Enterohemorrhagic Escherichia coli O157 (EHEC O157) is a food-borne pathogen that has raised worldwide public health concern. The development of simple and rapid strain-typing methods is crucial for the rapid detection and surveillance of EHEC O157 outbreaks. In the present study, we developed a multiplex PCR-based strain-typing method for EHEC O157, which is based on the variability in genomic location of IS629 among EHEC O157 strains. This method is very simple, in that the procedures are completed within 2 h, the analysis can be performed without the need for special equipment or techniques (requiring only conventional PCR and agarose gel electrophoresis systems), the results can easily be transformed into digital data, and the genes for the major virulence markers of EHEC O157 (the stx 1 , stx 2 , and eae genes) can be detected simultaneously. Using this method, 201 EHEC O157 strains showing different XbaI digestion patterns in pulsed-field gel electrophoresis (PFGE) analysis were classified into 127 types, and outbreak-related strains showed identical or highly similar banding patterns. Although this method is less discriminatory than PFGE, it may be useful as a primary screening tool for EHEC O157 outbreaks.Enterohemorrhagic Escherichia coli O157:H7 (EHEC O157) is a food-borne pathogen that causes diarrhea, hemorrhagic colitis, and hemolytic-uremic syndrome in humans (18). Since its initial identification as a food-borne pathogen in 1982, EHEC O157 has been implicated in numerous outbreaks and sporadic cases, mainly in industrialized countries (8). To prevent and control EHEC O157 infections, rapid detection of outbreaks and the identification of contamination sources are crucial. Thus, suitable tools for epidemiologic studies and systematic surveillance, such as rapid and efficient strain-typing systems, are needed.Among the currently available methods for molecular typing of EHEC O157 strains, pulsed-field gel electrophoresis (PFGE) has the highest discrimination power and is widely used for epidemiologic studies and the surveillance of O157:H7 infections (1,12,19,21). However, PFGE requires strong technical skills and 1 or more days to generate the results. It is also difficult to obtain consistently reproducible results among different laboratories, which hinders interlaboratory data comparisons. Other strain-typing methods for EHEC O157, including PCR-restriction fragment length polymorphism (15, 16), polymorphic amplified typing sequences (5, 6), and multiplelocus variable-number tandem repeat analysis (9), have also been developed. Although these methods have their own advantages, they require special techniques and/or equipment and are time-consuming.Previously, we determined the whole-genome sequence of E. coli O157:H7 strain RIMD 0509952 (referred to as EHEC O157 Sakai) and identified a total of 98 copies of insertion sequence (IS) elements in the genome (2). Among these, IS629 and ISEc8 predominated, with 23 copies of IS629 and 11 copies of ISEc8 being identified. Using whole-genome PCR scanning...