Overview - Paediatric Nephrology

To provide multidisciplinary and individualized care for children with kidney diseases in a ethical way and at an affordable cost,in order to improve the quality of life and to be globally recognized as an “Centre of Excellence in Pediatric Nephrology for Patient Care,Education and Research”

• Being the first standalone department of Pediatric Nephrology in the country, our endeavour is to sustain a multi-disciplinary,high efficiency low-cost renal care delivery system that can reach out to all needy children especially from the underprivileged sections of society.

• To reach out to children with kidney diseases in low and low and low middle-incomecountries by expanding the footprints of our training program to Asian and African regionsthrough international collaborations.

• To develop and sustain a translational research program using fundamental approaches of molecular and cell biology for solving the clinical problems in kidney disease.

Pediatric Nephrology care was started in 1999, with 7 beds and is now one of the largest ‘stand alone’ centers in the country. It offers a complete range of evaluation and treatment of children with kidney diseases. Facility includes:

• A25-bed comprehensive care unit which includes an intermediate treatment unit (ITU) and dialysis unit.

• Care for children with congenital and acquired renal diseases from birth through 18 years of age including diagnosis of renal disease in the fetus and antenatal counselling.

• Providing various forms of dialysisin children including newborns and very young children: acute and chronic hemodialysis, peritoneal dialysis, and continuous renal replacement therapy (CRRT).

• Chronic kidney disease (CKD) clinicproviding complex care

• Nephro-urology clinic in collaboration today with Department of Pediatric Surgerythat provides comprehensive management for children with urologic disease.

• Kidney transplantation service (Live related and deceased organ) including performing low body weight transplantation and laproscopic donor nephrectomy at a low cost. We strive to support children and their families through fund raising efforts and other educational opportunities

• Acute care nephrology service including dialysis and pheresis procedures in critically ill children

• Genetic evaluation and counselling expertise including interpretation of genetic reports

• 24-hour ambulatory blood pressure monitoring

• Training programme to train and nurture the next generation of specialists in pediatric nephrology, with a unique distinction of being the first centre in the country, to offer DM training recognized by National Medical Council (NMC). The centre is also recognised for the quality of training by international organizations such as International Society of Nephrology (ISN) and International Pediatric Nephrology Association (IPNA)

• A strong research programm to improve outcomes and quality of life in paediatric patients with various kidney diseases. The only centre with a dedicated molecular and genetic research laboratory for kidney diseases.

We have approximately 650 inpatient admissions each year with an outpatient schedule of 5000 visits annually. On an average, pediatric nephrology unit performs 750 dialysis sessions (both acute and chronic hemodialysis and peritoneal dialysis), 5 -7 renal transplants (total 92 transplants) and close to 100 renal biopsies per year.

We use a team approach that includes a group of passionate physicians, social worker, nurses, nutrionist and support who have worked together for many years and are committed to deliver and maintain a high standard of excellence in the care provided. We consistently strive to provide quality holistic care through state of art and advanced treatment, compassionate support and communication. We also emphasize family involvement in each child’s care. Faculty have leadership role in various international and national organizations associated with kidney diseases[Link to group photograph].

Serving the underserved: In line with our mission, we believe that no child with renal disease should be denied acute management for lack of monetary support. We welcome and treat many children whose families cannot afford health care. For these children, the department provides financial support for the acute management through the hospital administration and NGOs. In addition, we provide voluntary outreach services in rural and semi-urban areas.

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