Guidelines
198 entriesNDOH Standard Treatment Guidelines and clinical protocols
- Infection control for Covid-19 in dentistrySouth African National Essential Medicine List Adult Hospital Level Medication Review Process Component: Dental conditions TITLE: INFECTION CONTROL FOR COVID-19 IN DENTISTRY Standard Treatment Guidelines and Essential Medicines List for South Africa, Primary Healthcare Level, Updated for the 2023 EditionPrimary Care→
- Infection prevention and control (IPC) considerations7. Infection prevention and control (IPC) considerations Human-to-human transmission of influenza viruses occurs either directly or indirectly through close, unprotected contact with large respiratory droplets. The role of smaller droplet nuclei at close-range exposure in transmission of influenza is not known, but may be more important in certain settings (e.g. aerosol-generating proceduresOther→
- Infections - Varicella and ZosterICD-10 code: R23.8 / L08.9 See: Infective/Infectious Diseases, Varicella (Chickenpox) and Zoster. Standard Treatment Guidelines And Essential Medicines List For South Africa, Hospital Level, Paediatrics, 2023 Edition Chapter 5: Dermatology, 5.5. Vesicles And Pustules, 5.5.1 InfectionsPEML (Paeds)→
- Infectious DiarrhoeaInfection Infectious diarrhoea Brief outline/clinical setting Acute diarrhoea loose stools 3 or more /24hrs, watery or bloody (dysentery) Aetiologies/organisms Bacteria: Aeromonas spp , Bacillus cereus, Campylobacter spp , Clostridium difficile, Clostridium perfringens, Escherichia coli (EHEC, STEC, EIEC, EPEC) *, Listeria monocytogenes, Pleisiomonas shigelloides, Salmonella spp , Shigella spp ,Other→
- Infectious DiseasesMaternal HIV Maternal syphilis Hepatitis B TB Exposed Babies Early neonatal sepsis Obstetric risk factors for early neonatal sepsis NEC (necrotizing enterocolitis) Nosocomial infection control Maternal HIV On every new baby you see, check the mother's file for the HIV result. Mother’s HIV status unknown or previously tested negative and not testedOther→
- Infectious PeriodsInfectious PeriodsOther→
- Infectious and Parasitic ConditionsStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 EditionEML (Adult)→
- Infective EndocarditisInfective EndocarditisOther→
- Infective Endocarditis (Native Valve)Infection Infective Endocarditis (Native Valve) Brief outline/clinical setting IE is associated with significant morbidity and mortality. The epidemiology of IE is changing however there is a lack of local data. Aetiologies/organisms S.aureus, Viridans Streptococci , Enterococcus spp. HACEK group organisms, Optimal antimicrobial selection Ampicillin 2 g IVI 4hrly (total 12 g/day) doses + CloxacilOther→
- InfertilityDescription General measures Medicine treatment ICD-10 code: N97.0-4/N97.8-9 DESCRIPTION Inability to conceive after a year of regular sexual intercourse without contraception. GENERAL MEASURES Counselling. Lifestyle modification, e.g. weight optimisation, smoking cessation and regular sexual intercourse. Investigations Partner semen analysis. Anti-mullerian hormone (AMH) levels to evaluateEML (Adult)→
- InfertilityThis 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→
- Inflammatory Bowel DiseaseDescription Referral ICD-10 code: K50.0-1/K50.8-9/K51.0-5/K51.8-9/K52.0-3/K52.8-9 DESCRIPTION Inflammatory bowel disease is a chronic inflammatory disorder of the gastrointestinal tract that includes both Crohn’s disease (CD) and ulcerative colitis. Abdominal pain, rectal bleeding, diarrhoea and weight loss characterise both CD and ulcerative colitis REFERRAL Discuss all patients with a potEML (Adult)→
- Inflammatory Bowel Disease-Associated ArthritisType I disease Type II disease Type III disease IBD-associated arthritis occurs in patients with Crohn’s disease or ulcerative colitis. [41] Enteropathic arthritis can also occur in other gastrointestinal problems, namely, coeliac disease, Whipple’s disease and intestinal bypass surgery. Patients with IBD-associated arthritis share many of the clinical features of the other SpAs. Of note, degenerOther→
- Inflammatory Polyneuropathy (Guillain-Barre Syndrome)Inflammatory Polyneuropathy (Guillain-Barre Syndrome)PEML (Paeds)→
- InfluenzaRespiratory Tract InfectionsPrimary Care→
- Influenza NICD Recommendations for the Diagnosis, Prevention, Management and Public Health ResponseVersion 1.3 (02 April 2020) New guidance on influenza vaccine and COVID and quadrivalent influenza vaccinesOther→
- Influenza vaccinesInfluenza vaccinesOther→
- Information for Medical Offers/InternsDistrict level hospital guidelines applicable for interns and comm service doctors. Published in 2016Other→
- Information for Pregnant WomenThe 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→
- Informed Consent for Blood TransfusionInformed Consent for Blood TransfusionOther→
- Informed Consent for rt-PA (Alteplase) FormClick on the image to enlarge. Click here for the pdf . Angels Initiative South Africa _ Treating Doctor_Stroke patient acute treatment forms_2024Other→
- Informed Consent for rt-PA (Alteplase) FormClick on the image to enlarge. Click here for the pdf . Angels Initiative South Africa _ Stroke Physician Clinical Decision Pack_2024Other→
- Infrequent AsthmaAlthough infrequent asthma is thought not to exist in the adolescent and adults, it is still considered in the classification for children up to 12 years of age. To relieve symptoms: ß 2 -agonist (short-acting), e.g.: Salbutamol, inhalation, 100–200 µg , as required 3–4 times daily using a metered-dose inhaler with a spacer device until symptoms are relieved. Note: Failure to respond to 2 doses oPEML (Paeds)→
- Infusion: AdrenalineAdrenaline InfusionOther→
- Infusion: AmiodaroneAmiodarone InfusionOther→
- Infusion: Atropine - Organophosphate PoisoningOrganophosphate poisoning – avoid aminoglycosides, suxamethonium, phenothiazines and theophylline. Control convulsions with a benzodiazepine.Other→
- Infusion: DobutamineDOBUTAMINE INFUSIONOther→
- Infusion: Drug ProtocolsGeneral CommentsOther→
- Infusion: Glyceryl TrinitrateGLYCERYL TRINITRATE INFUSIONOther→
- Infusion: Insulin (Fast-acting)INSULIN INFUSION (FAST-ACTING)Other→
- Infusion: KetamineKetamine InfusionOther→
- Infusion: LabetalolLabetalolOther→
- Infusion: Magnesium SulphateMAGNESIUM SULPHATE INFUSIONOther→
- Infusion: MannitolMANNITOL INFUSION (FAST-ACTING)Other→
- Infusion: MidazolamMidazolam InfusionOther→
- Infusion: Midazolam and Morphine combinedMIXING OF MIDAZOLAM AND MORPHINE INTO THE SAME 50ML SYRINGE:Other→
- Infusion: MorphineMORPHINE INFUSIONOther→
- Infusion: N-AcetylcysteineN-ACETYLCYSTEINE INFUSION / PARVOLEXOther→
- Infusion: PropofolPROPOFOL INFUSIONOther→
- Infusion: Salbutamol - Obstetric IndicationSALBUTAMOL INFUSION – OBSTETRIC INDICATIONOther→
- Ingestion of Caustic SubstancesDescription General measures T54.1A/T54.2/T54.3/T54.9 + (X46.99/X66.99/Y16.99) DESCRIPTION Alkaline: Toilet bowl cleaners, drain cleaners, oven cleaners. Acids: Various e.g. domestic descalers. Caustic substances can cause necrosis of the gut mucosa and underlying tissue, resulting in acute perforation (particularly strong alkalis), and possible strictures later (which can occur with acids and alEML (Adult)→
- Ingestion of Caustic or Corrosive AgentsDescription Diagnostic criteria General and supportive measures Medicine treatment Referral ICD-10 code: T54 DESCRIPTION Alkalis, e.g. sodium hydroxide, potassium permanganate. Acids, e.g. hydrochloric acid. The severity of the injury is dependent on the concentration and duration of exposure to the acid or alkali. DIAGNOSTIC CRITERIA Clinical Chief symptom is pain. Young children may presePEML (Paeds)→
- Inguinal HerniaInguinal HerniaOther→
- Inguinal PathologyIntroduction Background Important details on history Important details on examination Inguinal Hernia Hydrocele Inguinal Sepsis Undescended Testes SETTING Primary and Secondary Healthcare Institutions in the Western Cape which refer to Red Cross War Memorial Children’s Hospital (RCWMCH) FOR STAFF Primary and Secondary Doctors and Nurses who refer patients to RCWMCH PATIENTS Patients under tOther→
- Inhalation, Foreign BodyDescription Diagnostic criteria General and supportive measures Referral ICD-10 code : T17.9 DESCRIPTION Accidental inhalation of a solid object that may obstruct the airway at any level. DIAGNOSTIC CRITERIA Ask specifically about a possible choking episode if there is any suspicion of a foreign body aspiration. Initial symptom is frequently sudden onset of choking followed by persistPEML (Paeds)→
- Initiating ART in ChildrenIMCI - Anti-retroviral therapy (ART)IMCI→
- Initiation of Antiretroviral Therapy (ART) for InpatientsInitiation of Antiretroviral Therapy (ART) for InpatientsOther→
- Initiation of Renal Replacement TherapyUnderstanding and communicating prognosis Patient-centred decision making “Provision of dialysis should benefit the patient, and not just prolong life” [3] . In South Africa, there are substantial limitations to accessing chronic dialysis [4] . Treatment options are limited in the public sector. Many patients, therefore, are on a conservative pathway, not through choice or medical recOther→
- Injectable (Contraception, Hormonal)Using the Progestin-only IM injection Using the Progestin-only SC injection Referral Z30.0/Z30.4 Dual protection with barrier methods is recommended to reduce the risk of STIs, including HIV. Progestin-only injectable contraceptive, e.g.: Medroxyprogesterone (long-acting), IM, 150 mg, 12 weekly LoE:IIIb 14 OR Medroxyprogesterone (long-acting), SC, 104 mg, 12 weekly Progestin-only hormonal contracPrimary Care→
- Inotropes / Vasoactive Medications in the Emergency CentreRational use of vasoactive therapy in the ECOther→