Title
Influenza antiviral resistance in the Asia-Pacific region during 2011.
Author(s)
Leang, Sook-Kwan
Deng, Yi-Mo
Shaw, Robert
Caldwell, Natalie
Iannello, Pina
Komadina, Naomi
Buchy, Philippe
Chittaganpitch, Malinee
Dwyer, Dominic E
Fagan, Peter
Gourinat, Ann-Claire
Hammill, Frances
Horwood, Paul F
Huang, Q S
Ip, Peng Kei
Jennings, Lance
Kesson, Alison
Kok, Tuckweng
Kool, Jacob L
Levy, Avram
Lin, Cui
Lindsay, Katie
Osman, Osmali
Papadakis, Gina
Rahnamal, Fahimeh
Rawlinson, William
Redden, Craig
Ridgway, Jennifer
Sam, I-Ching
Svobodova, Suzanne
Tandoc, Amado
Wickramasinghe, Geethani
Williamson, Jan
Wilson, Noelene
Yusof, Mohd Apandi
Kelso, Anne
Barr, Ian G
Hurt, Aeron C
Abstract
Despite greater than 99% of influenza A viruses circulating in the Asia-Pacific region being resistant to the adamantane antiviral drugs in 2011, the large majority of influenza A (>97%) and B strains (∼99%) remained susceptible to the neuraminidase inhibitors oseltamivir and zanamivir. However, compared to the first year of the 2009 pandemic, cases of oseltamivir-resistant A(H1N1)pdm09 viruses with the H275Y neuraminidase mutation increased in 2011, primarily due to an outbreak of oseltamivir-resistant viruses that occurred in Newcastle, as reported in Hurt et al. (2011c, 2012a), where the majority of the resistant viruses were from community patients not being treated with oseltamivir. A small number of influenza B viruses with reduced oseltamivir or zanamivir susceptibility were also detected. The increased detection of neuraminidase inhibitor resistant strains circulating in the community and the detection of novel variants with reduced susceptibility are reminders that monitoring of influenza viruses is important to ensure that antiviral treatment guidelines remain appropriate.
Publication information
Antiviral Res . 2013 Feb;97(2):206-10. doi: 10.1016/j.antiviral.2012.12.016. Epub 2012 Dec 25.
Date Issued
2013-02-01
Type
Journal Article
Journal Title
Antiviral research
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