Nosocomial spread of gentamicin-tobramycin resistance in hospital strains of Pseudomonas aeruginosa and Enterobacter sp. origin, development and transfer of R plasmids from pseudomonas to enterobacter.

In the Medical Centre of the University of Bratislava the period between 1975 and 1976 was studied with regard to a rather limited use of Gentamicin (GEN) which was then followed by a period of excessive administration thereof due to a change in the availability of the antibiotic. As a consequence, GEN-resistant (GENR) Pseudomonas appeared in two medical wards, which resistance however, was non-transmissible. A few month later, however, transfer of GENR was demonstrated as a co-transfer with other types of resistance.