The Knowledge and Confidence in Management of Diabetic Ketoacidosis (DKA) among Bahraini Pediatric Residents: A Cross Sectional Survey

Abstract

Introduction: DKA is one of the leading causes of mortality and morbidity among children with type 1 diabetes mellitus and a very frequently encountered medical emergency. Establishing a high level of knowledge about the appropriate management details of DKA is crucial among training residents.

Objectives: This article aims to assess the level of knowledge and confidence of pediatric residents in the management of patient with DKA.

Methods: an online questionnaire was designed and sent to residents in the four-year pediatric training program in Bahrain.

Results: 45 residents responded to the survey. 86.4% of R4 trainees are aware of the correct diagnostic criteria but unfortunately, they were the second worst among other levels in diagnosing the severity of DKA as only 27% answered correctly compared to 75% and & 71% of R1 and R2s.Otherwise, there was no statistical significance between the knowledge of junior and senior residents. Overall, there is no consistency of when to involve the on-call senior clinician.

Conclusion:A fair level of knowledge is present among residents in the management of DKA, yet various methods can be utilized to improve that.