STRAINS of Escherichia coli can be resistant to high levels of streptomycin (MIC>1000 pg per ml) or only to low levels of the drug (MIC 25 pg per ml) (Hanvood and Smith, 1969). High-level resistance is usually found in strains that have been exposed to streptomycin in the laboratory; the genes that specify this character are chromosomal and code for altered ribosomes (Weisblum and Davies, 1968). Strains isolated from clinical material usually exhibit low-level resistance; the genes coding for this are carried on R factors and specify inactivating enzymes . Low-level resistance to streptomycin in E. coli may be accompanied by resistance to spectinomycin because of the production of a single enzyme that inactivates both drugs (Davies, Brzezinska and Benveniste, 1971).Some strains of Staphylococcus aureus isolated from clinical material are resistant to high levels of streptomycin, a character determined by chromosomal genes (Lacey, 1972;Lacey and Chopra, 1972); in our experience, lowlevel resistance to the drug also occurs in clinical strains of s. aureus. We have examined the frequency of high-and low-level resistance in streptomycinresistant strains of s. aureus isolated from clinical material. The coincidence of resistance to streptomycin and to spectinomycin, which can occur in E. coli, prompted us to test the streptomycin-resistant strains of S. aureus for resistance to other aminoglycosides, particularly spectinomycin. In strains that exhibited low-level resistance to streptomycin, segregation studies suggested that the relevent genes were plasmid-borne; two such strains were examined for plasmid DNA.
MATERIALS AND METHODSOrganisms. Strains of S. aureus were obtained from clinical material between 1967 and 1972 from sources predominantly in Bristol. Each strain was distinct in bacteriophagetyping pattern, antibiotic sensitivity or pigment production. The strains were isolated initially on antibiotic-free medium, then checked by disk-testing for antibiotic sensitivity. Single colonies were used to inoculate nutrient agar slopes, which were then stored at room temperature without subculture.Media, and methods for the determination of antibiotic sensitivity and delta-haemolysin production, bacteriophage typing, and for attempts at transduction were as described previously (Lacey, 1972). Treatment with nitrosoguanidine was by the method of Lacey (1971~); the cultures were treated with nitrosoguanidine (100 pg per ml) for sufficient time to give about 10 per cent. survival.