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. 2017 Feb 25;2017(2):CD011926. doi: 10.1002/14651858.CD011926.pub2

Tirodker 2003.

Study characteristics
Patient sampling All infants with suspected sepsis in the NICU and PICU during the study period were considered for inclusion in the study.
Patient characteristics and setting Infants admitted in the NICU (n = 46) and PICU (n = 17) with suspected sepsis during the period from November 1999 to November 2000. PCR and blood culture data separately for neonates not available.
Index tests Fungal conventional PCR targeting 18S rRNA.
Target condition and reference standard(s) Suspected sepsis and blood culture.
Flow and timing Excess blood used for culture was used for PCR.
Comparative  
Notes PCR and blood culture data separately for neonates not available. It was unclear how many of the infants admitted in the PICU were neonates hence, not all infants may have met the target condition of neonatal sepsis defined in this study. PCR products were analyzed by 2 independent observers blinded to blood culture results and participant information.
Methodological quality
Item Authors' judgement Risk of bias Applicability concerns
DOMAIN 1: Patient Selection
Was a consecutive or random sample of patients enrolled? Yes    
Was a case‐control design avoided? Yes    
Did the study avoid inappropriate exclusions? Yes    
    Low High
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? Unclear    
    Low High
DOMAIN 4: Flow and Timing
Was there an appropriate interval between index test and reference standard? Yes    
Did all patients receive the same reference standard? Yes    
Were all patients included in the analysis? Yes    
    Low