Pediatrics

JSS_Hospital_Mysuru_Pediatrics_01

Overview

PEDIATRICS is a branch of Medicine that deals with the medical care of infants, children and adolescents. Treating child is not like treating a miniature adult. The obvious body size differences are paralleled by maturational changes and physiologically, they differ substantially from adults.

Compassionate care and just not cure is the motto of Pediatric Department, JSS Hospital.

The department of Pediatrics comprises of 5 units – 4 general paediatric units and 1 neonatal unit. The department was established in 1985. The department has developed over a period of years and is known for being compassionate to children and their parents, paying attention to holistic development of a child, updating and using the latest developments in the field, so much so that difficult cases from other places in and around Mysore district are referred to the department. Apart from diagnosing and treating serious and complicated illnesses, it is working towards increasing the number of preventive and rehabilitative services offered.

The good support from the specialities of Paediatric Surgery, Orthopaedics, Urology, nephrology, neurology, ENT, Cardiology, ophthalmology, Gastroenterology, Dermatology, plastic surgery and hemato Oncology , Pedodontia, physiotherapy and occupational therapy ensures that the child who comes to the department gets the best. In addition, there are 24 hour laboratory services, blood transfusion services with facilities for component therapy. There is 24 hours access to internet with 2 desktops and 1 laptop in the department.

  • Pediatric ward is 100 bedded with 5 beds in PICU and has 6300 admissions per year.
  • OPD runs between 9 AM and 4 PM with 47000 outpatients per year.
  • Neonatal Intensive Care Unit (NICU) The NICU is a 20-bedded unit, with around 800  admissions a year.

Features

Student Profile
12 students are enrolled for Postgraduate programme every year. There are 9 master degree (MD) seats and 3 diploma in child health (DCH ) seats in Pediatric department. The undergraduate students are posted for a period of two and a half months in Paediatrics during their course of study. This includes an introduction posting of one month in VI semester and one month in VIII semester.

Clinical examinations are conducted at the end of each posting for internal assessment. Theory classes are conducted during VI, VII, VIII and IX semesters. Seminars are presented by the students under faculty guidance in the VIII and IX semesters. Clinical tutorials are also conducted during IX semester. Theory examinations are conducted at the end of VIII and IX semesters for internal assessment. In addition to the teaching curriculum, students are actively encouraged to present projects for the ICMR Short Term Research Studentship.

The postgraduate teaching programme (MD and DCH) consists of case discussions (neonatal and paediatrics), seminars, journal club meetings in addition to bed side teaching. Guest Lectures for Post graduates and Protocol discussions are carried out periodically. Well baby, high risk clinics, lactation management clinics, child guidance clinics are held regularly.

Postgraduates are actively involved in community paediatrics through health camps and school health programmes. They are encouraged to attend conferences and present and publish papers. They are continuously assessed by presentations in the seminars, journal clubs, case discussions, punctuality, sincerity and commitment in caring for patients and also by conducting internal assessment both clinical and theory, twice in a year.

Interns are posted for a period of one month during which they become familiar with common procedures and emergency management. Seminars are presented by them under faculty guidance. Success rate: the pass percentage in the last five years is 95% in undergraduate exams and 75% in postgra- duate exam.

Services Offered

OPD

  • Comprehensive health check up
  • Follow up of all cases discharged from hospital
  • Growth and Development assessment and growth chart maintenance
  • Immunization
  • Investigations
  • Counseling

IN PATIENT

  • Diagnosis and management of acute illness
  • PICU and NICU facilities available
  • Care of Postsurgical Patients
  • Discharge Summaries with all details and follow up advice

Procedures Done

LP, bone marrow including biopsy, abdominal tap, pleural tap, ventricular tap, FNAC, kidney biopsy, intercostal drainage, liver biopsy, liver abscess aspiration, lung aspiration, central i.v. Access, arterial blood gas analysis, ascitic tap, peritoneal dialysis

NICU

Care of Extremely Pre mature Babies, Ventilation & Surfactant Administration, Care of High Risk Neonate, Care of Post Surgical Neonate, Screening for Retinopathy for Pre maturity, Phototherapy, Exchange transfusion, Normal Neonatal Care.

Speciality Clinics

Well Baby Clinic

  • HIGH RISK BABY FOLLOW UP CLINIC
  • ROP SCREENING CLINIC
  • LACTATION MANAGEMENT CLINIC
  • ADOLESCENT GUIDANCE CLINIC
  • CHILD GUIDANCE CLINIC

Extension activities

  • Association with Mysore district IAP Branch activities.
  • Continued medical education programmes
  • Guest lectures
  • Social and Community Oriented Activities : Urban Health Centre, health camps.

INFRASTRUCTURE

PAEDIATRIC WARD , PICU and NICU are well equipped in treating severely ill and complicated illnesses

Sl. No EQUIPMENT QUANTITY
01 PULSE OXIMETERS AND MULTICHANNEL MONITORS 5
02 SYRINGE PUMP 5
03 INFUSION PUMP 2
04 DEFIBRILLATOR 1
05 OPHTHALMOSCOPE 1
06 OTOSCOPE 1
07 GLUCOMETER 1
08 NEBULISER 2

 

NICU

Sl. No EQUIPMENT QUANTITY
01 VENTILATORS 3
02 SYRINGE PUMP 12
03 INFUSION PUMP 3
04 OXYGEN ANALYZER 6
05 MULTICHANNEL MONITORS AND PULSE OXIMETERS 6
06 RADIANT WARMERS 17
07 BUBBLE CPAP 2
08 INCUBATOR 1
09 TRANSPORT INCUBATOR 1
10 PHOTOTHERAPY UNITS 7
11 RESUSCITATION KITS 10

Research and Development

Completed (Excluding PG Topics)

  • Clinical efficacy trial of pro and prebiotics in rotaviral diarrhoeas between 3 months to 3Years of age by Dr. D. Narayanappa, Dr. M. D. Ravi, Dr. Ramya and Dr. Sangameshwaran
  • Easy four vaccine trial – efficacy safety by Dr. Narayanappa and Dr. Jagadish Kumar
  • Shan tetra vaccine trial – efficacy safety by Dr. M. D. Ravi, Dr. D. Narayanappa and Dr. Jagadish Kumar

A randomized, multicenter, open label, comparative study to evaluate the immunogenicity and reactogenicity of a new fully liquid pentavalent DTwP-Hib-IPV vaccine (EasyfourPolTM, Panacea Biotec Ltd.) with tetravalent DTwP/Hib vaccine (TetrAct-HibTM), co-administered with Imovax Polio® (Salk Based Inactivated Polio Vaccine) of sanofi pasteur India Pvt. Ltd. in Healthy Infants by Dr. Narayanappa, Dr. Rajani, H. S., Dr. Rashmi N.

A multicentric, single blind, parallel, randomized, phase-IV non-inferiority study to evaluate the immunogenicity & safety of BE’s combined liquid pentavalent DTwP-rHepB-HIB vaccine administered to 6-8 week old healthy Indian infants at 6-10-14 weeks  schedule in comparison with a marketed SIIL’s Pentavac SD™ vaccine. By Dr. Narayanappa D, Dr. Rajani H S.

II   On going projects (Excluding PG Topics)

  • PPTCT of HIV by Dr.Narayanappa ,Dr.Jagadish kumar ,DR.Rajani.H.S
  • Clinical spectrum of HIV infection in children by Dr.Narayanappa & Dr.Rajani
  • Hypertension in children –A longitudinal study on changes in blood pressure over a period of time –An ICMR project by Dr.Narayanappa, Dr.Mahendrappa and Dr. Rajani
  • Health and nutritional status in tribal children by Dr. D. Narayanappa, Dr.Jagadish kumar  & Dr. Rajani
  •  Inflammatory markers in neonatal sepsis: Dr.  Prashanth, S.N, Dr. Rashmi N

III   Research Programme Sanctioned by ICMR (ongoing).

  • Hypertension in children –A longitudinal study on changes in blood pressure over a period of time –An ICMR project by Dr.Narayanappa, Dr.Mahendrappa and Dr. Rajani H.S
  • Health and nutritional status in tribal children by Dr.Narayanappa ,Dr.Jagadish kumar  & Dr.Rajani H.S.
  •  Inflammatory markers in neonatal sepsis: Dr Prashanth.S.N, Dr.Rashmi.N

INFRASTRUCTURE

Sl. No NAME QUALIFICATION DESIGNATION
01 DR.D.NARAYANAPPA MBBS.,MD PROF & HOD
02 DR.RAVI.M.D. MBBS.,MD PROF
03 DR.JAGADISH KUMAR MBBS.,MD PROF
04 DR.MAHENDRAPPA.K.B MBBS.,MD,DNB PROF
05 DR.PRASHANTH.S.N. MBBS.,MD ASSOC PROF
06 DR.ANETHA.C MBBS.,DCH,DNB ASSOC PROF
07 DR.CHANDRASHEKHAR.C MBBS.,MD ASSOC PROF
08 DR.MANJUNATH.V.G MBBS.,DCH,DNB ASSOC PROF
09 DR.SRINIVASAMURTHY MBBS.,MD ASSOC PROF
10 DR.RAJANI.H.S MBBS.,DCH,DNB ASST PROF
11 DR.RASHMI.N MBBS.,DNB ASST PROF
12 DR.CHAITRA MBBS.,MD ASST PROF
13 DR.SANTHOSH KUMAR MBBS.,DCH.,DNB SENIOR RESIDENT
14 DR.UMESH.L MBBS.,DCH TUTOR
15 DR.MAMATHA.S MBBS.,DCH TUTOR
16 DR.SUMA MBBS.,DCH TUTOR
17 DR.BHAKTAVATSALA MBBS.,DCH TUTOR
18 DR.DIVYA HOSUR MBBS.,DCH TUTOR