Doctors' awareness concerning primary immunodeficiencies in Brazil

Doctors' awareness concerning primary immunodeficiencies in Brazil

Author Dantas, Ellen de Oliveira Autor UNIFESP Google Scholar
Aranda, Carolina Sanchez. Autor UNIFESP Google Scholar
Silva, A. M. Rego Google Scholar
Tavares, F. S. Google Scholar
Ferreira, Janaira Fernandes Severo Google Scholar
Coelho, M. A. de Quadros Google Scholar
Kovalhuk, L. C. de Siqueira Google Scholar
Roxo Júnior, Pérsio Google Scholar
Toledo, E. C. Google Scholar
Neto, A. C. Porto Google Scholar
Vieira, H. M. C. de Sousa Google Scholar
Takano, O. A. Google Scholar
Nobre, Fernanda Aimée Autor UNIFESP Google Scholar
Sano, Flavio Google Scholar
Nudelman, Victor Google Scholar
Sales, V. S. de Farias Google Scholar
Segundo, G. R. Silva Google Scholar
Guedes, H. T. Villar Google Scholar
Félix, Erika Autor UNIFESP Google Scholar
Marques, S. M. B. Google Scholar
Mazzucchelli, Juliana Themudo Lessa Autor UNIFESP Google Scholar
Wandalsen, Neusa Falbo Google Scholar
Pinto, J. A. Google Scholar
Barreto, I. C. D. Paes Google Scholar
Silva, M. R. Google Scholar
Rullo, V. E. V. Google Scholar
Franco, J. M. Google Scholar
Damasceno, Eaine Autor UNIFESP Google Scholar
Fahl, Kristine Google Scholar
Moraes-Pinto, M. I. de Autor UNIFESP Google Scholar
Del Nero, D L Google Scholar
Moraes, L. S. L. Google Scholar
Condino-Neto, Antonio Google Scholar
Vilela, M. M. Google Scholar
Goes, H. Google Scholar
Schisler, Long Schisler Google Scholar
Miranda, E. Google Scholar
Goudouris, Ekaterini Simoes Google Scholar
Costa-Carvalho, Beatriz Tavares Autor UNIFESP Google Scholar
Institution 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)
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.
Keywords Immunological deficiency syndromes
Questionnaires
Physicians
Health knowledge
Attitudes
Practice
Language English
Sponsor Jeffrey Modell Foundation
Brazilian Jeffrey Modell Centre
Date 2015-05-01
Published in Allergologia Et Immunopathologia. Barcelona: Elsevier Doyma Sl, v. 43, n. 3, p. 272-278, 2015.
ISSN 0301-0546 (Sherpa/Romeo, impact factor)
Publisher Elsevier B.V.
Extent 272-278
Origin http://dx.doi.org/10.1016/j.aller.2014.09.002
Access rights Closed access
Type Article
Web of Science ID WOS:000355059700007
URI http://repositorio.unifesp.br/handle/11600/39038

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