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. 2019 Sep 24;2019(9):CD011055. doi: 10.1002/14651858.CD011055.pub2

Arvelo 2009 USA.

Methods Case‐control study
Participants Case LDC: LDC with a secondary attack rate of shigellosis ≥ 2% (median 5%; range 2–25%), n = 18
Control LDCs: LDC with a secondary attack rate < 2% (median 0; range 0–1.2%), n = 21
Interventions Risk factor of interest:
  • no lined, lidded bins for nappy disposal vs lined, lidded bins

Outcomes Daycare centre with a secondary attack rate of shigellosis (shigellosis case was defined as a person with any Shigella species isolated from stool) ≥ 2%.
Notes Location: 39 LDCs in Kansas City metropolitan area, USA
Length: 2 months (October to November 2005)
Publication status: journal
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Unclear risk NA
Allocation concealment (selection bias) Unclear risk NA
Blinding of participants and personnel (performance bias) 
 All outcomes Unclear risk NA
Blinding of outcome assessment (detection bias) 
 All outcomes Unclear risk NA
Incomplete outcome data (attrition bias) 
 All outcomes Unclear risk NA
Selective reporting (reporting bias) Unclear risk NA
Other bias Unclear risk NA
Similarity of baseline outcome measurements Unclear risk NA
Similarity of baseline characteristics Unclear risk NA
Adequate allocation of intervention concealment during the study Unclear risk NA
Adequate protection against contamination Unclear risk NA
Confounders adequately adjusted for in analysis/design Unclear risk NA
Recruitment bias Unclear risk NA
Baseline imbalance Unclear risk NA
Loss of clusters Unclear risk NA
Incorrect analysis Unclear risk NA