Guidelines
194 entriesNDOH Standard Treatment Guidelines and clinical protocols
- D. DefinitionsSupporting the Antimicrobial Resistance Strategy Framework and the Guidelines on Implementation of the Antimicrobial Strategy in South Africa: One Health Approach and Governance, 2018Other→
- Data ManagementDocumentation in the Client Record Using NHLS Reports for Quality Improvement and Client Tracking VL Monitoring to Facilitate VL Suppression PCR Monitoring to Identify and Link HIV-Infected Infants to care Documentation in the Client Record Document all clinical findings, results and decisions clearly, and insert the barcode stickers of any blood tests taken in the following client records as appOther→
- Days 2-3 Post rt-PA (Alteplase) Standing OrderClick on the image to enlarge. Click here for the pdf . Angels Initiative South Africa _ Registered Nurse Stroke Patient Acute Treatment Form_2024Other→
- Days 2-3 Post rt-PA Standing orderClick on the image to enlarge. Click here for the pdf . Angels Initiative South Africa _ Treating Doctor_Stroke patient acute treatment forms_2024Other→
- Decompression SicknessDecompression SicknessOther→
- Deep Neck Space InfectionsInfection Deep neck space infections Brief outline/clinical setting Deep neck space infection (DNI) is defined as an infection in the potential spaces and actual fascial planes of the neck. Once the natural resistance of fascial planes is overcome, spread of infection occurs along communicating fascial boundaries. More recent trends include the increasing prevalence of resistant bacterial strainsOther→
- Definition and Classification of Diabetes MellitusDefinition and Classification of Diabetes MellitusOther→
- Definition of AsthmaThe GINA definition states that asthma is ‘a heterogeneous disease, usually characterised by chronic airway inflammation’. It is defined by ‘the history of respiratory symptoms such as wheeze, shortness of breath, chest tightness and cough that may vary over time and in intensity, together with variable airflow limitation which may later become permanent.’[1] Several asthma phenotypes haveOther→
- Definition, Management Approach and Goals of Chronic Non-Cancer PainThis guideline is endorsed by the following professional groups: Cape Pelvic Pain Society, PainSA, South African Rheumatism and Arthritis Association, and South African Society of Anaesthesiologists.Other→
- DefinitionsThe continuum of procedural sedation and analgesia Sedation endpoints Non-dissociative sedation Dissociative sedation Sedation techniques Failed sedation Prolonged sedation The International Committee for the Advancement of Procedural Sedation (ICAPS) defines procedural sedation as follows: “The practice of procedural sedation is the administration of one or more pharmacological agents to fOther→
- DefinitionsAdherence The extent to which a person’s behaviour corresponds with agreed recommendations from a healthcare worker for taking medication, following a diet and/or making lifestyle changes Adolescent A person aged 15 to 19 years Child For practical purposes, children weighing >25kg (typically eight to ten years of age) can be treated with adult doses of TB medications including for TB preventivOther→
- DefinitionsThe guidelines recommend management of common obstetric conditions at primary and referral level, based on local experience and evidence-based practice. They are not intended as strict protocols nor as standard operating procedures, but rather as a guide to safe effective management of common obstetric problems. The guidelines should be most useful to interns, medical officers and registrars.Other→
- Definitions and Categories of Resistant TuberculosisCategories of resistant tuberculosis Microbiologically confirmed: when a biological specimen is positive by smear microscopy, culture, or a rapid diagnostic test for Mycobacterium tuberculosis (M. tuberculosis) recommended by the World Health Organization (WHO). This is also referred to as bacteriologically confirmed. Clinically diagnosed: when a person who does not fulfil the criteria for bacterOther→
- Definitions of PainGeneral principles and management of cancer pain in adultsOther→
- Dehydration/Ketosis in LabourStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults, Updated for the 2023 EditionEML (Adult)→
- Delayed Hypersensitivity ReactionsDescription General and supportive measures Medicine treatment Referral See Erythema multiforme See Stevens-Johnson syndrome (SJS)/Toxic epidermal necrosis (TEN) See Drug reactions DESCRIPTION Broad spectrum of clinical manifestations involving different organs, including liver, kidneys and skin. Cutaneous reactions are most prevalent and range from maculopapular or morbilliformPEML (Paeds)→
- Delayed Sequence Intubation (DSI)Delayed Sequence Intubation (DSI)Other→
- DeliriumDescription General measures Medicine treatment ICD-10 code: F05.0-1/F05.8-9/R45.1/R45.4-6 DESCRIPTION Delirium is a disturbance in attention, awareness (reduced orientation to the environment), and cognition (e.g. memory deficit, language, visuospatial ability, or perception). It is acute, developing within hours to days, and fluctuates during the day, worsening in the evenings. It may be hyperaEML (Adult)→
- DeliriumStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 EditionEML (Adult)→
- DeliriumNeuropsychiatric ConditionsPrimary Care→
- DeliriumDescription General Measures Medicine Treatment Referral ICD-10 code: F05.0-1/F05.8-9/F44.8/R45.1/R45.4-6 DESCRIPTION Delirium is a medical emergency. Delirium is a disturbance in attention, awareness (reduced orientation to the environment), and cognition (e.g. deficits in memory, language, visuospatial ability, or perception). It is acute, developing within hours to days, and fluctuates duringPrimary Care→
- DeliriumAn approach to symptom management to guide decision-making in the management of patients with life-threatening illnessOther→
- Delirium in Critical CareDescription General measures Medicine treatment ICD-10 code: F05 Description The risk of delirium is increased in patients with severe illness, with a prevalence of 40-60% in non-ventilated patients, and 50-80% in mechanically ventilated patients. Diagnosing delirium can be difficult due to its highly variable presentation. Symptoms may fluctuate over the course of a day with periods of reduced aEML (Adult)→
- DementiaStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 EditionEML (Adult)→
- DementiaCentral Nervous System ConditionsPrimary Care→
- Dental AbscessICD-10 code: K04.7 Description Medicine Treatment Referral DESCRIPTION Acute or chronic suppuration related to teeth, due to infection. It is characterised by: acute, severe, throbbing pain. swelling adjacent to the tooth, or on the face. pain worsened by tapping on affected teeth. restricted mouth opening or difficulty chewing. pus collection located around the tooth or at thPrimary Care→
- Dental CariesICD-10 code: K02.0, K02.1 , K02.2 , K02.3 , K02.4 , K02.5 / K02.8 , K02.9 To be managed by a dentist or dental therapist. For local anaesthesia for dental procedures: Lidocaine (Dentist and dental therapist). Lidocaine with adrenaline (epinephrine) (Dentist and dental therapist). Note: Dental rinses are not recommended for prevention of Covid-19 transmission during dental procedures.Primary Care→
- Dental and Oral Emergencies: Introduction / ApproachDental and Oral EmergenciesOther→
- Department of Internal MedicineThe current recommended empiric antibiotic choices and empiric durations for suspected bacterial infections at CHBAH, based on consensus agreement between Infectious Diseases (ID), Microbiology and specialties after review of our 2018 antibiogram data, is as follows until directed therapy is possible.Other→
- Department of Obstetrics and GynaecologyThe current recommended empiric antibiotic choices and empiric durations for suspected bacterial infections at CHBAH, based on consensus agreement between Infectious Diseases (ID), Microbiology and specialties after review of our 2018 antibiogram data, is as follows until directed therapy is possible.Other→
- Department of Paediatrics and Child HealthThe current recommended empiric antibiotic choices and empiric durations for suspected bacterial infections at CHBAH, based on consensus agreement between Infectious Diseases (ID), Microbiology and specialties after review of our 2018 antibiogram data, is as follows until directed therapy is possible.Other→
- Department of SurgeryThe current recommended empiric antibiotic choices and empiric durations for suspected bacterial infections at CHBAH, based on consensus agreement between Infectious Diseases (ID), Microbiology and specialties after review of our 2018 antibiogram data, is as follows until directed therapy is possible.Other→
- DepressionNeuropsychiatric ConditionsPrimary Care→
- DepressionAn approach to symptom management to guide decision-making in the management of patients with life-threatening illnessOther→
- Depression - Paediatric Palliative CareDescription General and supportive treatment Medicine and treatment ICD-10 code: F32-34 DESCRIPTION Low mood in children and adolescents who become aware of their impending death is often congruent and appropriate and does not always warrant treatment. However, around 10 to 30% of chronically ill children are depressed. DSM 5 criteria instruct clinicians to exclude “symptoms that are cPEML (Paeds)→
- Depression in Childhood and AdolescenceDepression in Children and AdolescencePEML (Paeds)→
- Depressive DisordersDescription General measures Medicine treatment Referral ICD-10 code: F32.0-3/F32.8-9/F33.0-4/F33.8-9/F34.1 + (F10.0-F19.9/R45.0-8/Z65.0-5/Z65.8-9/Z81.0- 4/Z81.8) Description Depressive disorders may occur as single or recurrent episodes, as a chronic, persistent low mood, or a combination of the two. Depressive disorders differ from bipolar disorder, in that there is no history of manic, hypomanEML (Adult)→
- Depressive DisordersMood DisordersPrimary Care→
- Dermatitis, SeborrhoeicEczema and DermatitisPrimary Care→
- Details of Therapies for Specific DomainsPeripheral arthritis Axial disease Enthesitis Dactylitis Peripheral arthritis First-line therapy: MTX (7.5 mg - 25 mg weekly). In the case of mono- or oligoarthritis, a good response may be obtained with NSAIDs and/or intra-articular GC. Second-line therapy: addition of/switching to SSZ or LEF is recommended. These may be monotherapy or combination therapy. Third-line therapy: b/tsDMAOther→
- Detection of PapilloedemaDetection of PapilloedemaOther→
- Developmental Delay or DeteriorationPlease 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 DeficiencPrimary Care→
- Developmental ScreeningClick here to open the developmental screening assessment Integrated Management of Childhood Illness 2022 Last checked for updates: June 2023IMCI→
- Diabetes Care in PregnancyDiabetes Care in PregnancyOther→
- Diabetes Foot Care Patient ChecklistDiabetes Foot Care Patient ChecklistOther→
- Diabetes Foot Screening Assessment FormDiabetes Foot Screening Assessment FormOther→
- Diabetes InsipidusDescription Diagnostic Criteria Medicine Treatment Referral ICD-10 Code: E23.2 / N25.1 DESCRIPTION Suspect diabetes insipidus in any child with polydipsia and polyuria. Infants may present with failure to thrive. Central diabetes insipidus is due to deficiency of antidiuretic hormone. Nephrogenic diabetes insipidus occurs if the kidney is unable to respond to antidiuretic hormone. DIAGNOSTIC CRITPEML (Paeds)→
- Diabetes MellitusThe guidelines recommend management of common obstetric conditions at primary and referral level, based on local experience and evidence-based practice. They are not intended as strict protocols nor as standard operating procedures, but rather as a guide to safe effective management of common obstetric problems. The guidelines should be most useful to interns, medical officers and registrars.Other→
- Diabetes MellitusStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 EditionEML (Adult)→
- Diabetes MellitusDESCRIPTION A syndrome of abnormal carbohydrate metabolism, associated with a relative or absolute impairment of insulin secretion with varying degrees of peripheral resistance to the action of insulin. Standard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Paediatrics, 2023 Edition Chapter 7: Endocrine, 7.5 Diabetes Mellitus Click here for 7.5.1PEML (Paeds)→