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本文引用的文献

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Contribution of ultrasonography to the diagnosis of internal bleeding in snakebite envenomation.超声检查在蛇咬伤中毒致内出血诊断中的作用
J Venom Anim Toxins Incl Trop Dis. 2016 Mar 16;22:13. doi: 10.1186/s40409-016-0063-x. eCollection 2016.
2
Retrospective study on the incidence of envenomation and accessibility to antivenom in Burkina Faso.布基纳法索蛇咬伤中毒发生率及抗蛇毒血清可及性的回顾性研究
J Venom Anim Toxins Incl Trop Dis. 2016 Mar 16;22:10. doi: 10.1186/s40409-016-0066-7. eCollection 2016.
3
Epidemiology of snakebites in Kédougou region (eastern Senegal): comparison of various methods for assessment of incidence and mortality.凯杜古地区（塞内加尔东部）蛇咬伤的流行病学：评估发病率和死亡率的各种方法比较
J Venom Anim Toxins Incl Trop Dis. 2016 Mar 16;22:9. doi: 10.1186/s40409-016-0064-9. eCollection 2016.
4
Snakebites notified to the poison control center of Morocco between 2009 and 2013.2009年至2013年间通报给摩洛哥毒物控制中心的蛇咬伤病例。
J Venom Anim Toxins Incl Trop Dis. 2016 Mar 16;22:8. doi: 10.1186/s40409-016-0065-8. eCollection 2016.
5
Emerging options for the management of scorpion stings.蝎子蜇伤管理的新方法
Drug Des Devel Ther. 2012;6:165-73. doi: 10.2147/DDDT.S24754. Epub 2012 Jul 5.
6
Estimate of the burden of snakebites in sub-Saharan Africa: a meta-analytic approach.估计撒哈拉以南非洲地区蛇咬伤的负担：荟萃分析方法。
Toxicon. 2011 Mar 15;57(4):586-99. doi: 10.1016/j.toxicon.2010.12.022. Epub 2011 Jan 9.
7
[Guidelines for the production, control and regulation of snake antivenom immunoglobulins].[蛇抗毒免疫球蛋白的生产、控制和监管指南]
Biol Aujourdhui. 2010;204(1):87-91. doi: 10.1051/jbio/2009043. Epub 2010 Apr 8.

第六届非洲蛇咬伤和蝎子蜇伤中毒国际会议：中毒管理的关键一步。

The 6(th) international conference on envenomation by Snakebites and Scorpion Stings in Africa: a crucial step for the management of envenomation.

作者信息

Chippaux Jean-Philippe, Akaffou Marc Hermann, Allali Bernard Kouadio, Dosso Mireille, Massougbodji Achille, Barraviera Benedito

机构信息

CERPAGE, Faculté des Sciences de la Santé, Université d'Abomey-Calavi, Cotonou, Bénin ; UMR 216, MERIT, Institut de Recherche pour le Développement et Université Paris Descartes, Sorbonne Paris Cité, Faculté de Pharmacie, Paris, France.

Institut Pasteur de Côte d'Ivoire, Unité d'Entomologie/Herpétologie, Abidjan, Côte d'Ivoire.

出版信息

J Venom Anim Toxins Incl Trop Dis. 2016 Mar 16;22:11. doi: 10.1186/s40409-016-0062-y. eCollection 2016.

DOI:10.1186/s40409-016-0062-y
PMID:26985189
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4793573/
Abstract

During the 6(th) International Conference on Envenomation by Snakebites and Scorpion Stings in Africa held in Abidjan, from 1 to 5 June 2015, the measures for the management of envenomation were discussed and new recommendations were adopted by the participants. The high incidence and severity of this affliction were confirmed by several studies conducted in African countries. The poor availability of antivenom, particularly because of the cost, was also highlighted. Some experiences have been reported, mainly those regarding the financial support of antivenom in Burkina Faso (more than 90 %) and Togo (up to 60 %) or the mandatory reporting of cases in Cameroon. Key recommendations concerned: improvement of epidemiological information based on case collection; training of health workers in the management of envenomation; policy to promote the use of effective and safe antivenom; and antivenom funding by sharing its costs with stakeholders in order to improve antivenom accessibility for low-income patients.

摘要

2015年6月1日至5日，在阿比让举行的第六届非洲蛇咬与蝎子蜇伤中毒国际会议期间，与会者讨论了中毒管理措施并通过了新的建议。非洲国家开展的多项研究证实了这种疾病的高发病率和严重性。抗蛇毒血清供应不足，尤其是由于成本问题，这一点也得到了强调。报告了一些经验，主要是布基纳法索（超过90%）和多哥（高达60%）抗蛇毒血清的财政支持情况，以及喀麦隆病例强制报告情况。主要建议包括：基于病例收集改进流行病学信息；培训卫生工作者进行中毒管理；推广使用有效且安全的抗蛇毒血清的政策；以及通过与利益相关者分担成本来为抗蛇毒血清提供资金，以提高低收入患者获得抗蛇毒血清的机会。