scholarly journals Replacement of neuraminidase inhibitor-susceptible influenza A(H1N1) with resistant phenotype in 2008 and circulation of susceptible influenza A and B viruses during 2009-2013, South Africa

2018 ◽  
Vol 13 (1) ◽  
pp. 54-63 ◽  
Author(s):  
Florette K. Treurnicht ◽  
Amelia Buys ◽  
Stefano Tempia ◽  
Mpho Seleka ◽  
Adam L. Cohen ◽  
...  
2013 ◽  
Vol 7 (6) ◽  
pp. 1390-1399 ◽  
Author(s):  
Emi Takashita ◽  
Seiichiro Fujisaki ◽  
Noriko Kishida ◽  
Hong Xu ◽  
Masaki Imai ◽  
...  

2010 ◽  
Vol 15 (6) ◽  
Author(s):  
U Buchholz ◽  
S Brockmann ◽  
S Duwe ◽  
B Schweiger ◽  
M an der Heiden ◽  
...  

During the influenza season 2007-8, the proportion of seasonal influenza A(H1N1) viruses resistant to the neuraminidase inhibitor oseltamivir increased worldwide. We conducted an investigation to compare patients infected with oseltamivir-resistant (ose-R) and oseltamivir- susceptible (ose-S) influenza A(H1N1) viruses regarding risk factors for resistance and the capability to transmit in the household setting. Within a cohort of 396 laboratory confirmed influenza patients from sentinel physicians we conducted a nested case-control study among patients infected with A(H1N1). Thirty patients in the cohort were infected with influenza B, none with influenza A(H3N2) and 366 with A(H1N1). Of the 366 A(H1N1) viruses 52 (14%) were ose-R. Demographic characteristics, oseltamivir exposure, travel history and outcome were not significantly different between ose-S and ose-R patients. Among 133 households in the nested case-control study, secondary household attack rates in households with ose-R cases and households with ose-S cases were similar (23 versus 26%; p-value=0.54). Ose-R household status and occurrence of secondary cases were associated with an odds ratio of 0.85 (95% confidence interval 0.38-1.88). We conclude that seasonal ose-R influenza A(H1N1) viruses have transmitted well in the household setting.


2008 ◽  
Vol 53 (2) ◽  
pp. 791-793 ◽  
Author(s):  
Mariana Baz ◽  
Yacine Abed ◽  
Benjamin Nehmé ◽  
Guy Boivin

ABSTRACT The new oral neuraminidase (NA) inhibitor A-322278 was evaluated in mice infected with influenza A/H1N1 wild-type virus or the oseltamivir-resistant (H274Y mutant) virus. A-322278 decreased mortality rates and lung virus titers significantly more than oseltamivir in mice infected with the NA H274Y mutant when therapy was started 4 h before or even 48 h after infection.


QJM ◽  
2010 ◽  
Vol 103 (5) ◽  
pp. 319-325 ◽  
Author(s):  
C. F. N. Koegelenberg ◽  
E. M. Irusen ◽  
R. Cooper ◽  
A. H. Diacon ◽  
J. J. Taljaard ◽  
...  

2011 ◽  
Vol 50 (3) ◽  
pp. 257-261 ◽  
Author(s):  
Jean Longtin ◽  
Samir Patel ◽  
Alireza Eshaghi ◽  
Ernesto Lombos ◽  
Rachel Higgins ◽  
...  

2010 ◽  
Vol 54 (6) ◽  
pp. 2575-2582 ◽  
Author(s):  
Norio Sugaya ◽  
Yasuo Ohashi

ABSTRACT We conducted a double-blind, randomized controlled trial to compare a long-acting neuraminidase inhibitor, laninamivir octanoate, with oseltamivir. Eligible patients were children 9 years of age and under who had febrile influenza symptoms of no more than 36-h duration. Patients were randomized to 1 of 3 treatment groups: a group given 40 mg laninamivir (40-mg group), a group given 20 mg laninamivir (20-mg group), and an oseltamivir group. Laninamivir octanoate was administered as a single inhalation. Oseltamivir (2 mg/kg of body weight) was administered orally twice daily for 5 days. The primary end point was the time to alleviation of influenza illness. The primary analysis included 184 patients (61, 61, and 62 in the 40-mg group, 20-mg group, and oseltamivir group, respectively). Laninamivir octanoate markedly reduced the median time to illness alleviation in comparison with oseltamivir in patients infected with oseltamivir-resistant influenza A (H1N1) virus, and the reductions were 60.9 h for the 40-mg group and 66.2 h for the 20-mg group. On the other hand, there were no significant differences in the times to alleviation of illness between the laninamivir groups and oseltamivir group for patients with influenza A (H3N2) or B virus infection. Laninamivir octanoate was well tolerated. The most common adverse events were gastrointestinal events. Laninamivir octanoate was an effective and well-tolerated treatment for children with oseltamivir-resistant influenza A (H1N1) virus infection. Further study will be needed to confirm clinical efficacy against influenza A (H3N2) or B virus infection. Its ease of administration is noteworthy, because a single inhalation is required during the course of illness.


2016 ◽  
Vol 45 ◽  
pp. 248 ◽  
Author(s):  
S. Venkatesan ◽  
P.R. Myles ◽  
J. Leonardi-Bee ◽  
P. Consortium Investigators ◽  
J.S. Nguyen-Van-Tam

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