Failure of a new antivenom to treat Echis ocellatus snake bite in rural Ghana: the importance of quality surveillance

L. E. Visser*, S. Kyei-Faried, D. W. Belcher, D. W. Geelhoed, J. Schagen van Leeuwen, J. van Roosmalen

*Corresponding author for this work

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

This study compares two antivenoms used to treat Echis ocellatus snake bite patients at Mathias Hospital, Yeji, central Ghana. FAV-Afrique™ antivenom (Aventis Pasteur) was given to 278 patients during 2001-2003, whilst Asna Antivenom C (Bharat Serum and Vaccines Ltd) was used in 2004 to treat 66 patients. The two groups had comparable patient attributes, time from snake bite to treatment and staff adherence to the tested treatment protocol. The antivenom C group required more repeat doses and twice the amount of antivenom to treat coagulopathy. Of greater concern, the antivenom C mortality rate was 12.1%, a marked rise from the 1.8% rate in the earlier FAV-Afrique™ antivenom group. In this study, antivenom C was ineffective as treatment for West African E. ocellatus snake venom. This illustrates the absolute need for regional pilot tests to assess the effectiveness of a new antivenom against local snake venoms before its sole and general distribution in a region is initiated.

Original languageEnglish
Pages (from-to)445-450
Number of pages6
JournalTransactions of the Royal Society of Tropical Medicine and Hygiene
Volume102
Issue number5
DOIs
Publication statusPublished - 1 May 2008

Keywords

  • Antivenom
  • Carpet viper
  • Envenomation
  • Evaluation
  • Ghana
  • Snake bite

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