In several tetracycline-resistant (Tetr) Clostridium difficile strains, homology with the Tn916 part of plasmid pAM120 DNA was observed. This 15-kilobase transposon, carrying a Tetr determinant, was originally found in Streptococcus (Enterococcus) faecalis. Hybridization experiments revealed that at least six of seven Hincll fragments of Tn916, representing >95% of its length, showed homology with DNA of Tetr C. difficile strains. Therefore, a close relationship of the C. difficile Tetr-determining element with the entire Tn9J6 transposon can be assumed, although differences were observed concerning the number of HindlIl cleavage sites within the transposon. In addition to strong hybridization of Tetr determinants of C. difficile with Tn916, weak signals were detected when DNA of Tets C. difficile was hybridized with Tn916. These weak signals could be attributed to a single internal HinclI fragment of Tn916. Clostridium difficile has been described as the most important cause of antimicrobial agent-associated pseudomembranous colitis (2,11,17). Although the pathogenesis of pseudomembranous colitis cannot be explained simply by overgrowth of resistant strains (6), resistance of C. difficile to antibiotics may play a role in the development of the disease. Resistance of C. difficile may also be important from the epidemiological point of view. Nosocomial outbreaks have been reported. In one such study (36), identity of the isolates was claimed and confirmed by bacteriophage typing (H. Hachler and J. Wust, Letter, J. Clin. Microbiol. 20:604, 1984). The responsible strain showed multiple antibiotic resistance (36).Resistance to tetracycline and to other antibiotics has been shown to be transferable between different C. difficile strains (14, 30, 35). Transfer of resistance to tetracycline always occurred independently from that of other resistance markers (35). As far as the mechanism of transfer is concerned only few data are available. The tetracycline resistance (Tetr) determinant is believed to be located on the chromosome and to be transferred by mating procedures only (12,30,35 DNA preparation. Plasmid DNA from C. perfringens or E. coli strains was prepared through alkaline heat treatment by the method of Kieser (16) and either used immediately or purified by CsCl-ethidium bromide equilibrium density gradient centrifugation (20).Chromosomal DNA of C. difficile strains was prepared as follows. Lysis was facilitated by repeated freeze-thawing of pelleted cells and suspension in 50 mM Tris chloride buffer (pH 8), followed by incubation for 15 to 30 min at 37°C with added lysozyme (final concentration, 1 mg/ml). Then EDTA and sodium dodecyl sulfate were added at final concentrations of 1 mM and 1.5%, respectively. After incubation for 15 min in ice, extraction with phenol-chloroform was carried out (20