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Real-world emergence of nirsevimab resistance in breakthrough infections with respiratory syncytial virus-B: a multicentre observational study in France.

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Title: Real-world emergence of nirsevimab resistance in breakthrough infections with respiratory syncytial virus-B: a multicentre observational study in France.
Authors: Fourati S; Department of Virology, Hôpitaux Universitaires Henri Mondor, AP-HP, Créteil, France; Université Paris-Est-Créteil (UPEC), Créteil, France; INSERM U955, Viruses, Hepatology, Cancer Team, Créteil, France. Electronic address: slim.fourati@aphp.fr., Reslan A; M3P, Institut Pasteur, UMR 1173 (2I), INSERM, Université de Versailles St. Quentin, Université Paris Saclay, Université Paris Cité, Paris, France; M3P, Centre National de Référence Virus des Infections Respiratoires (CNR VIR), Institut Pasteur Université Paris Cité, Paris, France., Bourret J; M3P, Centre National de Référence Virus des Infections Respiratoires (CNR VIR), Institut Pasteur Université Paris Cité, Paris, France., Casalegno JS; Laboratoire de Virologie, Institut des Agents Infectieux, Centre de Biologie et Pathologie Nord, Hôpital de la Croix-Rousse, Hospices Civils de Lyon, Lyon, France., Rahou Y; M3P, Institut Pasteur, UMR 1173 (2I), INSERM, Université de Versailles St. Quentin, Université Paris Saclay, Université Paris Cité, Paris, France; M3P, Centre National de Référence Virus des Infections Respiratoires (CNR VIR), Institut Pasteur Université Paris Cité, Paris, France., Softic L; INSERM U955, Viruses, Hepatology, Cancer Team, Créteil, France., Chollet L; Laboratoire de Biologie Médicale Centre Hospitalier Intercommunal de Toulon La Seyne sur Mer, Toulon Cedex, France., Trémeaux P; Laboratoire de Virologie, CHU de Toulouse, Toulouse, France., Imbert-Marcille BM; Virology department, CHU de Nantes, Nantes, France., Pillet S; Service des Agents Infectieux et d'Hygiène-Plateau de Biologie Hôpital Nord-CHU de Saint-Etienne, Saint-Etienne, France., Veyrenche N; Virology department, Hôpital Necker - Enfants Malades, Paris, France., Boudet A; Virology department, CHU Carémeau, Nîmes, France., Deroche L; Laboratoire de Virologie et Mycobactériologie, CHU de Poitiers, Poitiers, France., Burrel S; CHU de Bordeaux, Service de Virologie, CNRS UMR 5234, Fundamental Microbiology and Pathogenicity, Bordeaux University, Bordeaux, France., Mouna L; Virology Department, Hôpital Paul Brousse, INSERM U1193, AP-HP, Université Paris Saclay, Paris, France., Cocherie T; Sorbonne Université, APHP Virologie Pitié-Salpêtrière, Paris Ile de France, France., Schnuriger A; Sorbonne Université, APHP Virologie St Antoine-Tenon-Trousseau, Paris Ile de France, France., Pronier C; Virology department, CHU de Rennes, Rennes, France., Handala L; Emergence Unit, Department of Bacteriology, Virology and Hospital Hygiene, University Hospital of Tours, Tours, France., Brodard V; Virology department, CHU de Reims, Reims, France., Gallais F; Virology department, CHU de Strasbourg, Strasbourg, France., Larrat S; Université Grenoble Alpes, Laboratoire de Virologie, Institut de Biologie-Pathologie, Centre Hospitalier Universitaire Grenoble Alpes, Grenoble, France., Regueme A; Université Lille, CHU de Lille, Laboratoire de Virologie ULR3610, Lille, France., Dossou NC; Normandie, INSERM, Normandie Université, DYNAMICURE UMR1311, CHU Caen, Department of Virology, Caen, France., Henry A; Laboratoire de Biologie Médicale, Microbiologie, CH Victor Dupouy, Argenteuil, France., Gault E; M3P, Institut Pasteur, UMR 1173 (2I), INSERM, Université de Versailles St. Quentin, Université Paris Saclay, Université Paris Cité, Paris, France; Virology Department, Hôpital Ambroise Paré (AP-HP), Paris, France., Hartard C; Laboratoire de Virologie, CHRU de Nancy Brabois, Vandœuvre-lès-Nancy, France; Université de Lorraine, CNRS, LCPME, Nancy, France., Brichler S; Service de Microbiologie Clinique, CHU Avicenne, APHP, Bobigny, France., Moisan A; Univ Rouen Normandie, Université de Caen Normandie, INSERM, Normandie Univ, DYNAMICURE UMR 1311, CHU Rouen, Department of Virology, Rouen, France., Avettand-Fenoel V; CHU d'Orléans, Virologie, Université d'Orléans, LI2RSO, Orléans, France., Lefeuvre C; Laboratoire de Virologie, CHU Angers, Angers, France., Engelmann I; Pathogenesis and Control of Chronic and Emerging Infections, Université Montpellier, INSERM, CHU Montpellier, Montpellier, France., Castelain S; AGIR, UR4294, Université Picardie Jules Verne, Laboratoire de Virologie, Centre de Biologie Humaine-CHU Amiens, Amiens, France., Mirand A; Virology department, CHU de Clermont-Ferrand, Clermond-Ferrand, France., Salmona M; Virology Department, Hôpital Saint Louis (AP-HP), U976UMR 1342, Biology and Pathogenesis of Viral Infection Team, INSERM, Université Paris Cité Paris, France., Jaffar-Bandjee MC; CNR Associé des Virus Respiratoires, Laboratoire Microbiologie, Hôpital Félix Guyon CHU Réunion, La Réunion, France., Ader M; Department of Virology, Hôpitaux Universitaires Henri Mondor, AP-HP, Créteil, France., Seng S; Department of Virology, Hôpitaux Universitaires Henri Mondor, AP-HP, Créteil, France., Cappy P; Department of Virology, Hôpitaux Universitaires Henri Mondor, AP-HP, Créteil, France; INSERM U955, Viruses, Hepatology, Cancer Team, Créteil, France., Rodriguez C; Department of Virology, Hôpitaux Universitaires Henri Mondor, AP-HP, Créteil, France; Université Paris-Est-Créteil (UPEC), Créteil, France; INSERM U955, Viruses, Hepatology, Cancer Team, Créteil, France., Ly A; Department of Virology, Hôpitaux Universitaires Henri Mondor, AP-HP, Créteil, France., Dos Santos G; Virology department CHU de Martinique, Fort de France, Martinique, France., Schwartz O; Virus and Immunity Unit, Institut Pasteur, Université Paris Cité, CNRS UMR3569, Paris, France., Petiot C; Virus and Immunity Unit, Institut Pasteur, Université Paris Cité, CNRS UMR3569, Paris, France., Planas D; Virus and Immunity Unit, Institut Pasteur, Université Paris Cité, CNRS UMR3569, Paris, France., Ibraim SB; M3P, Centre National de Référence Virus des Infections Respiratoires (CNR VIR), Institut Pasteur Université Paris Cité, Paris, France; Institut Pasteur, Université Paris Cité, Bioinformatics and Biostatistics Hub, Paris, France., Da Silva K; M3P, Centre National de Référence Virus des Infections Respiratoires (CNR VIR), Institut Pasteur Université Paris Cité, Paris, France; Institut Pasteur, Université Paris Cité, Bioinformatics and Biostatistics Hub, Paris, France., Recoing A; Laboratoire de Biologie Médicale, Nouméa, Nouvelle-Calédonie., Pawlotsky JM; Department of Virology, Hôpitaux Universitaires Henri Mondor, AP-HP, Créteil, France; Université Paris-Est-Créteil (UPEC), Créteil, France; INSERM U955, Viruses, Hepatology, Cancer Team, Créteil, France., Lemoine F; M3P, Centre National de Référence Virus des Infections Respiratoires (CNR VIR), Institut Pasteur Université Paris Cité, Paris, France; Institut Pasteur, Université Paris Cité, Bioinformatics and Biostatistics Hub, Paris, France., Audureau E; Université Paris-Est-Créteil (UPEC), Créteil, France; Clinical Research Unit Mondor, Hôpitaux Universitaires Henri Mondor, APHP, IMRB INSERM U955, Team CEpiA, Créteil, France., Rameix-Welti MA; M3P, Institut Pasteur, UMR 1173 (2I), INSERM, Université de Versailles St. Quentin, Université Paris Saclay, Université Paris Cité, Paris, France; M3P, Centre National de Référence Virus des Infections Respiratoires (CNR VIR), Institut Pasteur Université Paris Cité, Paris, France; Virology Department, Hôpital Ambroise Paré (AP-HP), Paris, France. Electronic address: marie-anne.rameix-welti@pasteur.fr.
Corporate Authors: POLYRES investigators
Source: The Lancet. Microbe [Lancet Microbe] 2026 Jun 02, pp. 101353. Date of Electronic Publication: 2026 Jun 02.
Publication Type: Journal Article
Journal Info: Publisher: Elsevier Ltd Country of Publication: England NLM ID: 101769019 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2666-5247 (Electronic) Linking ISSN: 26665247 NLM ISO Abbreviation: Lancet Microbe Subsets: MEDLINE
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  Data: Real-world emergence of nirsevimab resistance in breakthrough infections with respiratory syncytial virus-B: a multicentre observational study in France.
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  Data: <searchLink fieldCode="AU" term="%22Fourati+S%22">Fourati S</searchLink>; Department of Virology, Hôpitaux Universitaires Henri Mondor, AP-HP, Créteil, France; Université Paris-Est-Créteil (UPEC), Créteil, France; INSERM U955, Viruses, Hepatology, Cancer Team, Créteil, France. Electronic address: slim.fourati@aphp.fr.<br /><searchLink fieldCode="AU" term="%22Reslan+A%22">Reslan A</searchLink>; M3P, Institut Pasteur, UMR 1173 (2I), INSERM, Université de Versailles St. Quentin, Université Paris Saclay, Université Paris Cité, Paris, France; M3P, Centre National de Référence Virus des Infections Respiratoires (CNR VIR), Institut Pasteur Université Paris Cité, Paris, France.<br /><searchLink fieldCode="AU" term="%22Bourret+J%22">Bourret J</searchLink>; M3P, Centre National de Référence Virus des Infections Respiratoires (CNR VIR), Institut Pasteur Université Paris Cité, Paris, France.<br /><searchLink fieldCode="AU" term="%22Casalegno+JS%22">Casalegno JS</searchLink>; Laboratoire de Virologie, Institut des Agents Infectieux, Centre de Biologie et Pathologie Nord, Hôpital de la Croix-Rousse, Hospices Civils de Lyon, Lyon, France.<br /><searchLink fieldCode="AU" term="%22Rahou+Y%22">Rahou Y</searchLink>; M3P, Institut Pasteur, UMR 1173 (2I), INSERM, Université de Versailles St. Quentin, Université Paris Saclay, Université Paris Cité, Paris, France; M3P, Centre National de Référence Virus des Infections Respiratoires (CNR VIR), Institut Pasteur Université Paris Cité, Paris, France.<br /><searchLink fieldCode="AU" term="%22Softic+L%22">Softic L</searchLink>; INSERM U955, Viruses, Hepatology, Cancer Team, Créteil, France.<br /><searchLink fieldCode="AU" term="%22Chollet+L%22">Chollet L</searchLink>; Laboratoire de Biologie Médicale Centre Hospitalier Intercommunal de Toulon La Seyne sur Mer, Toulon Cedex, France.<br /><searchLink fieldCode="AU" term="%22Trémeaux+P%22">Trémeaux P</searchLink>; Laboratoire de Virologie, CHU de Toulouse, Toulouse, France.<br /><searchLink fieldCode="AU" term="%22Imbert-Marcille+BM%22">Imbert-Marcille BM</searchLink>; Virology department, CHU de Nantes, Nantes, France.<br /><searchLink fieldCode="AU" term="%22Pillet+S%22">Pillet S</searchLink>; Service des Agents Infectieux et d'Hygiène-Plateau de Biologie Hôpital Nord-CHU de Saint-Etienne, Saint-Etienne, France.<br /><searchLink fieldCode="AU" term="%22Veyrenche+N%22">Veyrenche N</searchLink>; 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Sorbonne Université, APHP Virologie St Antoine-Tenon-Trousseau, Paris Ile de France, France.<br /><searchLink fieldCode="AU" term="%22Pronier+C%22">Pronier C</searchLink>; Virology department, CHU de Rennes, Rennes, France.<br /><searchLink fieldCode="AU" term="%22Handala+L%22">Handala L</searchLink>; Emergence Unit, Department of Bacteriology, Virology and Hospital Hygiene, University Hospital of Tours, Tours, France.<br /><searchLink fieldCode="AU" term="%22Brodard+V%22">Brodard V</searchLink>; Virology department, CHU de Reims, Reims, France.<br /><searchLink fieldCode="AU" term="%22Gallais+F%22">Gallais F</searchLink>; Virology department, CHU de Strasbourg, Strasbourg, France.<br /><searchLink fieldCode="AU" term="%22Larrat+S%22">Larrat S</searchLink>; Université Grenoble Alpes, Laboratoire de Virologie, Institut de Biologie-Pathologie, Centre Hospitalier Universitaire Grenoble Alpes, Grenoble, France.<br /><searchLink fieldCode="AU" term="%22Regueme+A%22">Regueme A</searchLink>; Université Lille, CHU de Lille, Laboratoire de Virologie ULR3610, Lille, France.<br /><searchLink fieldCode="AU" term="%22Dossou+NC%22">Dossou NC</searchLink>; Normandie, INSERM, Normandie Université, DYNAMICURE UMR1311, CHU Caen, Department of Virology, Caen, France.<br /><searchLink fieldCode="AU" term="%22Henry+A%22">Henry A</searchLink>; Laboratoire de Biologie Médicale, Microbiologie, CH Victor Dupouy, Argenteuil, France.<br /><searchLink fieldCode="AU" term="%22Gault+E%22">Gault E</searchLink>; M3P, Institut Pasteur, UMR 1173 (2I), INSERM, Université de Versailles St. Quentin, Université Paris Saclay, Université Paris Cité, Paris, France; Virology Department, Hôpital Ambroise Paré (AP-HP), Paris, France.<br /><searchLink fieldCode="AU" term="%22Hartard+C%22">Hartard C</searchLink>; Laboratoire de Virologie, CHRU de Nancy Brabois, Vandœuvre-lès-Nancy, France; Université de Lorraine, CNRS, LCPME, Nancy, France.<br /><searchLink fieldCode="AU" term="%22Brichler+S%22">Brichler S</searchLink>; Service de Microbiologie Clinique, CHU Avicenne, APHP, Bobigny, France.<br /><searchLink fieldCode="AU" term="%22Moisan+A%22">Moisan A</searchLink>; Univ Rouen Normandie, Université de Caen Normandie, INSERM, Normandie Univ, DYNAMICURE UMR 1311, CHU Rouen, Department of Virology, Rouen, France.<br /><searchLink fieldCode="AU" term="%22Avettand-Fenoel+V%22">Avettand-Fenoel V</searchLink>; CHU d'Orléans, Virologie, Université d'Orléans, LI2RSO, Orléans, France.<br /><searchLink fieldCode="AU" term="%22Lefeuvre+C%22">Lefeuvre C</searchLink>; Laboratoire de Virologie, CHU Angers, Angers, France.<br /><searchLink fieldCode="AU" term="%22Engelmann+I%22">Engelmann I</searchLink>; Pathogenesis and Control of Chronic and Emerging Infections, Université Montpellier, INSERM, CHU Montpellier, Montpellier, France.<br /><searchLink fieldCode="AU" term="%22Castelain+S%22">Castelain S</searchLink>; AGIR, UR4294, Université Picardie Jules Verne, Laboratoire de Virologie, Centre de Biologie Humaine-CHU Amiens, Amiens, France.<br /><searchLink fieldCode="AU" term="%22Mirand+A%22">Mirand A</searchLink>; Virology department, CHU de Clermont-Ferrand, Clermond-Ferrand, France.<br /><searchLink fieldCode="AU" term="%22Salmona+M%22">Salmona M</searchLink>; Virology Department, Hôpital Saint Louis (AP-HP), U976UMR 1342, Biology and Pathogenesis of Viral Infection Team, INSERM, Université Paris Cité Paris, France.<br /><searchLink fieldCode="AU" term="%22Jaffar-Bandjee+MC%22">Jaffar-Bandjee MC</searchLink>; CNR Associé des Virus Respiratoires, Laboratoire Microbiologie, Hôpital Félix Guyon CHU Réunion, La Réunion, France.<br /><searchLink fieldCode="AU" term="%22Ader+M%22">Ader M</searchLink>; Department of Virology, Hôpitaux Universitaires Henri Mondor, AP-HP, Créteil, France.<br /><searchLink fieldCode="AU" term="%22Seng+S%22">Seng S</searchLink>; Department of Virology, Hôpitaux Universitaires Henri Mondor, AP-HP, Créteil, France.<br /><searchLink fieldCode="AU" term="%22Cappy+P%22">Cappy P</searchLink>; Department of Virology, Hôpitaux Universitaires Henri Mondor, AP-HP, Créteil, France; INSERM U955, Viruses, Hepatology, Cancer Team, Créteil, France.<br /><searchLink fieldCode="AU" term="%22Rodriguez+C%22">Rodriguez C</searchLink>; Department of Virology, Hôpitaux Universitaires Henri Mondor, AP-HP, Créteil, France; Université Paris-Est-Créteil (UPEC), Créteil, France; INSERM U955, Viruses, Hepatology, Cancer Team, Créteil, France.<br /><searchLink fieldCode="AU" term="%22Ly+A%22">Ly A</searchLink>; Department of Virology, Hôpitaux Universitaires Henri Mondor, AP-HP, Créteil, France.<br /><searchLink fieldCode="AU" term="%22Dos+Santos+G%22">Dos Santos G</searchLink>; Virology department CHU de Martinique, Fort de France, Martinique, France.<br /><searchLink fieldCode="AU" term="%22Schwartz+O%22">Schwartz O</searchLink>; Virus and Immunity Unit, Institut Pasteur, Université Paris Cité, CNRS UMR3569, Paris, France.<br /><searchLink fieldCode="AU" term="%22Petiot+C%22">Petiot C</searchLink>; Virus and Immunity Unit, Institut Pasteur, Université Paris Cité, CNRS UMR3569, Paris, France.<br /><searchLink fieldCode="AU" term="%22Planas+D%22">Planas D</searchLink>; Virus and Immunity Unit, Institut Pasteur, Université Paris Cité, CNRS UMR3569, Paris, France.<br /><searchLink fieldCode="AU" term="%22Ibraim+SB%22">Ibraim SB</searchLink>; M3P, Centre National de Référence Virus des Infections Respiratoires (CNR VIR), Institut Pasteur Université Paris Cité, Paris, France; Institut Pasteur, Université Paris Cité, Bioinformatics and Biostatistics Hub, Paris, France.<br /><searchLink fieldCode="AU" term="%22Da+Silva+K%22">Da Silva K</searchLink>; M3P, Centre National de Référence Virus des Infections Respiratoires (CNR VIR), Institut Pasteur Université Paris Cité, Paris, France; Institut Pasteur, Université Paris Cité, Bioinformatics and Biostatistics Hub, Paris, France.<br /><searchLink fieldCode="AU" term="%22Recoing+A%22">Recoing A</searchLink>; Laboratoire de Biologie Médicale, Nouméa, Nouvelle-Calédonie.<br /><searchLink fieldCode="AU" term="%22Pawlotsky+JM%22">Pawlotsky JM</searchLink>; Department of Virology, Hôpitaux Universitaires Henri Mondor, AP-HP, Créteil, France; Université Paris-Est-Créteil (UPEC), Créteil, France; INSERM U955, Viruses, Hepatology, Cancer Team, Créteil, France.<br /><searchLink fieldCode="AU" term="%22Lemoine+F%22">Lemoine F</searchLink>; M3P, Centre National de Référence Virus des Infections Respiratoires (CNR VIR), Institut Pasteur Université Paris Cité, Paris, France; Institut Pasteur, Université Paris Cité, Bioinformatics and Biostatistics Hub, Paris, France.<br /><searchLink fieldCode="AU" term="%22Audureau+E%22">Audureau E</searchLink>; Université Paris-Est-Créteil (UPEC), Créteil, France; Clinical Research Unit Mondor, Hôpitaux Universitaires Henri Mondor, APHP, IMRB INSERM U955, Team CEpiA, Créteil, France.<br /><searchLink fieldCode="AU" term="%22Rameix-Welti+MA%22">Rameix-Welti MA</searchLink>; M3P, Institut Pasteur, UMR 1173 (2I), INSERM, Université de Versailles St. Quentin, Université Paris Saclay, Université Paris Cité, Paris, France; M3P, Centre National de Référence Virus des Infections Respiratoires (CNR VIR), Institut Pasteur Université Paris Cité, Paris, France; Virology Department, Hôpital Ambroise Paré (AP-HP), Paris, France. Electronic address: marie-anne.rameix-welti@pasteur.fr.
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      – PersonEntity:
          Name:
            NameFull: Henry A
      – PersonEntity:
          Name:
            NameFull: Gault E
      – PersonEntity:
          Name:
            NameFull: Hartard C
      – PersonEntity:
          Name:
            NameFull: Brichler S
      – PersonEntity:
          Name:
            NameFull: Moisan A
      – PersonEntity:
          Name:
            NameFull: Avettand-Fenoel V
      – PersonEntity:
          Name:
            NameFull: Lefeuvre C
      – PersonEntity:
          Name:
            NameFull: Engelmann I
      – PersonEntity:
          Name:
            NameFull: Castelain S
      – PersonEntity:
          Name:
            NameFull: Mirand A
      – PersonEntity:
          Name:
            NameFull: Salmona M
      – PersonEntity:
          Name:
            NameFull: Jaffar-Bandjee MC
      – PersonEntity:
          Name:
            NameFull: Ader M
      – PersonEntity:
          Name:
            NameFull: Seng S
      – PersonEntity:
          Name:
            NameFull: Cappy P
      – PersonEntity:
          Name:
            NameFull: Rodriguez C
      – PersonEntity:
          Name:
            NameFull: Ly A
      – PersonEntity:
          Name:
            NameFull: Dos Santos G
      – PersonEntity:
          Name:
            NameFull: Schwartz O
      – PersonEntity:
          Name:
            NameFull: Petiot C
      – PersonEntity:
          Name:
            NameFull: Planas D
      – PersonEntity:
          Name:
            NameFull: Ibraim SB
      – PersonEntity:
          Name:
            NameFull: Da Silva K
      – PersonEntity:
          Name:
            NameFull: Recoing A
      – PersonEntity:
          Name:
            NameFull: Pawlotsky JM
      – PersonEntity:
          Name:
            NameFull: Lemoine F
      – PersonEntity:
          Name:
            NameFull: Audureau E
      – PersonEntity:
          Name:
            NameFull: Rameix-Welti MA
    IsPartOfRelationships:
      – BibEntity:
          Dates:
            – D: 02
              M: 06
              Text: 2026 Jun 02
              Type: published
              Y: 2026
          Identifiers:
            – Type: issn-electronic
              Value: 2666-5247
          Titles:
            – TitleFull: The Lancet. Microbe
              Type: main
ResultId 1