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The purpose of this study is to compare a corneal sampling realized by a flocked swab (flocked swab regular 519CS01) with a sampling by traditional fiber swab (Copan regular swab 164KS01 in polyester). Their impact on the sensibility of the viral culture in the Herpes simplex epithelial keratitis will be the primary objective of this study.
In our center, the flocked swabs became an important tool in the corneal sampling for viral keratitis, replacing rightly or wrongly the former traditional fibers swab. No research was specifically designed to study the corneal taking with these swabs. Nevertheless, numerous reasons would motivate it, because of the peculiarities in ophthalmology: the corneal sampling has to be made with the slit lamp rather than in a macroscopic manner; the corneal lesion are often millimetre-length and confined; the histology of the cornea is unique and compares only imperfectly with other structures of the human body like the nasal mucosa. In these circumstances, the properties of the stalk (rigidity, length) and of its extremity (roughness, textures, absorbance) can influence the quality of the sampling and the final result of the culture.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Flocked swab (Copan 519CS01) | Experimental | Sampling of the cornea by the flocked swab |
|
| Traditionnal fiber swab (Copan 164KS01) | Experimental | Sampling of the cornea by the traditional finer swab |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Corneal sampling | Procedure | Slit lamp corneal sampling with a Swab |
|
| Measure | Description | Time Frame |
|---|---|---|
| Result of the culture | The result can be Positive or negative for Herpes simplex virus (HSV). Even if the result will be available in less than 1 week by the clinician after the culture, the research team will collect the data 1 month in average after the initial visit. | 1 month after the initial visit |
| Measure | Description | Time Frame |
|---|---|---|
| Time before positivity of the culture | If the culture is positive for Herpes simplex virus, what is the time lapse(in day) before the culture became positive. The research team will collect the data 1 month in average after the initial visit by examining the microbiologic data of the laboratory. | 1 month after the initial visit |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Patricia-Ann Laughrea, MD, CRMC(C) | Centre de recherche du CHU de Québec; Université Laval | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Centre universitaire d'ophtalmologie, Hôpital du Saint-Sacrement, CHU de Québec | Québec | Quebec | G1S 4L8 | Canada |
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| ID | Term |
|---|---|
| D016849 | Keratitis, Herpetic |
| ID | Term |
|---|---|
| D015828 | Eye Infections, Viral |
| D015817 | Eye Infections |
| D007239 | Infections |
| D006561 | Herpes Simplex |
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| Viral load concentration |
Quantitative polymerase chain reaction (PCR) will be on a part of the sampling 1 month after the initial visit. The result will be the concentration of virus in number/ml detected in the sampling |
| 1 month after the initial visit |
| D006566 |
| Herpesviridae Infections |
| D004266 | DNA Virus Infections |
| D014777 | Virus Diseases |
| D007634 | Keratitis |
| D003316 | Corneal Diseases |
| D005128 | Eye Diseases |