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Towards evidence based medicine for paediatricians
  1. Bob Phillips
  1. Correspondence to Dr Bob Phillips, Centre for Reviews and Dissemination, University of York, York YO10 5DD, UK; bob.phillips{at}

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Messed up references

What can we do with imperfect ‘gold standards’, for example the situation of serious infection in children. We know someone has got a serious infection because they (a) look poorly and (b) have a blood, urine or CSF culture that grows a Nasty Bug That Fits The Picture.

We also know that not all bugs that cause problems are grown in culture bottles.

So, how do we evaluate a new technology, such as …

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  • Competing interests None declared.

  • Provenance and peer review Commissioned; internally peer reviewed.

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