The aim of this study was to identify an epidemiological association between Shiga toxinproducing Escherichia coli O157 : H7 strains associated with human infection and with food sources. Frequency distributions of different genetic markers of E. coli O157 : H7 strains recovered from human and food sources were compared using molecular assays to identify E. coli O157 : H7 genotypes associated with variation in pathogenic potential and host specificity. Genotypic characterization included: lineage-specific polymorphism assay (LSPA-6), clade typing, tir (A255T) polymorphism, Shiga toxin-encoding bacteriophage insertion site analysis and variant analysis of Shiga toxin 2 gene (stx 2a and stx 2c ) and antiterminator Q genes (Q 933 and Q 21 ). The intermediate lineage (LI/II) dominated among both food and human strains. Compared to other clades, clades 7 and 8 were more frequent among food and human strains, respectively. The tir (255T) polymorphism occurred more frequently among human strains than food strains. Q 21 and Q 933+Q21 were found at significantly higher frequencies among food and human strains, respectively. Moreover, stx 2a and stx 2a+c were detected at significantly higher frequencies among human strains compared to food strains. Bivariate analysis revealed significant concordance (P,0.05) between the LSPA-6 assay and the other typing methods. Multivariable regression Abbreviations: HP, hairpin; HUS, haemolytic uraemic syndrome; LSPA-6, lineage-specific polymorphism assay; SBI, Shiga toxin bacteriophage insertion; STEC, Shiga toxin-producing Escherichia coli; stx 1 , Shiga toxin 1; stx 2 , Shiga toxin 2.Five supplementary tables are available with the online Supplementary Material.