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Title: Doctors' awareness concerning primary immunodeficiencies in Brazil
Authors: Dantas, Ellen de Oliveira [UNIFESP]
Aranda, Carolina Sanchez. [UNIFESP]
Silva, A. M. Rego
Tavares, F. S.
Ferreira, Janaira Fernandes Severo
Coelho, M. A. de Quadros
Kovalhuk, L. C. de Siqueira
Roxo Júnior, Pérsio
Toledo, E. C.
Neto, A. C. Porto
Vieira, H. M. C. de Sousa
Takano, O. A.
Nobre, Fernanda Aimée [UNIFESP]
Sano, Flavio
Nudelman, Victor
Sales, V. S. de Farias
Segundo, G. R. Silva
Guedes, H. T. Villar
Félix, Erika [UNIFESP]
Marques, S. M. B.
Mazzucchelli, Juliana Themudo Lessa [UNIFESP]
Wandalsen, Neusa Falbo
Pinto, J. A.
Barreto, I. C. D. Paes
Silva, M. R.
Rullo, V. E. V.
Franco, J. M.
Damasceno, Eaine [UNIFESP]
Fahl, Kristine
Moraes-Pinto, M. I. de [UNIFESP]
Del Nero, D L
Moraes, L. S. L.
Condino-Neto, Antonio
Vilela, M. M.
Goes, H.
Schisler, Long Schisler
Miranda, E.
Goudouris, Ekaterini Simoes
Costa-Carvalho, Beatriz Tavares [UNIFESP]
Universidade Federal de São Paulo (UNIFESP)
Universidade Federal de Pernambuco (UFPE)
Univ Hosp
Childrens Hosp
Albert Sabin Childrens Hosp
Univ Estadual Montes Claros
Univ Fed Parana
Universidade de São Paulo (USP)
Univ Hosp Sao Vicente Paulo
Joana Gusmao Childrens Hosp
Univ Hosp Muller
Univ Fed Mato Grosso
Nipo Brasileiro Hosp
Hosp lsraelita Albert Einstein
Univ Fed Rio Grande do Norte
Universidade Federal de Uberlândia (UFU)
Universidade Federal da Bahia (UFBA)
Univ Estadual Piaui
Universidade Federal do ABC (UFABC)
Universidade Federal de Minas Gerais (UFMG)
Univ Ctr Para
Univ Fed Sergipe
Hosp Servidor Publ Municipal
Private Off
Hosp Ministro Costa Cavalcanti
Childrens Hosp Cosme & Damitio
Universidade Federal do Rio de Janeiro (UFRJ)
Keywords: Immunological deficiency syndromes
Health knowledge
Issue Date: 1-May-2015
Publisher: Elsevier B.V.
Citation: Allergologia Et Immunopathologia. Barcelona: Elsevier Doyma Sl, v. 43, n. 3, p. 272-278, 2015.
Abstract: 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. (C) 2014 SEICAP. Published by Elsevier Espana, S.L.U. All rights reserved.
ISSN: 0301-0546
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