Guidelines
437 entriesNDoH Primary Healthcare STG
- Exposure to Poisonous SubstancesDescription General Measures Medicine Treatment Referral ICD-10 code: T36.0-9/T37.0-5/T37.8-9/T38.0-9/T39.0-4/T39.8-9/T40.0-9/T41-0-5/T42.0-8/T43.0-6/T43.8-9/ 4.0-9/T45.0-9/T46.0- 9/T47.0-9/T48-0-7/T49.0-9/T50.0-9/T51.0-3/T51.8-9/T52.0-4/T52.8-9/T53.0-9/T54.0-3/T54.9/T55/T56.0-9/T57.0- 3/T57.8-9/T58/T59.0-9/T60.0-4/T60.8-9/T65.0-6/T65.8-9+ (X44.99/X49.99/X64.99/X69.99/Y14.99/Y19.99) Note: Poisoni→
- Extra-Pyramidal Side EffectsDescription Medicine treatment Referral ICD-10 code: G21.1/G24.0/G25.8-9/Y11/Y13/Y88.0 + (T43.0-6/T43.8-9) Description Extra-pyramidal side effects (EPSE) may occur with any antipsychotic, but are most commonly due to haloperidol, risperidone, and flupenthixol and zuclopenthixol injections. At-risk groups include those with underlying medical conditions such as epilepsy, intellectual disability,→
- Eye Injury, Blunt or PenetratingEye Injuries→
- Eye Injury, Chemical BurnEye Injuries→
- Eye Injury/ Foreign BodiesEye Injuries→
- Febrile SeizuresSeizures (Convulsions/Fits)→
- FeverDescription General Measures Medicine Treatment Referral ICD-10 codes: R50.0-1/R50.8-9 DESCRIPTION Fever, i.e. temperature ≥38°C, is a natural and sometimes useful response to infection, inflammation or infarction. Fever alone is not a diagnosis. Fever may be associated with convulsions in children <6 years of age, but is not a cause of the convulsions. Note: Tempera→
- Fixed Drug EruptionsAllergies→
- ForewordForeword→
- Fungal Nail InfectionsB20.5 + B35.1 This is common in PLHIV and can involve multiple nails. Treatment is not generally recommended because it is mostly of only cosmetic importance and therefore the risk of systemic therapy is not warranted. It generally resolves when patient is on ART. Click here to access the pdf . Standard Treatment Guidelines and Essential Medicines List for South Africa, Primary Healthcare_V1.0_26→
- Fungal Skin InfectionB20.5 See: Candidiasis, skin , and ringworm and other tineas . Click here to access the pdf . Standard Treatment Guidelines and Essential Medicines List for South Africa, Primary Healthcare_V1.0_26 February 2026 Chapter 11: Human Immunodeficiency Virus and Acquired Immune Deficiency Syndrome (HIV AND AIDS)_11.3 Opportunistic Infections, Treatment in Adult_11.3.8 Fungal Skin Infections→
- Gastro-Oesophageal Reflux/Disease in InfantsDescription General Measures Referral ICD-10 code: P78.8-9 DESCRIPTION Gastro-oesophageal reflux (GOR) is the passive regurgitation of gastric content into the oesophagus. It may be a normal physiological phenomenon in infants, children and adults. It is noted by frequent positing/regurgitation of small amounts of milk/food. Gastro-oesophageal reflux disease (GORD) is when GOR results in abnormal→
- Genital Molluscum Contagiosum (MC)Sexually Transmitted Infections→
- Genital Ulcer Syndrome (GUS)Sexually Transmitted Infections→
- Genital Warts (GW): Condylomata AccuminataSexually Transmitted Infections→
- Genital Warts: Condylomata AccuminataGenital Warts: Condylomata Accuminata→
- Gestational Hypertension: No Severe FeaturesDescription General measures Medicine treatment Referral O13 DESCRIPTION Hypertension occurring for the first time at ≥ 20 weeks' gestation with no proteinuria. GENERAL MEASURES May be managed without admission < 38 weeks' gestation, provided no proteinuria. Review the following on a weekly basis: BP weight urine analysis height of fundus (every two weeks) foetal heart rate and movements Educa→
- Gestational Hypertension: With Severe FeaturesO13 Management is the same as for treatment of pre-eclampsia with severe features – See Pre-eclampsia . Click here to access the pdf . Standard Treatment Guidelines and Essential Medicines List for South Africa, Primary Healthcare, 2025-9_Version 1.0_26 March 2026 Chapter 6: Obstetrics and Gynaecology_6.4.2.3 Gestational Hypertension: With Severe Features→
- GiardiasisSee: Gastrointestinal conditions. Click here to access the pdf . Standard Treatment Guidelines and Essential Medicines List for South Africa, Primary Healthcare, 2020-2024_Version 1.1_20 January 2025 Chapter 10: Infections and Related Conditions_10.6 Giardiasis →
- Gingivitis, Acute Necrotising UlcerativeSee: Necrotising periodontitis . Click here to access the pdf . Standard Treatment Guidelines and Essential Medicines List for South Africa, Primary Healthcare_V1.0_26 February 2026 Chapter 11: Human Immunodeficiency Virus and Acquired Immune Deficiency Syndrome (HIV AND AIDS)_11.3 Opportunistic Infections, Treatment in Adult_11.3.9 Gingivitis, Acute Necrotising Ulcerative→
- Girl's Weight for Age ChartGirl's Weight for Age Chart→
- Glaucoma, Acute and Closed AngleEye Conditions→
- Glomerular Diseases (GN)Glomerular disease→
- Gout, AcuteGout→
- Gout, ChronicGout, Chronic→
- Guidelines for Adverse Drug Reaction ReportingGuidelines for Adverse Drug Reaction Reporting→
- Guidelines for Motivation of a New Medicine on the National Essential Medicine ListGuidelines for Motivation of a New Medicine on the National Essential Medicine List→
- HIV Infection in Adults and Adolescents (10-19 years old)Please 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 Primary Health Care - PHC Chapter 11: Human Immunodeficiency Virus and Acquired Immune Deficienc→
- HIV Infection in Children (<10 years old)Please 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 Primary Health Care - PHC Chapter 11: Human Immunodeficiency Virus and Acquired Immune Deficienc→
- HIV and Kidney DiseaseDescription Referral N04.9/N05.9/N17.9 + (B24) DESCRIPTION Various forms of kidney disorders are described among PLHIV. Early detection of HIV kidney disease may be beneficial in an attempt to protect the kidney from further disease progression and for adjusting the dose of relevant medicines (See: Antiretroviral therapy, adults table - Antiretroviral medicines: Dose and common adverse dru→
- HIV in PregnancyDescription General measures Medicine treatment Referral O98.7 DESCRIPTION HIV is currently the commonest cause of maternal deaths in South Africa. Transmission of HIV from mother to infant may occur during pregnancy, delivery and/or breastfeeding. Without intervention, 25–40% of infants born to HIV-infected women may become infected. With appropriate interventions, maternal mortality as well as→
- HaematuriaUrology→
- HaemorrhoidsDescription General Measures Medicine Treatment Referral ICD-10 code: K64.0-5/K64.8-9 DESCRIPTION Varicose veins of the ano-rectal area that are usually accompanied by a history of constipation. Consider a diagnosis of underlying carcinoma in older patients. GENERAL MEASURES High-fibre diet. Counsel against chronic use of laxatives. Avoid straining at stool. MEDICINE TREATMENT Painful haemorrhoid→
- Headache, Mild, Non-SpecificCentral Nervous System→
- Helminthic Infestation, Excluding TapewormDescription General Measures Medicine Treatment Referral ICD-10 code: B76.0-1/B76.8-9/B77.0/B77.8/B77.9/B79/B80/B81.4/B82.0 Note: Soil-transmitted helminth infections are notifiable conditions (i.e. Ascaris Lumbricoides, Trichuris trichiura, Ancylostoma duodenale, Necator americanus). DESCRIPTION Types of worm infestation and the characteristics are shown in the table below. Infestations are ofte→
- Helminthic Infestation, TapewormDescription General Measures Medicine Treatment Referral ICD-10 code: B68.0-1/B68.9 DESCRIPTION Infestation with tapeworm occurs after eating infected, undercooked or raw meat like beef or pork. Infestation may be caused by: beef tapeworm – Taenia saginata pork tapeworm – Taenia solium Signs and symptoms include: Vague abdominal pain Weight loss Diarrhoea Anal (nocturnal) itch Flat white worm seg→
- Herpes SimplexHerpes Simplex→
- Herpes Simplex Ulcers, ChronicPlease 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 Primary Health Care - PHC Chapter 11: Human Immunodeficiency Virus and Acquired Immune Deficienc→
- Herpes ZosterHerpes Zoster→
- Herpes Zoster (Shingles)Please 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 Primary Health Care - PHC Chapter 11: Human Immunodeficiency Virus and Acquired Immune Deficienc→
- Herpes simplex infections of the mouth and lipsICD-10 code: B00.1-2 Description General Measures Medicine Treatment Referral DESCRIPTION Acute, painful vesicular eruptions of the lips or ulcerations of the lips and mouth caused by Herpes simplex virus and characterised by: shallow, painful ulcers on the lips, gingiva, tongue and pharynx. pain exacerbated by eating. It is a self-limiting infection with symptoms subsiding within 10→
- Hidradenitis SuppurativaHidreadenitis Suppurativa→
- Hormone Therapy (HT)General measures Medicine treatment Referral N95.1-2/N95.8-9 Indications: Short-term symptomatic relief for severe menopausal symptoms. For menopausal women, treatment should be ≤ 5 years. Risk-benefit assessment should be individualised in all patients. Contra-indications include: Known or suspected estrogen-dependent malignant tumours (such as endometrial cancer). Coronary heart disease. Active→
- How to Use These GuidelinesHow to Use these Guidelines→
- Human BitesDescription Medicine Treatment Referral ICD-10 code: S01.0-9/S11.0-2/S11.7-9/S21.0-2/S21.7-9/S31.0-5/S31.7-8/S41.0-1/S41.7-8/S51.0/S51.7-9/S61.0- 1/S61.7-9/S71.0-1/S71.7-8/S81.0/S81.7-9/S91.0-3/S91.7/T01.0-3/T01.6/T01.8- 9/T09.1/T11.1/T13.1/T14.0-1 + External Cause Code (W,X,Y,Z) DESCRIPTION Human bites may be accidental or intentional (form of assault). Human bites may result in:&nb→
- Hypertension in AdultsHypertension→
- Hypertension in ChildrenHypertension→
- Hypertension in DiabetesCardiovascular Risk in Diabetes→
- Hypertensive Disorders in PregnancyDescription Referral DESCRIPTION Hypertension in pregnancy, pre-eclampsia and eclampsia may have very serious and fatal consequences for both the mother and the baby. Hypertension is defined by: A systolic BP ≥ 140 and/or a diastolic BP ≥ 90 mmHg measured on 2 occasions, 4 hours apart. OR A systolic BP ≥ 160 and/or a diastolic BP ≥ 110 mmHg measured on a single occasion. (Always measure BP in the→
- Hypertensive EmergencyHypertensive Emergency→