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

Daniels 1990 LES.

Methods Case‐control study (clinic‐based)
Participants Cases: children aged < 5 years who presented to the participating health facilities with diarrhoea, n = 803 (after excluding 3), 43.5% aged < 12 months, 48.8% girls.
Controls: the same age range who reported with either respiratory infections or trauma, but without diarrhoea. Children also had to: be accompanied by a parent or guardian who had been responsible for the child for the previous 3 months, be living in a HH within Mohale's Hoek district, have no congenital abnormality or chronic illness, and the accompanying adult had to consent to his or her child's inclusion in the study. n = 810 (after excluding 4). 54.6% < 12 months, 52.4% girls.
Interventions Risk factor of interest:
  • child faeces disposed in latrine vs not (no usable data, data reported for cases and controls jointly).

Outcomes Diarrhoea: as defined by the mother, with ≥ 3 loose or watery stools in previous 24 hours
Notes Location: 4 health facilities in rural Mohale's Hoek district, Lesotho
Length of recruitment: 6 months (8 December 1987 to 6 June 1988)
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