“…Wastewater treatment plants (WWTP) are of particular significance as interfaces between different environmental compartments, such as hospitals and surface waters, and therefore may facilitate gene spread between these habitats. Biofilm and flock formation, high bacterial densities and metabolic activities in the aerator and clarifiers allow -and may even promote -genetic exchange by conjugation in these treatment facilities (Mach & Grimes, 1982;Mancini et al, 1987). Over the past 20 years several studies have provided evidence that WWTP serve as important reservoirs for MGE encoding drug resistance (McPherson & Gealt, 1986;Mancini et al, 1987;Gealt, 1988;Fujita et al, 1993;Bauda et al, 1995;Dröge et al, 2000;Heuer et al, 2002;Smalla & Sobecky, 2002;Tennstedt et al, 2003Tennstedt et al, , 2005Szczepanowski et al, 2004a;Szczepanowski et al, 2005;Bönemann et al, 2006).…”