type="bibr" rid="ref36">Kim 
                    <italic toggle="yes">et al.,</italic> 2019</xref>). Unethical practices in the milking parlour can also expose cows to mastitis causing organisms. There are certain practices such as using the same towel to clean cows&#x2019; udders or improper drying of cow teats during milking of cows will proliferate the distribution and spread of mastitis causing organisms (
                <xref ref-type="bibr" rid="ref33">Jones, 2010</xref>). More awareness on the need to curb any potential threat that may lead to infections by CNS should be created among dairy farm workers. This can be achieved by sensitizing dairy farm workers&#x2019; of the persistent nature of CNS on the surrounding of cow udders and the milking environment.</p>
        </sec>
        <sec id="sec9">
            <title>Cow management against possible spread of mastitis causing pathogens in the milking parlour</title>
            <p>Effective cleaning of cow teats with treated chemicals and disinfectants before milking, proper hygiene, culling of chronically infected cows, dipping of teats with chemicals, and effective cow therapy are practices employed to reduce the load of mastitis causing organisms around cow udders during milking (
                <xref ref-type="bibr" rid="ref4">Barkema 
                    <italic toggle="yes">et al.,</italic> 2006</xref>). Notably, before any control measures for the prevention of CNS mastitis can be launched, more information is required about the CNS species linked with mastitis and the form and virulence of the diverse species. The importance of effective anti-biotic strategy treatment, good hygiene, and cleaning management in the milking parlour to curb the spread of CNS mastitis in cows cannot be over-emphasized (
                <xref ref-type="bibr" rid="ref36">Kim 
                    <italic toggle="yes">et al.,</italic> 2019</xref>).</p>
            <p>In a proper dairy farm according to the 
                <xref ref-type="bibr" rid="ref20">Food standards Agency Scotland (2007)</xref>, effective hand washing prior and during milking activities, wearing of clean clothes by milking operators, and the engagement of physically healthy milking workers should be employed when milking cows. This helps to curb the possible spread of mastitis causing organisms from one cow to another and also prevent milk from bacterial contamination.</p>
            <p>Some CNS strains isolated from mastitis may be opportunists from the milking surrounding. However, according to 
                <xref ref-type="bibr" rid="ref71">Pyorala and Taponen (2009)</xref> in their account, it was opined that it is very likely that at least the major species infecting dairy cow mammary glands are precisely adjusted to the udder surroundings. Species of CNS may differ in this respect, however, scientific proof is lacking. Furthermore, in most dairy herds, pregnant heifers are more likely to be infected with CNS than cows. In solving the threatening challenges of CNS mastitis causing pathogens, more focus may therefore be on the heifers, i.e., their environment, feeding, and management, before calving. Conversely, it could be noted that the welfare and comfort of heifers may be momentous factors for good udder health.</p>
            <p>The wearing of hand gloves by workers during milking procedures helps to reduce intra mammary infection of 
                <italic toggle="yes">Staphylococcus aureus</italic> (
                <xref ref-type="bibr" rid="ref19">Dufour 
                    <italic toggle="yes">et al.,</italic> 2012</xref>). Frequent cleaning and sanitation of milking machines, correct cleaning of vacuum systems, clean milking environment, and the correct utilization of cleaners and sanitizer during cow milking prevents bacteria contamination of raw milk (NIANR, 2006). Fore stripping of cow milk and frequent screening of fore milk prior to attaching milking clusters to teats are also efficient measures carried out to curb the spread of bacteria during milking operations (
                <xref ref-type="bibr" rid="ref60">Oliver, 2012</xref>).</p>
        </sec>
        <sec id="sec10">
            <title>Possible CNS transmission between human beings and cows</title>
            <p>It is not out of place for the staphylococcal mastitis strains including CNS to be transferred between humans and dairy cows (
                <xref ref-type="bibr" rid="ref86">Sender 
                    <italic toggle="yes">et al.,</italic> 2017</xref>). However, the transmission of these non-aureus mastitis causing organisms is very possible (
                <xref ref-type="bibr" rid="ref79">Sakwinska 
                    <italic toggle="yes">et al.,</italic> 2011</xref>). In the study by 
                <xref ref-type="bibr" rid="ref96">Thorberg 
                    <italic toggle="yes">et al.</italic> (2006)</xref>, it was reported that the same strains of CNS (
                <italic toggle="yes">S. epidermidis</italic>) on milkers&#x2019; hands was also found in milk and it was suspected that milking personnel are the source or carrier of the bacteria to dairy cows. CNS usually accompanies infections with main pathogens that are treated with antimicrobial drugs (
                <xref ref-type="bibr" rid="ref86">Sender 
                    <italic toggle="yes">et al.,</italic> 2017</xref>). The assumptions by some researchers that CNS harbours drug resistance genes for other bacteria, including E. coli, means that the Streptococcus species is very worrisome (
                <xref ref-type="bibr" rid="ref21">Frey 
                    <italic toggle="yes">et al.,</italic> 2013</xref>; 
                <xref ref-type="bibr" rid="ref63">Ottom, 2013</xref>).</p>
        </sec>
        <sec id="sec11" sec-type="conclusions">
            <title>Conclusions</title>
            <p>At present, studies on CNS species as a mastitis causing organism in dairy cows is scarce. Judging from the current knowledge, it may be hard to ascertain whether CNS species act as contagious or ecological pathogens. However, the pathological contribution of CNS in bovine mastitis has inevitably surged and there is an urgent need to pin-point the threat to both human and animal health, originating from this micro-organism. Effective management procedures against contagious mastitis organisms, such as pre- and post-milking teat disinfection, may assist in lowering CNS infections in cows during milking in dairy farms. Appropriate methods such as molecular identification of CNS species rather than phenotypic method of identification may be more reliable in identifying CNS in the milk of mastitis cows for proper management strategies. Unarguably, it may be more beneficial to the dairy industries if more research on the epidemiology of CNS causing mastitis in dairy milk and more reliable methods for species identification is carried out by scientists for proper farm management purpose.</p>
        </sec>
        <sec id="sec12">
            <title>Data availability</title>
            <p>No data are associated with this article.</p>
        </sec>
    </body>
    <back>
        <ack>
            <title>Acknowledgements</title>
            <p>We appreciate the moral and logistic support from Dr. Y.S. Hosu for towards writing of this manuscript.</p>
        </ack>
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    <sub-article article-type="reviewer-report" id="report380994">
        <front-stub>
            <article-id pub-id-type="doi">10.5256/f1000research.134061.r380994</article-id>
            <title-group>
                <article-title>Reviewer response for version 1</article-title>
            </title-group>
            <contrib-group>
                <contrib contrib-type="author">
                    <name>
                        <surname>Lange</surname>
                        <given-names>Carla C.</given-names>
                    </name>
                    <xref ref-type="aff" rid="r380994a1">1</xref>
                    <role>Referee</role>
                </contrib>
                <aff id="r380994a1">
                    <label>1</label>Brazilian Agricultural Research Corporation (EMBRAPA), Embrapa Dairy Cattle, Juiz de Fora, Brazil</aff>
            </contrib-group>
            <author-notes>
                <fn fn-type="conflict">
                    <p>
                        <bold>Competing interests: </bold>No competing interests were disclosed.</p>
                </fn>
            </author-notes>
            <pub-date pub-type="epub">
                <day>24</day>
                <month>5</month>
                <year>2025</year>
            </pub-date>
            <permissions>
                <copyright-statement>Copyright: &#x00a9; 2025 Lange CC</copyright-statement>
                <copyright-year>2025</copyright-year>
                <license xlink:href="https://creativecommons.org/licenses/by/4.0/">
                    <license-p>This is an open access peer review report distributed under the terms of the Creative Commons Attribution Licence, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
                </license>
            </permissions>
            <related-article ext-link-type="doi" id="relatedArticleReport380994" related-article-type="peer-reviewed-article" xlink:href="10.12688/f1000research.122115.1"/>
            <custom-meta-group>
                <custom-meta>
                    <meta-name>recommendation</meta-name>
                    <meta-value>reject</meta-value>
                </custom-meta>
            </custom-meta-group>
        </front-stub>
        <body>
            <p>This is a review article on CNS that seems to have been quite complete at the time it was written, but unfortunately it is not updated. The article cites good references, but the vast majority of them are from 10 or more years ago. Since then, many changes have occurred, both in terms of CNS identification, such as the advent of Maldi-Tof mass spectrometry, and in the protocols for treating livestock with antimicrobials, due to the current great concern with antimicrobial resistance in humans, animals and the environment.</p>
            <p>Is the review written in accessible language?</p>
            <p>Yes</p>
            <p>Are all factual statements correct and adequately supported by citations?</p>
            <p>Partly</p>
            <p>Are the conclusions drawn appropriate in the context of the current research literature?</p>
            <p>No</p>
            <p>Is the topic of the review discussed comprehensively in the context of the current literature?</p>
            <p>Partly</p>
            <p>Reviewer Expertise:</p>
            <p>Veterinary Microbiology and Milk Quality</p>
            <p>I confirm that I have read this submission and believe that I have an appropriate level of expertise to state that I do not consider it to be of an acceptable scientific standard, for reasons outlined above.</p>
        </body>
    </sub-article>
</article>
