The geographical distribution of the CP/ESBLs found in Pa strains isolated from intra-hospital infections, the hospital sewage tank and the sampled WWTP from the corresponding cities was as follows: in the Southern region, 50% of nosocomial Pa strains were VEB producers, while the wastewater Pa strains harbored blaVEB (40%), blaNDM (40%) and blaGES (20%); in the North-Eastern region, 50% of clinical Pa strains were VEB producers; 62.5% of the hospital sewages strains were positive for blaTEM; 50% respectively 25% of the WWTPs were blaVEB and blaTEM positive. The gene discussed is CP; the disease is infection.