Highlights • In a landscape of a very narrow arsenal of influenza antivirals, resistance mutations are a significant threat. • Resistance mutations were present in 0.5-5% in A and B influenza viruses during the last 15 years. • However, S247N resistance mutation in the NA gene sharply increased during 2023-2024 season. • While this mutation does not confer strong resistance by itself, their fixation could increase the risk of resistance in the future if other resistance mutations appears or get fixed together with it. Abstract The therapeutic arsenal against influenza is extremely limited and resistance often arises due to the emergence of mutations , especially in the neuraminidase (NA) gene. This study aimed to evaluate the evolution of NA mutations over 15 years in Spain . To do so, we used the GISAID database from which we downloaded a total of 11,125 influenza A(H1N1)pdm09, A(H3N2), B/Victoria and B/Yamagata NA virus sequences , and analyzed the resistance m...
Media Monitoring for Signals about Emerging Threats