Dantas Ellen de Oliveira, Aranda Carolina Sanchez, Nobre Fernanda Aimée, Fahl Kristine, Mazzucchelli Juliana Themudo Lessa, Felix Erika, Friedlander-Del Nero Dora Lisa, Nudelman Victor, Sano Flavio, Condino-Neto Antonio, Damasceno Elaine, Costa-Carvalho Beatriz Tavares
Einstein (Sao Paulo). 2013 Dec;11(4):479-85. doi: 10.1590/s1679-45082013000400013.
To evaluate medical knowledge of primary immunodeficiency in the city of São Paulo (SP).
A 14-item questionnaire about primary immunodeficiency was applied to physicians who worked at general hospitals. One of the questions presented 25 clinical situations that could be associated or not with primary immunodeficiency, and the percentage of appropriate answers generated a knowledge indicator.
Seven hundred and forty-six participated in the study, among them 215 pediatricians (28.8%), 244 surgeons (32.7%), and 287 clinicians (38.5%). About 70% of the physicians responded that they had learned about primary immunodeficiency in graduate school or in residency training. Treatment of patients that use antibiotics frequently was reported by 75% dos physicians, but only 34.1% had already investigated a patient and 77.8% said they did not know the ten warning signs for primary immunodeficiency. The knowledge indicator obtained showed a mean of 45.72% (±17.87). Only 26.6% if the pediatricians and 6.6% of clinicians and surgeons showed a knowledge indicator of at least 67% (equivalent to an appropriate answer in two thirds of the clinical situations).
There is a deficit in medical knowledge of primary immunodeficiency in the city of São Paulo, even among pediatricians, despite having greater contact with the theme over the last few years. The improvement of information on primary immunodeficiency in the medical community is an important step towards the diagnosis and treatment process of these diseases.
评估圣保罗市（SP）对原发性免疫缺陷的医学知识掌握情况。
向综合医院的医生发放一份关于原发性免疫缺陷的14项问卷。其中一个问题列出了25种可能与原发性免疫缺陷相关或不相关的临床情况，正确答案的百分比生成一个知识指标。
746人参与了该研究，其中215名儿科医生（28.8%）、244名外科医生（32.7%）和287名临床医生（38.5%）。约70%的医生表示他们是在研究生阶段或住院医师培训期间了解到原发性免疫缺陷的。75%的医生报告了频繁使用抗生素的患者的治疗情况，但只有34.1%的医生曾对患者进行过调查，77.8%的医生表示他们不知道原发性免疫缺陷的十大警示信号。获得的知识指标平均为45.72%（±17.87）。只有26.6%的儿科医生以及6.6%的临床医生和外科医生的知识指标至少为67%（相当于在三分之二的临床情况下回答正确）。
圣保罗市对原发性免疫缺陷的医学知识存在欠缺，即使是儿科医生也是如此，尽管在过去几年中他们与该主题有更多接触。改善医学界关于原发性免疫缺陷的信息是这些疾病诊断和治疗过程中的重要一步。
