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临床试验/ISRCTN14332621
ISRCTN14332621已完成未知

Randomised controlled non-inferiority trial of topical chlorhexidine 0.2% versus topical natamycin 5% for fungal keratitis in Nepal

ondon School of Hygiene and Tropical Medicine0 个研究点目标入组 354 人开始时间: 2019年5月15日最近更新:

试验速览

阶段
未知
状态
已完成
发起方
入组人数
354

研究概览

简要总结

2021 Results article in https://pubmed.ncbi.nlm.nih.gov/34896126/ (added 14/12/2021) 2020 Protocol article in https://pubmed.ncbi.nlm.nih.gov/32998924/ (added 17/08/2022)

研究设计

研究类型
Interventional

入排标准

性别
All

入选标准

  • 1. Acute microbial keratinitis characterised by:?
  • 1.1 Corneal epithelial ulceration >1mm diameter ?
  • 1.2 Corneal stromal infiltrate?
  • 1.3 Acute inflammation: e.g. conjunctival injection, anterior chamber ?inflammatory cells, hypopyon. ?
  • 2. Filamentous fungal hyphae visualised on smear microscopy and/or in vivo confocal microscopy.
  • 3. Agree to be randomised to either treatment arm and able to give informed consent
  • 4. Agree to be followed up at 2 days, 1 week, 2 weeks, 3 weeks, 2 months and 3 months
  • 5. Adults (18 years and older)

排除标准

  • 1. Unwilling to participate in trial or attend follow-up ?
  • 2. Aged less than 18 years
  • 3. Pregnancy: self-reported, or by urine hCG pregnancy test if uncertain. ?
  • 4. Breast feeding: self-reported ?
  • 5. Prior topical anti-fungal treatment
  • 6. No light perception in the affected eye
  • 7. Fellow eye visual acuity <6/60 ?
  • 8. Acanthamoebic infection visualised by smear microscopy or IVCM
  • 9. Clinical evidence of herpetic keratitis
  • 10. Known allergy to study medication (including preservatives)
  • 11. Previous penetrating keratoplasty in the affected eye
  • 12. Bilateral corneal ulcers
  • 13. Very severe ulcers warranting immediate evisceration or conjunctival flap
  • 14. Fungal Endophthalmitis ?

研究者

发起方
ondon School of Hygiene and Tropical Medicine

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