“…9,20,22,23,31,51 The wide-spread distribution of tet(M) can be explained in part by its presence on Tn916-like elements. 13 Tn916-like elements have been found in many oral species, 6,27,28,34,38,42 and they have been shown to readily transfer to and among oral streptococci 28,34,52 and enterococci, 6 and have been shown to transfer in microcosm dental plaques. 38,41 These elements have also been detected in human gut isolates 2 and have been shown to transfer in the guts of gnotobiotic rats and mice.…”