Guidelines
33 entriesNDoH Hospital-level adult STG
- HIV and Kidney DiseasePlease click on the link below to access the most up-to-date version of this guideline. The content on this page is currently being updated to align with the latest publication. Always check the version number at the bottom of the screen to confirm which version you are using. Click here to access the Adult Hospital Level Chapter 10: HIV_and_AIDS_with_supporting_NEMLC_Report_Reviews_2025-9-Versio→
- HIV in PregnancyStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults, Updated for the 2023 Edition→
- Haematologic EmergenciesStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 Edition→
- HaematuriaStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 Edition→
- Haemorrhagic Fever SyndromeDescription General measures Referral ICD-10 code: A98.0-5/A98.8/A99 *Notifiable medical condition. DESCRIPTION Characterised by high fever, together with disseminated intravascular coagulation (DIC) and bleeding tendency. Other symptoms and organ involvement vary according to the causative virus. Some important causes other than viral haemorrhagic fevers (VHF) are: severe bacterial infections, p→
- Headache and Facial Pain SyndromesHeadache and Facial Pain Syndromes→
- Healthcare-Associated and Hospital Acquired InfectionsDefinition and principles Intravascular catheter infections Short-term central venous catheter infection Surgical wound infections Hospital-acquired pneumonia (HAP) and ventilator-associated pneumonia (VAP) Urinary tract infections, catheter associated DEFINITION AND PRINCIPLES Patients with healthcare associated and hospital acquired infections are at increased risk of being infected→
- Heart Disease in PregnancyStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults, Updated for the 2023 Edition→
- Heavy Metal PoisoningT56.0/T56.1/T56.4/T56.8/T57.0 DESCRIPTION This includes mercury, arsenic, gold, copper, lead poisoning, thallium etc. Frequent/occupational inhalation of metal fumes and particles can cause metal fume fever, a flu-like syndrome with fever, malaise, bronchospasm, and bi-weekly variations in severity that may be mildest on the weekend and most severe on Monday or Tuesday after returning to work. Th→
- Hepatic DisordersDESCRIPTION Hepatitis (inflammation of the liver) may be infectious (caused by viral, bacterial, fungal, and parasitic organisms) or non-infectious (triggered by alcohol, drugs, autoimmune diseases, and metabolic diseases). Causes of hepatitis includes idiosyncratic drug reactions, viral hepatitis (A, B, C, D, E), alcoholic hepatitis, non-alcoholic fatty liver disease, autoimmune hepatitis, Wilso→
- Hepatitis B in PregnancyStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults, Updated for the 2023 Edition→
- Hepatitis, Non-ViralDescription General Measures Medicine Treatment Referral ICD-10 code: K70.1/K71.0-9/K73.0-2/K73.8-9/K75.4 *Notifiable medical condition if caused by agricultural chemicals or insecticides. DESCRIPTION Any form of hepatitis not caused by the common hepatotropic viruses. Liver biopsy is indicated if hepatitis persists or diagnosis is unclear. GENERAL MEASURES Diet: If no hepatic encephalopath→
- Hepatitis, ViralDescription Hepatitis B, Acute Hepatitis B, Chronic (Non-HIV Co-infection) Hepatitis B, Chronic (HIV Co-infection) *Notifiable medical condition. DESCRIPTION Hepatitis caused by one of the hepatotropic viruses, hepatitis A, B, C, D and E. HEPATITIS B, ACUTE ICD-10 code: B16.0-2/B16.9 GENERAL MEASURES Bed-rest until acute phase has resolved. Avoid alcohol during the illness and for ≥ 6 month→
- Herpes Zoster OphthalmicusStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 Edition→
- Hiatus HerniaICD-1K code: 44.0/K44.1/K44.9 GENERAL MEASURES Manage GORD. See Gastro-Oesophageal Reflux Disease (GORD) and Dyspepsia . Click here for the pdf . Standard Treatment Guidelines And Essential Medicines List For South Africa, Adult Hospital level, 2020-4_Version 1_July 2024 Chapter 1: Alimentary tract; 1.1 Gastrointestinal Disorders; 1.1.4 Hiatus Hernia→
- Hirsutism and VirilisationDescription Referral ICD-10 code: L68.0/E25.0/E25.9 DESCRIPTION Hirsutism refers to terminal hair growth in amounts that are socially undesirable, typically following a male pattern of distribution. Virilisation refers to the development of male secondary sexual characteristics in a woman. REFERRAL Refer all cases to a tertiary hospital for investigation and management. Click here for the pdf &nb→
- Hospital Level (Adult) Medicine Reviews 2020 - 2023 (Gynaecology) *New*Standard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults, Updated for the 2023 Edition.→
- How To Use These GuidelinesStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 Edition→
- Hydatid DiseaseDescription General measures Medicine treatment Referral ICD-10 code: B67.0-9 DESCRIPTION Cysts of E. granulosus , acquired from ingestion of helminth ova passed out in dog faeces, particularly in sheep-farming areas. Cysts may occur in any organ but are most commonly found in the liver and lungs. GENERAL MEASURES Definitive treatment with surgery or PAIR ( P ercutaneous A spiration I nject→
- Hydrocarbon PoisoningDescription General measures Medicine treatment T52.0 + (X46.99/X66.99/Y16.99) Note: This section does not include information on aromatic hydrocarbons (e.g. benzene, toluene, xylene) often used by glue sniffers to get high. DESCRIPTION Poisoning due to petroleum products, including paraffin, turpentine, petrol, and mineral spirits. Clinical signs include: chemical pneumonitis nausea and vomiting→
- Hypercalcaemia, including Primary HyperparathyroidismStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 Edition→
- Hyperemesis GravidarumStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults, Updated for the 2023 Edition→
- HyperkalaemiaStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 Edition→
- HypernatraemiaStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 Edition→
- HypertensionStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 Edition→
- Hypertensive Disorders in PregnancyStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults, Updated for the 2023 Edition→
- HyperthyroidismStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 Edition→
- HypocalcaemiaStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 Edition→
- Hypoglycaemia and HyperglycaemiaHypoglycaemia Hyperglycaemia Hypoglycaemia ICD-10 code: E10.0/E10.6/E11.0/E11.6/E12.0/E12.0/E12.6/E13.0/E13.6/E14.0/E14.6/E16.0/E16.1/E 16.2 Description Hypoglycaemia, defined as a glucose concentration <4 mmol/L, is common in critically ill patients, and is associated with increased mortality. Risk factors associated with hypoglycaemia in critically ill patients include severity of illn→
- HypokalaemiaStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 Edition→
- HyponatraemiaStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 Edition→
- HypothyroidismStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 Edition→
- Hypovolaemic ShockNon-trauma related hypovolaemic shock Trauma related hypovolaemic shock Massive transfusion NON-TRAUMA RELATED HYPOVOLAEMIC SHOCK ICD-10 code: R57.1 DESCRIPTION This happens when there is loss of intravascular fluid, e.g. severe diarrhoea and dehydration, haemorrhage or fluid shifts. GENERAL MEASURES Control obvious bleeding with direct pressure. Insert one or two large bore IV catheters; p→