ruleID organism gene nodeID refseq accession GenBank accession HMM accession ARO accession mutation variation type context drug drug class phenotype clinical category breakpoint breakpoint standard PMID evidence code evidence grade evidence limitations rule curation note Reviewed by STA0001 s__Staphylococcus aureus unknown - - - - - - core ceftazidime - wildtype R not applicable "Expected resistant phenotypes v1.2 (13 January, 2023); EUCAST v15.0 (2025-01-01)" 6413485 "Wildtype resistance, but no mechanism described. Most likely is due to the wildtype sequence of PBP3 (primary target of ceftazidime), for which ceftazidime has low affinity." "NC, SLB" STA0002 s__Staphylococcus aureus tet(38) tet(38) - - NF012176.0 ARO:3000565 - Gene presence detected core tetracycline - wildtype S MIC <=1 mg/L "Expected resistant phenotypes v1.2 (13 January, 2023); EUCAST v15.0 (2025-01-01); CLSI M100Ed35E" 29216347 ECO:0001103 natural variation mutant evidence strong Wildtype core gene encoding an efflux pump. This efflux pump is not associated with clinical resistance in this species unless efflux activity is upregulated. "NC, SLB" STA0003 s__Staphylococcus aureus mepA mepA - - NF000131.1 ARO:3000026 - Gene presence detected core tigecycline - wildtype S MIC <=0.5 mg/L "Expected resistant phenotypes v1.2 (13 January, 2023); EUCAST v15.0 (2025-01-01)" 37432114 ECO:0001103 natural variation mutant evidence strong Wildtype core gene encoding an efflux pump. This efflux pump is not associated with clinical resistance in this species unless efflux activity is upregulated. "NC, SLB" STA0004 s__Staphylococcus aureus norA - - BAA14147.1 - ARO:3004667 - Gene presence detected core - fluoroquinolone antibiotic wildtype S not applicable "Expected resistant phenotypes v1.2 (13 January, 2023); EUCAST v15.0 (2025-01-01); CLSI M100Ed35E" 8517696 ECO:0001103 natural variation mutant evidence strong "Wildtype core gene encoding an efflux pump. This efflux pump is not associated with clinical resistance in this species unless efflux activity is upregulated.The rule is being defined for the whole class on the basis of specific evidence for a subset of drugs, not all drugs have direct evidence but as they are not expected resistances the rule is assumed to apply class-wide." "NC, SLB" STA0006 s__Staphylococcus aureus norA - - BAA14147.1 - ARO:3004667 - Gene presence detected core norfloxacin - wildtype MIC <=4 mg/L "Expected resistant phenotypes v1.2 (13 January, 2023); ECOFF (2025-4-17); CLSI M100Ed35E" 8517696 ECO:0001103 natural variation mutant evidence strong Wildtype core gene encoding an efflux pump. This efflux pump is not associated with clinical resistance in this species unless efflux activity is upregulated. "NC, SLB" STA0007 s__Staphylococcus aureus norB - - CCQ22388.1 - ARO:3000421 - Gene presence detected core - fluoroquinolone antibiotic wildtype S not applicable "Expected resistant phenotypes v1.2 (13 January, 2023); EUCAST v15.0 (2025-01-01); CLSI M100Ed35E" 18723624 ECO:0001103 natural variation mutant evidence strong "Wildtype core gene encoding an efflux pump. This efflux pump is not associated with clinical resistance in this species unless efflux activity is upregulated.The rule is being defined for the whole class on the basis of specific evidence for a subset of drugs, not all drugs have direct evidence but as they are not expected resistances the rule is assumed to apply class-wide." "NC, SLB" STA0009 s__Staphylococcus aureus norB - - CCQ22388.1 - ARO:3000421 - Gene presence detected core norfloxacin - wildtype S MIC <=4 mg/L "Expected resistant phenotypes v1.2 (13 January, 2023); EUCAST v15.0 (2025-01-01) + ECOFF (2025-4-17); CLSI M100Ed35E" 18723624 ECO:0001103 natural variation mutant evidence strong Wildtype core gene encoding an efflux pump. This efflux pump is not associated with clinical resistance in this species unless efflux activity is upregulated. "NC, SLB" STA0010 s__Staphylococcus aureus norB - - CCQ22388.1 - ARO:3000421 - Gene presence detected core moxifloxacin - wildtype S MIC <=0.25 mg/L "Expected resistant phenotypes v1.2 (13 January, 2023); EUCAST v15.0 (2025-01-01); CLSI M100Ed35E" 18723624 ECO:0001103 natural variation mutant evidence strong Wildtype core gene encoding an efflux pump. This efflux pump is not associated with clinical resistance in this species unless efflux activity is upregulated. "NC, SLB" STA0011 s__Staphylococcus aureus norB - - CCQ22388.1 - ARO:3000421 - Gene presence detected core sparfloxacin - wildtype S MIC <=0.5 mg/L "Expected resistant phenotypes v1.2 (13 January, 2023); CLSI M100Ed35E" 18723624 ECO:0001103 natural variation mutant evidence strong Wildtype core gene encoding an efflux pump. This efflux pump is not associated with clinical resistance in this species unless efflux activity is upregulated. "NC, SLB" STA0012 s__Staphylococcus aureus norB - - CCQ22388.1 - ARO:3000421 - Gene presence detected core tetracycline - wildtype S MIC <=1 mg/L "Expected resistant phenotypes v1.2 (13 January, 2023); EUCAST v15.0 (2025-01-01) + ECOFF (2025-4-17); CLSI M100Ed35E" 18723624 ECO:0001103 natural variation mutant evidence strong Wildtype core gene encoding an efflux pump. This efflux pump is not associated with clinical resistance in this species unless efflux activity is upregulated. "NC, SLB" STA0013 s__Staphylococcus aureus norC - - AGP27106.1 - ARO:3007010 - Gene presence detected core - fluoroquinolone antibiotic wildtype S not applicable "Expected resistant phenotypes v1.2 (13 January, 2023); EUCAST v15.0 (2025-01-01); CLSI M100Ed35E" 16495280 ECO:0001103 natural variation mutant evidence strong "Wildtype core gene encoding an efflux pump. This efflux pump is not associated with clinical resistance in this species unless efflux activity is upregulated.The rule is being defined for the whole class on the basis of specific evidence for a subset of drugs, not all drugs have direct evidence but as they are not expected resistances the rule is assumed to apply class-wide." "NC, SLB" STA0015 s__Staphylococcus aureus norC - - AGP27106.1 - ARO:3007010 - Gene presence detected core moxifloxacin - wildtype S MIC <=0.25 mg/L "Expected resistant phenotypes v1.2 (13 January, 2023); EUCAST v15.0 (2025-01-01); CLSI M100Ed35E" 16495280 ECO:0001103 natural variation mutant evidence strong Wildtype core gene encoding an efflux pump. This efflux pump is not associated with clinical resistance in this species unless efflux activity is upregulated. "NC, SLB" STA0016 s__Staphylococcus aureus mdeA - - WP_002289367.1 - ARO:3007011 - Gene presence detected core - fluoroquinolone antibiotic wildtype S not applicable "Expected resistant phenotypes v1.2 (13 January, 2023); EUCAST v15.0 (2025-01-01); CLSI M100Ed35E" 14982783 ECO:0001103 natural variation mutant evidence strong "Wildtype core gene encoding an efflux pump. This efflux pump is not associated with clinical resistance in this species unless efflux activity is upregulated.The rule is being defined for the whole class on the basis of specific evidence for a subset of drugs, not all drugs have direct evidence but as they are not expected resistances the rule is assumed to apply class-wide." "NC, SLB" STA0018 s__Staphylococcus aureus mdeA - - WP_002289367.1 - ARO:3007011 - Gene presence detected core norfloxacin - wildtype MIC <=4 mg/L "Expected resistant phenotypes v1.2 (13 January, 2023); ECOFF (2025-4-17); CLSI M100Ed35E" 14982783 ECO:0001103 natural variation mutant evidence strong Wildtype core gene encoding an efflux pump. This efflux pump is not associated with clinical resistance in this species unless efflux activity is upregulated. "NC, SLB" STA0019 s__Staphylococcus aureus mgrA (norR) - - BAB41874.1 - ARO:3000815 - Gene presence detected core - fluoroquinolone antibiotic wildtype S not applicable "Expected resistant phenotypes v1.2 (13 January, 2023); EUCAST v15.0 (2025-01-01); CLSI M100Ed35E" "12730173, 21867918" ECO:0001103 natural variation mutant evidence strong "Wildtype core gene encoding an efflux pump. This efflux pump is not associated with clinical resistance in this species unless efflux activity is upregulated.The rule is being defined for the whole class on the basis of specific evidence for a subset of drugs, not all drugs have direct evidence but as they are not expected resistances the rule is assumed to apply class-wide." "NC, SLB" STA0020 s__Staphylococcus aureus mgrA (norR) - - BAB41874.1 - ARO:3000815 - Gene presence detected core norfloxacin - wildtype MIC <=4 mg/L "Expected resistant phenotypes v1.2 (13 January, 2023); ECOFF (2025-4-17); CLSI M100Ed35E" "12730173, 21867918" ECO:0001103 natural variation mutant evidence strong Wildtype core gene encoding an efflux pump. This efflux pump is not associated with clinical resistance in this species unless efflux activity is upregulated. "NC, SLB" STA0022 s__Staphylococcus aureus mgrA (norR) - - BAB41874.1 - ARO:3000815 - Gene presence detected core tetracycline - wildtype S MIC <=1 mg/L "Expected resistant phenotypes v1.2 (13 January, 2023); EUCAST v15.0 (2025-01-01); CLSI M100Ed35E" 15774883 ECO:0001103 natural variation mutant evidence strong Wildtype core gene encoding an efflux pump regulator. This regulator is not associated with clinical resistance in this species. "NC, SLB" STA0023 s__Staphylococcus aureus mgrA (norR) - - BAB41874.1 - ARO:3000815 - Gene presence detected core - peptide antibiotic wildtype S not applicable "Expected resistant phenotypes v1.2 (13 January, 2023) EUCAST v14.0 (2024-01-01)" 15774883 ECO:0001103 natural variation mutant evidence strong Wildtype core gene encoding an efflux pump regulator. This regulator is not associated with clinical resistance in this species. NC STA0024 s__Staphylococcus aureus mgrA (norR) - - BAB41874.1 - ARO:3000815 - Gene presence detected core daptomycin - wildtype S MIC <=1 mg/L "Expected resistant phenotypes v1.2 (13 January, 2023); EUCAST v15.0 (2025-01-01); CLSI M100Ed35E" 15774883 ECO:0001103 natural variation mutant evidence strong Wildtype core gene encoding an efflux pump regulator. This regulator is not associated with clinical resistance in this species. "NC, SLB" STA0025 s__Staphylococcus aureus mgrA (norR) - - BAB41874.1 - ARO:3000815 - Gene presence detected core - cephalosporin wildtype S not applicable "Expected resistant phenotypes v1.2 (13 January, 2023); EUCAST v15.0 (2025-01-01); CLSI M100Ed35E" "17277059, 15774883" ECO:0001103 natural variation mutant evidence strong "Wildtype core gene encoding an efflux pump regulator. This regulator is not associated with clinical resistance in this species. The rule is being defined for the whole class on the basis of specific evidence for a subset of drugs, not all drugs have direct evidence but as they are not expected resistances the rule is assumed to apply class-wide." "NC, SLB" STA0026 s__Staphylococcus aureus mgrA (norR) - - BAB41874.1 - ARO:3000815 - Gene presence detected core cefoxitin - wildtype S MIC <=4 mg/L "Expected resistant phenotypes v1.2 (13 January, 2023); EUCAST v15.0 (2025-01-01); CLSI M100Ed35E" 15774883 ECO:0001103 natural variation mutant evidence strong Wildtype core gene encoding an efflux pump regulator. This regulator is not associated with clinical resistance in this species. "NC, SLB" STA0027 s__Staphylococcus aureus mgrA (norR) - - BAB41874.1 - ARO:3000815 - Gene presence detected core - penicillin beta-lactam wildtype S not applicable "Expected resistant phenotypes v1.2 (13 January, 2023) EUCAST v14.0 (2024-01-01)" "17277059, 15774883" ECO:0001103 natural variation mutant evidence strong "Wildtype core gene encoding an efflux pump regulator. This regulator is not associated with clinical resistance in this species. The rule is being defined for the whole class on the basis of specific evidence for a subset of drugs, not all drugs have direct evidence but as they are not expected resistances the rule is assumed to apply class-wide." NC STA0028 s__Staphylococcus aureus mgrA (norR) - - BAB41874.1 - ARO:3000815 - Gene presence detected core benzylpenicillin - wildtype S MIC <=0.125 mg/L "Expected resistant phenotypes v1.2 (13 January, 2023); EUCAST v15.0 (2025-01-01); CLSI M100Ed35E" 15774883 ECO:0001103 natural variation mutant evidence strong Wildtype core gene encoding an efflux pump regulator. This regulator is not associated with clinical resistance in this species. "NC, SLB" STA0029 s__Staphylococcus aureus sdrM - - BAB43261.1 - ARO:3007013 - Gene presence detected core - fluoroquinolone antibiotic wildtype S not applicable "Expected resistant phenotypes v1.2 (13 January, 2023); EUCAST v15.0 (2025-01-01); CLSI M100Ed35E" 16508166 ECO:0001103 natural variation mutant evidence strong "Wildtype core gene encoding an efflux pump. This efflux pump is not associated with clinical resistance in this species unless efflux activity is upregulated.The rule is being defined for the whole class on the basis of specific evidence for a subset of drugs, not all drugs have direct evidence but as they are not expected resistances the rule is assumed to apply class-wide." "NC, SLB" STA0030 s__Staphylococcus aureus sdrM - - BAB43261.1 - ARO:3007013 - Gene presence detected core norfloxacin - wildtype MIC <=4 mg/L "Expected resistant phenotypes v1.2 (13 January, 2023); ECOFF (2025-4-17); CLSI M100Ed35E" 16508166 ECO:0001103 natural variation mutant evidence strong Wildtype core gene encoding an efflux pump. This efflux pump is not associated with clinical resistance in this species unless efflux activity is upregulated. "NC, SLB" STA0031 s__Staphylococcus aureus mepR - - BAB56495.1 - ARO:3000746 - Gene presence detected core tigecycline - wildtype S MIC <=0.5 mg/L "Expected resistant phenotypes v1.2 (13 January, 2023); EUCAST v15.0 (2025-01-01); CLSI M100Ed35E" "15855507, 16569840" ECO:0001103 natural variation mutant evidence strong Wildtype core gene encoding an efflux pump regulator. This regulator is not associated with clinical resistance in this species. "NC, SLB" STA0032 s__Staphylococcus aureus mepR - - BAB56495.1 - ARO:3000746 - Gene presence detected core tetracycline - wildtype S MIC <=1 mg/L "Expected resistant phenotypes v1.2 (13 January, 2023); EUCAST v15.0 (2025-01-01); CLSI M100Ed35E" "15855507, 16569840" ECO:0001103 natural variation mutant evidence strong Wildtype core gene encoding an efflux pump regulator. This regulator is not associated with clinical resistance in this species. "NC, SLB" STA0033 s__Staphylococcus aureus arlR - - ATC67679.1 - ARO:3000838 - Gene presence detected core - fluoroquinolone antibiotic wildtype S not applicable "Expected resistant phenotypes v1.2 (13 January, 2023); EUCAST v15.0 (2025-01-01); CLSI M100Ed35E" 10633099 ECO:0001103 natural variation mutant evidence strong "Wildtype core gene encoding an efflux pump regulator. This regulator is not associated with clinical resistance in this species. The rule is being defined for the whole class on the basis of specific evidence for a subset of drugs, not all drugs have direct evidence but as they are not expected resistances the rule is assumed to apply class-wide." "NC, SLB" STA0034 s__Staphylococcus aureus arlR - - ATC67679.1 - ARO:3000838 - Gene presence detected core norfloxacin - wildtype MIC <=4 mg/L "Expected resistant phenotypes v1.2 (13 January, 2023); ECOFF (2025-4-17); CLSI M100Ed35E" 10633099 ECO:0001103 natural variation mutant evidence strong Wildtype core gene encoding an efflux pump regulator. This regulator is not associated with clinical resistance in this species. "NC, SLB" STA0036 s__Staphylococcus aureus kdpD - - CYF42523.1 - ARO:3004047 - Gene presence detected core - aminoglycoside antibiotic wildtype S not applicable "Expected resistant phenotypes v1.2 (13 January, 2023); EUCAST v15.0 (2025-01-01); CLSI M100Ed35E" 23555240 ECO:0001103 natural variation mutant evidence strong "Wildtype core gene encoding an efflux pump. This efflux pump is not associated with clinical resistance in this species unless efflux activity is upregulated.The rule is being defined for the whole class on the basis of specific evidence for a subset of drugs, not all drugs have direct evidence but as they are not expected resistances the rule is assumed to apply class-wide." "NC, SLB" STA0037 s__Staphylococcus aureus lmrS - - AAW38464.1 - ARO:3004572 - Gene presence detected core - macrolide antibiotic wildtype S not applicable "Expected resistant phenotypes v1.2 (13 January, 2023); EUCAST v15.0 (2025-01-01); CLSI M100Ed35E" 20855745 ECO:0001103 natural variation mutant evidence strong "Wildtype core gene encoding an efflux pump. This efflux pump is not associated with clinical resistance in this species unless efflux activity is upregulated.The rule is being defined for the whole class on the basis of specific evidence for a subset of drugs, not all drugs have direct evidence but as they are not expected resistances the rule is assumed to apply class-wide." "NC, SLB" STA0038 s__Staphylococcus aureus lmrS - - AAW38464.1 - ARO:3004572 - Gene presence detected core erythromycin - wildtype S MIC <=1 mg/L "Expected resistant phenotypes v1.2 (13 January, 2023); EUCAST v15.0 (2025-01-01)" 20855745 ECO:0001103 natural variation mutant evidence strong Wildtype core gene encoding an efflux pump regulator. This regulator is not associated with clinical resistance in this species. "NC, SLB" STA0039 s__Staphylococcus aureus lmrS - - AAW38464.1 - ARO:3004572 - Gene presence detected core - aminoglycoside antibiotic wildtype S not applicable "Expected resistant phenotypes v1.2 (13 January, 2023); EUCAST v15.0 (2025-01-01); CLSI M100Ed35E" 20855745 ECO:0001103 natural variation mutant evidence strong "Wildtype core gene encoding an efflux pump. This efflux pump is not associated with clinical resistance in this species unless efflux activity is upregulated.The rule is being defined for the whole class on the basis of specific evidence for a subset of drugs, not all drugs have direct evidence but as they are not expected resistances the rule is assumed to apply class-wide." "NC, SLB" STA0040 s__Staphylococcus aureus lmrS - - AAW38464.1 - ARO:3004572 - Gene presence detected core kanamycin A - wildtype MIC <=8 mg/L "Expected resistant phenotypes v1.2 (13 January, 2023); ECOFF (2025-4-17)" 20855745 ECO:0001103 natural variation mutant evidence strong Wildtype core gene encoding an efflux pump regulator. This regulator is not associated with clinical resistance in this species. "NC, SLB" STA0041 s__Staphylococcus aureus lmrS - - AAW38464.1 - ARO:3004572 - Gene presence detected core - oxazolidinone antibiotic wildtype S not applicable "Expected resistant phenotypes v1.2 (13 January, 2023); EUCAST v15.0 (2025-01-01); CLSI M100Ed35E" 20855745 ECO:0001103 natural variation mutant evidence strong "Wildtype core gene encoding an efflux pump. This efflux pump is not associated with clinical resistance in this species unless efflux activity is upregulated.The rule is being defined for the whole class on the basis of specific evidence for a subset of drugs, not all drugs have direct evidence but as they are not expected resistances the rule is assumed to apply class-wide." "NC, SLB" STA0042 s__Staphylococcus aureus lmrS - - AAW38464.1 - ARO:3004572 - Gene presence detected core linezolid - wildtype S MIC <=4 mg/L "Expected resistant phenotypes v1.2 (13 January, 2023); EUCAST v15.0 (2025-01-01)" 20855745 ECO:0001103 natural variation mutant evidence strong Wildtype core gene encoding an efflux pump regulator. This regulator is not associated with clinical resistance in this species. NC STA0043 s__Staphylococcus aureus lmrS - - AAW38464.1 - ARO:3004572 - Gene presence detected core - diaminopyrimidine antibiotic wildtype S not applicable "Expected resistant phenotypes v1.2 (13 January, 2023); EUCAST v15.0 (2025-01-01); CLSI M100Ed35E" 20855745 ECO:0001103 natural variation mutant evidence strong "Wildtype core gene encoding an efflux pump. This efflux pump is not associated with clinical resistance in this species unless efflux activity is upregulated.The rule is being defined for the whole class on the basis of specific evidence for a subset of drugs, not all drugs have direct evidence but as they are not expected resistances the rule is assumed to apply class-wide." "NC, SLB" STA0044 s__Staphylococcus aureus lmrS - - AAW38464.1 - ARO:3004572 - Gene presence detected core trimethoprim - wildtype S MIC <=4 mg/L "Expected resistant phenotypes v1.2 (13 January, 2023); EUCAST v15.0 (2025-01-01)" 20855745 ECO:0001103 natural variation mutant evidence strong Wildtype core gene encoding an efflux pump regulator. This regulator is not associated with clinical resistance in this species. NC STA0045 s__Staphylococcus aureus lmrS - - AAW38464.1 - ARO:3004572 - Gene presence detected core - phenicol antibiotic wildtype S not applicable "Expected resistant phenotypes v1.2 (13 January, 2023); EUCAST v15.0 (2025-01-01); CLSI M100Ed35E" 20855745 ECO:0001103 natural variation mutant evidence strong "Wildtype core gene encoding an efflux pump. This efflux pump is not associated with clinical resistance in this species unless efflux activity is upregulated.The rule is being defined for the whole class on the basis of specific evidence for a subset of drugs, not all drugs have direct evidence but as they are not expected resistances the rule is assumed to apply class-wide." "NC, SLB" STA0046 s__Staphylococcus aureus lmrS - - AAW38464.1 - ARO:3004572 - Gene presence detected core chloramphenicol - wildtype MIC <=16 mg/L "Expected resistant phenotypes v1.2 (13 January, 2023); ECOFF (2025-4-17)" 20855745 ECO:0001103 natural variation mutant evidence strong Wildtype core gene encoding an efflux pump regulator. This regulator is not associated with clinical resistance in this species. NC