A5V4d

Table 5.42 – evaluation of tenderness on examination
Table 5.43 – evaluation of urinary symptoms
Table 5.44 – evaluation of abnormal ear, nose and throat signs
Table 5.45 – evaluation of rigors and/or chills
Table 5.46 – evaluation of Yale Observation Scale
Table 5.47 – comparison of Yale Observation Scores
Table 5.3 GRADE profile for evaluation of colour
Number
of
studies
Number
of
children
Sensitivity
(95%
confidence
interval)
Specificity
(95%
confidence
interval)
Colour (cyanotic or pale or flushed/mottled)
For detecting serious bacterial infection
1
(Berger,
1996)
138 36
(20 to 53) a
For detecting urinary tract infection
1
(Newma
n, 2002)
1666 9
(5 to 14) a
40
(31 to 49) a
92
(90 to 93) a
Positive
predictive
value
(95%
confidence
interval)
16
(8 to 24) a
11
(6 to 16) a
Clinical assessment of the child with fever
Negative
predictive
value
(95%
confidence
interval)
67
(55 to 78) a
90
(89 to 92) a
Positive
likelihood
ratio
(95%
confidence
interval)
0.6
(0.4 to 1.0) a
1.1
(0.7 to 1.8) a
a Calculated by a member of the technical team at the NCC-WCH based on results reported in the study
Table 5.4 GRADE profile for evaluation of social cues
Number
of
studies
Number
of
children
Sensitivity
(95%
confidence
interval)
Decreased social interaction
For detecting urinary tract infection
1
(Newma
n, 2002)
1666 24
(17 to 30) a
Specificity
(95%
confidence
interval)
74
(71 to 76) a
Positive
predictive
value
(95%
confidence
interval)
9
(6 to 11) a
Negative
predictive
value
(95%
confidence
interval)
90
(88 to 92) a
Positive
likelihood
ratio
(95%
confidence
interval)
0.9
(0.7 to 1.2) a
a Calculated by a member of the technical team at the NCC-WCH based on results reported in the study
Negative
likelihood
ratio
(95%
confidence
interval)
1.6
(1.1 to 2.3) a
1.0
(0.9 to 1.0) a
Negative
likelihood
ratio
(95%
confidence
interval)
1.0
(0.9 to 1.1) a
Quality
Low
Low
Quality
Low
57
2013 Update