<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2011-0839</journal-id>
<journal-title><![CDATA[Universitas Medica]]></journal-title>
<abbrev-journal-title><![CDATA[Univ. Med.]]></abbrev-journal-title>
<issn>2011-0839</issn>
<publisher>
<publisher-name><![CDATA[Pontificia Universidad Javeriana]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2011-08392020000100030</article-id>
<article-id pub-id-type="doi">10.11144/javeriana.umed61-1.anti</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Comparación de la eficacia, la seguridad y la farmacocinética de los antivenenos antiofídicos: revisión de literatura]]></article-title>
<article-title xml:lang="en"><![CDATA[Comparison of the Effectiveness, the Safety, and the Pharmacokinetic of Snakebites Antivenoms: Review]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Sarmiento]]></surname>
<given-names><![CDATA[Karen]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rodríguez]]></surname>
<given-names><![CDATA[Ariadna]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Quevedo-Buitrago]]></surname>
<given-names><![CDATA[William]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Torres]]></surname>
<given-names><![CDATA[Ivonne]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ríos]]></surname>
<given-names><![CDATA[Carolina]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Ruiz]]></surname>
<given-names><![CDATA[Laura]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Salazar]]></surname>
<given-names><![CDATA[Julián]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hidalgo-Martínez]]></surname>
<given-names><![CDATA[Patricia]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Díez]]></surname>
<given-names><![CDATA[Hugo]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Pontificia Universidad Javeriana  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Universidad Nacional de Colombia  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Universidad Nacional de Colombia  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Pontificia Universidad Javeriana  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af5">
<institution><![CDATA[,Pontificia Universidad Javeriana  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af6">
<institution><![CDATA[,Pontificia Universidad Javeriana  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af7">
<institution><![CDATA[,Pontificia Universidad Javeriana  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af8">
<institution><![CDATA[,Pontificia Universidad Javeriana  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af9">
<institution><![CDATA[,Pontificia Universidad Javeriana  ]]></institution>
<addr-line><![CDATA[ ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2020</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2020</year>
</pub-date>
<volume>61</volume>
<numero>1</numero>
<fpage>30</fpage>
<lpage>51</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S2011-08392020000100030&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S2011-08392020000100030&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S2011-08392020000100030&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción: Anualmente, en Colombia se informan alrededor de 5000 casos de mordedura de serpiente, que producen un cuadro clínico de envenenamiento, cuya neutralización depende de inmunoglobulinas heterólogas. Comercialmente, en el país se pueden encontrar inmunoglobulinas completas de segunda generación y faboterápicos de tercera generación; sin embargo, muchos médicos tratantes desconocen sus diferencias.  Objetivo: Dar a conocer las principales características farmacocinéticas entre las diferentes generaciones de antivenenos, así como la frecuencia de reacciones adversas.  Materiales y métodos: Se buscó literatura sobre el tema en diversas bases de datos, utilizando combinaciones de los descriptores y términos MeSH, en inglés y español. Se cotejaron parámetros farmacocinéticos en estudios preclínicos y los efectos adversos en estudios clínicos.  Resultados: Según los estudios analizados, se encontró que las principales diferencias farmacocinéticas son consecuencia del tamaño de la fracción de la inmunoglobulina; así, los faboterápicos tienen una mayor distribución a los tejidos y una vida media más corta comparada con las inmunoglobulinas completas. En el ámbito clínico se encontraron estudios que evidenciaron de mayor a menor presentación de reacciones adversas a las inmunoglobulinas completas, seguida de los antivenenos F(ab')2 y Fab, respectivamente.  Conclusión: Existen grandes diferencias farmacológicas entre las generaciones de los antivenenos antiofídicos, las cuales se exponen en este artículo como una herramienta práctica para optimizar el adecuado tratamiento en la mordedura de serpiente.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction: In Colombia, around 5000 cases of snakebites are reported annually, producing a clinical poisoning whose neutralization depends on heterologous immunoglobulins. Commercially, second-generation complete immunoglobulins and third-generation fabotherapies can be found; however, their differences are unknown to many physicians.  Objective: To present the main pharmacokinetic characteristics by comparing the different generations of antivenoms, as well as the frequency of side effects.  Materials and Methods: A literature search was conducted in databases using a combination of descriptors and Mesh terms, in English and Spanish. Pharmacokinetic parameters were compared in preclinical studies and side effects in clinical studies.  Results: From the researchers analyzed, we found that the main pharmacokinetic differences are a consequence of the size of the immunoglobulin fraction, so the fabotherapic have a greater distribution to the tissues and a shorter half-life, compared with the complete immunoglobulins. At a clinical level, studies were found that showed higher to lower presentation of side effects to complete immunoglobulins, followed by antivenoms F(ab´)2 and Fab respectively.  Conclusion: There are big pharmacological differences between the generations of antivenoms, which are exposed in this document as a practical tool to optimize the adequate pharmacological treatment in snakebite.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[mordedura de serpiente]]></kwd>
<kwd lng="es"><![CDATA[farmacocinética]]></kwd>
<kwd lng="es"><![CDATA[veneno]]></kwd>
<kwd lng="es"><![CDATA[Elapidae]]></kwd>
<kwd lng="es"><![CDATA[Viperidae]]></kwd>
<kwd lng="es"><![CDATA[antivenenos]]></kwd>
<kwd lng="en"><![CDATA[snakebites]]></kwd>
<kwd lng="en"><![CDATA[pharmacokinetic]]></kwd>
<kwd lng="en"><![CDATA[venoms]]></kwd>
<kwd lng="en"><![CDATA[Elapidae]]></kwd>
<kwd lng="en"><![CDATA[Viperidae]]></kwd>
<kwd lng="en"><![CDATA[antivenoms]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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