Simple SummaryPrevious studies have investigated the role of different factors in paratuberculosis introduction in dairy farms or dairy cattle. Because paratuberculosis between-herd prevalence was shown to differ substantially between three regions of Germany, this study evaluated different management factors for their impact on the paratuberculosis status of a farm. The most obvious impact was found for an increase of 100 or more cows per herd, followed by the purchase of cattle with unknown paratuberculosis status and limitations in calf feeding management within the barn. These aspects should be prioritized in paratuberculosis control beneath a tailored control approach for individual farms and regions.AbstractIn a cross-sectional study, it was identified that three regions in Germany differed with respect to their herd-level prevalence for paratuberculosis in dairy cattle. In the study presented here, the same farms were analyzed to identify those components of biosecurity and farm management with the highest impact onMycobacterium aviumssp.paratuberculosis(MAP) introduction and establishment in a farm. Hence, the data analyzes included 183, 170 and 104 herds from the study regions north, east and south, respectively. A herd was considered MAP-positive if at least one fecal environmental sample was positive. Twenty-six different possible risk factors from five different components of biosecurity and farm management were analyzed. We show that the average management of calf feeding increased the odds for a MAP-positive farm by 5.22 times (95% confidence interval (CI) = 1.25–21.83). With every 100-cow increase in farm size, the risk for a farm to test MAP-positive increased by 1.94 times (CI = 1.15–3.27), 1.14 times (CI = 1.02–1.27) and 5.53 times (CI = 0.44–68.97) in the north, east and south study regions, respectively. Furthermore, the purchase of cattle with an unknown MAP status increased the risk for a farm testing MAP-positive by 2.86-fold (CI = 1.45–5.67). Our results demonstrate that herd size, unknown MAP status of the purchased cattle and different aspects of calf feeding play an important role in the MAP status of a farm and should be in focus in regions with different MAP between-herd prevalence. Additionally, farm individual risk patterns should be identified during (veterinary) biosecurity consultancy.