Table 1.

Infectious Diseases Society of America and United States Public Health Service grading system for ranking recommendations4

Category/gradeDefinition
Strength of recommendation  
 A Good evidence to support a recommendation for use  
 B Moderate evidence to support a recommendation for use  
 C Poor evidence to support a recommendation  
 D Moderate evidence to support a recommendation against use  
 E Good evidence to support a recommendation against use  
Quality of evidence  
 I Evidence from ≥ 1 properly randomized, controlled trial  
 II Evidence from ≥ 1 well-designed clinical trial, without randomization; from cohort or case-controlled analytic studies (preferably from > 1 center); from multiple-time series; or from dramatic results from uncontrolled experiments 
 III Evidence from opinions of respected authorities, based on clinical experience, descriptive studies, or reports of expert committees 
Category/gradeDefinition
Strength of recommendation  
 A Good evidence to support a recommendation for use  
 B Moderate evidence to support a recommendation for use  
 C Poor evidence to support a recommendation  
 D Moderate evidence to support a recommendation against use  
 E Good evidence to support a recommendation against use  
Quality of evidence  
 I Evidence from ≥ 1 properly randomized, controlled trial  
 II Evidence from ≥ 1 well-designed clinical trial, without randomization; from cohort or case-controlled analytic studies (preferably from > 1 center); from multiple-time series; or from dramatic results from uncontrolled experiments 
 III Evidence from opinions of respected authorities, based on clinical experience, descriptive studies, or reports of expert committees 

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