Variation in the management of pediatric diabetic ketoacidosis by specialty training

Article Abstract:

There appear to be large discrepancies in how diabetic ketoacidosis (DKA) is treated, depending on what specialty training the physician has. A total of 581 physicians were queried about their treatment of DKA, including emergency physicians, pediatric emergency physicians, pediatric endocrinologists and pediatric chief residents. The percentages of physicians who would give an initial dose of insulin or fluid and potassium replacement varied considerably depending on the specialty of the physician. These differences probably reflect differences in training.

Care and treatment, Practice, Physicians, Medical professions

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Antibiotic Treatment of Children With Unsuspected Meningococcal Disease

Article Abstract:

Doctors might consider treating all feverish children with antibiotics to reduce the complications of meningococcal disease. Meningococcal disease is a serious bacterial infection, but it is hard to distinguish from a viral infection without culturing blood samples. In addition, meningococcal disease can cause severe illness and death if not promptly treated. In a study of 58 children with confirmed meningococcal disease, 19 received antibiotics and 39 did not. Those who did were much less likely to develop complications from the infection.

Health aspects, Antibiotics, Drug therapy, Fever in children, Childhood fever, Meningococcal infections

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Risk factors for cerebral edema in children with diabetic ketoacidosis

Article Abstract:

Low partial pressures of arterial carbon dioxide and elevated blood urea nitrogen are risk factors for cerebral edema in children with diabetic acidosis. Cerebral edema is a swelling of the brain that can be fatal. Treatment with bicarbonate was also a risk factor for cerebral edema in a study of 416 children with diabetic acidosis.

Risk factors, Cerebral edema, Complications

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