Table 2.
Virus and patient characteristics of 11 influenza type B viruses showing reduced (RI) or highly reduced inhibition (HRI) tested by WHO CCs.a
Virus | n | IC50 fold-change compared to reference median IC50 values b |
NA substitution c |
Patient setting | Antiviral treatment | Immuno-compromised | ||||
---|---|---|---|---|---|---|---|---|---|---|
Oseltamivir | Zanamivir | Peramivir | Laninamivir | Virus isolate | Clinical specimen | |||||
B/Victoria- lineage; n = 2242 d |
2 | 2.9–4.1 | 1.4–2.0 | 26–30 | 1.8–2.2 | I221V (2) | Not available f (2) | Unknown (2) | Unknown (2) | Unknown (2) |
1 | 3.3 | 96 | n/t e | n/t | T43A & P124T | Not available | Hospital | Unknown | No | |
1 | 11 | 7.2 | n/t | n/t | P76S | Not available | Hospital | Unknown | No | |
1 | 2.3 | 1.5 | 8.4 | 0.8 | H134Y/H mix | None g | Community | No | No | |
1 | 3.6 | 5.0 | n/t | n/t | D197N | Not available | Hospital | Unknown | No | |
1 | 27 | 11 | 42 | 6.4 | A200T | A200T | Unknown | Unknown | Unknown | |
1 | 2.3 | 40 | n/t | n/t | S246P | Not available | Hospital | Unknown | No | |
B/Yamagata- lineage; n = 1592 |
1 | 1.0 | 7.9 | n/t | n/t | K125T | Not available | Hospital | No | Unknown |
1 | 210 | 129 | 2869 | 473 | R150K | R150K | Community | No | Unknown | |
1 | 5.8 | 4.4 | 11 | 2.5 | D197N | D197N | Unknown | Unknown | Unknown |
Between brackets the number of viruses for which data was reported if the number reported in column ‘n’ is greater than 1.
RI and HRI fold-change values are displayed underlined and in bold typeface.
Amino acid position numbering is B lineage specific. The majority of samples are sequenced using next generation sequencing methodology. Precise methodology differs by WHOCC. A minority of samples are sequenced by Sanger methodology.
Includes 47 B/Yamagata-lineage haemagglutinin (HA) – B/Victoria-lineage neuraminidase (NA) reassortants.
n/t: not tested.
Clinical specimen not available for testing.
None: no amino acid substitutions compared to viruses with a normal inhibition (NI) phenotype.