Chippaux J-P, Diouf A, Massougbodji A, Stock R P, Kane O, Dièye A M, Lam Faye A, Mbaye Sène M, Parra H-J
Cerpage et IRD (UMR 216) « Mère et enfant face aux infections tropicales, Cotonou, Bénin,
Bull Soc Pathol Exot. 2012 Aug;105(3):194-8. doi: 10.1007/s13149-011-0189-6.
The authors present a summary of the proceedings and the recommendations of the Fourth International Conference on Envenomations by Snakebites and Scorpion Stings in Africa, held from 25 to 29 April 2011 in Dakar. After a two-day workshop for Senegalese health personnel on the most relevant aspects of the management of envenomations, about 270 participants met to share their experiences in the field. Nearly a hundred oral and poster presentations were made on the epidemiology of snakebites and scorpion stings in Africa, the composition and action of venoms and the manufacture and use of antivenoms. The last day was devoted to an institutional debate involving experts, representatives of national health authorities and concerned professionals (physicians, pharmacists, nurses and traditional healers) as well as members of the pharmaceutical industry to discuss and elaborate a set of recommendations. It was agreed that it is necessary to improve knowledge of the epidemiological situation by case reporting. Quality control of antivenoms and procedures for their registration at the level of national health authorities should aim at improving the distribution of safe and effective antivenoms in peripheral health centers for the better assessment of victims. It was also recommended that adequate training should be provided for health personnel in all aspects of medical management of envenomations. Equitable distribution of funding and the establishment of a network of African experts were also discussed in the conference.
作者们总结了2011年4月25日至29日在达喀尔举行的第四届非洲蛇咬和蝎子蜇伤中毒国际会议的会议议程及建议。在为塞内加尔卫生人员举办了为期两天的关于中毒管理最相关方面的研讨会之后，约270名与会者齐聚一堂，分享他们在该领域的经验。会上就非洲蛇咬和蝎子蜇伤的流行病学、毒液的成分与作用以及抗蛇毒血清的生产与使用进行了近百场口头报告和海报展示。会议最后一天专门进行了一场机构间辩论，专家、国家卫生当局代表、相关专业人士（医生、药剂师、护士和传统治疗师）以及制药行业成员参与其中，以讨论并拟定一系列建议。会议达成共识，有必要通过病例报告来提高对流行病学状况的认识。抗蛇毒血清的质量控制及其在国家卫生当局层面的注册程序应旨在改善安全有效的抗蛇毒血清在基层卫生中心的分发情况，以便更好地评估受害者。会议还建议应为卫生人员提供中毒医疗管理各方面的充分培训。会议还讨论了资金的公平分配以及建立非洲专家网络的问题。
