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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

RCH Building
RCH Building VIEW
RCH Building
RCH Building VIEW
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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
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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
Paediatric OP
Paediatric OP VIEW

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
Paediatric Ward VIEW
PREM Unit
PREM Unit VIEW
Fever Ward
Fever Ward VIEW
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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
PICU VIEW

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
HDU VIEW

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
Level 3 NICU
Level 3 NICU VIEW
KMC Room
KMC Room VIEW
Level 2 Care
Level 2 Care VIEW

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
Screening
Screening VIEW
OAE Testing
OAE Testing VIEW

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
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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.

Human Milk Bank
Milk Bank VIEW
Human Milk Bank
Milk Bank VIEW
Milk Bank
Milk Bank VIEW
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
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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.

DEIC
DEIC VIEW
DEIC
DEIC VIEW
DEIC
DEIC VIEW

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
DEIC Camp
DEIC Camp VIEW
DEIC Camp
DEIC Camp VIEW
DEIC Camp
DEIC Camp VIEW

Diseases Identified & Treated (Apr 2021 – Feb 2022)

Diseases Identified in DEIC
DEIC Data VIEW
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
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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.

Academic Activity
Academic Activity VIEW
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CME

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

CME
CME VIEW
CME
CME VIEW
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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
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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
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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"

Award
Award VIEW

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"

Award
Award VIEW

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"

Award
Award VIEW

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"

Award
Award VIEW

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"

Award
Award VIEW
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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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Photo Gallery

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