Madison Bailey, Clinton Gibbs, Clare Heal, Chloe E Gane, Leanne Hall
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引用次数: 0
Abstract
Introduction: Most snake bites in Australia do not result in envenomation. However, when it does occur, envenomation can lead to a range of clinical syndromes, depending on the snake species involved. Diagnosis of envenomation, which relies primarily on laboratory investigations, poses a significant challenge when rapid identification of envenomation is essential for the timely administration of antivenom. Finding a solution to this challenge could enable earlier diagnosis and subsequent treatment of snake envenomation. This review assesses the existing literature on point-of-care testing methods for diagnosing snake envenomation across Australia.
Methods: Six relevant databases were searched using appropriate subject headings and keywords, related to "snake" AND "bite" AND "Australia" with no time or language restrictions. Two reviewers screened titles and abstracts and full text articles. Data from included studies was extracted in duplicate.
Results: 1,260 articles were initially identified following removal of duplicates. After screening for eligibility, 12 relevant studies were identified. These articles explored four key areas of point-of-care testing in snake envenomation diagnosis: venom detection, coagulopathy detection, biomarker detection and cardiac assessment. No point-of-care test was found to sufficiently confirm envenomation to guide administration of antivenom in those with a suspected snake bite in Australia.
Conclusion: This review underscores the need for continued research to explore novel approaches for the rapid diagnosis of snake envenomation. Improved diagnostic tools could enhance patient outcomes and potentially allow rural and remote areas without laboratory facilities to diagnose or rule out envenomation without patient transfer. However, the current literature is limited, and existing point-of-care methods lack sufficient accuracy to guide clinical practice.
期刊介绍：
Toxicon has an open access mirror Toxicon: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. An introductory offer Toxicon: X - full waiver of the Open Access fee.
Toxicon''s "aims and scope" are to publish:
-articles containing the results of original research on problems related to toxins derived from animals, plants and microorganisms
-papers on novel findings related to the chemical, pharmacological, toxicological, and immunological properties of natural toxins
-molecular biological studies of toxins and other genes from poisonous and venomous organisms that advance understanding of the role or function of toxins
-clinical observations on poisoning and envenoming where a new therapeutic principle has been proposed or a decidedly superior clinical result has been obtained.
-material on the use of toxins as tools in studying biological processes and material on subjects related to venom and antivenom problems.
-articles on the translational application of toxins, for example as drugs and insecticides
-epidemiological studies on envenoming or poisoning, so long as they highlight a previously unrecognised medical problem or provide insight into the prevention or medical treatment of envenoming or poisoning. Retrospective surveys of hospital records, especially those lacking species identification, will not be considered for publication. Properly designed prospective community-based surveys are strongly encouraged.
-articles describing well-known activities of venoms, such as antibacterial, anticancer, and analgesic activities of arachnid venoms, without any attempt to define the mechanism of action or purify the active component, will not be considered for publication in Toxicon.
-review articles on problems related to toxinology.
To encourage the exchange of ideas, sections of the journal may be devoted to Short Communications, Letters to the Editor and activities of the affiliated societies.
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