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Table 1 CoCanCPG adapted checklist for critical appraisal of literature

From: Management and control of communicable diseases in schools and other child care settings: systematic review on the incubation period and period of infectiousness

Author, year

Ida Czumbel, Chantal Quinten, Pierluigi Lopalco, Jan C. Semenza

2018

Journal

BMC infectious diseases

Internal validity

 

The study addresses a clearly focused question

Page 4

The study population is clearly described

Page 4

The population is representative of the source population

Extraction table:

https://www.ecdc.europa.eu/en/publications-data/extraction-tables-systematic-review-incubation-and-infectiousnessshedding-period

Cases are clearly defined

Extraction table:

https://www.ecdc.europa.eu/en/publications-data/extraction-tables-systematic-review-incubation-and-infectiousnessshedding-period

Pathogen presence is lab-confirmed via standard valid and reliable methods (in outbreak investigations: at least once, in other studies: for most cases)(not necessary in case of erythematous diseases)

Extraction table:

https://www.ecdc.europa.eu/en/publications-data/extraction-tables-systematic-review-incubation-and-infectiosnessshedding-period

The outcomes are clearly defined

Pages 6–11

Where applicable, sampling frequency is sufficient

Extraction table:

https://www.ecdc.europa.eu/en/publications-data/extraction-tables-systematic-review-incubation-and-infectiousnessshedding-period

Where applicable, modifying variables (such as age, treatment, vaccination status, symptoms) are identified and taken into account in the analysis

Extraction table:

https://www.ecdc.europa.eu/en/publications-data/extraction-tables-systematic-review-incubation-and-infectiousnessshedding-period

Variation (e.g. range, SD) in outcome of interest is provided

Pages 6–11

Where applicable, variation (e.g. range, SD) in outcome of interest is provided for separate strata

Pages 6–11

The outcome of interest the main subject of the paper

Pages 6–11

External validity

The population is representative of the target population (otherwise healthy children in day care facilities or schools)

Extraction table:

https://www.ecdc.europa.eu/en/publications-data/extraction-tables-systematic-review-incubation-and-infectiousnessshedding-period

Overall assessment of the study

Are the results valid?

Level of evidence Source of data (Adapted Pallas)

I. Systematic review, metaanalysis or well-designed epidemilogic or experimental study with ≥50 subjects

II. Well-designed epidemilogic or experimental study with 5–50 subjects

III. Case reports with < 5 subjects, or poorly substantiated larger study

IV. Opinion or clinical experience of experts (not supported by published data)

Level (I) A evidence: varicella

Level (II) B evidence: measles, mumps, rubella, pertussis, meningococcal disease, EHEC, hepatitis A, influenza,

Design-specific comments/limitations (e.g. in case of trials)

for certain diseases only a few studies exist difficulty in finding the relevant information in a systematic search, as parameters are not always in title/abstract/key words poor sampling procedures, poor definition of key variables, poor reporting of study population and small sample size no standards on the effectiveness of public health interventions e.g. exclusions exist thus no conclusions on the effectiveness of school exclusion can be drawn based on our findings

General comments/limitation

Relevant publications in the field of infectious diseases also include outbreak investigations, surveillance studies or other observational studies and for these studies no standard CoCanCPG checklists are available, for the existing review the checklist was adapted.

General comment

The findings could serve as a basis for the development of an evidence based document on minimum school leave for an infectious disease