Ng Sze May, Woodger Katherine, Regan Fiona, Soni Astha, Wright Neil, Agwu Juliana Chizo, Williams Eleri, Timmis Alison, Kershaw Melanie, Moudiotis Christopher, Drew Josephine
Department of Paediatrics, Southport and Ormskirk Hospital NHS Trust, Ormskirk, UK.
Department of Women's and Children's Health, University of Liverpool School of Life Sciences, Liverpool, UK.
BMJ Paediatr Open. 2020 Nov 2;4(1):e000884. doi: 10.1136/bmjpo-2020-000884. eCollection 2020.
In the UK, there have been reports of significant reductions in paediatric emergency attendances and visits to the general practitioners due to COVID-19. A national survey undertaken by the UK Association of Children's Diabetes Clinicians found that the proportion of new-onset type 1 diabetes (T1D) presenting with diabetes ketoacidosis (DKA) during this COVID-19 pandemic was higher than previously reported, and there has been an increase in presentation of severe DKA at diagnosis in children and young people under the age of 18 years. Delayed presentations of T1D have been documented in up 20% of units with reasons for delayed presentation ranging from fear of contracting COVID-19 to an inability to contact or access a medical provider for timely evaluation. Public health awareness and diabetes education should be disseminated to healthcare providers on the timeliness of referrals of children with T1D.
在英国，有报告称由于新冠疫情，儿科急诊就诊人数和看全科医生的次数大幅减少。英国儿童糖尿病临床医生协会进行的一项全国性调查发现，在这次新冠疫情期间，新发1型糖尿病（T1D）伴糖尿病酮症酸中毒（DKA）的比例高于此前报告的水平，并且18岁以下儿童和青少年在诊断时出现严重DKA的情况有所增加。在多达20%的医疗单位中记录到T1D就诊延迟，延迟就诊的原因包括害怕感染新冠病毒到无法联系或找到医疗服务提供者进行及时评估。应向医疗服务提供者传播关于T1D儿童及时转诊的公共卫生意识和糖尿病教育。
