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一种为应对非洲抗蛇毒血清危机而研发的新型泛非多特异性抗蛇毒血清。

A new Pan African polyspecific antivenom developed in response to the antivenom crisis in Africa.

作者信息

Laing G D, Renjifo J M, Ruiz F, Harrison R A, Nasidi A, Gutierrez J-M, Rowley P D, Warrell D A, Theakston R D G

机构信息

Alistair Reid Venom Research Unit, Liverpool School of Tropical Medicine, Pembroke Place, Liverpool L3 5QA, UK.

出版信息

Toxicon. 2003 Jul;42(1):35-41. doi: 10.1016/s0041-0101(03)00098-9.

Abstract

Currently there is a crisis in the supply of antivenom for treatment of snake bite in sub-Saharan Africa. Commercial pressures have resulted in the reduction or even cessation of production of antivenom by European manufacturers while continued production of antivenom in Africa has been threatened by the privatisation of the only remaining company based in Africa. As a consequence, there has been an increase in snake bite morbidity and mortality in many African countries. Two Latin American antivenom manufacturers have agreed to produce antivenom suitable for Africa, using venoms from the species which are of the greatest medical importance in sub-Saharan Africa. Preclinical in vivo assays of neutralising potency demonstrated that a new Pan African antivenom produced in Colombia compared favourably with the existing commercial monospecific and polyspecific antivenoms. This new antivenom, and a similar product being manufactured in Costa Rica, are now candidates for clinical testing at an appropriate site in Africa.

摘要

目前,撒哈拉以南非洲地区治疗蛇咬伤的抗蛇毒血清供应面临危机。商业压力导致欧洲制造商减少甚至停止抗蛇毒血清的生产,而非洲唯一一家仍在生产抗蛇毒血清的公司私有化,也威胁到了非洲抗蛇毒血清的持续生产。因此,许多非洲国家蛇咬伤的发病率和死亡率有所上升。两家拉丁美洲抗蛇毒血清制造商已同意生产适合非洲使用的抗蛇毒血清,所用毒液来自在撒哈拉以南非洲具有最大医学重要性的蛇种。中和效力的临床前体内试验表明,在哥伦比亚生产的一种新型泛非抗蛇毒血清与现有的商业单特异性和多特异性抗蛇毒血清相比具有优势。这种新型抗蛇毒血清以及在哥斯达黎加生产的类似产品,现在有望在非洲的合适地点进行临床试验。

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