“…In addition, plasmid-mediated quinolone resistance (PMQR) determinants, which encode a range of resistance-conferring proteins, including the Qnr proteins, the aminoglycoside acetyltransferase AAC(6′)-Ib-cr, and the efflux pumps QepA and OqxAB, have been reported to confer low-level resistance to fluoroquinolones ( 7 , 8 ). Unlike the target site mutations, which can be passed onto future generations, the plasmid-borne PMQR genes can not only enhance the ability of bacteria to survive against the antimicrobial effects of antibiotics but also accelerate the dissemination of resistance genes among a diverse range of bacterial species through horizontal transfer of the resistance-encoding plasmids ( 9 , 10 ).…”