RESUMO
Objective: In teaching hospitals, the clinical encounter is an increasingly significant component of interns' curriculum and one of the clinical experiences of interns is emergency medicine. This research was conducted to provide new insights on interns' information needs in emergency departments. Methods: This study examines the information needs of interns in the emergency departments of teaching hospitals in Iran University of Medical Sciences. Questionnaires and observations were used to collect data from seventy interns. Chi-square, two-tailed and bi-variation correlation tests were used to investigate the relationship among the data. Results: It was observed that the most commonly asked questions related to patient specific information and fewer questions related to organizational questions such as hospital policies and procedures. The analysis revealed a statistically significant relationship (0.576, P
RESUMO
Primary antibody deficiencies (PADs) are a heterogeneous group of disorders, characterized by hypogammaglobulinemia and increased susceptibility to bacterial infections, leading to hospitalizations. This study was performed to determine the main infectious causes of hospital admissions in selective Iranian patients with PADs. Forty patients with PADs, who were admitted to the Infectious Ward of Children's Medical Center Hospital during a 14-year period, were reviewed in this study. There were 115 documented episodes of hospital admission during a 14-year period. The average length of hospital stay was 33.30 ± 25.72 days. Pneumonia was the most prominent infection leading to hospitalization among these patients (n = 48), followed by gastroenteritis (n = 23). Other less frequent causes of hospitalization were fever and neutropenia, septic arthritis, encephalitis, orbital cellulitis, sepsis, urinary tract infection, meningitis, oral ulcer, and lung abscess. The most common causative organisms of diarrhea were: Giardia lamblia, followed by Candida albicans, and Salmonella sp. Many patients with PADs suffer from repeated infections leading to hospitalization, in spite of immunoglobulin replacement therapy. Respiratory tract infections were the prominent cause of hospitalization among studied patients, followed by gastrointestinal infections.