Penanganan Ketoasidosis Diabetik pada Anak

Authors

  • Sukamto Rumah Sakit Prima Pekanbaru, Indonesia

DOI:

https://doi.org/10.55175/cdk.v49i9.301

Keywords:

Diabetes melitus, edema serebral, ketoasidosis diabetik pada anak

Abstract

Ketoasidosis diabetik (KAD) pada anak adalah komplikasi diabetes melitus tipe 1 atau diabetes melitus tipe 2 yang mengancam jiwa. Intervensi yang hati-hati dan tepat waktu diperlukan untuk mengoptimalkan kontrol glikemik dan mengurangi risiko kematian serta komplikasi mengancam nyawa. Penyebab utama kematian adalah edema serebral, dengan tingkat kematian sekitar 25%.

Diabetic ketoacidosis (DKA) in children is a life-threatening complication of type 1 diabetes mellitus or type 2 diabetes mellitus. Careful and timely intervention is required to optimize glycaemic control and reduce mortality risk and devastating complications. Cerebral edema is the leading cause of death, with a mortality rate of approximately 25%.

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References

Randall L, Begovic J, Hudson M, Smiley D, Peng L, Pitre N, et al. Recurrentdiabetic ketoacidosis in inner-city minority patients, behavioral, socioeconomic and psychosocial factors. Diab Care. 2011;34:1891-6

Usher-Smith JA, Thompson M, Ercole A, Walter FM. Variation between countries in the frequency of diabetic ketoacidosis at first presentation of type 1 diabetes in children: A systematic review. Diabetologia 2012;55:2878-94

Wolfsdorf JI, Glaser N, Agus M, Fritsch M, HanasR, Rewers A, et al. ISPAD clinical practice consensus guidelines 2018: Diabetic ketoacidosis and the hyperglycemic hyperosmolar state. Pediatr Diabetes 2018;19:155-77.

American Diabetes Association. Special situation. In: Kaufman FR, editor. Medical management of type 1 diabetes. 6th Ed. Virginia, Amerika: ADA; 2012 .p.139-49.

Wolfsdorf J, Glaser N, Sperling MA, et al. Diabetic ketoacidosis in infants, children, and adolescents: A consensus statement from the American Diabetes Association. Diabetes Care 2006;29:1150–9

Salvodelli SD, Farhat SCL, Manna TD. Alternative management of diabetic ketoacidosis in a Brazilian pediatric emergency department. Diabetol Metab Syndr. 2010;2:1-9.

Rosenbloom AL. The management of diabetic ketoacidosis in children. Diabetes Ther. 2010;1:103-20

Rugg-Gunn CEM, Deakin M, Hawcutt DB. Update and harmonisation of guidance for the management of diabetic ketoacidosis in children and young people in the UK. BMJ Paediatr Open 2021;5:e001079. doi:10.1136/bmjpo-2021-001079

Sivanandan S, Sinha A, Jain V, Lodha R. Management of diabetic ketoacidosis. Indian J Pediatr. 2011;78:576-84.

Ikatan Dokter Anak indonesia. Ketoasidosis diabetik. Pedoman pelayanan medis. Indonesia; 2009 .p. 165-69.

Kleinman ME, Chameides L, Schexnayder SM, Samson RA, Hazinski MF, Atkins DL, et al. Pediatric advanced life support: 2010 American Heart Association guidelines for cardiopulmonary resuscitation and emergency cardiovascular care. Pediatrics 2010;126(5):1361-99.

UKK Endokrinologi Anak dan Remaja, IDAI. Konsensus nasional pengelolaan diabetes tipe 1. UKK Endokrinologi IDAI; 2015.

Dunger DB, Sperling MA, Acerini CL, Bohn DJ, Daneman D, Danne TPA, et al. ESPE/LWPES consensus statement on diabetic ketoacidosis in children and adolescents. Arch Dis Child 2004;89(2):188-94.

UKK Endokrinologi IDAI. Pelatihan diabetes mellitus tipe 1 dan ketoasidosis diabetikum: Manual peserta. UKK Endokrinologi IDAI-World Diabetes Foundation; 2011.

Pinhas-Hamiel O, Sperling M. Diabetic ketoacidosis. In: Hochberg Z, editor. Practical algorithms in pediatric endocrinology. 3rd ed. Basel, Switzerland: Karger; 2017 .p. 112-3.

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Published

01-09-2022

How to Cite

Sukamto. (2022). Penanganan Ketoasidosis Diabetik pada Anak. Cermin Dunia Kedokteran, 49(9), 527–531. https://doi.org/10.55175/cdk.v49i9.301

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