Mastitis is one of the most costly devastating diseases in the dairy industry. Bovine mastitis can be classified as clinical or subclinical based on clinical features of the disease. Subclinical mastitis occurrence is more prominent compared to clinical form and its prevalence is more than 20 to 50% of cows in given herds. Both forms cause substantial financial losses due to reduced milk yield, degraded milk quality, drug costs and veterinary expenses, early culling of cows and increased labour costs for the farmers. The chief causal organisms of mastitis are cell-walled bacteria, even though mycoplasma, algae and yeast have also been identified to cause mastitis. Numerous influencing factors like physiological, pathological, environmental or genetic factors may contribute to the occurrence of mastitis in dairy cattle. Presently, different types of antibiotics are prescribed for the treatment of mastitis. However, therapeutic success rate of mastitis is generally poor because of pathological changes in the udder parenchyma, mastitogenic bacterial and related factors, indiscriminate use of antibiotics and poor animal husbandry practices. These evidences focus the necessity for discovering completely newer strategies for treatment of mastitis. This review will highlight the key etiological agents and factors affecting the manifestation of mastitis, and the recent advancement of therapeutic strategies including application of antibiotic-based therapies by doing antibiotic sensitivity test as a prospective approach to prevent and control mastitis in dairy herds.