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Efficacy of Indian polyvalent snake antivenoms against Sri Lankan snake venoms: lethality studies or clinically focussed in vitro studies.


ABSTRACT: In vitro antivenom efficacy studies were compared to rodent lethality studies to test two Indian snake antivenoms (VINS and BHARAT) against four Sri Lankan snakes. In vitro efficacy was tested at venom concentrations consistent with human envenoming. Efficacy was compared statistically for one batch from each manufacturer where multiple vials were available. In binding studies EC50 for all VINS antivenoms were less than BHARAT for D. russelii [553??g/mL vs. 1371??g/mL;p?=?0.016), but were greater for VINS antivenoms compared to BHARAT for N. naja [336??g/mL vs. 70??g/mL;p?

SUBMITTER: Maduwage K 

PROVIDER: S-EPMC4882578 | biostudies-literature | 2016 May

REPOSITORIES: biostudies-literature

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Efficacy of Indian polyvalent snake antivenoms against Sri Lankan snake venoms: lethality studies or clinically focussed in vitro studies.

Maduwage Kalana K   Silva Anjana A   O'Leary Margaret A MA   Hodgson Wayne C WC   Isbister Geoffrey K GK  

Scientific reports 20160527


In vitro antivenom efficacy studies were compared to rodent lethality studies to test two Indian snake antivenoms (VINS and BHARAT) against four Sri Lankan snakes. In vitro efficacy was tested at venom concentrations consistent with human envenoming. Efficacy was compared statistically for one batch from each manufacturer where multiple vials were available. In binding studies EC50 for all VINS antivenoms were less than BHARAT for D. russelii [553 μg/mL vs. 1371 μg/mL;p = 0.016), but were greate  ...[more]

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