RESUMO
The nation-wide Danish Registry of Childhood Diabetes and associated biological bank were established in 1996. All children diagnosed with insulin-dependent diabetes mellitus (IDDM) under the age of 15 years are included. In the period 1996-2004 the incidence of IDDM in childhood and adolescence (0-15 years) has increased by 3.5% per year and was 25.7/100.000 in 2004. The average measured glycosylated haemoglobin (HbA1c) value has decreased over the period and was 8.4% in 2005. A registry of type 1 diabetes with a high degree of completeness is feasible, provides useful information about the quality of patient care and is a valuable resource for research.
Assuntos
Diabetes Mellitus Tipo 1/epidemiologia , Adolescente , Criança , Pré-Escolar , Dinamarca/epidemiologia , Complicações do Diabetes/epidemiologia , Diabetes Mellitus Tipo 1/sangue , Diabetes Mellitus Tipo 1/tratamento farmacológico , Hemoglobinas Glicadas/análise , Humanos , Hipoglicemiantes/administração & dosagem , Incidência , Insulina/administração & dosagem , Garantia da Qualidade dos Cuidados de Saúde , Sistema de Registros/normasRESUMO
Pediatric septic shock is associated with severe hypovolemia, and children frequently respond well to aggressive volume resuscitation. In recent years, improved outcome has been reported when aggressive volume resuscitation and goal-directed therapies were applied to children with septic shock. We report a case of severe meningococcal septic shock in a child aged 16 months where aggressive volume resuscitation and anticoagulation therapy were applied.