Doctors’ awareness concerning primary immunodeficiencies in Brazil

• E.O. Dantas ^[3] ; C.S. Aranda ^[3] ; A.M. Rêgo Silva ^[4] ; F.S. Tavares ^[16] ; J.F. Severo Ferreira ^[17] ; M.A. de Quadros Coelho ^[18] ; L.C. de Siqueira Kovalhuk ^[5] ; P. Roxo Júnior ^[1] ; E.C. Toledo ^[19] ; A.C. Porto Neto ^[20] ; H.M.C. de Sousa Vieira ^[20] ; O.A. Takano ^[11] ; F.A. Nobre ^[3] ; F. Sano ^[21] ; V. Nudelman ^[22] ; V.S. de Farias Sales ^[6] ; G.R. Silva Segundo ^[7] ; H.T. Villar Guedes ^[23] ; E. Félix ^[3] ; S.M.B. Marques ^[23] ; J.T.L. Mazzucchelli ^[3] ; N.F. Wandalsen ^[24] ; J.A. Pinto ^[8] ; I.C.D. Paes Barreto ^[25] ; M.R. Silva ^[26] ; V.E.V. Rullo ^[26] ; J.M. Franco ^[9] ; E. Damasceno ^[3] ; K. Fahl ^[22] ; M.I. de Moraes-Pinto ^[3] ; D.L. Del Nero ^[10] ; L.S.L. Moraes ^[11] ; A. Condino-Neto ^[1] ; M.M. Vilela ^[12] ; H. Góes ^[13] ; K.L. Schisler ^[14] ; E. Miranda ^[15] ; E.S. Goudouris ^[2] ; B.T. Costa Carvalho ^[3]
  1. [1] Universidade de São Paulo

     Universidade de São Paulo

     Brasil

     
  2. [2] Universidade Federal do Rio de Janeiro

     Universidade Federal do Rio de Janeiro

     Brasil

     
  3. [3] Universidade Federal de São Paulo

     Universidade Federal de São Paulo

     Brasil

     
  4. [4] Universidade Federal de Pernambuco

     Universidade Federal de Pernambuco

     Brasil

     
  5. [5] Universidade Federal do Paraná

     Universidade Federal do Paraná

     Brasil

     
  6. [6] Universidade Federal do Rio Grande do Norte

     Universidade Federal do Rio Grande do Norte

     Brasil

     
  7. [7] Universidade Federal de Uberlândia

     Universidade Federal de Uberlândia

     Brasil

     
  8. [8] Universidade Federal de Minas Gerais

     Universidade Federal de Minas Gerais

     Brasil

     
  9. [9] Universidade Federal de Sergipe

     Universidade Federal de Sergipe

     Brasil

     
  10. [10] Hospital do Servidor Público Municipal

      Hospital do Servidor Público Municipal

      Brasil

      
  11. [11] University Hospital Júlio Muller
  12. [12] University of Campinas Medical School
  13. [13] Private office, Macapá
  14. [14] Hospital Ministro Costa Cavalcanti
  15. [15] Children's Hospital Cosme e Damião
  16. [16] University Hospital of Brasília
  17. [17] Albert Sabin Children's Hospital
  18. [18] State University of Montes Claros
  19. [19] Faculty of Medicine of São José do Rio Preto
  20. [20] University Hospital São Vicente de Paulo
  21. [21] Nipo Brasileiro Hospita
  22. [22] Hospital Israelita Albert Einstein
  23. [23] State University of Piauí
  24. [24] Faculty of Medicine of ABC, Santo André
  25. [25] University Center of Pará
  26. [26] Medicine Course of Lusiada University Center (UNILUS)

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• Localización: Allergologia et immunopathologia: International journal for clinical and investigate allergology and clinical immunology, ISSN-e 1578-1267, ISSN 0301-0546, Vol. 43, Nº. 3, 2015, págs. 272-278
• Idioma: inglés
• Texto completo no disponible (Saber más ...)
• Resumen

  • Background PIDs are a heterogeneous group of genetic illnesses, and delay in their diagnosis is thought to be caused by a lack of awareness among physicians concerning PIDs. The latter is what we aimed to evaluate in Brazil.

    Methods Physicians working at general hospitals all over the country were asked to complete a 14-item questionnaire. One of the questions described 25 clinical situations that could be associated with PIDs and a score was created based on percentages of appropriate answers.

    Results A total of 4026 physicians participated in the study: 1628 paediatricians (40.4%), 1436 clinicians (35.7%), and 962 surgeons (23.9%). About 67% of the physicians had learned about PIDs in medical school or residency training, 84.6% evaluated patients who frequently took antibiotics, but only 40.3% of them participated in the immunological evaluation of these patients. Seventy-seven percent of the participating physicians were not familiar with the warning signs for PIDs. The mean score of correct answers for the 25 clinical situations was 48.08% (±16.06). Only 18.3% of the paediatricians, 7.4% of the clinicians, and 5.8% of the surgeons answered at least 2/3 of these situations appropriately.

    Conclusions There is a lack of medical awareness concerning PIDs, even among paediatricians, who have been targeted with PID educational programmes in recent years in Brazil. An increase in awareness with regard to these disorders within the medical community is an important step towards improving recognition and treatment of PIDs.