Pediatrics department of our hospital has 29 beds in the pediatrics ward, and Pediatrics outpatient department and emergency medical care center in the annex provide acute care for children in Kobe City.
There are two to three outpatient clinics from Monday to Friday, with general outpatient and specialized outpatient clinics in the morning, specialized outpatient clinics in the afternoon, health checkups for infants, and various vaccinations for high-risk children.
At the Emergency and Critical Care Center, Pediatrician are on duty 24 hours a day, including nights and holidays, to accept pediatric emergency patients and provide emergency treatment.
We are ready to cooperate with local medical institutions at any time through a dedicated telephone line "Pediatrics Hotline" and receive referrals.
We focus on highly specialized medical care in each field of Pediatrics and provide team medical care centered on specialists. In the field of infectious diseases, we pay attention to the appropriate use of antibiotics and try to provide necessary and sufficient treatment.
The pediatric ward consists mainly of single-person rooms, and is used for the isolation of children who need to be isolated due to infection or those who need to be prevented from infection due to weakened immunity due to treatment such as the use of immunosuppressants. The pediatric ward is equipped with a playroom and a children's garden, giving consideration to the living environment.
In addition to providing sufficient analgesic and sedative treatment for painful procedures, we are devising ways to reduce pain by providing "preparation" and "distraction" by nurses.
Medical treatment is not only between doctor,
Based on team medical care that emphasizes cooperation with each occupation.
〈Ward rounds and nursing meetings〉
<Simulation training>
<conference>
Recruiting Senior Resident
Recruiting Senior Resident Pediatrics and Neonatology for 2021
We are currently recruiting Senior Resident (later-term trainees) in Pediatrics and Neonatology of our hospital until the end of Reiwa 5.
About Pediatrics and Neonatology
- Pediatric emergency services available 24 hours a day The hospital has gained the trust of citizens by connecting with medical institutions in the city through a hotline and accepting patients on a regular basis.
- Food challenge test, allergen immunotherapy, skin care guidance, and asthma management.
- Comprehensive perinatal center We are contributing to local perinatal medical care.
Selling points of our hospital's late-stage training
- You can experience many common diseases such as infectious diseases and Kawasaki disease.
- Rounds are held twice a day in the morning and evening, with discussion among all members. Through this course, students can acquire skills in general medical treatment, with a focus on acute-phase diseases.
- weekly Pediatric/neonatal emergency resuscitation simulation training Through this, you can acquire emergency response skills.
- Students can receive specialized training through partnerships with hospitals in the prefecture, including Hyogo Hyogo Prefecture Children's Hospital.
Target: Resident doctors currently undergoing initial training
Contact: keigo_hamahata@kcho.jp
Medical record
Departmental statistics
Main diseases/treatments
Pediatric allergy/immune disease
Bronchial asthma, atopic dermatitis, food allergies, collagen diseases such as SLE and juvenile idiopathic arthritis, allergic purpura, various immunodeficiencies, etc.
food challenge test
skin care instruction
allergen immunotherapy
childhood infections
Respiratory infections (pneumonia, bronchiolitis, croup syndrome, whooping cough, etc.), gastrointestinal infections (viral gastroenteritis, bacterial enteritis such as O157 and salmonella, hepatitis, etc.), meningitis (bacterial, viral) ), complications such as measles, rubella, chickenpox, and mumps, streptococcal infections, severe skin infections such as staphylococcal scalded skin syndrome (SSSS) and cellulitis, legal infectious diseases (classes 1 to 5), Suppurative osteomyelitis/arthritis, sepsis, fever of unknown origin, etc. We also accept patients who need isolation. We have also accepted 102 hospitalizations for COVID19 infections over the past three years.
cardiovascular disease
Kawasaki disease (and cardiac complications), workup for heart murmurs and ECG abnormalities, arrhythmia, cardiomyopathy, hypertension, hypercholesterolemia, etc. We also perform genetic diagnosis of potentially fatal arrhythmias such as long QT syndrome.
endocrine disease
Diabetes, growth hormone-deficient dwarfism, diabetes insipidus, various thyroid dysfunctions, precocious puberty, etc.
renal and urinary system diseases
Acute nephritis, nephrotic syndrome, urinary tract infection, HUS, urinary tract malformation, etc.
blood disease
Blood clotting disorders such as various thrombocytopenias and hemophilia.
neurological disease
Febrile convulsion, epilepsy, developmental disorders, etc.
clinical research
Notice Regarding Implementation of Clinical Research
Currently, Pediatrics is conducting the following clinical research. In these studies, we will use the data (information) obtained from the patient's daily clinical practice.
If you would like to know more about the research plan or content, or if you have any other questions, please contact us. If you object to the use of your data for research, you can stop using the information or providing it to other research institutions at any time.
| Research subject name | Explanatory text (PDF) |
| Trends in the detection of respiratory infection viruses using Film Array® in patients with Kawasaki disease during the fluctuating period of respiratory infections after the COVID19 pandemic | |
|---|---|
| National Surveillance of Group B Streptococcal Infections in Children | |
| Examination of clinical usefulness of novel allergen components in the diagnosis of nut allergy | |
| A multi-institutional survey on the distribution of pediatric asthma severity and changes in treatment over time | |
| National Survey of Clinical Information on Autoinflammatory Diseases Diagnosed in Japan | |
| A Registry Study of Oral Food Tolerance Tests Using Modified Foods | |
| Comparison of treatment outcomes between moderate-dose aspirin and no aspirin in the initial treatment of Kawasaki disease: a retrospective observational study | |
| National Survey of Blood Coagulation Disorders | |
| Examination of the role of IgD/IgG4 antibodies in food allergy | |
| Fact-finding survey of gamma globulin administration for blood type incompatibility jaundice | |
| Nationwide survey on side effects after vaccination against mumps | |
| Examination of usefulness of food challenge test using heated whole egg powder | |
| Observational study on the relationship between therapeutic effect and immune response in subcutaneous immunotherapy in children | |
| Examination of exercise-induced anaphylaxis experienced in our department | |
| Investigation of anaphylaxis cases by oral food challenge test | |
| Ministry of Health, Labor and ministry of Health, Labor and Welfare notation Comprehensive research group for elucidating the etiology of infant idiopathic mitral valve chordae rupture and establishing diagnostic and therapeutic methods Nationwide survey on "Idiopathic mitral chordae rupture in infants" Shiraishi I, Nishimura K, Sakaguchi H, et al. Acute rupture of chordae tendineae of the mitral valve in infants: a nationwide survey in Japan exploring a new syndrome. Circulation 2014;130:1053-61. |
|
| Japanese Society of Kawasaki Disease Pediatric Coronary Artery Diameter Standard Value Creation Subcommittee Pediatric Coronary Artery Diameter Standard Value Creation Project (Z-score Project) Kobayashi T, Fuse S, Sakamoto N, et al. J Am Soc Echocardiogr. 2016 Aug;29(8):794-801.e29. doi: 10.1016/j.echo.2016. 03.017. Epub 2016 Jun 7. A New Z Score Curve of the Coronary Arterial Internal Diameter Using the Lambda-Mu-Sigma Method in a Pediatric Population. |
|
| Research project of Sudden Death Investigation Committee, Youth Heart Disease and Lifestyle-related Disease Control Council (Chairman: Masaru Yamakawa Kobe City Medical Center General Hospital) Analysis of out-of-hospital cardiopulmonary arrest and cardiopulmonary resuscitation status in young people based on the multicenter out-of-hospital cardiac arrest registry of the Japanese Association for Acute Medicine (ongoing) |
General inspection
- blood test, urine test
- Plain X-ray, CT, MRI
- Ultrasound (echo) inspection
- Nuclear medicine examination
- Gene/chromosomal test/blood test, urine test
respiratory disease
- respiratory function test
- Overnight sleep polysomnography
Neuromuscular disease
- EEG, long video EEG
- Continuous EEG monitoring
- auditory brainstem response
- electromyogram, nerve conduction velocity
- Cerebrospinal fluid examination
- muscle biopsy, nerve biopsy
Kidney/urinary diseases
- Precision urine test, urine collection test
- renal biopsy
cardiovascular disease
- ECG, long continuous ECG
- exercise cardiogram
- cardiac catheterization
Gastrointestinal and hepato-biliary-pancreatic disease
- gastrointestinal imaging
- 24-hour esophagogastric pH monitoring
- gastrointestinal endoscopy
immune/allergic diseases
- Airway hyperresponsiveness test, airway reversibility test
- Exhaled NO test
- food challenge test
- skin prick test
Hematology/Oncology
- bone marrow examination
Infection
- Bacterial culture, antimicrobial susceptibility testing
- virus isolation
news
Introduction of our department for doctor and those who aspire to become doctor
* This content is intended for doctor people to deepen their understanding of this medical institution, and is not intended for advertising or advertising for the general public. Nice to meet you, Kobe City Medical Center General HospitalPediatrics Satoru Tsuruta ( My name is Satoru Tsuruta).
In our department, we focus on highly specialized medical care in each field, and provide team medical care with an emphasis on cooperation with each profession, mainly specialists. This time, we would like to introduce our efforts. Please feel free to contact us if you have any problems with medical treatment or if you are considering referral to a patient in charge of your doctor.
Satoru Tsuruta
Pediatrics Director
About our Pediatrics
Our hospital is a Pediatrics-bed general hospital located in Port Island, south of Kobe City.
It has a Pediatrics ward with 29 beds and a neonatal center (NICU 9 beds, GCU 12 beds), and the annual number of hospitalizations is about 1,500 general children and 300 sick newborns. With 13 staff members in the Pediatrics and Neonatology and 5 Senior Resident, we have a system of 18 people that can handle pediatric emergencies and NICUs 24 hours a day.
小児救急にも積極的に取り組んでおり、地域の先生とホットラインで直接ご相談いただける体制をとっており、24時間365日受け入れ可能となっています。
具体的な利用方法につきましては当院地域医療連携センター（代表：078-302-4321）までご連絡ください。
（※ホットラインは地域の医療機関の先生方と当院小児科医との直接の連絡用となっており、患者さんやその家族からのご相談には対応していません）
In addition, we are also focusing on the education of young people, and we provide guidance and education according to our own Pediatrics Senior Resident training program so that they can acquire sufficient knowledge and skills as Pediatrician.
Due to the epidemic of the new coronavirus, Pediatrics nationwide are facing many problems such as delays in vaccination and checkup schedules, as well as an increase in domestic abuse due to long-term self-restraint and movement restrictions.
Our hospital accepts a large number of patients with COVID-19, mainly adults, but we are responding with due consideration to infection control so that general patients can visit us with peace of mind. In addition, we would like to work together with local governments and other pediatric medical institutions to prevent pediatric medical care from being distorted. Pediatrics is a clinical department that provides comprehensive medical care to patients in the target age group.
In addition, we have been introduced to our department's Senior Resident Pediatrician training program by young specialists, so Junior Resident who aim to become Pediatrician should definitely consider our department's program. Hospital tours are also very welcome, so we are waiting for you to contact us.
Allergy Department Focusing on Patient Guidance
In today's world, where half of the population is said to have some kind of allergy, learning how to deal with allergies in childhood has a major impact on the patient's life later on. Our hospital contributes to regional allergy treatment as a Hyogo Prefecture allergic disease medical base hospital.
Because it is an acute care hospital, inpatients often have asthma exacerbation and anaphylaxis, but all allergic diseases can be treated. We are multi-disciplinary and focus on patient guidance, and we are trying to steadily perform standard treatment according to clinical practice guidelines.
For food allergies, an oral food challenge test is performed from infancy, and the minimum necessary elimination guidance is given, with the aim of canceling the elimination as soon as possible. We can handle everything from mild to severe, so please feel free to introduce us. Especially if you need complete removal at the time of the 1st birthday, please introduce us.
Patients with poorly controlled asthma and atopic dermatitis, including those with poor adherence, are repeatedly educated so that they can self-manage their disease. Introduction of biologics is also possible.
For patients who cannot continue sublingual immunotherapy due to strong side effects, allergen immunotherapy is introduced by devising introduction or subcutaneous method, so there are patients who are suffering from allergic diseases. If so, please feel free to introduce yourself.
Also, please introduce patients who have trouble concentrating on their studies or have trouble sleeping due to allergic rhinitis. Basically, we will refer patients who have stabilized to some extent in reverse.
From early diagnosis to prognostic follow-up, the cardiology department
In 1972, school heart screening was started in Kobe City. Since the introduction of simultaneous examinations, our department has worked in cooperation with the Kobe City Board of Education and the Hyogo Prefecture Preventive Medicine Association to ensure accurate diagnosis and appropriate management of heart disease, and has focused on preventing sudden deaths under school management. rice field. Currently, we diagnose and manage approximately 50 people selected for secondary examinations each year.
In addition to school examinations, detailed examination of the causes of chest pain, palpitations, syncope, etc. is an important opportunity for diagnosing fatal heart disease. In addition to echocardiography, treadmill testing, and 24-hour electrocardiography, our department strives to improve diagnostic performance with long-term Holter electrocardiography that can record for one week. In addition, for hereditary arrhythmia and familial dyslipidemia, we actively carry out genetic testing with the cooperation of specialized institutions, and strive to search for undiagnosed patients in the family as well as the management and treatment of patients.
Cardiac disease, which is the cause of sudden young death, can be avoided or relieved by appropriate management, such as exercise restriction and medication, promotion of CPR and AED activation by improving the school system, and installation of AED at home. In our department, we have experienced 5 cases of ventricular fibrillation without sequelae during preventive intervention after examination. Even if the symptoms are seemingly trivial, such as mild chest pain or short-lived heart palpitations, it will be a diagnostic opportunity before the event occurs, so please introduce us. Kawasaki disease patients are referred from a wide range of areas, mainly in Kobe City, and 50 to 60 people are hospitalized annually. The first gamma globulin is administered on average 5.0 sick days, and steroids are used in combination in consideration of sick days and refractory risk.
For coronary artery complications, which is the most important outcome of Kawasaki disease, we have a system that allows us to quickly evaluate and start treatment without delay even if we are hospitalized on holidays or at night.
In accordance with the "Guidelines for Diagnosis and Treatment of Cardiovascular sequelae of Kawasaki disease", for all cases, at admission, around 10 days of illness, when necessary, at discharge, at 1 and 2 months after onset, and up to 5 years after onset. An echocardiographic evaluation is performed annually by a cardiologist.
Even in incomplete or suspected cases of Kawasaki disease with only 2-3 main symptoms and spontaneous resolution of fever, multiple coronary artery evaluations are performed. Please refer for the purpose of echocardiographic evaluation, even if there is a failure case, suspected case, or mild case that does not require treatment.
Neonatal department for all high-risk cases
The neonatal center of our hospital is a neonatal center consisting of 9 NICU (Neonatal Intensive Care Unit) beds and 12 GCU (Neonatal Recovery Unit) beds. As a member of the Hyogo Prefecture Perinatal Medical Network, we mainly support the transportation of mothers and newborns from obstetric facilities in the Kobe City medical area. Located in a general hospital with an emergency medical center, it forms a comprehensive perinatal medical center together with obstetrics and MFICU (maternal-fetal intensive care unit). We are working on neonatal medicine, which is an extension of maternal-fetal medicine, for infants born from high-risk births from mothers with complications (cardiovascular disease, immune-blood disease, renal disease, infectious disease, etc.).
In addition, we also support children born from mothers who are difficult to accept at other hospitals, such as medical high-risk cases where both mothers or parents have mental illness, social high-risk cases such as young births and undocked pregnant women. I'm here. At our general perinatal center, approximately 800 women are delivered annually, of which approximately 300 newborns are admitted to the neonatal center (approximately 20 newborns are transported annually).
About our Pediatrician training program
In our department, the Senior Resident is the attending physician, and conducts medical treatment independently. In addition, you can gain a lot of experience based on a wealth of cases in the general outpatient department and the emergency department. In particular, the emergency outpatient department of our hospital is an ER type emergency medical care, and we are blessed with opportunities to treat a variety of cases from the first to the third. While receiving guidance from the staff teachers, the days I get a lot of experience and learning are my sustenance.
In addition to clinical practice, we regularly hold lectures from staff doctors, lectures by Senior Resident, emergency pediatric disease simulations, reading circles, etc., so that we can apply what we have learned to our daily practice. We also hold joint study sessions with Hyogo Prefecture Prefectural Children's Hospital and Hyogo Prefecture Amagasaki General Medical Center.
The lectures given by the Senior Resident are a place where you can summarize your own experiences and output what you have learned, and you can feel that your knowledge of the disease and pathology is firmly established.
This year has been a turbulent year due to the new corona infection, but it has been a year that I can never forget for the rest of my life.
If you are interested in training in our department, please come and visit us. We look forward to working with you!
message to teachers
Due to the COVID-19 epidemic, academic conferences and research meetings have been canceled and online, so unfortunately there are fewer opportunities to talk directly with local teachers. In the self-restraint mood, it is becoming difficult for parents who are worried about childcare to consult with their teachers at ease. Under these circumstances, we believe that it is necessary to actively cooperate with local medical institutions and health and welfare institutions more than ever in order to prevent pediatric medical care from settling back. Thank you for your cooperation.
