Guidelines
314 entriesNDOH Standard Treatment Guidelines and clinical protocols
- Psychotic DisordersDescription Acute and transient psychotic disorders Description General measures Medicine treatment Description Psychosis is characterised by a loss of contact with reality. Psychotic disorders may present with: Delusions: Fixed beliefs which may manifest as disturbed speech content with persecutory, referential, grandiose, religiose, erotic, or bizarre themes. Hallucinations: Perceptual disturbaEML (Adult)→
- Pubic Lice (PL)Sexually Transmitted InfectionsPrimary Care→
- Public Health Response to Influenza10. Public Health Response to Influenza Influenza epidemics occur each year during the winter season. Vaccination of high-risk groups and individuals wishing to protect themselves against influenza is recommended prior to the expected start of the annual influenza season. No public health response is required in response to isolated cases of influenza or outbreaks of mild diseaseOther→
- Puerperal SepsisDescription General measures Medicine treatment Referral O85/O86.0-4/O86.8 DESCRIPTION Clinical features include a temperature ≥ 38°C (usually ≥ 2 days after delivery), often accompanied by offensive vaginal discharge (lochia) and/or abdominal pain within the first 10 days postpartum. In post caesarean section (CS) cases, there may additionally be tenderness around the CS wound and offensivePrimary Care→
- Puerperal SepsisThe 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→
- Pulmonary EmbolismPulmonary EmbolismOther→
- Pulmonary Oedema, AcuteCardiac Failure, Congestive (CCF)Primary Care→
- Pulmonary Oedema, AcuteDescription General measures Medicine treatment ICD-10 code: J81 DESCRIPTION A life-threatening condition with abnormal accumulation of fluid in the lungs. Common causes include acute decompensation of chronic underlying heart failure and acute renal failure (e.g. acute nephritis). Patients with acute decompensated heart failure appear extremely ill, restless, poorly perfused and sweaty, tachypnoEML (Adult)→
- Pulmonary Oedema, AcuteDescription Emergency Treatment Referral ICD-10 code: J81 DESCRIPTION A life-threatening condition with abnormal accumulation of fluid in the lungs. Common causes include acute heart failure and acute renal failure (e.g. acute nephritis). Persons with pulmonary oedema may present similarly to acute bronchospasm. It is important to distinguish this condition from an acute attack of asthma. EMERGENPrimary Care→
- Pulmonary Tuberculosis (TB)Pulmonary TuberculosisPrimary Care→
- Pulmonary Tuberculosis (TB) in AdultsPulmonary TuberculosisPrimary Care→
- Pulmonary Tuberculosis (TB) in ChildrenPulmonary Tuberculosis (TB)Primary Care→
- Purpose and Organisation of the GuidelinesOrganisation of the guidelines These guidelines provide evidence-based practices for TPT to reduce the risk of progressing to TB in people who experience significant exposures or are immunocompromised, thus reducing the overall burden of TB in South Africa. These guidelines are informed by the latest WHO guidance for TB screening 20 and treatment of latent TB infection 21 and are adapted tOther→
- PyelonephritisInfection Pyelonephritis Brief outline/clinical setting Similar organisms but culture mandatory: If not septic (infection plus organ dysfunction) oral outpatient therapy Aetiologies/organisms Enterobacterales: E. coli, K. pneumoniae, Enterobacter spp, Proteus spp S. saprophyticus, Group B streptococcus, Enterococcus spp. Optimal antimicrobial selection Oral ciprofloxacin 500mg BD or levofloxacinOther→