4.8 Review

Snakebite Envenoming Diagnosis and Diagnostics

Journal

FRONTIERS IN IMMUNOLOGY
Volume 12, Issue -, Pages -

Publisher

FRONTIERS MEDIA SA
DOI: 10.3389/fimmu.2021.661457

Keywords

envenoming; clinical toxinology; diagnosis; diagnostics; ophidism; snakebite management; syndromic approach

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Funding

  1. Innovation Fund Denmark [9065-00007B]

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Snakebite envenoming is a major occupational disease in rural tropical areas, with diagnosis relying on patient history and syndromic approach. Disparities in available diagnostic tests and clinician experience globally pose challenges in achieving timely diagnosis and treatment for snakebite victims. Efforts in developing novel diagnostics are crucial for improving patient outcomes, particularly in rural tropical regions.
Snakebite envenoming is predominantly an occupational disease of the rural tropics, causing death or permanent disability to hundreds of thousands of victims annually. The diagnosis of snakebite envenoming is commonly based on a combination of patient history and a syndromic approach. However, the availability of auxiliary diagnostic tests at the disposal of the clinicians vary from country to country, and the level of experience within snakebite diagnosis and intervention may be quite different for clinicians from different hospitals. As such, achieving timely diagnosis, and thus treatment, is a challenge faced by treating personnel around the globe. For years, much effort has gone into developing novel diagnostics to support diagnosis of snakebite victims, especially in rural areas of the tropics. Gaining access to affordable and rapid diagnostics could potentially facilitate more favorable patient outcomes due to early and appropriate treatment. This review aims to highlight regional differences in epidemiology and clinical snakebite management on a global scale, including an overview of the past and ongoing research efforts within snakebite diagnostics. Finally, the review is rounded off with a discussion on design considerations and potential benefits of novel snakebite diagnostics.

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