This bacterial resistome echoes the findings in the Brazilian study published by Galetti et al. (2018), where in genomic analysis of 13 different P. aeruginosa strains belonging to ST277 revealed a highly conserved resistome (blaSPM-1, rmtD, aacA4, aadA7, blaOXA-56, blaOXA-396, blaPAO, aph(3′)-IIb, aac(6′)Ib-cr, crpP, catB7, cmx, and fosA), playing an important role in the persistence of this clone in infections occurring in Brazilian hospitals. Here, APEH is linked to infection.