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Primary immunodeficiency disorders: survey of pediatricians in Kuwait
Waleed Al-Herz1, Mohammad E Zainal, Mohammad Salama
1Al-Sabah Hospital, 64888, Shuwaikh B Zip code 70459, Kuwait. wemh@hotmail.com
Insights
Pediatricians in Kuwait show a significant knowledge gap regarding primary immunodeficiency disorders (PID), delaying crucial early diagnosis and interventions. Improving PID awareness among pediatricians is essential to reduce patient morbidity and mortality.
Area of Science:
- Pediatrics
- Immunology
Background:
- Early diagnosis of primary immunodeficiency disorders (PID) is vital for timely, life-saving interventions.
- Delayed diagnosis of PID frequently leads to significant patient morbidity and mortality.
- Pediatrician knowledge and practice regarding PID in Kuwait were assessed.
Purpose of the Study:
- To evaluate the current knowledge and practices of pediatricians in Kuwait concerning primary immunodeficiency disorders (PID).
Main Methods:
- A 66-item self-administered questionnaire was used to assess PID knowledge and practice.
- The survey was distributed to 244 pediatricians across six governmental hospitals in Kuwait.
- Participant knowledge was evaluated across clinical presentation, associated diseases, and laboratory investigations.
Main Results:
- The overall mean score for PID knowledge and practice was 59.6%, indicating a deficiency.
- Only 26% of pediatricians correctly answered at least two-thirds of the knowledge-based questions.
- Scores were lowest in the laboratory investigations section (51%) and associated diseases/syndromes (58%).
Conclusions:
- A universal deficiency in both knowledge and practice regarding PID exists among Kuwaiti pediatricians.
- Enhancing pediatrician awareness of PID is critical for enabling early diagnosis and treatment.
- Improved awareness can lead to better health outcomes and reduced morbidity and mortality in children with PID.
Introduction:
Early diagnosis of primary immunodeficiency disorders (PID) is critical so life saving interventions can be implemented to avoid significant morbidity and mortality. Unfortunately, they are frequently misdiagnosed, which results into significant delay in diagnosis. This study aimed to determine the knowledge and practice of pediatricians in Kuwait about PID.
Materials And Methods:
A 66-item self-administered questionnaire was designed and distributed to the pediatricians working at all six governmental hospitals to measure their knowledge and practice about PID. A total of 244 pediatricians (78.4%; 143 males and 101 females) participated in the study. The mean age of participants was 40 years, and the mean number of years working in pediatrics was 13 years. The mean overall score was 59.6%, whereas the mean score in clinical presentation section was 63%, in associated diseases and syndromes section 58%, and in laboratory investigations section 51%. Only 26% of the participants answered correctly at least 2/3 of the questions (67% of the questions).
Conclusion:
This survey demonstrates that there is universal deficiency in both the knowledge and practice of pediatricians in the field of PID. Implementation of strategies to improve the awareness of pediatricians about PID is critical so early therapeutic interventions can be done to improve the health and prevent morbidity and mortality.
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