This one plasmid defeats:
β-lactams
aminoglycosides
tetracyclines
sulfa / trimethoprim
One ring, many jobsAn R-plasmid is not just a bag of resistance genes. It also carries an origin of replication so it can copy itself, and transfer genes so it can move to a new cell. The resistance genes ride along as cargo — often stacked together, which is why one plasmid can make a microbe resistant to many drugs at once.
R-plasmids are the main reason antibiotic resistance spreads so fast: they replicate, they hop between cells by conjugation, and they keep collecting new resistance genes.