Introduction
Introduction to Paediatrics
The branch of medicine that deals with the care of children and adolescents is Paediatrics. This term has roots in the Greek words pais (a child) and iatros (healer). Paediatrics covers the age group of less than 18 years. The goal of the speciality is to enable a child to survive, remain healthy, and attain the highest possible potential of growth, development and intellectual achievement. Child health encompasses approaches, interventions and strategies that preserve, protect, promote and restore the health of children at the individual and population level.
Paediatrics is a fascinating speciality — it encompasses the care of premature neonates on one hand, and adolescents on the other. It covers intensive care of neonates and children using the most sophisticated technology, while also providing home care to newborns and children. Child health is thus a state-of-the-art clinical science as well as a rich public health discipline.
History of the Department
In 1952, the Paediatrics department started functioning in Salem District Head Quarters Hospital. In 1990, this hospital was converted to Government Mohan Kumaramangalam Medical College. In 1994, the first batch of MBBS students appeared for the undergraduate Paediatrics clinical examination and graduated from this institution. The Postgraduate MD course commenced in 2007, and the first batch of MD postgraduates appeared for exams in 2009. Since then, yearly examinations have been conducted under The Tamil Nadu Dr. MGR Medical University. So far, 16 batches of PG students have graduated from this department with a 100% pass rate every year. The department admits 8 MD PG students per year.
Brief Profile of the Department
The Department of Paediatrics currently functions in the RCH building.
- Ground floor: OP rooms, immunization clinics, speciality clinics, PREM unit, classrooms, patients' waiting hall, demonstration room
- Second floor: NICU, milk bank, well-baby clinic
- Third floor: PICU, HDU, paediatric ward, isolation ward, library, seminar hall
Address for Communication
Head of the Department, Department of Paediatrics, GMKMCH, Salem – 1
Department Email
salempaed2010@gmail.com
Website In-charge
Dr. Vijay Anand — 96292 90198
RCH Building


Admin
Faculty Details (as on 10/11/2022)
| S.No | Designation | Name |
|---|---|---|
| 1 | Professor & HOD | Dr. D. Sampath Kumar |
| 2 | Professor | Dr. K. S. Kumaravel |
| 3 | Associate Professors | Dr. S. Gobinathan, Dr. S. Amudhadevi |
| 4 | Registrar / Assistant Professor | Dr. P. Kumar |
| 5 | Assistant Professors | Dr. V. Anurekha, Dr. M. Nirmala, Dr. R. Sasivarathan, Dr. A. Logeshanand, Dr. S. Vijayaraghavan, Dr. K. Selvaraju, Dr. R. Sathyasuresh, Dr. M. Vijay Anand |
| 6 | Senior Residents | Dr. A. Srenivas, Dr. T. Palanivelraja, Dr. K. Sumithra, Dr. R. Aishwarya |
| 7 | DEIC | Dr. C. Rathinavel, Dr. M. Kalaiselvi, Dr. S. Manikandan |
Services Provided / Facilities Available
- Number of units in the department: 3
- OP days and timings: All days, 7:30 a.m. – 12:00 noon
- Well-baby clinic and immunization clinic: All days
Special Clinics Conducted
| Day | Special Clinic |
|---|---|
| Monday | Cardiology |
| Tuesday | Nephrology |
| Wednesday | Haematology, Endocrinology |
| Thursday | Gastroenterology, Nutrition |
| Friday | Asthma |
| Saturday | Neurology, Adolescent |
OP Statistics
| Year | Total Outpatients Treated |
|---|---|
| 2013 | 39903 |
| 2014 | 50341 |
| 2015 | 61826 |
| 2016 | 44529 |
| 2017 | 54397 |
| 2018 | 36824 |
| 2019 | 42035 |
| 2020 | 12320 |
| 2021 | 11132 |
| 2022 (till Oct) | 17786 |

IP Unit & Admission Days
- Unit I — Monday & Thursday
- Unit II — Tuesday & Friday
- Unit III — Wednesday & Saturday
- Sundays on rotation
Bed Strength
- General paediatric ward — 120
- PICU — 10
- Neonatal ward — 60
Average IP admission, paediatric ward: 20/day | Average IP admission, newborn ward: 25/day



Paediatric Ward, PICU, HDU & NICU
Paediatric Ward — Total Patients Treated
| Year | Patients Treated |
|---|---|
| 2013 | 4409 |
| 2014 | 4806 |
| 2015 | 6065 |
| 2016 | 5556 |
| 2017 | 12319 |
| 2018 | 5488 |
| 2019 | 6567 |
| 2020 | 2451 |
| 2021 | 3688 |
| 2022 (till Oct) | 3824 |

PICU — Total Ventilated Patients Treated
| Year | Ventilated Patients |
|---|---|
| 2013 | 99 |
| 2014 | 102 |
| 2015 | 91 |
| 2016 | 186 |
| 2017 | 214 |
| 2018 | 209 |
| 2019 | 268 |
| 2020 | 199 |
| 2021 | 242 |
| 2022 (till Jun) | 105 |

HDU — Total Cases Treated
| Year | Cases Treated |
|---|---|
| 2014 | 777 |
| 2015 | 789 |
| 2016 | 811 |
| 2017 | 1185 |
| 2018 | 1034 |
| 2019 | 1240 |
| 2020 | 962 |
| 2021 | 1147 |
| 2022 (till Jun) | 648 |



NICU — Total Ventilated Patients Treated
| Year | Ventilated Patients |
|---|---|
| 2013 | 315 |
| 2014 | 481 |
| 2015 | 552 |
| 2016 | 521 |
| 2017 | 447 |
| 2018 | 532 |
| 2019 | 534 |
| 2020 | 480 |
| 2021 | 623 |
| 2022 (till Oct) | 519 |
NICU — Total Cases Treated
| Year | Cases Treated |
|---|---|
| 2013 | 4857 |
| 2014 | 5172 |
| 2015 | 3750 |
| 2016 | 3360 |
| 2017 | 3348 |
| 2018 | 4038 |
| 2019 | 4089 |
| 2020 | 4099 |
| 2021 | 4185 |
| 2022 (till Oct) | 4308 |
Screening Services
- OAE screening: done in a separate room in NICU on all days — average 20/day; 3,790 babies screened in 2021
- ROP screening: done every Saturday in NICU — average 40/week; 1,263 babies screened in 2021


CMCHIS Statistics
| Year | Pre-auth No. | Claim No. | Amount (₹ Lakhs) |
|---|---|---|---|
| 2016 | 698 | 663 | 40.06 |
| 2017 | 613 | 642 | 48.99 |
| 2018 | 707 | 692 | 43.51 |
| 2019 | 824 | 767 | 45.10 |
| 2020 | 375 | 345 | 21.78 |
| 2021 | 494 | 571 | 39.33 |
| 2022 (till Jun) | 357 | 304 | 19.46 |
Human Milk Bank
A Human Milk Bank was started in the year 2015. It saves more than 4,000 low-birth-weight preterm babies per year.



| Year | Donor No. | Volume (ml) | Recipient No. |
|---|---|---|---|
| 2015 | 562 | 38933 | 646 |
| 2016 | 3709 | 136456 | 3185 |
| 2017 | 3529 | 151170 | 3492 |
| 2018 | 3113 | 174846 | 3331 |
| 2019 | 3739 | 324358 | 3185 |
| 2020 | 3522 | 313820 | 3359 |
| 2021 | 5731 | 481820 | 4401 |
District Early Intervention Centre (DEIC)
Rashtriya Bal Swasthya Karyakram (RBSK), or Child Health Screening and Early Intervention Services, is an initiative by the Government of India launched in February 2013, aimed at screening children for the 4 Ds — Defects at birth, Diseases, Deficiencies and Developmental Delays including Disabilities.
The target group under the RBSK programme is divided into three age groups: 0 to 6 weeks, 6 weeks to 6 years, and 6 to 18 years. Under this structure, Accredited Social Health Activists (ASHAs) and Mobile Health Teams (MHT) carry out community screening, while District Early Intervention Centres (DEIC) at district headquarters screen, diagnose and treat children referred from the community.
All neonates delivered in institutions are screened by a paediatrician under Delivery Point Screening. DEICs are equipped with a paediatrician, medical officer, early interventionist, speech therapist, audiologist, optometrist, lab technician, dentist and dental hygienist, apart from clerical staff. Children diagnosed with any of the 30 listed health conditions receive follow-up treatment, including tertiary-level surgeries, free of cost.
Services provided include occupational, physical, psychological, cognitive, audiological, language, vision, speech and nutritional therapies, apart from laboratory services, along with ancillary support such as assistance with disability certificates. DEIC started in June 2015 at GMKMC Salem, and has been functioning in a new building since January 2018.



Special Camps Conducted in DEIC, 2022
- SAM camp — June 2022 to August 2022
- Cleft lip / palate management camp — November 2022
- Growth hormone therapy camp for short-stature children
- Cardiology camp



Diseases Identified & Treated (Apr 2021 – Feb 2022)

| Disease Identified & Treated | Number |
|---|---|
| Neural tube defect | 14 |
| Down's syndrome | 26 |
| Cleft lip / palate | 39 |
| Congenital cataract | 12 |
| Congenital heart diseases | 87 |
| Congenital deafness | 34 |
| SAM | 32 |
| Obesity | 33 |
| RHD | 13 |
| Motor delay | 108 |
| Cognitive delay | 161 |
| Autism | 66 |
| Language delay | 101 |
| Learning disorder | 129 |
Academic Activities / Teaching Programme
UG Teaching Schedule
- Clinical classes are taken on all days in OPD and in wards within their respective units
- Clinical classes in the newborn ward are taken twice weekly
- An internal assessment examination is conducted once a month
- Pre-final MBBS students have one theory class in Paediatrics per week
- Final MBBS students have two theory classes per week
- A symposium for UGs is conducted once a month on the 4th Saturday
Teaching Programme for PGs
Apart from routine OPD and ward work, the department conducts a journal club, a clinical society meeting, a symposium and dissertation review meetings on a monthly basis. Professors and Associate Professors take clinical classes for PGs once a week.

CME
CME on Paediatric Emergencies — 07.10.2022, PMSSY Auditorium, GMKMC Salem.


Quiz Programmes, Medal Exams & Other Trainings
- Quiz for UGs every year
- Gold Medal exams for UGs every year
- PG Quiz every year (all sponsored by the Indian Academy of Paediatrics)
- Gold Medal for PG students, from 2020, sponsored by Dr. TKP Thirugnanasambandam, senior paediatrician, Salem
Other Trainings Offered
- HMDI training for staff nurses — conducted for staff nurses from Salem during 2021 and 2022
- HMDI training for PHC medical officers
Dissertation / Research Topics (2020–2024)
| S.No | Topic | Name | Year |
|---|---|---|---|
| 1 | A prospective study on clinical profile and immediate outcome of infants of diabetic mothers in a tertiary care centre | Dr. Sivanesan K | 2020–2023 |
| 2 | A comparative study of safety and efficacy between HHHFNC and NCPAP in preterm LBW neonates with RDS after extubation in a tertiary care centre | Dr. Mohanraj V | 2020–2023 |
| 3 | A descriptive study on attitude and experiences of donor and recipient mothers in a comprehensive lactation management centre | Dr. Haripriya | 2020–2023 |
| 4 | A descriptive study of conditions screened by the 4 Ds approach in DEIC and its impact of early intervention, and a one-year perspective of DEIC functioning | Dr. Vignesh | 2020–2023 |
| 5 | A study of incidence, risk factors, etiology and outcome of persistent pulmonary hypertension in neonates in a tertiary care hospital | Dr. Gowri M | 2020–2023 |
| 6 | A prospective study of clinical profile and outcome of stress-induced hyperglycaemia in children admitted to a paediatric critical care unit in a tertiary care centre | Dr. S. Nithya Lakshmi | 2020–2023 |
| 7 | A prospective study of incidence, risk factors, clinical outcome of acute kidney injury in hypoxic ischaemic encephalopathy | Dr. Mohamed Zubbin | 2020–2023 |
| 8 | A study on role of low-dose adrenaline premedication in preventing ASV-induced adverse reaction | Dr. Hema M | 2020–2023 |
| 9 | Study on readmission of NICU graduates and factors influencing them | Dr. V. Madhubala | 2021–2024 |
| 10 | Correlation of oxygen saturation index and oxygenation index in ventilated neonates | Dr. Mohanapriya | 2021–2024 |
| 11 | A prospective study of predictors and prognostic factors determining outcome in status epilepticus patients | Dr. Sankar R | 2021–2024 |
| 12 | A descriptive study of etiology and clinical profile of paediatric non-traumatic causes of coma in a tertiary care hospital | Dr. Anusha B | 2021–2024 |
| 13 | A study on the correlation between body mass index and peak expiratory flow rate in school-going children aged 8–12 years | Dr. Anand | 2021–2024 |
| 14 | A study of haematological profile in cyanotic congenital heart disease | Dr. Anandaraj | 2021–2024 |
| 15 | Clinical profile and early hospital outcome of late preterm babies admitted in a tertiary care hospital | Dr. Arun Moorthy | 2021–2024 |
| 16 | Correlation between coagulation profile and bleeding manifestations in severe dengue in a tertiary care hospital | Dr. Rohini Vadivu C | 2021–2024 |
| 17 | Study of incidence, assessment of risk factors and outcomes of intracranial haemorrhage in newborns admitted in NICU of a tertiary care hospital | Dr. Sanjay | 2021–2024 |
Posters Presented, 2021–2022
- A case of recurrent UTI diagnosed with horseshoe kidney — Dr. Sivanesan K
- A rare case of congenital hypertrichosis lanuginosa — Dr. Mohanraj
- A study on clinical profile and etiological factors of ventilator-associated pneumonia in a newborn tertiary care centre — Dr. Vignesh
- A case of neglected chronic back pain in a girl with sickle cell disease — Dr. Gowri M
- Bilateral Sturge–Weber syndrome — a case report — Dr. Gowri M
- Congenital generalised hypertrichosis lanuginosa — a case report — Dr. Gowri
- A case of minor blood group incompatibility (Anti-c) in a neonate — is there a need for routine maternal antibody screening? — Dr. Nithyalakshmi
- Motherhood in childhood: a cross-sectional study of neonatal outcome of adolescent pregnancy in a tertiary care hospital — Dr. Mohamed Zubin A
Papers Presented, 2021–2022
- A study of epidemiological and clinical characteristics of child sexual abuse reported to an urban public hospital in Tamil Nadu — Dr. Haripriya P. R.
- The out-of-pocket expenditures incurred during neonatal hospitalisation in a public hospital in Tamil Nadu — Dr. Gowri M
- A prospective study to assess the importance of microalbuminuria in predicting mortality in a paediatric critical care unit in a tertiary care centre — Dr. Nithyalakshmi
- A study of risk of premature atherosclerosis in children with beta thalassaemia major — a twin-centre study — Dr. Hema M
Awards / Medals / Prizes
Dr. Haripriya P. R. — K. A. Krishnamoorthy Award for Best Paper in Social Paediatrics, PEDICON 2022, for "A study of epidemiological and clinical characteristics of child sexual abuse reported to an urban public hospital in Tamil Nadu"

Dr. Gowri M — Runner-up, K. A. Krishnamoorthy Award for Best Paper in Social Paediatrics, PEDICON 2022, for "The out-of-pocket expenditures incurred during neonatal hospitalisation in a public hospital in Tamil Nadu"

Dr. Hema M — Runner-up, Dr. B. R. Santhanakrishnan Award Paper, PEDICON 2022, for "A study of risk of premature atherosclerosis in children with beta thalassaemia major — a twin-centre study"

Dr. Nithyalakshmi — Second Prize, Dr. TR Award, for "A prospective study to assess the importance of microalbuminuria in predicting mortality in a paediatric critical care unit in a tertiary care centre"

Dr. K. Manoj — K. A. Krishnamoorthy Award for Best Paper in Social Paediatrics, PEDICON 2021, for "A study of mental health status of adolescents residing in tribal residential schools of Tamil Nadu"

List of Publications by the Department
| S.No | Title & Authors | Publication |
|---|---|---|
| 1 | A study on status of neonatal transport to a Level III neonatal care unit — P. Sampathkumar, S. Gobinathan | International Journal, May–Jun 2018, Vol. 5 |
| 2 | A study on newborn foot length measurement to identify high-risk neonates — P. Sampathkumar, S. Amudhadevi | IJCP, May–Jun 2018, Vol. 5, Issue 3 |
| 3 | A comparative study of serum zinc level in children with febrile seizures and children with fever without seizure in an urban referral hospital — P. Sampathkumar, K. Sureshkannan | IJCP, May–Jun 2018, Vol. 5, Issue 3 |
| 4 | Study of prevalence, etiology, response to treatment and outcome of paediatric shock in a tertiary care hospital — S. Gobinathan, K. Sureshkannan | IJCP, May–Jun 2018, Vol. 5, Issue 3 |
| 5 | A study of clinical profile of seizure in newborn babies born in GMKMCH — S. Amudhadevi, P. Kanchana | IJCP, Vol. 5, 2018 |
| 6 | A study evaluating waist-height ratio as a tool for obesity — Sampath Kumar, S. Amudhadevi | International Journal, Vol. 5, 2018 |
| 7 | Clinical profile of neonates admitted to a neonatal intensive care unit at a referral hospital in South India — V. Anu Rekha, K. S. Kumaravel, P. Kumar, D. Satheesh Kumar | International Journal, Feb 2018, Vol. 5, Issue 2 |
| 8 | A study on prevalence of overweight and obesity in school children from Salem — P. Kanimozhi, R. Vasumathy, E. Kandasamy | GJRA, Vol. 7, Issue 5, May 2018 |
| 9 | Role of C-reactive protein in occult paediatric bacterial infection — P. Kanimozhi, E. Kandasamy | Indian Journal of Research, Vol. 6, Issue 8, Aug 2017 |
| 10 | A study of clinical profile of tuberculosis in HIV children — M. Nirmala, V. Narmatha | — |
| 11 | Incidence of congenital anomalies in newborns in Troy Core Hospital — Dr. V. Narmatha, Dr. M. Nirmala | — |
| 12 | Etiological factors and clinical profile of acute respiratory distress in children aged 2 months to 2 years, and prevalence of respiratory syncytial virus in the study population — Dr. Logesh Anand, Dr. S. Vijayaraghavan | International Journal, Jul 2019 |
| 13 | Etiological factors, clinical profile and outcome of meconium aspiration syndrome babies — Dr. R. Sasivarathan, Dr. A. Logesh Anand | International Journal, Jul 2019 |
| 14 | Paediatric Risk of Mortality III score in predicting mortality in children with altered sensorium in a paediatric intensive care unit — Dr. Vijayaraghavan, Dr. R. Sasivarathan | International Journal, Jul 2019 |
| 15 | A study of serum lipid profile changes in children with dengue haemorrhagic fever and its correlation with severity in a tertiary care hospital — Prabhuraj A, Kumaravel KS, Rekha VA, Nithiyapriya A, Sampathkumar P, Vijay Anand M | — |
| 16 | Perinatal factors associated with spontaneous regression of retinopathy of prematurity — one-year experience from a tertiary care hospital — P. Kumar, K. S. Kumaravel, D. Satheeshkumar, S. Gobinathan, P. Sampathkumar, K. Velmurugan | Indian Journal of Neonatal Medicine and Research, Jul 2020, Vol. 8(3): PO17–PO22 |
| 17 | A descriptive study of the attitude and experiences of donor mothers in a human milk bank — Srenivas A, Kumaravel KS, Anurekha V, et al. | J Evid Based Med Healthc 2020; 7(37), 2005–2010 |
| 18 | A cross-sectional study of mental health status of rural school-going students in late adolescence in Southern India — Aiswarya R, Kumaravel KS, Ramya S, Manoj K, Anurekha V, Sampathkumar P | Indian Journal of Neonatal Medicine and Research, Jul 2021, Vol. 9(3): PO29–PO34 |
| 19 | Knowledge about kangaroo mother care among mothers and grandmothers — a cross-sectional study in a neonatal follow-up clinic of a tertiary care hospital in Tamil Nadu — Ramya S, Kumaravel KS, Palanivelraja T, Tharini B, Anurekha V, Gobinathan S | Journal of Clinical and Diagnostic Research, Oct 2021, Vol. 15(10): LC36–LC40 |
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