Je. Fitzgibbon et al., TOPOISOMERASE MUTATIONS IN TROVAFLOXACIN-RESISTANT STAPHYLOCOCCUS-AUREUS, Antimicrobial agents and chemotherapy, 42(8), 1998, pp. 2122-2124
A total of 201 Staphylococcus aureus isolates were surveyed for suscep
tibility to ciprofloxacin and trovafloxacin. Of 66 methicillin-resista
nt isolates, 89% were ciprofloxacin resistant and 6% were also trovafl
oxacin resistant. Trovafloxacin-resistant strains had unusual patterns
of quinoline resistance mutations in DNA topoisomerase genes, includi
ng two mutations in the A subunit (encoded by grlA) of topoisomerase I
V.