Objective: To analyze whether the patients with severe infections, admitted in the
Pediatric Intensive Care Unit of the Hospital de Clínicas of the
Universidade Federal de Uberlândia, underwent the active screening for
primary immunodeficiencies (PID). Methods: Retrospective study that assessed the data records of patients with any
severe infections admitted in the Pediatric Intensive Care Unit, covering a
period from January 2011 to January 2012, in order to confirm if they
performed an initial investigation for PID with blood count and
immunoglobulin dosage. Results: In the studied period, 53 children were hospitalized with severe infections
in the Pediatric Intensive Care Unit, and only in seven (13.2%) the initial
investigation of PID was performed. Among these patients, 3/7 (42.8%) showed
quantitative alterations in immunoglobulin G (IgG) levels, 1/7 (14.3%) had
the diagnosis of cyclic neutropenia, and 1/7 (14.3%) presented
thrombocytopenia and a final diagnosis of Wiskott-Aldrich syndrome.
Therefore, the PID diagnosis was confirmed in 5/7 (71.4%) of the patients.
Conclusions: The investigation of PID in patients with severe infections has not been
routinely performed in the Pediatric Intensive Care Unit. Our findings
suggest the necessity of performing PID investigation in this group of
patients.