Guidelines
465 entriesNDOH Standard Treatment Guidelines and clinical protocols
- Advantages of Continuous Subcutaneous Insulin InfusionAdvantages of Continuous Subcutaneous Insulin InfusionOther→
- Adverse Events Following Immunisation (AEFI)Report all AEFIs to the local EPI Coordinator. AEFI form may be accessed at: https://www.nicd.ac.za/diseases-a-z-index/adverse event-following-immunization-aefi/ and https://www.sahpra.org.za/health-products vigilance/ . AEFI forms should be emailed to AEFI@health.gov.za Alternatively, AEFI can be reported on the MedSafety application on a mobile device. Search for “ Medsafety ” on apple stPrimary Care→
- Advice on the Use of Masks in the Context of COVID-19Interim Guidance 05 June 2020Other→
- Aeromedicine: Packaging a Patient for FlightPackaging of a patient is the most important part of the transport of the patient.Other→
- Aggressive Disruptive Behaviour in AdultsDescription General Measures Medicine Treatment Description ICD-10 code: R45.1/45.4-8 + code(s) for underlying/comorbid condition(s) Agitation may escalate to overt aggression and often manifests with restlessness, pacing, and loud or demanding speech. Aggressive behaviour includes verbally abusive language, specific verbal threats, intimidating physical behaviour, and/or actual physical viEML (Adult)→
- Aggressive Disruptive Behaviour in AdultsDescription General Measures Medicine Treatment Referral ICD-10 code: R45.1/R45.4-6 Description Agitation may escalate to overt aggression and often manifests with restlessness, pacing, and loud or demanding speech. Aggressive behaviour includes verbally abusive language, specific verbal threats, intimidating physical behaviour, and/or actual physical violence to self, others, or property. All agPrimary Care→
- Aggressive Disruptive Behaviour in Children and AdolescentsGeneral measures Medicine Treatment ICD-10 code: R45.1/R45.4-6 As with adults, agitation among children and adolescents may escalate to overt aggression and violence. However, aggression may also occur suddenly, without warning signs, particularly in children with neurodevelopmental conditions such as intellectual disability and autism spectrum disorder. All children and adolescents should be trePrimary Care→
- AlbinismAlbinismPrimary Care→
- Alcohol WithdrawalAlcohol WithdrawalOther→
- Alcohol WithdrawalAlcohol WithdrawalPEML (Paeds)→
- Alcohol Withdrawal (Uncomplicated)Description General measures Medicine treatment Referral ICD-10 code: F10.3 Description A syndrome characterised by central nervous system hyperactivity that occurs when an alcohol dependent individual abruptly stops, or significantly reduces, alcohol consumption. The symptoms of complicated alcohol withdrawal syndrome, requiring referral, include: Autonomic: sweating, tachycardia, hypertension,Primary Care→
- Alcohol Withdrawal DeliriumAlcohol Withdrawal DeliriumPEML (Paeds)→
- AlcoholsEthanol poisoning Ethylene glycol poisoning Methanol poisoning ETHANOL POISONING T51.0 + (X45.99/X65.99/Y15.99) DESCRIPTION Acute poisoning usually presents with: Nausea and vomiting Depression, seizures, coma Hypoglycaemia Hypothermia Hypokalaemia Acidosis Consider other causes for the patient’s condition, including hypoglycaemia and head trauma. GENERAL MEASURES Supportive management aimed at mEML (Adult)→
- AlgorithmThese are the approved guidelines published by the South African Society of Psychiatrists to provide an overview on treatment and management of commonly diagnosed psychiatric illnesses. The guidelines include consensus recommendations, based on peer contribution and using the international evidence based guidelines that are suitable for the local South African health service.Other→
- AlgorithmThese are the approved guidelines published by the South African Society of Psychiatrists to provide an overview on treatment and management of commonly diagnosed psychiatric illnesses. The guidelines include consensus recommendations, based on peer contribution and using the international evidence based guidelines that are suitable for the local South African health service.Other→
- Alimentary Tract and MetabolismOndansetron, Granisetron Ursodeoxycholic acid Sulfasalazine Mesalazine Pioglitazone Insulin detemir, Insulin glargine Micronutrients Glutamine Proton pump inhibitors, IV ATC Code A04AA01/ A04AA02 Medicine Serotonin-3 (5HT3) antagonists: Ondansetron, Granisetron Indication Highly or moderately emetogenic chemotherapy NEMLC Recommendation Approved Review Indicators n/a Date Ratified 20 SepteOther→
- All service areasAll services areas that provide care for women of childbearing potential should include the following in their package of care: Ask if she is using reliable contraception, and if not, refer for contraceptive services Screen all woman of childbearing potential (CBP) for pregnancy and ask if she is breastfeeding. If she is not on reliable contraception or her period is late, provide/refer her for aOther→
- Allergen ImmunotherapyAllergen immunotherapy is a desensitisation process for IgE-mediated hypersensitivity to common allergens such as pollens, HDM and insect venoms. It is the only disease-modifying treatment available for AR. 17 The administration of high-dose allergen, using sublingual (SLIT) or subcutaneous (SCIT) immunotherapy, suppresses the pro-allergic dendritic cell phenotype by inducing T-cell differentiatiOther→
- Allergic RhinitisEar, Nose and Throat ConditionsPrimary Care→
- Allergies To PenicillinsDescription General and Supportive Measures Medicine Treatment Referral ICD-10 code: Z88.0 DESCRIPTION Patients may present with immediate (e.g. anaphylaxis, bronchospasm, angioedema) or delayed reactions (most commonly maculopapular rash without systemic involvement; rarely SJS/TEN or other systemic reactions). GENERAL AND SUPPORTIVE MEASURES Stop penicillin. MEDICPEML (Paeds)→
- Allergies To SulphonamidesDescription General and Supportive Measures Medicine Treatment Referral ICD-10 code: Z88.2 DESCRIPTION The commonest sulphonamide allergies are related to co-trimoxazole, especially when used in HIV-infected patients for P. jirovecii treatment and/or prophylaxis. Patients may present with: a morbilliform or maculopapular rash only, usually within a few days of starting treatment (most commoPEML (Paeds)→
- Allied Medical DisciplinesDistrict level hospital guidelines applicable for interns and comm service doctors. Published in 2016Other→
- Allocation of Scarce Critical Care Resources During the COVID-19 Public Health Emergency in South AfricaGuidance documents released by SASA around COVID-19. Published 06 April 2020.Other→
- Alpha-adrenergic BlockersAlpha-adrenergic BlockersOther→
- AmenorrhoeaDescription Medicine Treatment Referral ICD-10 code: N91.0-2 DESCRIPTION Primary amenorrhoea: no menstruation by 16 years of age in the presence of secondary sexual characteristics. Secondary amenorrhoea: amenorrhoea for at least 3 months in women with previous normal menses, or for at least 6 months with irregular cycles. Investigations Body mass index. Urine pregnancy test. Pelvic ultrasound. SEML (Adult)→
- AmenorrhoeaThis booklet is intended as a practical guide to patient care for registrars, medical officers, interns and medical students attached to the gynaecology units at the University of the Witwatersrand Academic Hospitals. Anyone can use it.Other→
- Amitraz PoisoningDescription Diagnostic criteria General and supportive measures Medicine treatment Referral ICD-10 code: T60.9 *Notifiable condition. DESCRIPTION Amitraz is pesticide used in tick-dips for animals and as an insecticide in crop sprays. Liquid formulations often contain solvents that may cause additional clinical effects. Significant skin contact may lead to systemic effects. Note : Where thPEML (Paeds)→
- Amoebiasis (Entamoeba Histolytica)Description Diagnostic criteria General and supportive measures Medicine treatment ICD-10 code: A06.9 DESCRIPTION Amoebic colitis is caused by the parasite Entamoeba histolytica . It can cause localised intestinal disease or disseminated disease. Amoebiasis is now relatively uncommon in South Africa, but immunodeficiency is a risk factor. DIAGNOSTIC CRITERIA Clinical Diarrhoea with mucus, bPEML (Paeds)→
- Amoebic DysenteryDescription General measures Medicine treatment ICD-10 code: A06.0-1 DESCRIPTION Diarrhoea with blood and/or mucus due to E. histolytica . Organism must be demonstrated on a warm stool specimen with microscopy. GENERAL MEASURES Rehydration may be necessary. This should be done with oral rehydration solution (ORS) unless the patient is vomiting or profoundly dehydrated. Surgery for bowel perforatiEML (Adult)→
- Amoxicillin (Age 2 months up to 5 years)IMCI - Child (Age 2 months up to 5 years)IMCI→
- Amphetamine (“TIK”) toxicityAmphetamine (“TIK”) toxicityOther→
- AmputationsSurgical Emergencies - AmputationsOther→
- An Approach to Acute Perianal PainDoctor, I have a pain in my backside!Other→
- An Approach to Cervical LymphadenopathyDoctor, I have a swollen lymph node in my neck!Other→
- An Approach to ColitisDoctor, I have bloody diarrhoea and abdomina pain! It is not getting better!Other→
- An Approach to DyspepsiaDoctor, I feel an abdominal discomfort and heartburn ! An Approach to DyspepsiaOther→
- An Approach to DysphagiaDoctor I can't swallow ! An Approach to DysphagiaOther→
- An Approach to Gastric Outlet ObstructionDoctor, I am vomiting old food!Other→
- An Approach to Haematemesis and MelenaDoctor, I am vomiting blood!Other→
- An Approach to HaematocheziaDoctor, I am passing blood per rectum!Other→
- An Approach to Large Bowel ObstructionDoctor, my abdomen is swelling up and I can't go to the toilet!Other→
- An Approach to Obstructive JaundiceDoctor, my eyes are yellow ! An Approach to Obstructive JaundiceOther→
- An Approach to Small Bowel ObstructionDoctor, I Am Vomiting and Have Cramping Abdominal Pain!Other→
- An Approach to Thyroid EnlargementDoctor, I have a lump in my neck, I think my thyroid gland is swollen!Other→
- An Approach to Unintentional Weight LossDoctor, I have lost so much weight ! I am sure it must be cancer ! An Approach to Unintentional Weight LossOther→
- An Approach to a Breast Mass and Other Common Breast ComplaintsDoctor, I have a lump in my breast! An approach to a breast mass and other common breast complaintsOther→
- An Approach to a HerniaDoctor I have a lump in my groin! An approach to a herniaOther→
- An Approach to a Neck MassDoctor, I have a lump in my neck!Other→
- An Approach to a Soft Tissue Leg MassDoctor, I have a lump on my leg! An approach to a soft tissue massOther→
- An Approach to a Soft Tissue MassDoctor, I have a lump!Other→