dCronobacter spp. (formerly defined as Enterobacter sakazakii) are opportunistic bacterial pathogens of both infants and adults. In this study, we analyzed 70 Cronobacter isolates from powdered infant formula (PIF) and an infant formula production facility in China to determine possible contamination routes. The strains were profiled by multilocus sequence typing (MLST), pulsedfield gel electrophoresis (PFGE), PCR-based O-antigen serotyping, and ompA and rpoB sequence analyses. The isolates were primarily Cronobacter sakazakii (66/70) or Cronobacter malonaticus (4/70). The strains were divided into 38 pulsotypes (PTs) using PFGE and 19 sequence types (STs) by MLST. In contrast, rpoB and ompA sequence analyses divided the strains into 10 overlapping clusters each. PCR serotyping of the 66 C. sakazakii and 4 C. malonaticus strains resulted in the identification of four C. sakazakii serotypes (O1, O2, O4, and O7) and a single C. malonaticus serotype, O2. The dominant C. sakazakii sequence types from PIF and an infant formula production factory in China were C. sakazakii clonal complex 4 (CC4) (n ؍ 19), ST1 (n ؍ 14), and ST64 (n ؍ 11). C. sakazakii CC4 is a clonal lineage strongly associated with neonatal meningitis. In the process of manufacturing PIF, the spray-drying, fluidized-bed-drying, and packing areas were the main areas with Cronobacter contamination. C. sakazakii strains with the same pulsotypes (PT3 and PT2) and sequence types (ST1 and ST64) were isolated both from processing equipment and from the PIF finished product.C ronobacter (formerly defined as Enterobacter sakazakii) is a diverse genus in the family Enterobacteriaceae. These organisms are Gram-negative, motile, facultatively anaerobic, nonspore-forming peritrichous rod-shaped opportunistic bacterial pathogens (1-3). The genus consists of seven species: Cronobacter sakazakii, C. malonaticus, C. turicensis, C. muytjensii, C. dublinensis, C. universalis, and C. condimenti (4). Of these, C. sakazakii has been associated primarily with neonatal infections and C. malonaticus with adult infections (5-7). Cronobacter spp. are adapted to a wide range of environments, such as water, soil, plant material (wheat, rice, herbs, and spices), food production environments, and various food products (8-10). More importantly for neonatal health, Cronobacter spp. have been isolated from powdered infant formula (PIF) and milk powder production factories (11-13). Consequently, they can cause severe neonatal infections through the ingestion of contaminated PIF, especially in low-birth-weight infants (14, 15). Once infected by Cronobacter spp., patients may suffer from fatal necrotizing enterocolitis, septicemia, or meningitis, which can cause severe neurological sequelae, developmental disorders, and even death (16,17).Understanding the genetic diversity of the genus Cronobacter can ensure that accurate detection methods are applied for its detection and control, as well as for reliable microbial source tracking of contaminated foods such as infant formula (16)(...