Guidelines
87 entriesNDOH Standard Treatment Guidelines and clinical protocols
- N95/Equivalent Respirator Quality Screening GuidePublished 15 June 2020Other→
- N95/FFP2/3 Respirator Masks & Usage during COVID-19Guidance documents released by SASA around COVID-19Other→
- NCCEMD COVID-19 Maternal Guidelines and Training Slides28 May 2020Other→
- NEMLC Recommendations for medicine amendments (2020-2023 Review Cycle)South African Primary Healthcare Level Essential Medicine List. Medicine amendment recommendations, with supporting evidence and rationale are listed below. Kindly review the medicine amendments in the context of the respective standard treatment guideline (STG). NEMLC RECOMMENDATIONS FOR MEDICINE AMENDMENTS (2020-2023 REVIEW CYCLE) Standard Treatment Guidelines and Essential Medicines List for SPrimary Care→
- NICD Website - COVID-19 Technical Resources & GuidelinesAll the NICD Technical Resources and Guidelines for managing Coronavirus Disease 2019 (COVID-19).Other→
- Nail Infections - Tinea UnguiumNail and Nailfold InfectionsPrimary Care→
- Nappy RashNappy RashPrimary Care→
- Nasal Continuous Positive Pressure Ventilation (nCPAP)Management 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→
- Nasal Saline Douches/Irrigation and RinsesNasal irrigation with hypertonic or isotonic saline is a simple, inexpensive and effective adjunct to therapy, by squirt, pump, gravity (e.g., ‘neti-pot’) or spray bottle systems. Nasal rinses remove allergens, irritants and inflammatory mediators and clear accumulated mucus, optimising mucociliary clearance. Saline rinsing is safe in children and adults and reduces disease severity and symptom sOther→
- Nasal TraumaNasal TraumaOther→
- National Essential Medicine List Committee (NEMLC) Rapid ReviewsThe National Essential Medicine List Committee (NEMLC) performs rapid reviews of the evidence for proposed treatment options for COVID-19 disease. The Committee has evaluated evidence for: Interferon Ivermectin for prophylaxis of COVID-19 Ivermectin for treatment of COVID-19 Hydroxychloroquine/ chloroquine IV Immunoglobulin Tocilizumab for the treatment of COVID-19 Lopinavir/ Ritonavir AzithromycOther→
- National Infection Prevention and Control Strategic FrameworkThis strategic framework gives guidance to public and private health facilities and health workers on compliance with standards relating to IPC practices. Published March 2020.Other→
- Nausea And Vomiting - Paediatric Palliative CareDescription General and supportive measures Medication and treatment ICD-10 code: R11 DESCRIPTION Nausea is an unpleasant sensation vaguely referred to the epigastrium and abdomen that often but not always culminates in vomiting. Vomiting is the forcible expulsion of the contents of the stomach through the mouth. It should be distinguished from passive regurgitation and reflux.  PEML (Paeds)→
- Nausea and VomitingGastrointestinal ConditionsPrimary Care→
- Nausea and VomitingAn approach to symptom management to guide decision-making in the management of patients with life-threatening illnessOther→
- Nausea and Vomiting, Non-specificDescription General Measures Medicine Treatment Referral ICD-10 code: R11 DESCRIPTION There are many possible causes of nausea and vomiting. Some important causes to exclude are: gastro-intestinal disease alcohol abuse liver disease early pregnancy renal failure medicines Establish if the vomiting is associated with: abdominal pain headache diarrhoea constipation Establish if the vomiting is assoPrimary Care→
- Nebulisation, Physiotherapy & Breathing ExercisesCOVID-19 Rapid Review, Tuesday, 14 April 2020Other→
- Nebulized Adrenaline (Age 2 months up to 5 years)IMCI - Child (Age 2 months up to 5 years)IMCI→
- Neck Injuries - PenetratingPenetrating Neck InjuriesOther→
- Neck MassElective Surgical Conditions - Neck MassOther→
- Neck MassIntroduction Background Important details on history Important details on examination Make a diagnosis Management and referral guidance 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 the age of 13 yearOther→
- Necrotising FasciitisInfection Necrotising fasciitis Brief outline/clinical setting Life-threatening, invasive, rapidly progressive soft-tissue infection with a necrotising component involving the deeper fascia. Characteristics associated with increased likelihood of necrotizing infection: - Oedema - Erythema - Severe and crescendo pain out of proportion - Cutaneous anaesthesia - Skin bullae or necrosis (at latOther→
- Necrotising PeriodontitisDescription General and supportive measures Medicine treatment Referral ICD-10 code: K05.6 DESCRIPTION An acute very painful infection of the gingival margin characterised by: foul smelling breath, loss of gingiva and supporting bone around teeth, and presence of underlying disease, e.g. HIV. May lead to loss of surrounding lips and cheeks if not adequately treated. GENERAL AND SUPPORPEML (Paeds)→
- Necrotising PeriodontitisICD-10 code: K05.2 Description General Measures Medicine Treatment Referral DESCRIPTION An acute, very painful infection of the gingival margin. It is characterised by: foul smelling breath. necrosis and sloughing of the gum margin, especially of the interdental papillae. loss of gingiva and supporting bone around teeth. May lead to disease of surrounding lips and cheeks if not adequately tPrimary Care→
- Necrotising Soft Tissue InfectionsNecrotising Soft Tissue InfectionsOther→
- Needlestick or Sharp InjuryDistrict level hospital guidelines applicable for interns and comm service doctors. Published in 2016Other→
- Neonatal Abstinence Syndrome (NAS)Description Diagnostic criteria General and supportive measures Medicine treatment Referral ICD-10 code: P96.1 DESCRIPTION Postnatal opioid (or non-opioid illicit drug) withdrawal syndrome occurring in 55–94% of newborns whose mothers were addicted to or treated with opioids or other nonopioid illicit drugs, during pregnancy. Can result in: foetal malformation, intrauterine death, preterm dPEML (Paeds)→
- Neonatal Cranial Ultrasound GuidelinesNeonatal Cranial Ultrasound GuidelinesOther→
- Neonatal Discharge PoliciesNeonatal Discharge PolociesOther→
- Neonatal Endotracheal (ET) Intubation - SedationManagement 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→
- Neonatal Endotracheal (ET) Tube: Length and FixationManagement 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→
- Neonatal Follow-upNeonatal Follow-upOther→
- Neonatal Hypoglycaemia / HyperglycaemiaNeonatal HypoglycaemiaOther→
- Neonatal Issues Related to COVID-19Description General and supportive measures Medicine treatment DESCRIPTION Most neonates born to mothers with COVID-19 will not be seriously affected, although prematurity seems to be more common. Vertical and breast milk associated transmission are exceedingly rare. GENERAL AND SUPPORTIVE MEASURES Preferably, do not separate babies from their mothers. Encourage breastfeeding unless contra-PEML (Paeds)→
- Neonatal JaundiceNeonatal JaundiceOther→
- Neonatal ResuscitationNeonatal ResuscitationOther→
- Neonatal ResuscitationMedicine treatment P29.8 Be prepared Be at the delivery Check the equipment and emergency medicines Follow the algorithm at the end of this section. Check that each step has been effectively applied before proceeding to the next step. The algorithm follows the assumption that the previous step was unsuccessful and the baby is deteriorating. Use oxygen concentration that alleviates central cPrimary Care→
- Neonatal Resuscitation Summary FormNational Neonatal Resuscitation GuidelinesOther→
- Neonatal SeizuresNeonatal SeizuresOther→
- Neonate with Respiratory DistressNeonate with Respiratory DistressOther→
- Neopuff UseManagement 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→
- Nephritic SyndromeGlomerular diseasePrimary Care→
- Nephrology Disorders, IntroductionStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 EditionEML (Adult)→
- Nephrotic SyndromeGlomerular diseasePrimary Care→
- Nephrotic SyndromeNephrotic SyndromeOther→
- Nephrotic SyndromeStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 EditionEML (Adult)→
- Nephrotic Syndrome (NS)Description Diagnostic criteria General and supportive measures Medicine treatment Referral ICD-10 code: N04 DESCRIPTION Nephrotic syndrome (NS) is a clinical syndrome associated with massive proteinuria due to increased permeability of the glomerular basement membrane. Most children have primary (idiopathic) nephrotic syndrome associated with minimal change nephrotic syndrome (MCNS) or focal segPEML (Paeds)→
- Nephrotic Syndrome (NS) in ChildrenApproach to nephrotic syndrome in childrenOther→
- Nervous SystemVigabatrin Topiramate Levetiracetam Gabapentin, Pregabalin Ropinarole, Pramipexole, Bromocriptine Olanzapine, IM Quetiapine Risperidone long acting injection Amisulpride Aripiprazole Alprazolam Zopiclone, Zolpidem Dexmedetomidine Mirtazapine Bupropion Venlafaxine Memantine ATC Code N03AG04 Medicine Vigabatrin Indication Refractory partial epilepsy NEMLC Recommendation Not Approved Review IOther→
- Neuro-Psychological SupportDescription Pain Management Mood Disorders Seizures Intracranial Pressure Management Description ICU patients are treated with many interventions that may be distressing and uncomfortable. Pain, restlessness, agitation, and delirium may have untoward effects. LoE:IVb xxviii Pain Management ICD-10 code: R52 Description Prioritization of effective pain control is imperative for optimising the careEML (Adult)→