Pediatric diabetic ketoacidosis : About 30 cases

Authors

  • Z Khlayfia Université Tunis El Manar, Faculté de Médecine de Tunis, Service de pédiatrie Hôpital Mongi Slim, Tunis, Tunisie Author
  • J Ben Hfaiedh Université Tunis El Manar, Faculté de Médecine de Tunis, Service de pédiatrie Hôpital Mongi Slim, Tunis, Tunisie Author
  • H Ouerda Université Tunis El Manar, Faculté de Médecine de Tunis, Service de pédiatrie Hôpital Mongi Slim, Tunis, Tunisie Author
  • J Kanzari Université Tunis El Manar, Faculté de Médecine de Tunis, Service de pédiatrie Hôpital Mongi Slim, Tunis, Tunisie Author
  • I Selmi Université Tunis El Manar, Faculté de Médecine de Tunis, Service de pédiatrie Hôpital Mongi Slim, Tunis, Tunisie Author
  • E Mermech Université Tunis El Manar, Faculté de Médecine de Tunis, Service de pédiatrie Hôpital Mongi Slim, Tunis, Tunisie Author
  • S Halioui Université Tunis El Manar, Faculté de Médecine de Tunis, Service de pédiatrie Hôpital Mongi Slim, Tunis, Tunisie Author
  • A Maherzi Université Tunis El Manar, Faculté de Médecine de Tunis, Service de pédiatrie Hôpital Mongi Slim, Tunis, Tunisie Author
  • O Azzabi Université Tunis El Manar, Faculté de Médecine de Tunis, Service de pédiatrie Hôpital Mongi Slim, Tunis, Tunisie Author
  • N Siala Université Tunis El Manar, Faculté de Médecine de Tunis, Service de pédiatrie Hôpital Mongi Slim, Tunis, Tunisie Author

Keywords:

Acidose, Cétose, Enfant, Insulinothérapie, Diabète sucré, Hyperglycémie

Abstract

Introduction : Diabetic ketoacidosis is the main acute complication that can occur in patients with type 1 diabetes mellitus. Up to 50% young people already have DKA when they are diagnosed with diabetes in Tunisia. Methods : A retrospective search of children with diabetic ketoacidosis was performed in Mongi Slim hospital, between january 2016 and july 2019. Results : Our study included 30 children with a sex ratio of 1.1 and a mean age of 5.8 years old. The DKA was diagnosed at onset of type 1 diabetes mellitus in 24 cases. Conclusion : Diabetic ketoacidosis is the main cause of morbidity and mortality in children with T1DM. Prevention of diabetic ketoacidosis at diagnosis will require a combination of repeated direct physician outreach combined with more regular awareness campaign.

Downloads

Published

2020-06-30