Sporadic Listeriosis Cases, Genotypic Characteristics, and Antibiotic Resistance of Associated <i>Listeria monocytogenes</i> Isolates in Zhejiang Province, China (2016–2022)

<i>Listeria monocytogenes</i> (<i>L. monocytogenes</i>) is an important foodborne pathogen. In this study, 41 sporadic listeriosis cases were collected during 2016-2022, including 92.7% of invasive cases and 56.1% of pregnancy-associated cases. The age of cases ranged from 0 days to 88 years, with the majority occurring in individuals aged 20 to <30 years. Serotype 1/2 b was most prevalent among 43 <i>L. monocytogenes</i> isolates, followed by 1/2 a, 4 b, and 3a. Sixteen clonal complexes (CCs) were determined. CC87 occupied the top slot. Genome sequencing-based phylogeny results indicated that Chinese CC1, CC8, and CC87 isolates mostly clustered in clades separating from isolates from other countries. Meanwhile, a few Chinese isolates participated in cocirculating CC1, CC8, and CC87 in Asia, Europe, Africa, South America, North America, and Oceania. All isolates harbored LIPI-1 while LIPI-2 was absent. LIPI-3 and LIPI-4 exhibited an apparent relationship with lineage and CCs. It was notably that CC4, CC224, and CC619 carried both LIPI-3 and LIPI-4. <i>inlB</i>, <i>inlC</i>, <i>inlH</i>, <i>inlK</i>, <i>ipeA</i>, <i>srtA</i>, <i>dltA</i>, <i>lap</i>, <i>ami</i>, <i>fbpA</i>, <i>stp</i>, <i>oatA</i>, <i>intA</i>, <i>prsA2</i>, <i>lgt</i>, <i>hpt</i>, <i>iplA1</i>, <i>bsh</i>, <i>mdrT</i>, <i>mdrM</i>, and <i>brtA</i> existed in all isolates. The percentages of <i>inlA, inlF, inlJ, aut, vip</i> were 97.7%, 97.7%, 97.7%, 83.7%, and 83.7%. A premature stop codon mutation of position 1474(C→T) was detected, resulting in a truncated InlA with 491 aa. High susceptibility to penicillin (100%), ampicillin (100%), gentamicin (100%), erythromycin (100%), daptomycin (100%), meropenem (100%), trimethoprim-sulfamethoxazole (100%), vancomycin (97.7%), tetacycline (97.7%), chloramphenicol (97.7%), and ciprofloxacin (90.7%) was demonstrated. <i>lin</i> and <i>fosX</i> were present in 93.0% of the isolates, respectively. <i>tetM</i> and <i>ermB</i> were also detected. This comprehensive study enriched the understanding of listeriosis cases and diversity of clinical isolates, meanwhile, indicated the spread characteristics of CC1, CC8, and CC87 in China based on phylogeny analysis, providing fundamental data for developing targeting food safety interventions to prevent listeriosis.