Listeria monocytogenes epidemic clone II (ECII) strains have been responsible for two major multistate outbreaks of food-borne listeriosis in the United States, but their prevalence and ecology remain poorly understood. In this study, we describe DNA probes that unambiguously identify this clonal group. These probes were able to differentiate ECII strains of outbreak, sporadic, or environmental origin from other L. monocytogenes strains of the same serotype (4b).Most outbreaks of food-borne listeriosis have involved a small number of well-defined clonal groups. Population genetic and epidemiologic studies have revealed three serotype 4b clonal groups, designated epidemic clones (ECs). ECI, ECIa, and ECII have been responsible for repeated outbreaks of food-borne listeriosis (9,19,28). ECI and ECIa were recognized in the earliest epidemiologically characterized outbreaks of listeriosis (e.g., coleslaw outbreak in the Maritime Provinces in 1979 and Mexican-style cheese outbreak in California in 1985, both involving ECI, as well as an outbreak in Massachusetts in 1983, involving ECIa) (2,9,19,24). In contrast, ECII was not recognized until the hot dog-associated multistate outbreak in the United States in 1998-1999 (4, 5, 16, 28). A subsequent multistate outbreak in 2002 was attributed to contaminated turkey deli meats and also involved ECII strains (6,20). In addition, ECII strains have contributed to sporadic human listeriosis and were isolated from environmental samples of food-processing plants (13,18,25,26).Our understanding of the epidemiology and ecology of ECII remains limited, partially due to the unavailability of tools for unambiguous detection of these strains by using relatively simple formats (e.g., hybridizations with specific DNA probes or PCR with specific primers). ECII strains were found to have diverged in a genomic region ("region 18") that was otherwise specific to serotype 4b and conserved among other serotype 4b strains (14). The genome of ECII strain H7858 (1998-1999 outbreak) has been sequenced (23), and DNA probes derived from region 18 of this strain hybridized with genomic DNA of all tested ECII strains (20). However, hybridization was also observed with two serotype 4b strains with pulsed-field gel electrophoreses (PFGE) profiles clearly different from ECII, suggesting that region 18 sequences of H7858 were also harbored by certain unrelated serotype 4b strains (20). Similar findings were reported by Chen and Knabel, who employed PCR with primers derived from region 18 of H7858 (8). Thus, a continuing need for DNA-based tools for unambiguous detection of ECII strains exists. This would supplement other subtyping tools (e.g., PFGE) to facilitate rapid detection and monitoring of clones of L. monocytogenes for epidemiological and risk assessment purposes.In this study, we assessed the ECII specificity of selected DNA probes derived from four different genomic regions present in the chromosome of ECII strain H7858 but not in the fully sequenced genome of epidemic clone I strain F2365, al...