Gasem 2002.
Study characteristics | |||
Patient sampling | Prospective multicentre study Healthcare setting: secondary (3) and tertiary (1) Point of recruitment: inpatient |
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Patient characteristics and setting | Countries: Indonesia Level of typhoid endemicity (Crump 2004): high Age: not stated Gender distribution: not stated Entry criteria: clinical suspicion of typhoid (127) and 80 febrile 'non‐typhoids' Sample size: 207 |
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Index tests | Dipstick assay from the Royal Tropical Institute, Netherlands (KIT) | ||
Target condition and reference standard(s) | Target condition: Salmonella Typhi Reference standards: peripheral blood culture or bone marrow culture, or both |
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Flow and timing | Prospective multi‐centre study. Timing unclear. | ||
Comparative | |||
Notes | Not all patients had both bone marrow culture and blood culture. Study authors classified Isolation of Salmonella Paratyphi as a non‐typhoid case. |
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Methodological quality | |||
Item | Authors' judgement | Risk of bias | Applicability concerns |
DOMAIN 1: Patient Selection | |||
Was a consecutive or random sample of patients enrolled? | Unclear | ||
Was a case‐control design avoided? | No | ||
Did the study avoid inappropriate exclusions? | Yes | ||
High | Low | ||
DOMAIN 2: Index Test All tests | |||
Were the index test results interpreted without knowledge of the results of the reference standard? | Yes | ||
If a threshold was used, was it pre‐specified? | Yes | ||
Low | Low | ||
DOMAIN 3: Reference Standard | |||
Is the reference standards likely to correctly classify the target condition? | Yes | ||
Were the reference standard results interpreted without knowledge of the results of the index tests? | Yes | ||
Low | Low | ||
DOMAIN 4: Flow and Timing | |||
Was there an appropriate interval between index test and reference standard? | Unclear | ||
Did all patients receive the same reference standard? | Yes | ||
Were all patients included in the analysis? | No | ||
Low |