2023Revista de Educaci�n e Investigaci�n en EmergenciasOpen access

Effect of antivenom therapy on serum venom levels in ViperidaeÓ?s family snakebite cases in Mexico

Rodolfo Márquez-Martín, Francisco Reyna-Sepúlveda, Daniel R. Cantú-Alejo, Edelmiro Pérez‐Rodríguez, Víctor M. Peña‐Martínez, Marco A. Hernández-Guedea, Gerardo E. Muñoz-Maldonado

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Abstract

Objective: To observe the effect of antivenom on venomous snakebite patients by measuring changes in serum venom levels and laboratory values; also, to perform a clinical correlation.Material and methods: The study design was observational and descriptive.The snake antivenom (Antivipmyn) used was derived from equine antibodies and is specific for species in Mexico.Results: Twenty-three patients were included for analysis.Only 1 patient (4.3%) had an adverse reaction to the antivenom.No deaths were reported and 97% of patients had their serum venom levels neutralized and improved laboratory values in patients with leukocytosis (100%) and elevated PTT (83%).We observed a positive (0.75) and significant (p ≤ 0.01) correlation between serum venom levels and the snakebite severity score.Conclusions: We observed that almost all patients venom was completely neutralized, and laboratory values showed statistically significant improvement.

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Objective: To observe the effect of antivenom on venomous snakebite patients by measuring changes in serum venom levels and laboratory values; also, to perform a clinical correlation.Material and methods: The study design was observational and descriptive.The snake antivenom (Antivipmyn) used was derived from equine antibodies and is specific for species in Mexico.Results: Twenty-three patients were included for analysis.Only 1 patient (4.3%) had an adverse reaction to the antivenom.No deaths were reported and 97% of patients had their serum venom levels neutralized and improved laboratory values in patients with leukocytosis (100%) and elevated PTT (83%).We observed a positive (0.75) and significant (p ≤ 0.01) correlation between serum venom levels and the snakebite severity score.Conclusions: We observed that almost all patients venom was completely neutralized, and laboratory values showed statistically significant improvement.

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Available abstract

Objective: To observe the effect of antivenom on venomous snakebite patients by measuring changes in serum venom levels and laboratory values; also, to perform a clinical correlation.Material and methods: The study design was observational and descriptive.The snake antivenom (Antivipmyn) used was derived from equine antibodies and is specific for species in Mexico.Results: Twenty-three patients were included for analysis.Only 1 patient (4.3%) had an adverse reaction to the antivenom.No deaths were reported and 97% of patients had their serum venom levels neutralized and improved laboratory values in patients with leukocytosis (100%) and elevated PTT (83%).We observed a positive (0.75) and significant (p ≤ 0.01) correlation between serum venom levels and the snakebite severity score.Conclusions: We observed that almost all patients venom was completely neutralized, and laboratory values showed statistically significant improvement.

Key concepts: Viperidae, Antivenom, Venom, Medicine, Pharmacology, Chemistry, Biochemistry

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Effect of antivenom therapy on serum venom levels in ViperidaeÓ?s family snakebite cases in Mexico — Research Paper | ScholarLens