Evidence map›Paper›PMID 42306964›Full record

ReviewInfluenza and other respiratory viruses2026

Antiviral Resistance in Influenza: Clinical and Public Health Implications.

Jinghao Nicholas Ngiam, Matthew Chung Yi Koh, Frederick G Hayden

Abstract readReview
In one paragraph

Review in Influenza and other respiratory viruses, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Jinghao Nicholas NgiamDivision of Infectious Diseases, Department of Medicine, National University Hospital, National University Health System, Singapore, Singapore.
Matthew Chung Yi KohDivision of Infectious Diseases, Department of Medicine, National University Hospital, National University Health System, Singapore, Singapore.
Frederick G HaydenDivision of Infectious Diseases and International Health, University of Virginia School of Medicine, Charlottesville, Virginia, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Timely antiviral treatment and prevention can diminish the morbidity and mortality caused by influenza seasonal, zoonotic, and pandemic infections. However, the emergence of antiviral resistance threatens the utility of available agents and sometimes contributes to poor clinical outcomes. Adamantanes, once effective, are now obsolete for seasonal influenza use due to widespread resistance. Neuraminidase inhibitors remain the mainstay of therapy, but oseltamivir-resistant A(H1N1) virus spread globally in 2007-2009, and treatment-emergent oseltamivir resistance arises more commonly in some influenza A subtypes and hosts, as does baloxavir resistance. Resistant influenza variants sometimes occur in birds and pigs, highlighting the importance of surveillance in animal reservoirs. Genotypic and phenotypic methods are complementary in detecting and characterizing viral resistance. Combination antiviral therapy reduces the risk of treatment-emergent resistance in some studies, but further clinical trials are needed. Future priorities include developing antivirals and combinations with higher barriers to resistance, improving real-time detection of resistant variants, and strengthening surveillance in both humans and animals to inform clinical management and public health responses.

Indexed as

Antiviral AgentsDrug Resistance, ViralInfluenza, HumanOrthomyxoviridaeAnimalsDibenzothiepinsHumansMorpholinesOrthomyxoviridae InfectionsOseltamivirPublic HealthPyridonesSwineTriazinesAntiviral AgentsbaloxavirDibenzothiepinsMorpholinesOseltamivirPyridonesTriazinesamantadineantiviral treatmentbaloxavirinfluenzaoseltamivirpublic healthresistancesurveillance

Identifiers

PMID42306964
PMCPMC13273642

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.