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Updated: May 1, 2026

Rapid Molecular Detection and Differentiation of Influenza Viruses A and B
Published on: January 30, 2017
Comparing clinical characteristics between hospitalized adults with laboratory-confirmed influenza A and B virus
Su Su1, Sandra S Chaves2, Alejandro Perez2
1Influenza Division, Centers for Disease Control and Prevention Atlanta Research and Education Foundation, Atlanta, Georgia.
Abstract:
We challenge the notion that influenza B is milder than influenza A by finding similar clinical characteristics between hospitalized adult influenza-cases. Among patients treated with oseltamivir, length of stay and mortality did not differ by type of virus infection.
Insights
Influenza B is not milder than influenza A in adults. Hospitalized patients infected with either virus showed similar clinical outcomes and mortality rates, even when treated with oseltamivir.
Area of Science:
- Infectious Diseases
- Virology
- Clinical Medicine
Background:
- Influenza A and B are the primary causes of seasonal influenza epidemics.
- Influenza B is often perceived as causing milder illness than influenza A.
- Limited comparative data exists on clinical severity between influenza A and B in hospitalized adults.
Purpose of the Study:
- To compare the clinical characteristics and outcomes of hospitalized adult patients with influenza A versus influenza B.
- To challenge the prevailing notion of influenza B being a milder infection.
Main Methods:
- Retrospective analysis of hospitalized adult influenza cases.
- Comparison of clinical features, length of hospital stay, and mortality between influenza A and B groups.
- Analysis of outcomes in patients treated with oseltamivir.
Main Results:
- Hospitalized adults with influenza A and B exhibited similar clinical characteristics.
- No significant difference in length of hospital stay was observed between influenza A and B infections.
- Mortality rates were comparable between the two influenza types in patients treated with oseltamivir.
Conclusions:
- Influenza B is not inherently milder than influenza A in hospitalized adult populations.
- Clinical severity and outcomes do not significantly differ between influenza A and B.
- Oseltamivir treatment did not reveal differential effectiveness based on influenza type in this cohort.

