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Letter
An evidence and consensus based guideline for acute diarrhoea management
  1. K Armon,
  2. M Lakhanpaul,
  3. T Stephenson
  1. On behalf of the Paediatric A&E Research Group

https://doi.org/10.1136/adc.86.2.138

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    We would like to respond to the commentary1 on our paper on the above.2 The following points require clarification.

    Dr Baumer states that “Dr Armon and colleagues have used a formal consensus process to provide guidance ...” The recommendations provided were evidence based wherever evidence was available, with a formal consensus process used additionally. A systematic review of the literature was undertaken. We complied with the essential elements of a systematic review in accordance with the Scottish Intercollegiate Guidelines network. Thus the literature must be identified according to an explicit search strategy; selected according to defined inclusion and exclusion criteria; and evaluated against consistent methodological standards.3 As is stated in the text, mesh heading and text word searching was performed.

    Formal consensus development was used:

    • To develop recommendations where evidence was not available. …

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