Guidelines
40 entriesNDoH Hospital-level adult STG
- Paget's DiseaseStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 Edition→
- PainStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 Edition→
- Pain, ChronicStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 Edition→
- Pain, ChronicStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 Edition→
- Palliative CareStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 Edition→
- Pancreatitis, AcuteDescription General Measures Medicine Treatment Referral ICD-10 code: K85.0-3/K85.8-9 DESCRIPTION Acute inflammatory condition of the pancreas. Acute pancreatitis is based on the fulfulment of '2 out of 3' of the following criteria: clinical (upper abdominal pain), laboratory (serum amylase or lipase >3x upper limit of normal), and/or imaging (CT, MRI, ultrasonography) criteria. Intense local→
- Pancreatitis, ChronicDescription General Measures Medicine Treatment Referral ICD-10 code: K86.0-3/K86.8-9 DESCRIPTION Chronic inflammatory condition of the pancreas with severe abdominal pain, which results in functional and structural damage. In most patients, this is a chronic, progressive disease that leads to exocrine and/or endocrine insufficiency. GENERAL MEASURES Abstinence from alcohol reduces abdominal pain→
- Papular UrticariaStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 Edition→
- Pelvic Inflammatory Disease (PID)Description General measures Medicine treatment Referral ICD-10 code: N70.0-1/N70.9/N71.0-1/N71.9/N72/N73.0-6/N73.8-9 DESCRIPTION Pelvic inflammatory disease (PID) includes salpingitis with or without oophoritis. As precise clinical localisation is often difficult, PID denotes a spectrum of conditions resulting from infection of the upper genital tract. Sequelae include: recurrent infection→
- Penicillin DesensitisationStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 Edition→
- Peptic UlcerDescription General Measures Medicine Treatment Referral ICD-10 code: K25.0-7/K25.9/K26.0-7/K26.9/K27.0-7/K27.9 DESCRIPTION Ulcer in the stomach mucosa (gastric ulcer: GU) or first few centimetres of the duodenum (duodenal ulcer: DU), which penetrates into, or through the muscularis mucosa. Diagnosis is made after endoscopy as all GUs require biopsy to exclude malignancy. General Measures A→
- Perioperative AnalgesiaStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 Edition→
- Peripheral Nerve Block or Wound InfiltrationStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 Edition→
- Pesticides and RodenticidesAmitraz poisoning Organophosphate poisoning Paraquat poisoning AMITRAZ POISONING T44.4 + (X43.99/X63.99/Y13.99) * Notifiable condition. Poisoning from all pesticides (i.e. agricultural stock remedies) is a notifiable medical condition. Please visit https://nicd.ac.za/nmc-overview/notification-process for further information. DESCRIPTION Amitraz is a pesticide/insecticide with α 2 -adrenergic agon→
- PhaeochromocytomaStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 Edition→
- Pituitary DisordersStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 Edition→
- Plasma TransfusionDescription Medicine treatment Description Plasma transfusions may be needed in the following scenarios: Coagulopathy due to multiple factor deficiencies, e.g. disseminated intravascular coagulation (DIC), or large volume blood loss. Thrombotic thrombocytopaenic purpura Scoline apnoea Where available, viscoelastic testing (e.g. thromboelastography/TEG) should complement or replace standard coagul→
- Pneumonia, AspirationStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 Edition→
- Pneumonia, Community AcquiredStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 Edition→
- PoisoningDescription Diagnostic criteria General measures Referral DESCRIPTION Frequently encountered poisonings in adults are due to: analgesics anti-infectives ethanol/alcohol hydrocarbons e.g. paraffin anticonvulsants antihistamines irritants and corrosives pesticides cardiodepressants iron sedatives, antidepressants & antipsychotics toxic alcohols e.g. methanol, ethylene glycol Maintain a high ind→
- Poisoning with Substances that cause MethaemoglobinaemiaDescription Medicine treatment D74.9 + (T41.3/T41.4/T46.3 + X44.99/X64.99/Y14.99) DESCRIPTION Substances causing methaemoglobinaemia include nitrites, nitroglycerine, dapsone, mothballs (naphthalene), local anaesthetics, phenazopyridine, chlorates, and anilines. Nitrites are used to cure meat in the formal and informal butchery sector. Patients present with: Deep cyanosis with only mildly reduced→
- Poisons Information Centres and EnvenomationPoisons Information Centres Envenomation Poisons Information Centres Poisons Information Helpline (national service) 24/7 0861 555 777 Red Cross War Memorial Children’s Hospital Poisons Information Centre Email: poisonsinformation@uct.ac.za http://www.paediatrics.uct.ac.za/poisons-informationcentre Tygerberg Poisons Information Centre Email: toxicology@sun.ac.za www.sun.ac.za/poisoncentre→
- Portal Hypertension and CirrhosisDescription General Measures Medicine Treatment Referral ICD-10 code: R18/K72.9/K74.6+(I98.2*/I98.3*) DESCRIPTION The complications of portal hypertension include: variceal bleeds, ascites, hepatic encephalopathy (HE), splenomegaly with hypersplenism, hepatorenal syndrome, hepato-pulmonary syndrome or porto-pulmonary hypertension GENERAL MEASURES Ascites: Perform diagnostic paracentesis if→
- Post Cardiac Arrest CareDescription General Measures Medical Treatment Referral ICD-10 code: I46.0 DESCRIPTION Post cardiac arrest care starts following successful CPR. During this time the patient is vulnerable to several processes, including: the underlying disease condition or injury causing the cardiac arrest post cardiac arrest haemodynamic instability post cardiac arrest brain injury the sequelae of global ischaem→
- Post-Exposure ProphylaxisSee: Post-exposure prophylaxis . Click here for the pdf . Standard Treatment Guidelines And Essential Medicines List For South Africa, Adult Hospital level, 2020-4_Version 1_June 2024 Chapter 20: Emergencies and Injuries→
- Post-Exposure ProphylaxisPlease 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→
- Postpartum FeverStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults, Updated for the 2023 Edition→
- Postpartum HaemorrhageStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults, Updated for the 2023 Edition→
- PreeclampsiaStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults, Updated for the 2023 Edition→
- PremedicationStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 Edition→
- Prescribing Information for Specific MedicinesStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 Edition→
- Prescription WritingStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 Edition→
- Preterm Labour (PTL) and Preterm Prelabour Rupture of Membranes (PPROM)Standard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults, Updated for the 2023 Edition→
- Prevention of Preterm LabourStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults, Updated for the 2023 Edition→
- Primary AldosteronismStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 Edition→
- Procedural Sedation and AnalgesiaStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 Edition→
- ProstatitisStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 Edition→
- PsoriasisStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 Edition→
- Psychotic DisordersDescription Acute and transient psychotic disorders Description General measures Medicine treatment Description Psychosis is characterised by a loss of contact with reality. Psychotic disorders may present with: Delusions: Fixed beliefs which may manifest as disturbed speech content with persecutory, referential, grandiose, religiose, erotic, or bizarre themes. Hallucinations: Perceptual disturba→
- Pulmonary Oedema, AcuteDescription General measures Medicine treatment ICD-10 code: J81 DESCRIPTION A life-threatening condition with abnormal accumulation of fluid in the lungs. Common causes include acute decompensation of chronic underlying heart failure and acute renal failure (e.g. acute nephritis). Patients with acute decompensated heart failure appear extremely ill, restless, poorly perfused and sweaty, tachypno→