Pseudomonas aeruginosa is one of the most important opportunistic human pathogens. This bacterium is ubiquitous and exhibits innate resistance to a wide range of antimicrobial agents. The purpose of this study was to compare antimicrobial susceptibility patterns and plasmid profiles in hospital P.aeruginosa.During 8 months, 104 isolates of P.aeruginosa from different clinical (urine, blood, stool, sputum…) and environmental samples (sink, disinfectant solution, bed, hand,…) were collected. Susceptibility pattern of these isolates was obtained by disc diffusion (Kirby-Bauer) method. The alkaline lysis method was used for detection of plasmids.8% of 104 isolates of P.aeruginosa was environmental. Antimicrobial resistance was as follows: linkomycin (100%), ceftazoxime (99%), lomefloxacin (94%), ceftazidime (60%), ticarcillin (50%), ceftriaxone (44%) cefoperazone (37%), tobramicyne and ciprofloxacin10mg (35%), piperacillin and gentamicin (34%), carbenicillin (25%), ciprofloxacin30mg (24%), amikacin (22%), imipeneme (1%). All isolates were MDR but plasmids were detected in 29.8% isolates with 15 different plasmid profiles. The latter constituted 61.7% of total isolates which showed resistance to 10 or more antibiotics. There were specific correlations between some plasmid and resistance to antibiotics. The frequency of plasmids in P.aeruginosa was low (29.8%), indicating that the resistance genes are likely to be chromosomal. In spite of limitation of plasmid profiling, it is easy to perform and thus can be a useful method in epidemiological study.