The pandemic spread of Vibrio parahaemolyticus is an international public health issue. Because of the outbreak potential of the organism, it is critical to establish an internationally recognized molecular subtyping protocol for V. parahaemolyticus that is both rapid and robust as a means to monitor its further spread and to guide control measures in combination with epidemiologic data. Here we describe the results of a multicenter, multicountry validation of a new PulseNet International standardized V. parahaemolyticus pulsed-field gel electrophoresis (PFGE) protocol. The results are from a composite analysis of 36 well-characterized V. parahaemolyticus isolates from six participating laboratories, and the isolates represent predominant serotypes and various genotypes isolated from different geographic regions and time periods. The discriminatory power is very high, as 34 out of 36 sporadic V. parahaemolyticus strains tested fell into 34 distinguishable PFGE groups when the data obtained with two restriction enzymes (SfiI and NotI) were combined. PFGE was further able to cluster members of known pandemic serogroups. The study also identified quality measures which may affect the performance of the protocol. Nonadherence to the recommended procedure may lead to high background in the PFGE gel patterns, partial digestion, and poor fragment resolution. When these quality measures were implemented, the PulseNet V. parahaemolyticus protocol was found to be both robust and reproducible among the collaborating laboratories.Vibrio parahaemolyticus, a halophilic gram-negative bacterium, can cause acute gastroenteritis in humans who consume contaminated raw or undercooked seafood. The clinical symptoms include watery diarrhea often accompanied with abdominal cramping, nausea, vomiting, low-grade fever, and chills. The organism was first identified as a cause of food-borne illness in Japan in 1950 (13). Isolates carrying one or both of the virulence factors, thermostable direct hemolysin (TDH) and the TDH-related hemolysin (TRH), are considered virulent (22, 27, 32).Previously, V. parahaemolyticus infections have been typically sporadic cases attributed to multiple serotypes; 75 different combinations of somatic (O) and capsular (K) serotypes have been identified (18,24). However, the epidemiology of this infection has changed since 1996. The incidence of V. parahaemolyticus infections among hospitalized patients in Kolkata, India, suddenly increased in February 1996 (24). It was determined that serotype O3:K6 strains accounted for 50 to 80% of the strains isolated during this period. Further surveillance studies demonstrated that this particular serotype was responsible for outbreaks worldwide in the Americas (7,8,14,15), Asian countries, including Bangladesh, India, Japan, Korea, Laos, Taiwan, Thailand, and Vietnam (2,9,21,25,34), Europe (20,29), and Mozambique (1).Following the global spread of V. parahaemolyticus O3:K6 and the resulting large food-borne outbreaks, several phenotypic and molecular techniques have been...