This study analyzes the diversity of In60, a class 1 integron bearing CR1 and containing bla CTX-M-9 , and its association with Tn402, Tn21, and classical conjugative plasmids among 45 CTX-M-9-producing clinical strains (41 Escherichia coli strains, 2 Klebsiella pneumoniae strains, 1 Salmonella enterica strain, and 1 Enterobacter cloacae strain). Forty-five patients in a Spanish tertiary care hospital were studied (1996 to 2003). The diversity of In60 and association of In60 with Tn402 or mercury resistance transposons were investigated by overlapping PCR assays and/or hybridization. Plasmid characterization included comparison of restriction fragment length polymorphism patterns and determination of incompatibility group by PCR-based replicon typing, sequencing, and hybridization. CTX-M-9 plasmids belonged to IncHI2 (n ؍ 26), IncP-1␣ (n ؍ 10), IncFI (n ؍ 4), and IncI (n ؍ 1) groups. Genetic platforms containing bla CTX-M-9 were classified in six types in relation to the In60 backbone and in eight subtypes in relation to Tn402 derivatives. They were associated with Tn21 sequences when located in IncP-1␣ or IncHI2 plasmids. Our study identified bla CTX-M-9 in a high diversity of CR1-bearing class 1 integrons linked to different Tn402 derivatives, often to Tn21, highlighting the role of recombination events in the evolution of antibiotic resistance plasmids. The presence of bla CTX-M-9 on broad-host-range IncP-1␣ plasmids might contribute to its dissemination to hosts that were not members of the family Enterobacteriaceae.The reasons driving the recent dramatic worldwide dissemination of CTX-M-producing microorganisms are far from understood. Chromosomal -lactamase genes from different Kluyvera species are considered the ancestors of each of the five CTX-M groups described thus far (CTX-M-1, -2, -8, -9, and -