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

Baltazar 1989 PHI.

Methods Case‐control study
Participants Cases: children aged < 2 years brought to clinic for diarrhoea, n = 275 (after excluding 6), 68% aged < 1 year
Controls: children aged < 2 years brought to clinic for ARI without diarrhoea in past 24 hours, n = 381 (after excluding 3), 73% aged < 1 year
Interventions Risk factor of interest:
  • unsanitary vs sanitary disposal of stools:

    • sanitary: child defecated in a nappy and faeces were thrown away in washing, child used potty/piece of paper and faecal matter was thrown in the toilet or child used the toilet;

    • unsanitary: faecal matter was deposited elsewhere than latrine/child defecated outside (regardless of where faecal matter was finally thrown away).

Outcomes Diarrhoea (no case definition)
Rectal swabs for diagnosis of diarrhoea pathogens and carried out a subgroup analysis for laboratory‐confirmed cases.
Notes Location: 16 clinics, Cebu area (urban and rural), Phillippines
Length of recruitment: 5 months (June–October 1985)
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