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<PubmedArticle><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32331950</PMID><DateCompleted><Year>2020</Year><Month>09</Month><Day>23</Day></DateCompleted><DateRevised><Year>2020</Year><Month>09</Month><Day>23</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1545-1534</ISSN><JournalIssue CitedMedium="Internet"><Volume>31</Volume><Issue>2</Issue><PubDate><Year>2020</Year><Month>Jun</Month></PubDate></JournalIssue><Title>Wilderness &amp; environmental medicine</Title><ISOAbbreviation>Wilderness Environ Med</ISOAbbreviation></Journal><ArticleTitle>Review of Scorpion Stings and Snakebites Treated by the French Military Health Service During Overseas Operations Between 2015 and 2017.</ArticleTitle><Pagination><StartPage>174</StartPage><EndPage>180</EndPage><MedlinePgn>174-180</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.wem.2020.01.006</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S1080-6032(20)30017-X</ELocationID><Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Depending on their theatre of operation, French soldiers may potentially be exposed to scorpion stings and snakebites. Following the recommendations of a French military health service (FMHS) technical committee for envenomation, the FMHS provides antivenoms appropriate to each deployment. This work aimed to evaluate this risk of envenomation and to assess the antivenoms used by the FMHS in operational theatres since the creation of this committee in 2015.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Cases were identified based on a review of temporary authorization of use application forms for the use of antivenom. Data were collected retrospectively from these forms, and prescribing physicians were contacted for any missing data.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">Between 2015 and 2017, 28 requests for temporary authorization of use were identified: 19 for Scorpifav (Sanofi-Pasteur, Lyon, France) and 9 for Fav-Afrique (Sanofi-Pasteur). The FMHS treated 15 soldiers and 4 civilians for scorpion envenomation with Scorpifav: 15 in Mali, 3 in Chad, and 1 in Niger. Systemic signs were observed in 7 patients. Two soldiers and 7 civilians were treated with Fav-Afrique for ophidian envenomation: 5 in Djibouti, 3 in Mali, and 1 in the Republic of C&#xf4;te d'Ivoire. These 28 patients were treated without sequelae. Other than moderate erythema that resolved with an antihistamine, no adverse effects were reported. Medical evacuation to France was unnecessary.</AbstractText><AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">This study shows that the risk of envenomation for soldiers on deployment is low but real. Antivenoms used by the FMHS were efficient and well tolerated, preserving the operational capacity of deployed troops.</AbstractText><CopyrightInformation>Copyright &#xa9; 2020 Wilderness Medical Society. Published by Elsevier Inc. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Bomba</LastName><ForeName>Aurore</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>French Military Health Service Academy, Ecole du Val-de-Gr&#xe2;ce, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Favaro</LastName><ForeName>Pascal</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>French Armed Forces Health Products Supply Directorate, Orl&#xe9;ans, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Haus</LastName><ForeName>Rachel</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Central Directorate of the French Military Health Service, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Aigle</LastName><ForeName>Luc</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>French Military Health Service Academy, Ecole du Val-de-Gr&#xe2;ce, Paris, France; 10(th) Military Medical Center, Aubagne, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Jean</LastName><ForeName>Fran&#xe7;ois-Xavier</ForeName><Initials>FX</Initials><AffiliationInfo><Affiliation>Department of Anesthesiology and Intensive Care, Desgenettes Military Hospital, Lyon, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dauphin</LastName><ForeName>Isabelle</ForeName><Initials>I</Initials><AffiliationInfo><Affiliation>Central Directorate of the French Military Health Service, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Guigon</LastName><ForeName>Pierre</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>French Armed Forces Health Products Supply Directorate, Orl&#xe9;ans, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Fontaine</LastName><ForeName>Bruno</ForeName><Initials>B</Initials><AffiliationInfo><Affiliation>French Military Health Service Academy, Ecole du Val-de-Gr&#xe2;ce, Paris, France; Department of Anesthesiology and Intensive Care, Robert Picqu&#xe9; Military Hospital, Bordeaux, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Puidupin</LastName><ForeName>Marc</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Military Health Service Academy, Libreville, Gabon.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Demoncheaux</LastName><ForeName>Jean-Paul</ForeName><Initials>JP</Initials><AffiliationInfo><Affiliation>Central Directorate of the French Military Health Service, Paris, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Larr&#xe9;ch&#xe9;</LastName><ForeName>S&#xe9;bastien</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Medical Biology, B&#xe9;gin Military Hospital, Saint-Mand&#xe9;, France. Electronic address: slarreche@hotmail.fr.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>04</Month><Day>21</Day></ArticleDate></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Wilderness Environ Med</MedlineTA><NlmUniqueID>9505185</NlmUniqueID><ISSNLinking>1080-6032</ISSNLinking></MedlineJournalInfo><ChemicalList><Chemical><RegistryNumber>0</RegistryNumber><NameOfSubstance UI="D000997">Antivenins</NameOfSubstance></Chemical></ChemicalList><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000328" MajorTopicYN="N">Adult</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000997" MajorTopicYN="N">Antivenins</DescriptorName><QualifierName UI="Q000627" MajorTopicYN="Y">therapeutic use</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005602" MajorTopicYN="N" Type="Geographic">France</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000079644" MajorTopicYN="N">Military Health</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008889" MajorTopicYN="N">Military Personnel</DescriptorName><QualifierName UI="Q000706" MajorTopicYN="Y">statistics &amp; numerical data</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012307" MajorTopicYN="N">Risk Factors</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D065008" MajorTopicYN="N">Scorpion Stings</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012909" MajorTopicYN="N">Snake Bites</DescriptorName><QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName><QualifierName UI="Q000628" MajorTopicYN="Y">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D055815" MajorTopicYN="N">Young Adult</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Africa</Keyword><Keyword MajorTopicYN="N">antivenom</Keyword><Keyword MajorTopicYN="N">armed forces</Keyword><Keyword MajorTopicYN="N">envenomation</Keyword><Keyword MajorTopicYN="N">soldiers</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2019</Year><Month>9</Month><Day>4</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2019</Year><Month>12</Month><Day>2</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2020</Year><Month>1</Month><Day>15</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2020</Year><Month>4</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2020</Year><Month>9</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2020</Year><Month>4</Month><Day>26</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">32331950</ArticleId><ArticleId IdType="doi">10.1016/j.wem.2020.01.006</ArticleId><ArticleId IdType="pii">S1080-6032(20)30017-X</ArticleId></ArticleIdList></PubmedData></PubmedArticle></PubmedArticleSet>