Comprehensive Care from the Newborn Period to Adolescence

Published:  ·  Last Updated:  ·  Prepared by the Academic Hospital Web and Editorial Board.

The Pediatrics Department is the core child health unit that provides both the preventive services supporting healthy development from birth to the age of 18 and the diagnosis and treatment of disease. It covers a broad range of care, from immunisation, growth and development monitoring and nutritional counselling to febrile illnesses, asthma and allergy. The Academic Hospital paediatric team aims to keep the burden of disease to a minimum by supporting the child's healthy growth from the very beginning.

Academic Hospital Pediatrics Department

What Is the Pediatrics Department?

Pediatrics is the core specialty that carries out the routine follow-up of healthy children and the treatment of sick children under one roof. The paediatrician monitors the child's physical, mental and emotional development from birth until the end of adolescence, detects illness early and acts as a trusted adviser to the family. Preventive care (vaccination, screening, nutrition) and curative care (medication, admission, referral) are delivered together in this department.

Which Diseases and Conditions Are Treated?

The Pediatrics Department covers all the fundamental health problems of childhood.

  • Newborn follow-up: The first examination after birth, newborn screening tests (heel prick), jaundice monitoring and feeding support
  • Immunisation: Planning and administration of all compulsory vaccines within the expanded immunisation programme of the Turkish Ministry of Health, together with optional vaccines
  • Growth and development monitoring: Tracking of height, weight and head circumference with percentile curves, assessment of developmental milestones and early detection of deviation
  • Childhood infections: Fever, middle ear infection (otitis media), throat infections (tonsillopharyngitis, pharyngitis), urinary tract infections and viral upper respiratory tract infections
  • Asthma and wheezing: Diagnosis, management of attacks and long-term control treatment
  • Allergic diseases: Diagnosis and management of allergic rhinitis, food allergy and atopic dermatitis (eczema)
  • Nutritional problems: Inadequate weight gain, iron deficiency anaemia, vitamin D insufficiency and assessment of obesity
  • Frequently recurring illnesses: Recurrent otitis media, recurrent throat infections and recurrent urinary tract infections; investigation of the underlying cause
  • Digestive system problems: Colic, gastro-oesophageal reflux, constipation and diarrhoea (acute and chronic)
  • Skin conditions: Initial assessment of dermatological problems such as childhood eczema, heat rash, nappy rash, cold sores and chickenpox

When Should You Consult Us?

The situations below are signs that call for assessment by a paediatrician.

  • A temperature of 38°C or above in an infant younger than 3 months
  • High fever lasting more than 3 days or recurring
  • Earache or discharge from the ear
  • Shortness of breath, wheezing or bouts of coughing
  • Concern about newborn feeding or jaundice
  • A marked fall or a plateau in the growth curve
  • Recurrent vomiting, diarrhoea or abdominal pain
  • Updating and checking the routine vaccination schedule

Emergencies: Rapid breathing, altered consciousness, a high fever that does not respond to antipyretics, fever accompanied by a rash, or an infant or child who refuses to feed altogether are situations that require assessment in the emergency department.

Diagnostic Methods

Paediatric diagnosis combines physical examination with laboratory and imaging methods.

Method What it is used for
Examination of the ears, nose, throat, lungs and abdomen; assessment of growth parameters
Detection of infection, anaemia and nutritional disorders
Diagnosis of urinary tract infection and antibiotic sensitivity
Distinguishing bacterial throat infection
Identification of viral upper respiratory tract agents
Imaging in pneumonia and lung disease
Diagnosis of allergy with blood IgE tests and, where required, skin tests
Measurement of lung capacity in children aged 6 and over with asthma
Heel prick screening for phenylketonuria, hypothyroidism and other metabolic diseases

Treatment Approaches

Paediatric treatment is planned according to the type of illness and the child's age, and always involves the active participation of the family.

Treatment Scope and application
Dose calculation by age and weight in bacterial infections; guidance based on culture results in order to avoid unnecessary antibiotic use
Treatment of attacks with short-acting bronchodilators; long-term control with inhaled corticosteroids
Replacement of vitamin D, iron and zinc deficiencies; a nutrition plan in growth retardation
Additional vaccine recommendations according to the child's state of health, alongside the standard vaccination schedule
Identification of triggers, antihistamine treatment and, where required, joint assessment with an allergist
Oral or intravenous rehydration advice in the treatment of fever and diarrhoea, and guidance on the use of antipyretics
Referral to subspecialties such as Pediatric Pulmonology, Pediatric Cardiology, Pediatric Rheumatology and Pediatric Nephrology where further investigation or specialist care is required

Book an appointment with the Academic Hospital Pediatrics Department.

Book an Appointment

Pediatrics at Academic Hospital

The Academic Hospital Pediatrics Department delivers preventive follow-up and the treatment of illness in the same clinic, from the newborn period to the end of adolescence. Children who need further investigation or subspecialty assessment are managed together with the following departments:

Frequently Asked Questions

What should be done if the vaccination schedule falls behind?
A delay in vaccination does not create a permanent problem in the long term; missing doses can be completed through catch-up immunisation programmes. The paediatrician prepares an individual catch-up plan based on the child's age and the vaccines already given. What matters is not abandoning the vaccine series and resuming the process as soon as possible.
Is an antibiotic needed for every fever?
No. The great majority of childhood fevers are due to viral infections and do not require antibiotic treatment. Antibiotics are started only when a bacterial infection is proven or strongly suspected. Unnecessary antibiotic use leads to the development of resistance and adversely affects the child's intestinal flora.
My child has a wheeze; is this asthma?
Not every wheeze means asthma; wheezing caused by a viral infection (viral bronchiolitis) is common, particularly under the age of 3. A diagnosis of asthma is more likely if there is recurrent wheezing, eczema or a family history of asthma. Clinical assessment and, where necessary, a pulmonary function test are used to establish the definitive diagnosis.
Is it a serious problem if my child is below the percentile curve?
The growth percentile alone is not an indicator of disease; what matters is that the child follows their own curve. However, if there is a marked fall in the percentile, growth has stopped, or there is a large difference between the height and weight percentiles, nutritional, hormonal or chronic disease causes should be investigated.
When should the newborn examination take place?
The first paediatric examination is carried out in hospital after birth. Check-ups are also recommended on days 5, 15 and 30 after discharge; monitoring then continues at regular intervals within the follow-up schedule of the Turkish Ministry of Health. If any concern arises during the first three months, you should seek advice without waiting.

Appointment and Information

444 0 353

Weekdays 08:00-18:00

References

The general information given on this page about child health monitoring, immunisation and the management of childhood illness is supported by the reliable health sources listed below.

  1. World Health Organization, "Child Health", who.int
  2. American Academy of Pediatrics, "Preventive Care and Immunization Schedules", aap.org
  3. National Health Service, "Baby and Child Health", nhs.uk

The information on this page is for informational purposes only; it does not replace medical examination, diagnosis or treatment. Please consult a healthcare institution regarding your complaints.

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