Guidelines

180 entries

NDOH Standard Treatment Guidelines and clinical protocols

Magnesium Abnormalities In ICU40–60% of ICU patients have hypomagnesaemia. Hypomagnesaemia: Clinical effects of hypomagnesaemia: Electrolyte abnormalities: Hypokalaemia Hypocalcaemia Hypophosphataemia Arrhythmias: Prolonged QT interval. Polymorphic VT – Torsade de pointes. Neurologic: Altered mentation, generalized seizures, tremors, hyper-reflexia, weakness. Click on image to enlarge Magnesium supplementation: IV: Ampoules oPEML (Paeds)→
Major Incident Management: Command and ControlCSCATT = "ABC's" of a Major IncidentOther→
Major Incident Management: CommunicationCSCATT = "ABC's" of a Major IncidentOther→
Major Incident Management: SafetyCSCATT = "ABC's" of a Major IncidentOther→
Major Incident Management: Treatment and TransportCSCATT = "ABC's" of a Major IncidentOther→
Major Incident Management: TriageIn a major incident triage is different to the day-to-day triage performed in Emergency Centres around the country. Local resources are overwhelmed and the aim of triage in these instances is to do the best for the most.Other→
MalariaDescription Diagnostic criteria ICD-10 code: B54 * Notifiable disease. DESCRIPTION Malaria is transmitted by the bite of an infected female Anopheles mosquito. The incubation period varies with the species of the parasite, Plasmodium falciparum being shortest, usually 7–21 days, and P. malariae the longest. The incubation period may be prolonged by use of malaria prophylaxis or certain antiPEML (Paeds)→
MalariaDescription Diagnosis General Measures Medicine Treatment Note: notifiable medical condition. Refer to the most recent Malaria Treatment Guidelines from the Department of Health for the most suitable management in the various endemic areas. Global malaria endemic areas: https://www.iamat.org/risks/malaria?gclid=CjwKEAiAjIbBBRCitNvJ1o257WESJADpoUt072u5_X4Wb0fVtkQLiEFrWye263Ef_on8eykkOwLK_hoCPrimary Care→
MalariaMalaria, uncomplicated Malaria, severe See: Primary Health Care STGs and EML - Malaria . MALARIA, UNCOMPLICATED ICD-10 code: B50.0/B50.8-9/B51.0/B51.8-9/B52.9/B53.0/B53.8/B54 *Notifiable medical condition. See: Primary Health Care STGs and EML: Malaria, Non-severe/uncomplicated . MALARIA, SEVERE ICD-10 code: B50.0/B50.8 *Notifiable medical condition. See: Primary Health CaEML (Adult)→
Malaria ProphylaxisMalaria chemoprophylaxis should be used in moderate-risk malaria-endemic areas in South Africa from September to May, both together with preventive measures against mosquito bites. Risk maps are provided in the National Guidelines for the Prevention of Malaria (2018). It is recommended that persons intending to travel to malaria-endemic areas outside of South Africa take the relevant chemoprophylPEML (Paeds)→
Malaria or Suspected Malaria - Follow-UpIMCI - Child (Age 2 months up to 5 years)IMCI→
Malaria, Non-severe/UncomplicatedMedicine Treatment Referral ICD-10 codes: B50.9/B51.9/B52.9/B53.0/B54 Note: notifiable medical condition. MEDICINE TREATMENT Artemether/ lumefantrine, oral, 20/120mg, with fat-containing food/ full cream milk to ensure adequate absorption. Give the first dose immediately. Follow with second dose 8 hours later. Then 12 hourly for another 2 days (total number of doses in 3 days = 6). Click onPrimary Care→
Malaria, ProphylaxisDescription General Measures Medicine Treatment ICD-10 codes: Z29.1 DESCRIPTION In South Africa, malaria chemoprophylaxis should be used, together with preventive measures against mosquito bites, from September to May in moderate-risk malaria-endemic areas. Risk areas in South Africa are shown in the map included in the National Guidelines for the Prevention of Malaria (2018) found atPrimary Care→
Malaria, Severe/ComplicatedDescription Medicine Treatment Referral ICD-10 codes: B50.0/B50.8 Note: notifiable medical condition. DESCRIPTION Any one of the following is a sign of severe (complicated) malaria, is associated with a higher mortality, and requires urgent referral (after initial artesunate dose as below): prostration (severe general body weakness) sleepiness, confusion, unconsciousness or coma, convulsionPrimary Care→
Malaria: Prevention Guidelines (Summary)Malaria: Prevention Guidelines (Summary)Other→
Male Sexual Dysfunction in type 2 DiabetesMale Sexual Dysfunction in type 2 DiabetesOther→
Male Urethritis Syndrome (MUS)Standard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 EditionEML (Adult)→
Male Urethritis Syndrome (MUS)Sexually Transmitted InfectionsPrimary Care→
Malignancies (D49.0-D49.9)Malignancies (D49.0-D49.9)EML (Adult)→
Malignant Hyperthermia CrisisAAGBI Safety Guideline This guideline is not a standard of medical care. The ultimate judgement with regard to a particular clinical procedure or treatment plan must be made by the clinician in the light of the clinical data presented an d the diagnostic and treatment options available.Other→
Malignant Otitis ExternaInfection Malignant otitis externa Brief outline/clinical setting Malignant otitis externa ( is also known as necrotizing otitis externa. MOE is an invasive infection of the external auditory canal and the skull base. This infection typically occurs in elderly patients with diabetes mellitus. MOE is being increasingly reported in patients who are immunocompromised (including HIV). Clinical featurOther→
Malnutrition in Children in Emergency CentresGuideline on Malnutrition in Children in Emergency CentresOther→
Malnutrition, Severe AcuteDescription Diagnostic Criteria ICD-10 code: E40–E43 Z-scores For practical purposes a 'z-score' is the number of standard deviations (SD) below or above the mean. 2 SD or 2 z-scores above the mean (+2) equates fairly closely to the 97 th percentile and 2 SD or 2 z-scores below the mean (–2) equates fairly closely to the 3 rd percentile. 3 SD or 3 z-scores above or below the mean wouldPEML (Paeds)→
Malodorous Fungating Wounds/ Tumours - Paediatric Palliative CareDescription General and supportive measures Medicine treatment DESCRIPTION Non-healing fungating tumours that are often secondarily infected and smelly causing social ostracization and distress to child and family. Examples include exophytic retinoblastoma, infected bedsores, rhabdomyosarcoma, osteosarcoma or Kaposi’s sarcoma. GENERAL AND SUPPORTIVE MEASURES Supportive counselling. Set realisticPEML (Paeds)→
Malodorous Fungating Wounds/TumoursDescription General and supportive measures Medicine treatment DESCRIPTION Non-healing fungating tumours that are often secondarily infected and smelly causing social ostracization and distress to the patient and family. Examples include exophytic retinoblastoma, infected bedsores, rhabdomyosarcoma, osteosarcoma or Kaposi’s sarcoma. GENERAL AND SUPPORTIVE MEASURES Supportive counselling. Set realEML (Adult)→
Management Of Asphyxia NeonatorumManagement guidelines for students, interns and registrars on a variety of routine and emergency situations in our neonatal service at Tygerberg Children’s Hospital. Published in 2014.Other→
Management Options for Heavy BleedingThis 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→
Management PrinciplesPatient information and decision-making Referral to a rheumatologist and multidisciplinary team Lifestyle interventions and work participation Comorbidities and extra-articular disease Patient information and decision-making The aim of treatment is to maintain a good quality of life and function, including social participation. There is strong evidence that uncontrolled disease leads to radiograpOther→
Management Principles of Psoriatic Arthritis (PsA)Patient information and decision-making Referral to a rheumatologist and multidisciplinary team Lifestyle interventions Comorbidities and extra-articular disease Patient information and decision-making The aim of treatment is to maintain a good quality of life and function. Treatment of each patient should be tailored to meet the needs of the patient according to the disease burden, taking into cOther→
Management of Adult Cases of Alleged Sexual Assault - DetailManagement of adult cases of alleged sexual assault (PART B)Other→
Management of Adult Cases of Alleged Sexual Assault: Rapid ApproachManagement of adult cases of alleged sexual assault (PART A)Other→
Management of Adverse Reactions to N-acetylcysteine (NAC)Division of Clinical Pharmacology, Department of Medicine, Faculty of Medicine and Health SciencesOther→
Management of Alleged Sexual Offences in ChildrenManagement of paediatric cases of alleged sexual assault - Part BOther→
Management of Anaesthetic and Post-Anaesthetic ComplicationsDescription Medicine treatment DESCRIPTION Various events may occur during and after anaesthesia, which require management. MEDICINE TREATMENT Laryngospasm Maintain a good seal and attempt bag-mask ventilation, maintaining continuous positive pressure. Deepen the level of anaesthesia with a volatile anaesthetic agent (if laryngospasm is partial) – may overcome laryngospasm without the need for suPEML (Paeds)→
Management of Calcium Channel and Beta-Blocker OverdoseDivision of Clinical Pharmacology, Department of Medicine, Faculty of Medicine and Health SciencesOther→
Management of Cancer Pain in ChildrenManagement of cancer pain in childrenOther→
Management of Cases of Alleged Assault and Completion of J88 FormManagement of cases of alleged assault and completion of J88 FormOther→
Management of Children with COVID-19 - Version 2: 27/07/2020Version 2: 27/07/2020Other→
Management of Clients that Request a Termination of PregnancyThese protocols are intended for the use of students, interns and registrars within Tygerberg hospital and its immediate catchment area only. Always consult with a senior colleague if you are unsure of the correct management.Other→
Management of Common Antenatal ProblemsThe 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→
Management of Confirmed Virological Failure on TLDClick here to open the above PDF Click here for Enhanced Adherence Support Click here for Monitoring on ART Click here for Indications for Starting and Stopping Cotrimoxazole Preventive Therapy Click here for Helplines Click here for ABCDE assessment of an Elevated Viral Load 2023 ART Clinical Guidelines for the Management of HIV in Adults, Pregnancy and Breastfeeding, AOther→
Management of Congenital SyphilisManagement guidelines for students, interns and registrars on a variety of routine and emergency situations in our neonatal service at Tygerberg Children’s Hospital. Published in 2014.Other→
Management of Diabetes during RamadanManagement of Diabetes during RamadanOther→
Management of Diabetes in PregnancyThese protocols are intended for the use of students, interns and registrars within Tygerberg hospital and its immediate catchment area only. Always consult with a senior colleague if you are unsure of the correct management. (BASED ON THE ACCREDITED PROVINCIAL GUIDELINE FOR DIABETES IN PREGNANCY)Other→
Management of Diabetic Foot UlcersManagement of Diabetic Foot UlcersOther→
Management of Drug-induced SeizuresDivision of Clinical Pharmacology, Department of Medicine, Faculty of Medicine and Health SciencesOther→
Management of HIV-Infected Children (<10 years)Update - 20 June 2025 Links not working not linked out - https://www.nacosa.org.za/wp-content/uploads/2016/11/IntegratedAdherence-Guidelines-NDOH.pdfPrimary Care→
Management of Heavy Menstrual Bleeding/Abnormal Uterine BleedingManagement of Heavy Menstrual Bleeding/Abnormal Uterine BleedingOther→
Management of Hyperglycaemic EmergenciesManagement of Hyperglycaemic EmergenciesOther→
Management of Hypertensive Disorders of PregnancyThe 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→