Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2025 Aug 20;12(8):778.
doi: 10.3390/vetsci12080778.

A Comprehensive Review: Bovine Respiratory Disease, Current Insights into Epidemiology, Diagnostic Challenges, and Vaccination

Affiliations
Review

A Comprehensive Review: Bovine Respiratory Disease, Current Insights into Epidemiology, Diagnostic Challenges, and Vaccination

Stephanie O'Donoghue et al. Vet Sci. .

Abstract

The aim of this comprehensive review is to synthesize current knowledge on bovine respiratory disease (BRD), enhance diagnostic strategies, and support effective prevention and management practises. BRD remains a leading cause of morbidity and mortality in cattle, driven by a complex interplay of viral and bacterial pathogens, host factors, environmental stressors, and management conditions. Its prevalence (2.1% to 20.2%) varies across geographical regions, age groups, and diagnostic methods. BRD leads to significant economic losses through direct impacts such as mortality, reduced growth rates, and lighter carcass weights, as well as indirect costs like market restrictions and long-term productivity declines. Diagnosing BRD is challenging due to its non-specific clinical signs and frequent subclinical presentations. Traditional diagnostic tools like clinical respiratory scoring (CRS) systems provide structure but suffer from low sensitivity and subjectivity. Behavioural monitoring shows promise by detecting early changes in feeding, movement, and social behaviours. Thoracic auscultation is widely used but limited in accuracy. Thoracic ultrasonography (TUS) stands out as a more sensitive method for detecting subclinical disease and correlating with growth outcomes. Combining CRS with TUS enhances early and accurate detection. Advancing diagnostic approaches is critical for improving animal health and minimizing economic losses in cattle production systems.

Keywords: bacterial pathogens; behaviour; bovine respiratory disease (BRD); clinical respiratory scores; diagnosis; thoracic ultrasonography (TUS); vaccination; viral pathogens.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflicts of interest.

Figures

Figure 1
Figure 1
Integrated decision-making flowchart for BRD diagnosis.

Similar articles

  • Prescription of Controlled Substances: Benefits and Risks.
    Preuss CV, Kalava A, King KC. Preuss CV, et al. 2025 Jul 6. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan–. 2025 Jul 6. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan–. PMID: 30726003 Free Books & Documents.
  • Plasma cytokine and chemokine levels during natural outbreaks of bovine respiratory disease in young bulls on feedlots.
    Rouault M, Assié S, Gausserès B, Meurens F, Foucras G. Rouault M, et al. Front Vet Sci. 2025 Jul 9;12:1617061. doi: 10.3389/fvets.2025.1617061. eCollection 2025. Front Vet Sci. 2025. PMID: 40703922 Free PMC article.
  • Nocardia Keratitis.
    Gurnani B, Moshirfar M. Gurnani B, et al. 2025 Jul 7. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan–. 2025 Jul 7. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan–. PMID: 31751092 Free Books & Documents.
  • Management of urinary stones by experts in stone disease (ESD 2025).
    Papatsoris A, Geavlete B, Radavoi GD, Alameedee M, Almusafer M, Ather MH, Budia A, Cumpanas AA, Kiremi MC, Dellis A, Elhowairis M, Galán-Llopis JA, Geavlete P, Guimerà Garcia J, Isern B, Jinga V, Lopez JM, Mainez JA, Mitsogiannis I, Mora Christian J, Moussa M, Multescu R, Oguz Acar Y, Petkova K, Piñero A, Popov E, Ramos Cebrian M, Rascu S, Siener R, Sountoulides P, Stamatelou K, Syed J, Trinchieri A. Papatsoris A, et al. Arch Ital Urol Androl. 2025 Jun 30;97(2):14085. doi: 10.4081/aiua.2025.14085. Epub 2025 Jun 30. Arch Ital Urol Androl. 2025. PMID: 40583613 Review.
  • Signs and symptoms to determine if a patient presenting in primary care or hospital outpatient settings has COVID-19.
    Struyf T, Deeks JJ, Dinnes J, Takwoingi Y, Davenport C, Leeflang MM, Spijker R, Hooft L, Emperador D, Domen J, Tans A, Janssens S, Wickramasinghe D, Lannoy V, Horn SRA, Van den Bruel A; Cochrane COVID-19 Diagnostic Test Accuracy Group. Struyf T, et al. Cochrane Database Syst Rev. 2022 May 20;5(5):CD013665. doi: 10.1002/14651858.CD013665.pub3. Cochrane Database Syst Rev. 2022. PMID: 35593186 Free PMC article.

References

    1. Raaperi K., Nurmoja I., Orro T., Viltrop A. Seroepidemiology of bovine herpesvirus 1 (BHV1) infection among Estonian dairy herds and risk factors for the spread within herds. Prev. Vet. Med. 2010;96:74–81. doi: 10.1016/j.prevetmed.2010.06.001. - DOI - PubMed
    1. Murray G.M., More S.J., Sammin D., Casey M.J., McElroy M.C., O’Neill R.G., Byrne W.J., Earley B., Clegg T.A., Ball H. Pathogens, patterns of pneumonia, and epidemiologic risk factors associated with respiratory disease in recently weaned cattle in Ireland. J. Vet. Diagn. Investig. 2017;29:20–34. doi: 10.1177/1040638716674757. - DOI - PubMed
    1. Buczinski S., Fecteau G., Dubuc J., Francoz D. Validation of a clinical scoring system for bovine respiratory disease complex diagnosis in preweaned dairy calves using a Bayesian Framework. Prev. Vet. Med. 2018;156:102–112. doi: 10.1016/j.prevetmed.2018.05.004. - DOI - PMC - PubMed
    1. Cirone F., Padalino B., Tullio D., Capozza P., Losurdo M., Lanave G., Pratelli A. Prevalence of pathogens related to bovine respiratory disease before and after transportation in beef steers: Preliminary results. Animals. 2019;9:1093. doi: 10.3390/ani9121093. - DOI - PMC - PubMed
    1. Dubrovsky S.A., Van Eenennaam A.L., Karle B.M., Rossitto P.V., Lehenbauer T.W., Aly S.S. Epidemiology of bovine respiratory disease (BRD) in preweaned calves on California dairies: The BRD 10K study. J. Dairy Sci. 2019;102:7306–7319. doi: 10.3168/jds.2018-14774. - DOI - PubMed

LinkOut - more resources