This epidemiological study compares the frequency of resistant bacteri
a in stool microflora among vegetarians and nonvegetarians over a 12 m
onth period. Two well characterized vegetarian populations (one in Bos
ton, MA and the other in Loma Linda, CA) as well as appropriate contro
ls were studied. No apparent differences in the prevalence of antibiot
ic resistance in the microflora were noted; however, vegetarians had a
significantly greater incidence of multiantibiotic resistance. E.coli
of the same API biotype had the same frequency of antibiotic resistan
ce in both vegetarians and nonvegetarians. Quantitative studies showed
similar percents of tetracycline resistant facultative isolates and o
f ''bacteroides.'' Klebsiella were more common in the stool of the non
vegetarians. As shown in previous studies, exposure to animal products
either as meat eaters or production workers in a poultry abattoir was
not associated with an increased incidence of resistant bacterial flo
ra or infections caused by resistant strains.