Milk and dairy products are important sources of proteins, fats and vitamins. Although Brazil is the fourth largest milk producer in the world, mastitis, metritis, enteritis and respiratory diseases are still important in this industry. A number of antibiotics are employed for treatment and prophylaxis for these diseases, including cephalosporins, lincosamides, aminoglycosides, penicillins, tetracyclines and macrolides. Vaccination offers an important opportunity to reduce the demand for antibiotics. In this review, we present insights into milk production, antibiotic use in the Brazilian dairy industry, the consequences of these activities and perspectives for the control and surveillance of antibiotic resistance.