Serveur d'exploration sur la grippe en Espagne

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Rapid spread of drug-resistant influenza A viruses in the Basque Country, northern Spain, 2000-1 to 2008-9.

Identifieur interne : 000519 ( Main/Exploration ); précédent : 000518; suivant : 000520

Rapid spread of drug-resistant influenza A viruses in the Basque Country, northern Spain, 2000-1 to 2008-9.

Auteurs : D. Vicente [Espagne] ; G. Cilla ; M. Montes ; J. Mendiola ; E. Pérez-Trallero

Source :

RBID : pubmed:19460286

Descripteurs français

English descriptors

Abstract

A worldwide increase of adamantane-resistant influenza A(H3N2) and oseltamivir-resistant influenza A(H1N1) viruses has been observed in recent years. The aim of this study was to analyse the prevalence of antiviral drug-resistant influenza A in a region of northern Spain. Resistance to adamantanes was detected in 45.3% (68/150) of influenza AH3 viruses analysed for the period from 2000-1 to 2008-9. Adamantane-resistance was absent in our region during the 2000-1 to 2002-3 influenza seasons. However, after the first adamantane-resistant virus (characterised as A/Fujian/411/2002) was detected in the 2003-4 season, a rapid increase in the proportion of resistant strains was observed (4.9% [2/41], 80% [8/10] and 100% [53/53] in the 2004-5, 2006-7 and 2008-9 seasons, respectively). Four of the first five adamantane-resistant AH3 viruses detected were isolated from adult patients, but the subsequent spread was observed mainly among children. No resistance to adamantanes was detected among the 65 influenza AH1 viruses analysed throughout the study period. Among the 172 influenza A (76 AH1 and 96 AH3) viruses analysed, five strains (AH1 with mutation H274Y) showed oseltamivir resistance, and all were detected in the last season. Amantadine use was very scarce in our region, and oseltamivir was not used at all; therefore the increase of resistance was attributed to imported drug-resistant influenza viruses.

DOI: 10.2807/ese.14.20.19215-en
PubMed: 19460286


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Le document en format XML

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<title xml:lang="en">Rapid spread of drug-resistant influenza A viruses in the Basque Country, northern Spain, 2000-1 to 2008-9.</title>
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<name sortKey="Vicente, D" sort="Vicente, D" uniqKey="Vicente D" first="D" last="Vicente">D. Vicente</name>
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<nlm:affiliation>Microbiology Service and Reference Laboratory for Influenza Infections of the Basque Country, Hospital Donostia, San Sebastián, Spain. mikrobiol@terra.es</nlm:affiliation>
<country xml:lang="fr">Espagne</country>
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<name sortKey="Montes, M" sort="Montes, M" uniqKey="Montes M" first="M" last="Montes">M. Montes</name>
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<name sortKey="Mendiola, J" sort="Mendiola, J" uniqKey="Mendiola J" first="J" last="Mendiola">J. Mendiola</name>
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<name sortKey="Perez Trallero, E" sort="Perez Trallero, E" uniqKey="Perez Trallero E" first="E" last="Pérez-Trallero">E. Pérez-Trallero</name>
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<term>Adamantane (therapeutic use)</term>
<term>Drug Resistance, Viral (drug effects)</term>
<term>Drug Resistance, Viral (genetics)</term>
<term>Humans (MeSH)</term>
<term>Influenza A Virus, H1N1 Subtype (drug effects)</term>
<term>Influenza A Virus, H1N1 Subtype (genetics)</term>
<term>Influenza A Virus, H3N2 Subtype (drug effects)</term>
<term>Influenza A Virus, H3N2 Subtype (genetics)</term>
<term>Influenza, Human (epidemiology)</term>
<term>Microbial Sensitivity Tests (MeSH)</term>
<term>Mutation (drug effects)</term>
<term>Mutation (genetics)</term>
<term>Oseltamivir (therapeutic use)</term>
<term>Spain (epidemiology)</term>
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<term>Adamantane (usage thérapeutique)</term>
<term>Espagne (épidémiologie)</term>
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<term>Mutation (effets des médicaments et des substances chimiques)</term>
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<term>Oséltamivir (usage thérapeutique)</term>
<term>Résistance virale aux médicaments (effets des médicaments et des substances chimiques)</term>
<term>Résistance virale aux médicaments (génétique)</term>
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<term>Sous-type H1N1 du virus de la grippe A (génétique)</term>
<term>Sous-type H3N2 du virus de la grippe A (effets des médicaments et des substances chimiques)</term>
<term>Sous-type H3N2 du virus de la grippe A (génétique)</term>
<term>Tests de sensibilité microbienne (MeSH)</term>
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<term>Adamantane</term>
<term>Oseltamivir</term>
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<term>Drug Resistance, Viral</term>
<term>Influenza A Virus, H1N1 Subtype</term>
<term>Influenza A Virus, H3N2 Subtype</term>
<term>Mutation</term>
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<term>Mutation</term>
<term>Résistance virale aux médicaments</term>
<term>Sous-type H1N1 du virus de la grippe A</term>
<term>Sous-type H3N2 du virus de la grippe A</term>
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<term>Influenza, Human</term>
</keywords>
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<term>Drug Resistance, Viral</term>
<term>Influenza A Virus, H1N1 Subtype</term>
<term>Influenza A Virus, H3N2 Subtype</term>
<term>Mutation</term>
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<term>Résistance virale aux médicaments</term>
<term>Sous-type H1N1 du virus de la grippe A</term>
<term>Sous-type H3N2 du virus de la grippe A</term>
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<term>Adamantane</term>
<term>Oséltamivir</term>
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<div type="abstract" xml:lang="en">A worldwide increase of adamantane-resistant influenza A(H3N2) and oseltamivir-resistant influenza A(H1N1) viruses has been observed in recent years. The aim of this study was to analyse the prevalence of antiviral drug-resistant influenza A in a region of northern Spain. Resistance to adamantanes was detected in 45.3% (68/150) of influenza AH3 viruses analysed for the period from 2000-1 to 2008-9. Adamantane-resistance was absent in our region during the 2000-1 to 2002-3 influenza seasons. However, after the first adamantane-resistant virus (characterised as A/Fujian/411/2002) was detected in the 2003-4 season, a rapid increase in the proportion of resistant strains was observed (4.9% [2/41], 80% [8/10] and 100% [53/53] in the 2004-5, 2006-7 and 2008-9 seasons, respectively). Four of the first five adamantane-resistant AH3 viruses detected were isolated from adult patients, but the subsequent spread was observed mainly among children. No resistance to adamantanes was detected among the 65 influenza AH1 viruses analysed throughout the study period. Among the 172 influenza A (76 AH1 and 96 AH3) viruses analysed, five strains (AH1 with mutation H274Y) showed oseltamivir resistance, and all were detected in the last season. Amantadine use was very scarce in our region, and oseltamivir was not used at all; therefore the increase of resistance was attributed to imported drug-resistant influenza viruses.</div>
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<AbstractText>A worldwide increase of adamantane-resistant influenza A(H3N2) and oseltamivir-resistant influenza A(H1N1) viruses has been observed in recent years. The aim of this study was to analyse the prevalence of antiviral drug-resistant influenza A in a region of northern Spain. Resistance to adamantanes was detected in 45.3% (68/150) of influenza AH3 viruses analysed for the period from 2000-1 to 2008-9. Adamantane-resistance was absent in our region during the 2000-1 to 2002-3 influenza seasons. However, after the first adamantane-resistant virus (characterised as A/Fujian/411/2002) was detected in the 2003-4 season, a rapid increase in the proportion of resistant strains was observed (4.9% [2/41], 80% [8/10] and 100% [53/53] in the 2004-5, 2006-7 and 2008-9 seasons, respectively). Four of the first five adamantane-resistant AH3 viruses detected were isolated from adult patients, but the subsequent spread was observed mainly among children. No resistance to adamantanes was detected among the 65 influenza AH1 viruses analysed throughout the study period. Among the 172 influenza A (76 AH1 and 96 AH3) viruses analysed, five strains (AH1 with mutation H274Y) showed oseltamivir resistance, and all were detected in the last season. Amantadine use was very scarce in our region, and oseltamivir was not used at all; therefore the increase of resistance was attributed to imported drug-resistant influenza viruses.</AbstractText>
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