title: Failure of a new antivenom to treat Echis ocellatus snake bite in rural Ghana: the importance of quality surveillance.
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.
authors.affiliation: Mathias Hospital, P.O. Box 43, Yeji B/A, Ghana. visserle@yahoo.co.uk
authors.forename: L E
authors.initials: LE
authors.lastname: Visser
authors.forename: S
authors.initials: S
authors.lastname: Kyei-Faried
authors.forename: D W
authors.initials: DW
authors.lastname: Belcher
authors.forename: D W
authors.initials: DW
authors.lastname: Geelhoed
authors.forename: J Schagen
authors.initials: JS
authors.lastname: van Leeuwen
authors.forename: J
authors.initials: J
authors.lastname: van Roosmalen
mesh_terms: D000328:Adult; D000818:Animals; D000997:Antivenins / Q000008:administration & dosage / Q000009:adverse effects*; D004334:Drug Administration Schedule; D016903:Drug Monitoring / Q000592:standards*; D005260:Female; D005869:Ghana / Q000453:epidemiology; D006801:Humans; D008297:Male; D012423:Rural Health / Q000592:standards; D012909:Snake Bites / Q000628:therapy*; D017211:Treatment Failure; D014757:Viper Venoms / Q000506:poisoning*; D017819:Viperidae
chemical_list: D000997:Antivenins; D014757:Viper Venoms