Hostname: page-component-848d4c4894-pjpqr Total loading time: 0 Render date: 2024-06-14T07:38:14.841Z Has data issue: false hasContentIssue false

Adenovirus type 8 keratoconjunctivitis – an outbreak and its treatment with topical human fibroblast interferon

Published online by Cambridge University Press:  19 October 2009

Sheena Reilly
Affiliation:
Department of Microbiology and Public Health Laboratory, Derriford Hospital, Plymouth PL6 8DH
B. J. Dhillon
Affiliation:
Royal Eye Infirmary, Apsley Road, Plymouth PL4 6PL
Kamona M. Nkanza
Affiliation:
Royal Eye Infirmary, Apsley Road, Plymouth PL4 6PL
Annette M. D'Souza
Affiliation:
Royal Eye Infirmary, Apsley Road, Plymouth PL4 6PL
N. Taylor
Affiliation:
Royal Eye Infirmary, Apsley Road, Plymouth PL4 6PL
Sandra J. Hobbs
Affiliation:
Joint Regional Public Health and District Virology Laboratory, Myrtle Road, Kingsdown, Bristol BS2 8EL
A Freke
Affiliation:
Joint Regional Public Health and District Virology Laboratory, Myrtle Road, Kingsdown, Bristol BS2 8EL
A. P. C. H. Roome
Affiliation:
Joint Regional Public Health and District Virology Laboratory, Myrtle Road, Kingsdown, Bristol BS2 8EL
Rights & Permissions [Opens in a new window]

Summary

Core share and HTML view are not available for this content. However, as you have access to this content, a full PDF is available via the ‘Save PDF’ action button.

An outbreak of keratoconjunctivitis is described which involved at least 186 people; adenovirus type 8 was identified in 50 of the cases. Topical human fibroblast interferon was assessed in a double-blind, placebo-controlled study in which 34 patients participated. Seventeen of the 34 trial patients yielded adenovirus type 8; three were infected with adenovirus type 7. The outbreak was curtailed by control of infection measures: principally careful hand-washing by medical personnel between cases and by discouraging attendance of new cases at the Eye Infirmary. Consequently the trial numbers are small. In addition there was a wide interpatient variation in the severity of infection. Therefore it was not possible to make any statistically valid conclusions concerning the recovery rate of patients receiving interferon or placebo.

Type
Research Article
Copyright
Copyright © Cambridge University Press 1986

References

REFERENCES

Anonymous (1983). Eye hospital eye. Lancet ii, 10651066.Google Scholar
Barnard, D. L., Dean, Hart J. C., Marmion, V. J. & Clarke, S. K. R. (1973). Outbreak in Bristol of conjunctivitis caused by adenovirus type 8, and its epidemiology and control. British Medical Journal 2, 165169.CrossRefGoogle ScholarPubMed
Bell, E. J., Martin, K. W. & Ross, C. A. C. (1969).Laboratory diagnosis of epidemic keratoconjunctivitis. Journal of Medical Microbiology 2, 125130.CrossRefGoogle ScholarPubMed
Clarke, S. K. R., Dean, Hart J. C. & Barnard, D. L. (1972). The disinfection of instruments and hands during outbreaks of epidemic keratoconjunctivitis. Transactions of the Ophthalmological Societies of the United Kingdom 92, 613617.Google ScholarPubMed
Fuchs, E. (1889). Keratitis punctata superficialis. Wiener Klinische Wochenschrift 2, 837841.Google Scholar
Graham, F. L., Smiley, J., Russell, W. C. & Nairn, R. (1977). Characteristics of a human cell line transformed by DNA from human adenovirus type 5. Journal of General Virology 36, 5972.CrossRefGoogle ScholarPubMed
Hogan, M. J. & Crawford, J. W. (1942). Epidemic keratoconjunctivitis. American Journal of Ophthalmology 25, 10591078.CrossRefGoogle Scholar
Jawetz, E. (1959). The story of shipyard eye. British Medical Journal 1, 873876.CrossRefGoogle ScholarPubMed
Jawetz, E., Kimura, S. J., Hanna, L., Coleman, V. R., Thygeson, P. & Nicholas, A. (1955). Studies on the aetiology of epidemic keratoconjunctivitis. American Journal of Ophthalmology 40, 200209.CrossRefGoogle ScholarPubMed
Patrick, S. & Matthews, S. (1981). Adenovirus 8 outbreak in ophthalmology department. P.H.L.S. Communicable Disease Surveillance Centre Report 6, 3.Google Scholar
Richmond, S. & Dodd, C. L. (1983). Eye hospital eye. Lancet ii, 1308.CrossRefGoogle Scholar
Richmond, S., Burman, R., Crosdale, E., Cropper, H., Longson, D., Enoch, B. E. & Dodd, C. L. (1984). A large outbreak of keratoconjunctivitis due to adenovirus type 8. Journal of Hygiene 93, 285291.CrossRefGoogle ScholarPubMed
Romano, A., Revel, M., Guarari-Rotman, D., Blumenthal, M. & Stein, R. (1980). Use of human fibroblast-derived (beta) interferon in the treatment of epidemic adenovirus keratoconjunctivitis. Journal of Interferon Research, 1, 95100.CrossRefGoogle ScholarPubMed
Svensson, L. & von Bonsdorff, C-H. (1982). Solid-phase immune electron microscopy (SPIEM) by use of protein A and its application for characterisation of selected adenovirus serotypes. Journal of Medical Virology 10, 243253.CrossRefGoogle ScholarPubMed
Wright, R. E. (1930). Superficial punctate keratitis. British Journal of Ophthalmology 14, 257291.CrossRefGoogle ScholarPubMed
Yirrell, D. L., Roome, A. P. C. H., Darville, J. M., Ashley, C. R. & Harbour, J. (1983). Comparison of the continuous cell line 293 with human embryo kidney cells and human embryo fibroblast cells for the cultivation of ocular viruses. Journal of Clinical Pathology 36, 996999.CrossRefGoogle ScholarPubMed