The study identified multiple AMR genes and mutations in P. aeruginosa UTI isolates from the UK and Kuwait, highlighting the presence of multidrug-resistant strains, especially in Kuwaiti isolates. Key AMR genes included aac(3)-IV, aph(3')-Ib, aph(3')-IIb, aph(4)-Ia, aph(6)-Id, crpP, dfrB1, aac(6')-Ib7, aac(6')-ii, aaA61, blaPDC, and blaVIM-28. Mutations in gyrA were also found to contribute to fluoroquinolone resistance.