International Society for Pediatric and Adolescent Diabetes
ISPAD 2014 | 40th Anniversary |
233
P143
Reduction strategy of the inaugural ketoacidosis (IDKA) of T1D in the Oran's province, Algeria
M. Touhami
1
, A. Zennaki
1
, A. Bouchetara
2
, S. Niar
1
, A. Aoui
1
, K. Ouzzaa
1
, H. Aichaoui
1
, M. Naceur
1
,
M. Bessahraoui
1
, G. Boudraa
1
, K. Bouziane-Nedjadi
1
1
Univerisity Hospital Center, Pediatrics, Oran, Algeria,
2
Specialized Pediatrics, Hospital Centre of
Canastel, Pediatric Gastroenterology and Nutrition, Oran, Algeria
The incidence of T1D in the province of Oran in 2013 was 30 10
5
children under 15 years, an average
annual increase of 7.4 % over the last 15 years. This increase fears of a growing number of IDKA.
Many campaigns around the world, as the Parma campaign showed that it is possible to reduce this
complication.
Objective:
To review IDKA at T1D diagnosis to establish an appropriate strategy to reduce this latter
on the basis of local findings and possibilities.
Materials and methods:
One hundred Thirty -five new cases of pediatric T1D, hospitalized in 2
specialized departments from June 2013 to March 2014 were analyzed. Recent histories, clinical,
biological and socioeconomic were identified upon admission. In the absence of blood pH, IDKA was
established on clinical criteria: clinical signs of DKA, rehydration, hospitalization in intensive care unit.
Results:
IDKA was present in 31% of the all cases; the distance is a risk factor with 20 % of IDKA in
Oran province patients vs. 57 % among those from neighboring provinces (P < 0.0001). It is present in
20 % of children under 5 years, 12% in 5-9 years old, and 27% among 10-14 years old (P < 0.44) . It is
found in 12% of cases when the disease exists among siblings against 76% inversely (P < 0.02). The
sex ratio was 0.87. Parents thought of T1D in 46 % in the case of DKA vs. 75% in the opposite case.
Practitioner consulted mentioned the DT1 to the first consultation in 51 % in case of CIDA vs. 79 %
otherwise.
Conclusion:
IDKA is relatively low in our context. The distance from diabetes major centers appears
to be a risk factor. DKA reduction strategy must be based on families' information to lead them to
consult faster and physician awareness of the therapeutic emergency.
