Urinary isolates of apramycin-resistantEscherichia coliandKlebsiella pneumoniaefrom Dublin
SUMMARYTwenty-two gentamicin-resistant urinary isolates ofEscherichia coliand five gentamicin-resistant urinary isolates ofKlebsiella pneumoniaefrom a Dublin hospital were examined for resistance to the veterinary aminoglycoside antibiotic apramycin. Five isolates ofE. coliand one isolate ofK. pneumoniaewere found to be resistant. The apramycin-resistant isolates, which were also resistant to the veterinary anthelmintic agent hygromycin B, hybridized with a DNA probe for the gene encoding the enzyme 3-N-aminoglycoside acetyltransferase type IV (AAC(3)IV). Resistance to apramycin and hygromycin B was co-transferable in four of the five isolates ofE. coliand the isolate ofK. pneumoniae.In one isolate ofE. coliapramycin resistance was not transferable. On the basis of their restriction enzyme digestion profiles and the antimicrobial resistance traits encoded, the transferable plasmids encoding resistance to apramycin and hygromycin B comprised three distinct types. Genetic linkage between the gene encoding AAC(3)IV and genes encoding resistance to ampicillin and either tetracycline or trimethoprim, means that the relatively widespread use of these antimicrobial agents provides a selective pressure for the persistence of resistance to apramycin and gentamicin even in the absence of bacterial exposure to aminoglycosides.