Kayseri City Hospital pediatric clinic is one of the most developed centers in our region for the health care and treatment of our children. While our hospital was within the body of Kayseri Training and Research Hospital, it has been moved to its new modern clinic with the opening of the City Hospital as of June 2018. Patients referred to our hospital from Kayseri and other provinces of the region are admitted to our clinic. In our clinic, nine associate professors, four chief assistants, minor (pediatrics and related minor specialization) specialists, pediatric specialists and thirty-two pediatric residents work devotedly to protect the health of our children and to treat them in case of illness with a team spirit. In outpatient applications, after the patients are evaluated in general pediatrics, social pediatrics, newborn or emergency pediatric outpatient clinics, necessary examinations and consultations are made and their treatment is arranged. Apart from outpatient application to these outpatient clinics, the diagnostic process can be examined by making an appointment from the phone number 182. Patients who need to be examined by a minor branch physician and patients who have been followed up before are evaluated by the relevant minor branch physician. Appointments can be made from the minor outpatient clinics with the approval of the relevant physician.
Within our hospital;
• Pediatric Emergency Clinic; There are a 24-bed observation room, a resuscitation room and polyclinics.
• Polyclinic Area; General pediatrics, Social pediatrics, Newborn,Cardiology, Hematology, Neurology, Rheumatology, Gastroenterology, Infection, Genetic, Metabolism, Endocrinology polyclinics, Nutritionist, Vaccination room, Hearing test, height weight measurement, There are baby care rooms.
• Infant, adolescent and minor service; These are inpatient services where children are followed up and treated by a consultant physician, subspecialty physician and assistant physicians.
• Hematology service; It is the service where the treatment of hematological and oncological diseases is performed.
* The Neonatal Intensive Care Unit is a clinic with 52 incubators, including 13 fourth-level, 23 third-level, 12 second-level and 4 primary-level
* Pediatric Intensive Care Unit; It is a clinic with a third-level intensive care bed with 14 beds and a second-level intensive care bed with 14 beds.
• Child Palliative Care Center; It is a 7 bed service.
Our children's hospital is also a training clinic where assistant training is given and specialist pediatricians are trained. In this process, besides the bedside training, training meetings are held four days a week. It is aimed to increase the knowledge and experience of our resident physicians who are trained at the clinic by reading, thinking about these readings, asking questions, planning treatment through disease mechanisms, learning and sharing what they have learned.
We aim to increase the quality of patient care in the clinic, to develop treatments for severe illness that our children face, to provide accurate diagnosis, effective and fast-effective treatments in cases of illness, to follow the developments in our field and to apply these developments in the clinic, as well as to conduct research that will contribute to science.
Units in Our Clinic,
Cardiology
After listening to the complaints of our patients and performing their physical examination, their heart rhythms, oxygen saturation and blood oxygen levels are evaluated by electrocardiography, and their blood pressure is measured. Echocardiography examination is a very helpful method in the diagnosis showing heart morphology and function. Holter, electrocardiography and exercise test are the tests we apply especially in the diagnosis of rhythm disorder. Cardiac computed tomography and MRI are advanced radiological diagnostic examination methods. Diagnostic cardiac catheterization and interventional procedures are performed with angiography.
In the Pediatric Cardiology Clinic;
• Evaluation of our patients who applied with complaints such as , bruising, palpitation, fainting, chest pain and fatigue,
• Diagnosis, follow-up and treatment of children with congenital and acquired heart disease,
• Evaluation of cardiac anatomy and functions of patients hospitalized in neonatal and pediatric intensive care units,
• Evaluation of the heart in cases where the heart may be affected due to systemic disease or drug use,
• Diagnosis, follow-up and treatment of children with rhythm disorders,
• Clinical diagnosis, follow-up and treatment of children with heart failure due to various reasons.
• Evaluation of heart health in professional athletes,
• Evaluation of fetal heart morphology and rhythm with fetal echocardiography examination,
• Diagnostic catheterization in some congenital heart diseases with angiography,
• Closure of heart holes and vascular openings for suitable patients by applying invasive angiographic procedures, removal of valve and vascular stenosis, septostomy (creation of an interatrial heart hole procedures in some cyanotic heart diseases,
• Controls of patients who have undergone an angiography procedure or heart surgery due to heart disease,
* Pediatric health and diseases Within the framework of the assistant physician training, courses on diagnosis and treatment approaches of pediatric heart diseases are given to our assistant physicians.
Hematology
It offers a service with 17 beds (all rooms are hepa filtered, there are 4 double rooms, 9 single rooms). There is no entrance to the service except for the patient companions and employees, and all rooms are cleaned daily. Chemotherapy drugs are prepared sterile in the preparation unit within the hospital and brought to the service. Bone marrow biopsy, aspirations and intrathecal treatments are performed under sedation in the emergency room in the service. Blood and blood products are supplied in a short time from the blood bank and apheresis unit within the hospital. Three pediatric hematology-oncology subspecialists, assistant doctors and 12 nurses work in the clinic. There are two examination rooms, blood collection room, intervention room and outpatient treatment rooms in our polyclinic. Here, patients are followed up, chemotherapy, blood and blood product support treatments of other hematological patients such as thalassemia and hemophilia are performed.
Nephrology
In our unit, urinary tract and kidney diseases of babies and children are examined and treated. Congenital or acquired kidney diseases, abnormalities in the urinary tract, infections, bleeding, cysts, tumors, kidney failures, hypertension, FMF (familial Mediterranean fever), and urinary tract stones fall under the responsibility of this unit.
Infection
Childhood infectious diseases are very common. In some cases, infectious diseases progress severely, causing our children to become seriously ill. It is important to recognize the clinic caused by the microorganisms that cause these diseases and to give specific treatments to the agent. Infectious diseases diagnosed with both clinical and laboratory findings are treated as outpatient and inpatient. The clinical approaches applied here become a part of resident training.
Gastroenterology
The diseases we treat in our pediatric gastroenterology department,
Celiac disease,
Lactose intolerance,
Fructose intolerance,
Gallstone,
Biliary sludge, biliary tract abnormalities,
Cow's milk allergy and other food allergies,
Hepatitis, liver enzyme elevations, neonatal jaundice (neonatal cholestasis, etc.),
Gastritis, ulcer, gastroesophageal reflux disease,
Inflammatory bowel diseases (ulcerative colitis, Chron's disease), rectal polyp,
Foreign body ingestion cases,
Chronic liver diseases,
Diseases that cause acid accumulation in the abdomen, pancreatic diseases, fatty liver, liver and spleen enlargement,
Diagnostic and therapeutic interventional procedures;
Esophagogastroduodenoscopy (endoscopic imaging of the region from the esophagus to the stomach, duodenum), Endoscopic small intestinal biopsy, endoscopic removal of foreign bodies in the stomach, band ligation of esophageal varices (strangulation of enlarged and bleeding veins in the esophagus), Ileocolonoscopy (examination of the entire large intestine and the last part of the small intestine with an endoscope by entering through the rectum), Rectosigmoidoscopy (examination of approximately the last 30 cm of the large intestine through the rectum with an endoscope), endoscopic polypectomy (endoscopic removal of polyps).
Nephrology
In our unit, urinary tract and kidney diseases of babies and children are examined and treated. Congenital or acquired kidney diseases, abnormalities in the urinary tract, infections, bleeding, cysts, tumors, kidney failures, hypertension, FMF (familial Mediterranean fever), and urinary tract stones fall under the responsibility of this unit.
Infection
Childhood infectious diseases are very common. In some cases, infectious diseases progress severely, causing our children to become seriously ill.
Genetic
In the pediatric genetic diseases outpatient clinic, diseases such as congenital anomalies, hereditary diseases, genetic syndromes are evaluated, necessary tests and follow-ups are performed for diagnosis. Genetic counseling service is provided to our patients and their families.
Allergy
Diagnosis and treatment of allergic diseases such as asthma, allergic rhinitis, atopic dermatitis (eczema), contact dermatitis, food allergies, drug allergies, insect allergies, urticaria-angioedema, hereditary angioedema and anaphylaxis are performed. In addition, diseases such as allergies related to eosinophilic reflux disease, gastrointestinal system allergies, gastroesophageal reflux disease, eosinophilic syndrome and mastocytosis are diagnosed and treated.
In the diagnosis and treatment phase of these diseases, allergy tests (skin prick test), skin patch test, oral loading tests for food and drug allergies, respiratory function tests and allergy vaccines (immunotherapy) are performed in some selected patients. In addition, protection measures are given against allergens (house dust mite, pollen, mold fungus, latex, pets, cockroaches) that cause allergies.
Diagnosis and follow-up of immune system diseases such as primary immunodeficiencies, chronic granulomatous disease, common variable immunodeficiency, transient hypogammaglobulinemia of infancy, selective and partial IgA deficiency, severe combined immunodeficiency.
Endocrinology
Diagnosis, follow-up and treatment of hormonal disorders such as diabetes, hypo- and hyperthyroidism, early puberty, late puberty, and short stature that develops as a result of dysfunction of the endocrine system are carried out.
Metabolism
Our Pediatric Nutrition and Metabolic Diseases clinic; It is a clinic that provides clinical and laboratory services in the screening, diagnosis and treatment of hereditary metabolic diseases, as well as the treatment and follow-up of diseases that occur due to nutritional problems such as obesity, malnutrition, anorexia, growth retardation.
In our clinic, amino acid metabolism disorders (such as Phenylketonuria, Tyrosinemia, Alkaptonuria), carbohydrate metabolism disorders (such as Glycogen Storage Diseases, Galactosemia, Hereditary Fructose Intolerance), organic acidemias (such as Propionic Acidemia, Methylmalonic Acidemia, Isovaleric Acidemia) and lysis Niemann Pick's Disease, Such as mucopolysaccharidosis)Especially, other rare metabolic diseases, hyperlipidemias (familial hypercholesterolemia and hypertriglyceridemia), diseases such as vitamin mineral metabolism disorders are followed and treated.
Social Pediatrics
Within the scope of monitoring child health; Studies are carried out in terms of monitoring growth, development and detecting pauses, early diagnosis of diseases, immunization, infant and child nutrition, the relationship of the child with the environment and the problems experienced in this sense, and the protection of children from neglect and abuse.
Neurology
In our clinic, we try to carry out the diagnosis, treatment and follow-up of our children with neurological diseases in the best way by making use of modern technological opportunities. In our clinic, the EEG unit provides active service, allowing the recording of normal and abnormal electrical waves originating from brain cells with the help of electrodes attached to the scalp.
In our clinic, childhood epilepsy, cerebral palsy, muscle diseases, autism spectrum disorders, central nervous system vascular diseases, strokes, idiopathic intracranial hypertension, speech disorders, developmental brain abnormalities, autoimmune, neurometabolic and neurodegenerative diseases of the central nervous system, movement disorders, headaches and Diagnosis, treatment and follow-up of diseases such as sleep disorders are carried out
Since the diagnosis, follow-up and treatment of childhood neurological diseases require teamwork, our clinic works in coordination with pediatric radiology, child metabolism, child psychiatry, neurosurgery and physical therapy and rehabilitation departments.
Pediatric Emergency Clinic
The pediatric emergency clinic is a clinic with 24 beds, supported by monitored systems, where a responsible educator, specialist pediatricians and assistant physicians, and the first intervention of pediatric emergency patients are made.
Pediatric Intensive Care
Our Pediatric Intensive Care unit has a total of 28 beds, 14 of which are second level and 14 third level. In our unit, our pediatric patients in life-threatening acute conditions such as acute respiratory failure, complex congenital and acquired heart diseases, liver and kidney failure, shock, life-threatening infections, metabolic diseases, severe asthma attacks, epileptic seizures, increased intracranial pressure syndrome and diabetic coma is being treated. Advanced intensive care medical support technologies are used by our intensive care team, including mechanical ventilation, inhaled nitric oxide, renal support systems (CRRT, peritoneal dialysis) and continuous EEG monitoring.
Pediatric Palliative Care Center
It is a seven-bed unit where the treatment of children with chronic diseases who have difficulties in home care are provided. It is one of the rare pediatric palliative care centers in our country.
Neonatal
In our neonatal intensive care unit; There are 52 incubators, 13 of which are the fourth level, 23 the third level, 12 the second level and 4 the first level. Care of very low birth weight premature babies is successfully carried out in our intensive care unit. In our clinic, hypothermia (cooling) treatment, which is a special treatment method, can be applied. The intensive care processes of newborn babies born with congenital heart disease are closely monitored before and after cardiac surgery. Laser therapy, which is used in the treatment of retinopathy of prematurity, which is an important problem in preterm babies, can be performed in our unit. For our babies who apply with neonatal jaundice, blood exchange is performed under intensive care conditions when necessary. In our Neonatal clinic, which is mother and baby friendly, necessary trainings are given in our mother's adjustment rooms for the healthy development of the mother-baby relationship before discharge. For this purpose, breast milk is always our priority in neonatal baby feeding.