A5V4d

Feverish illness in children
Number
of
studies
Score > 9
90
Number
of
children
Sensitivity
(95%
confidence
interval)
For detecting serious bacterial infection
1
(Thayyil,
2005)
Score of > 10
72 13 (0 to 35)
a
Specificity
(95%
confidence
interval)
33 (21 to 44)
a
Positive
predictive
value
(95%
confidence
interval)
Negative
predictive
value
(95%
confidence
interval)
2 (0 to 7) a 75 (59 to
91) a
For detecting serious illness (including aseptic bacterial meningitis)
1 (Baker,
1990)
126 46 (30 to
62) b
For detecting serious bacterial infection
1
(Galetto-
Lacour,
2003)
1
(Andreol
a, 2007)
80 (71 to 88)
b
49 (32 to
65) b
110 23 (5 to 54) 82 (67 to 92) 32 (12 to
51)
408 38 (28 to
48) b
For detecting bacteraemia
1
(Teach,
1995)
1 (Bang,
2009)
68 (63 to 73)
b
6680 5 (2 to 8) b 97 (96 to 97)
b
219 88 (71 to
93)
For detecting bacterial disease
1 (Baker,
1990)
126 33 (7 to 60)
b
For detecting urinary tract infection
1 (Zorc,
1995)
Score of 10 to 16
26 (19 to
34) b
84 (73 to 87) 68 (56 to
78)
73 (65 to 81)
b
1025 4 (0 to 9) a 93 (91 to 94)
a
For detecting serious bacterial infection
1
(Andreol
a, 2007)
Score of 11 to 15
408 43 (33 to
53) a
For detecting serious illness
1
(McCart
hy,
1982)
312 31 (16 to
46) a
74 (69 to 79)
a
84 (79 to 89)
a
78 (70 to
87) b
75 (66 to
84)
79 (74 to
83) b
5 (2 to 7) b 97 (97 to
98) b
11 (1 to 22)
b
95 (89 to
98)
91 (85 to
97) b
6 (0 to 11) a 91 (89 to
93) a
33 (24 to
41) a
26 (13 to
39) a
81 (77 to
86) a
87 (82 to 2)
a
Positive
likelihood
ratio
(95%
confidence
interval)
0.2 (0.0 to
1.2) a
2.3 (1.3 to
3.9) a
1.3 (0.6 to
2.9) b
1.2 (0.9 to
1.6) b
1.6 (0.9 to
3.0) a
5.4 (3.7 to
7.9)
1.2 (0.5 to
2.9) a
0.6 (0.2 to
1.6) a
1.6 (1.2 to
2.2) a
1.9 (1.1 to
3.4) a
Negative
likelihood
ratio
(95%
confidence
interval)
2.7 (1.7 to
4.1) a
0.7 (0.5 to
0.9) a
0.9 (0.8 to
1.2) b
0.9 (0.8 to
1.1) b
1.0 (0.9 to
1.0) a
0.1 (0.1 to
0.3)
0.9 (0.6 to
1.4) a
1.0 (1.0 to
1.1) a
0.8 (0.6 to
0.9) a
0.8 (0.7 to
1.0) a
Quality
Low
Modera
te
Very
low
Low
Very
low
Modera
te
Modera
te
Modera
te
Low
Low