“…Because a low CR permits the resistant bacteria to grow out in the intestines to high concentrations of well over 108 bacteria/gram (of faeces), transfer of R-factors between related species is to be expected (Kasuya, 1964;Reed, Sieckmann & Georgi, 1969;Jones & Curtiss, 1970 resistant bacteria, which are already prevalent in the environment of most hospitals. (Dempster, Reid & Cody, 1973;Taplin & Mertz, 1973;Berkowitz et al 1974;Cooke, 1974;Hanson & Shelley, 1974;Horwitz, Finlayson & Brede, 1974;Pash, 1974;Shaffer, 1974;Casewell & Phillips, 1977). Finally induction of resistance and selection of less sensitive mutants may occur particularly in patients who are treated with lower doses of antibiotics.…”