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                  <mods:namePart>Ledesma, Juan</mods:namePart>
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                  <mods:namePart>Cuevas, Maria Teresa</mods:namePart>
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                  <mods:namePart>Ministerio de Ciencia e Innovación (España)</mods:namePart>
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               <mods:name>
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                  <mods:namePart>Ministerio de Sanidad (España)</mods:namePart>
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                  <mods:dateAccessioned encoding="iso8601">2025-01-27T09:58:24Z</mods:dateAccessioned>
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                  <mods:dateIssued encoding="iso8601">2011-07</mods:dateIssued>
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               <mods:identifier type="citation">Ledesma J, Vicente D, Pozo F, Cilla G, Castro SP, Fernández JS, Ruiz MP, Navarro JM, Galán JC, Fernández M, Reina J, Larrauri A, Cuevas MT, Casas I, Breña PP; Spanish Influenza Surveillance System (SISS). Oseltamivir-resistant pandemic influenza a (H1N1) 2009 viruses in Spain. J Clin Virol. 2011 Jul;51(3):205-8.</mods:identifier>
               <mods:identifier type="doi">10.1016/j.jcv.2011.04.008</mods:identifier>
               <mods:identifier type="e-issn">1873-5967</mods:identifier>
               <mods:identifier type="issn">1386-6532</mods:identifier>
               <mods:identifier type="journal">Journal of clinical virology: the official publication of the Pan American Society for Clinical Virology</mods:identifier>
               <mods:identifier type="pubmedID">21592854</mods:identifier>
               <mods:identifier type="uri">https://hdl.handle.net/20.500.12105/26140</mods:identifier>
               <mods:abstract>Background: Pandemic influenza A (H1N1) 2009 virus appeared in Spain on April 25, 2009 for the first time. This new virus was adamantane-resistant but it was sensitive to neuraminidase (NA) inhibitors oseltamivir and zanamivir. Objectives: To detect oseltamivir-resistant pandemic influenza A (H1N1) 2009 viruses by the Spanish Influenza Surveillance System (SISS) and a possible spread of oseltamivir-resistant viruses in Spain since starting of the pandemic situation. Study design: A total of 1229 respiratory samples taken from 413 severe and 766 non-severe patients with confirmed viral detection of pandemic influenza A (H1N1) 2009 viruses from different Spanish regions were analyzed for the specific detection of the H275Y mutation in NA between April 2009 and May 2010. Results: H275Y NA substitution was found in 8 patients infected with pandemic influenza A (H1N1) 2009 viruses collected in November and December 2009 and in January 2010. All oseltamivir-resistant viruses were detected in severe patients (8/413, 1.93%) who previously received treatment with oseltamivir. Six of these patients were immunocompromised. Conclusion: In Spain, the number of oseltamivir-resistant pandemic influenza A (H1N1) 2009 viruses is until now very low. No evidence for any spread of oseltamivir-resistant H1N1 viruses is achieved in our Country.</mods:abstract>
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               <mods:subject>
                  <mods:topic>Influenza</mods:topic>
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               <mods:subject>
                  <mods:topic>Neuraminidase</mods:topic>
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               <mods:subject>
                  <mods:topic>H275Y mutation</mods:topic>
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                  <mods:topic>Oseltamivir-resistance</mods:topic>
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                  <mods:title>Oseltamivir-resistant pandemic influenza a (H1N1) 2009 viruses in Spain</mods:title>
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