Pseudomonas aeruginosa isolates from a 5-bed intensive care unit were fingerprinted with 26 pulsed-field gel electrophoresis and tested for aminoglycoside resistance genes aac(6′)-Ib, aac(3″)-IIa, ant(2″)-27 Ia, armA, rmtA, and rmtB and integrons and virulence genes/operons phzI, phzII, phzM, phzS, apr, lasB, plcH, plcN, 28 pilA, algD, toxA, exoS, exoT, exoY, and exoU. Two major clusters were identified (49 and 19 isolates), harbouring 29 aac(6′)-Ib, bla PSE-1 , and ant(3″)-Ia genes or ant(2″)-Ia gene, respectively, on a class I integron. Most virulence 30 genes except for exoU and pilA were found. Only 1 isolate of the minor cluster (8 isolates) and 1 of the 22 31 sporadic isolates carried integrons (without gene cassettes); virulence profile was highly variable. Comparing 32 the resistance and virulence patterns of endemic and sporadic isolates suggests that integron-borne 33 aminoglycoside resistance is more closely associated with the frequency than virulence. Consequently, 34 aminoglycoside usage may have played a role in maintenance of the endemic clones.35