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.

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