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Fig 1.

PRISMA flowchart.

Study flow depicting search strategy, inclusion/exclusion criteria, and summary of systematic review.

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Table 1.

Quality assessment of diagnostic accuracy studies.

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Fig 2.

Comparisons by reference test.

Summary of the 139 papers by reference test, including 413 index/reference comparisons. Of the culture reference tests, 80% were blood culture, making up 57% of all reference tests.

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Table 2.

Meta-analysis results by study quality.

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Fig 3.

Meta-analysis results.

Graphical illustration of sensitivities (y-axis) and specificities (x-axis) corresponding to comparisons included in the meta-analysis: PCR-based assays (A), anti-LPS assays (B), TUBEX® assays (C), anti-S. typhi assays (D), Typhidot assays (E), Widal assays (F). Meta-analysis was performed using bivariate random effects binomial regression (STATA command: metandi). Sizes of individual study estimates (grey circle) represent sample size. Summary point (red square), hierarchical summary receiver operating characteristic curves (green line), 95% confidence regions (yellow dashed line), and 95% prediction regions (grey dashed line) are depicted.

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Table 3.

Constructed numerical example.

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Table 3 Expand