# When is the best time to test paratuberculosis positivity? Observations from a follow-up study in Hungarian dairy herds

## TL;DR

This study identifies the best time to test for paratuberculosis in dairy cows during lactation to improve detection accuracy.

## Contribution

The study determines optimal testing times for MAP detection using ELISA and PCR during specific lactation periods.

## Key findings

- The best time for serum ELISA testing is 40–60 days in milk.
- PCR assays show highest detection at 10–14 and 40–60 days in milk.
- Serum ELISA is slightly more sensitive than milk ELISA for MAP detection.

## Abstract

The objective of the present study was to find the most practical combination of diagnostic procedures and time points during lactation to identify Mycobacterium avium ssp. paratuberculosis (MAP)-infected animals. Four Hungarian dairy farms with a 4–5% apparent MAP positivity were enrolled in the study, and 13 non-lactating, known MAP-positive pregnant cows were chosen from each farm. Feces, blood, and milk samples were collected from each cow at 1–5, 10–14, 40–60, 90–120, 180–200, and 280–300 days in milk (DIM) and ELISA and PCR assays were performed for antibody or pathogen detection. Animals that later developed clinical paratuberculosis symptoms showed distinctly different patterns of test positivity than those that did not develop clinical symptoms during the observation period. The optimal time for detecting MAP-positive animals with the highest probability was DIM 40–60 with serum ELISA and DIM 10–14 and 40–60 for PCR assays, respectively. Serum ELISA proved to be slightly more sensitive than milk ELISA. S/P values showed a moderate correlation with the fecal qPCR Ct values. We found that the most suitable period for MAP screening is 40–60 days after calving.