Staphylococci have long been recognized as important agents of community-and hospital-acquired infections. When ciprofloxacin was released in the United States in 1987, it was hoped that it would be useful for the treatment of infections caused by multidrug-resistant strains of Staphylococcus aureus. The isolation of fluoroquinolone-resistant S. aureus (37), however, soon followed the introduction of these agents.Little is known about resistance mechanisms in S. aureus, but the mechanisms of fluoroquinolone resistance in Escherichia coli have been well described. In E. coli, the enzyme DNA gyrase is the target of fluoroquinolone action (5,9,11,34). DNA gyrase catalyzes the ATP-dependent supercoiling of DNA and the catenation and decatenation of DNA circles (4, 6). The enzyme is a tetramer of two A and two B subunits, encoded by the gyrA and gyrB genes, respectively. Mutations in either gene may confer quinolone resistance in E. coli. Distinct DNA gyrases have been isolated from the gram-positive species Bacillus subtilis (33) and Micrococcus luteus (18). DNA supercoiling activity has been identified in a cell lysate from one strain of S. aureus (35). A second mechanism of resistance to fluoroquinolones in E. coli is reduced drug accumulation associated with decreased expression of outer membrane porin protein OmpF (9, 10). S. aureus lacks an outer membrane; thus, drug resistance mechanisms must differ between these two species.Two mechanisms of quinolone resistance have been proposed in S. aureus. In one study, a DNA fragment that confers quinolone resistance was cloned from S. aureus in E. coli. This fragment appears to encode a hydrophobic protein that may be membrane associated. Introduction of this locus (norA) on a plasmid into E. coli and S. aureus resulted in resistance and reduced accumulation of some quinolones (39). In a second study, point mutations in the gyrA gene of