The aims of this study were to ascertain the presence and spread of class 1 integrons among environmental and clinical isolates of Pseudomonas aeruginosa and to characterise their variable regions. A total of 76 isolates (56 clinical and 20 environmental) were studied. The presence of plasmids was explored, and polymerase chain reaction (PCR) was used for integron detection. All amplicons were sequenced. PCR detected class 1 integrons in 26 of the 56 clinical isolates; environmental isolates were integron-free. No plasmids were found, thus all the integrons found are possibly on the chromosome. Most isolates presented one amplicon, except PA110514 and PA116136, which showed two PCR products each.Variable regions revealed that 18 strains carried only one gene involved in aminoglycoside resistance, whereas in 3 strains gene cassettes were not found. The most prevalent cassettes among isolates were those encoding aminoglycoside adenyltransferase B (aadB). Several of the strains had acquired the same or a highly similar cassette array as those detected in geographically distant P. aeruginosa. This finding suggests that contact with bacterial reservoirs contributes to the evolution of this pathogen towards multiresistance. Empty structures found may represent a reservoir increasing the capacity to adapt to the environment. However, these integrons are not retained when the selective pressure disappears. It is hypothesised that integrons containing gene cassettes are crucial vehicles for the rapid horizontal transfer of resistance. If this is so, reduced use of antibiotics may lead to a significant decrease in the carriage of integrons among P. aeruginosa strains.

Resumen: En el presente trabajo se valora la eficacia antibacteriana del colutorio Tantum verde® y la de su, presuntamente, único principio activo, la bencidamina clorhidrato. Para ello, se ensayó la actividad in vitro de la bencidamina HCl y del Tantum verde mediante la obtención de las correspondientes CMI (Concentración Mínima Inhibitoria) siguiendo la técnica de la dilución en medio sólido. Inicialmente, se estudiaron ocho cepas de uso común en el laboratorio y, posteriormente, el estudio fue ampliado a cepas de patóge-nos bucales aisladas de muestras clínicas. Los estudios realizados, demuestran una eficacia bactericida real frente a patógenos bucales pertenecientes a géneros tales como Actinomyces, Bacillus, Actinobacillus, Veillonella o Streptococcus. Además, el Tantum verde como colutorio posee, en general, una mayor actividad antibacteriana que la demostrada por su principal principio activo, la bencidamina HCl, por lo que cabe pensar que la presencia de etanol a baja concentración, en su composición contribuye de forma notable a la acción antibacteriana. Abstract: This work is devoted to the evaluation of the antibacterial activity of Tantum verde® mouth-rinsing solution and its supposedly only active principle, benzidamine HCl. For this reason, the activity in vitro of Tantum verde and benzidamine HCI was tested by measuring MIC (Minimal Inhibitory Concentration) by means of serial dilutions on solid medium. Eight bacterial species commonly used and a set of oral pathogenic microorganisms isolated from clinical samples in the laboratory were studied. Results showed an actual bactericidal effect on oral pathogens such as Actinomyces, Bacillus, Actinobacillus, Veillonella o Streptococcus. Moreover, Tantum verde as a mouth rinsing solution had a higher antibacterial activity than its active principle (benzidamine HCl). This suggests that the presence of low concentrations of ethanol present in the composition of Tantum verde contributes remarkably to the antibacterial action.