Kupper J, Hellwig B, Demuth D, Althaus F R, Naegeli H
Institut für Veterinärpharmakologie und -toxikologie, Universität Zürich.
Schweiz Arch Tierheilkd. 2004 Mar;146(3):127-34. doi: 10.1024/0036-7281.146.3.127.
Because cases of poisoning are observed rarely, veterinary practitioners have only limited knowledge of clinical toxicology and may face considerable problems in handling toxicological emergencies. In this report, we describe a novel decision support system for the management of poisonings in companion animals that provides rapid access to the current knowledge of clinical toxicology. For that purpose, relevant reports from the peer-reviewed literature were evaluated and organised according to the requirements of a structured database. The information provided for each toxic substance includes a summary of its chemical and physical properties, sources, commercial uses or natural occurrences, toxicokinetic data, mechanisms of action, threshold doses, clinical symptoms with brief case reports, sampling and analytical results, post-mortem findings, differential diagnoses, therapeutic guidelines and references to the literature. This decision support system has been programmed with two user-friendly search functions: a search tool that allows to choose clinical symptoms, and another function that serves to find a substance using its chemical name, the class of compounds to wich it belongs, a possible source or one of its main applications. CliniTox can be accessed directly via our webserver (http://www.clinitox.ch).
由于中毒病例很少见,兽医从业者对临床毒理学的了解有限,在处理毒理学紧急情况时可能会面临相当大的问题。在本报告中,我们描述了一种用于管理伴侣动物中毒的新型决策支持系统,该系统能够快速获取临床毒理学的现有知识。为此,我们根据结构化数据库的要求,对同行评审文献中的相关报告进行了评估和整理。为每种有毒物质提供的信息包括其化学和物理性质、来源、商业用途或自然存在情况、毒代动力学数据、作用机制、阈剂量、临床症状及简要病例报告、采样和分析结果、尸检结果、鉴别诊断、治疗指南以及文献参考。该决策支持系统已编程设置了两种用户友好的搜索功能:一种搜索工具可让用户选择临床症状,另一种功能则可通过化学名称、所属化合物类别、可能的来源或其主要应用之一来查找某种物质。可通过我们的网络服务器(http://www.clinitox.ch)直接访问CliniTox。