A conjugative plasmid, pOLA52, conferring resistance to the antibiotic growth promoter olaquindox has been isolated from Escherichia coli from swine manure. It also confers resistance to ampicillin and chloramphenicol and has a high frequency of transfer between strains of E. coli. Plasmid-borne olaquindox resistance has not been demonstrated before.The synthetic chemotherapeutic agent olaquindox has found wide use as a growth promoter in pig farming. It is active against coliform bacteria (3), where it inhibits DNA synthesis (10). Resistance has been defined with a breakpoint of 64 g/ml (3) or 50 g/ml (7). Until 2000, the compound has been allowed in concentrations of up to 100 mg/kg in feed for pigs younger than 4 months.Since the introduction of the compound in the 1980s, there has been some concern about whether resistance would arise and, if so, whether this resistance would be transferable and whether it would be linked to other resistance determinants (2, 5, 7). A survey study in Denmark has demonstrated the presence of a small fraction of olaquindox-resistant coliform bacteria in farm animals (3). Other studies have demonstrated increased resistance to olaquindox on pig farms using olaquindox. There was a slight correlation between resistance to olaquindox and resistance to chloramphenicol or ampicillin (5, 7). The aim of the present study was to find out if plasmid-bound olaquindox resistance exists.Isolation of a resistant bacterium. Swine manure from a farm using olaquindox as a feed additive was tested for the presence of bacteria able to grow on Gould S1 medium (4) with 100 g of olaquindox per ml. Diluted manure corresponding to 10 l of undiluted manure gave rise to three uniform colonies that did not show the fluorescence characteristic of fluorescent pseudomonads. One of the colonies was restreaked several times on Levine EMB plates (GIBCO Products for Microbiology: Technical Manual and Catalog; GIBCO Laboratories, Madison, Wis.) and Luria-Bertani (LB) agar plates (9), both containing 100 g of olaquindox per ml. Olaquindox (98% pure; ICN, Costa Mesa, Calif.) was added as a 10-mg/ml stock solution in 2.5 M NaOH; HCl was added to the final medium to counteract the high pH. All incubations were done at 37°C. The isolate was identified as Escherichia coli by use of the API 20E system (BioMérieux, Marcy l'Etoile, France).Olaquindox resistance was tested with an agar dilution test, while resistance to an array of other antibiotics was tested with Sensititre plates (1). The isolate was found to be resistant to ampicillin (MIC, Ͼ32 g/ml), kanamycin (MIC, Ͼ64 g/ml), chloramphenicol (MIC, Ͼ64 g/ml), nitrofurantoin (MIC, 128 g/ml), streptomycin (MIC, 128 g/ml), olaquindox (MIC, 128 g/ml), sulfamethoxazole (MIC, Ͼ512 g/ml), trimethoprim (MIC, Ͼ32 g/ml), and carbadox (MIC, Ͼ128 g/ml). The strain was sensitive to apramycin (MIC, 4 g/ml), ciprofloxacin (MIC, 0.125 g/ml), colistin (MIC, 1 g/ml), gentamicin (MIC, 0.5 g/ml), nalidixic acid (MIC, 16 g/ml), and tetracycline (MIC, 1 g/ml). In addition, the isolate did...