Guidelines
3,191 entriesNDOH Standard Treatment Guidelines and clinical protocols
- 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 DisordersMood DisordersPrimary Care→
- 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)→
- 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 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)→
- 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 Mellitus in AdolescentsDescription General and supportive measures Medicine treatment ICD-10 Code: E10 DESCRIPTION Adolescence is the period between 10 to 19 years of age. The adolescent and the transition should be managed with special planning, i.e.: the admission policy of the hospital, observing the wishes of the adolescent, emotional and physical maturity considerations, and the presence of any co-existing medicalPEML (Paeds)→
- Diabetes Mellitus in PregnancyStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults, Updated for the 2023 EditionEML (Adult)→
- Diabetes Mellitus, Insulin Dependent: Acute ComplicationsStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Paediatrics, 2023 Edition Chapter 7: Endocrine, 7.5 Diabetes Mellitus, 7.5.2 Diabetes Mellitus, Insulin Dependent: Acute Complications Click here for 7.5.2.1 Cerebral Oedema In Diabetic Ketoacidosis (DKA) Click here for 7.5.2.2 Diabetic Ketoacidosis Click here for 7.5.2.3 Hypoglycaemia In DiabePEML (Paeds)→
- Diabetes Mellitus, Type 1Description Diagnostic criteria General and supportive measures Medicine treatment Referral ICD-10 Code: E10 DESCRIPTION Most diabetic children have type 1 diabetes, and: have auto-immune destruction of the pancreatic beta cells as the underlying cause, have an absolute requirement for insulin therapy, will develop diabetic ketoacidosis (DKA) if not given insulin. DIAGNOSTIC CRITERIA The followinPEML (Paeds)→
- Diabetes Mellitus, Type 2Description Diagnostic criteria General and supportive measures Medicine treatment ICD-10 Code: E11 DESCRIPTION Type 2 diabetes develops when insulin secretion cannot meet the increased demand posed by insulin resistance. Type 2 diabetes may be associated with hyperlipidemia, hypertension, acanthosis nigricans, ovarian hyperandrogenism and non-alcoholic fatty liver disease (features of insulin rePEML (Paeds)→
- Diabetes Self-Management Education and SupportDiabetes Self-Management Education and SupportOther→
- Diabetes and DrivingDiabetes and drivingOther→
- Diabetic Coma ChartDiabetic Coma ChartOther→
- Diabetic EmergenciesSee: Hypoglycaemia and Diabetic ketoacidosis (DKA) and Hyperosmolar hyperglycaemic state (HHS) (in Diabetic Emergencies ). Click here for the pdf . Standard Treatment Guidelines And Essential Medicines List For South Africa, Adult Hospital level, 2020-4_Version 1_June 2024 Chapter 20: Emergencies and InjuriesEML (Adult)→
- Diabetic EmergenciesDiabetic EmergenciesPrimary Care→
- Diabetic EmergenciesStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 EditionEML (Adult)→
- Diabetic Eye DiseaseDiabetic Eye DiseaseOther→
- Diabetic FootInfection Diabetic foot Brief outline/clinical setting Foot wound with the presence of at least two signs of inflammation (erythema, warmth, tenderness, pain, or induration) or purulent secretions. Mild: Local infection involving only the skin and the subcutaneous tissue, if erythema: ≤2cm around ulcer Moderate: As above, erythema >2cm or involving structures deeper than skin and subcutaneousOther→
- Diabetic Foot ProblemsThe Prevention and Treatment of Foot Problems in DiabetesOther→
- Diabetic Foot Sepsis/AmputationsGuidelines Microbiology Clinical Classification of Diabetic Foot Infection Differential Diagnosis Initial Examination and Assessment Management of Diabetic Feet Ulcers Diabetic Foot Sepsis Evaluate for Limb Ischaemia Local Context Amputations This is an extremely common problem which results in major morbidity, mortality, and extensive use of hospital resources. Important risk factors include neuOther→
- Diabetic Foot UlcersMicrovascular Complications of DiabetesPrimary Care→
- Diabetic Footcare Guidelines for Primary Healthcare ProfessionalsDiabetic Footcare Guidelines for Primary Healthcare ProfessionalsOther→
- Diabetic Hyperglycaemic EmergenciesDiabetic hyperglycaemic emergenciesOther→
- Diabetic KetoacidosisSee: Diabetic ketoacidosis Standard Treatment Guidelines And Essential Medicines List For South Africa, Hospital Level, Paediatrics, 2023 Edition Chapter 23: Paediatric Intensive Care, 23.6 Electrolyte Abnormalities, 23.6.9 Diabetic KetoacidosisPEML (Paeds)→
- Diabetic KetoacidosisDiabetic KetoacidosisPEML (Paeds)→
- Diabetic Ketoacidosis (DKA) in PregnancyContext Common presenting symptoms Diagnostic criteria for DKA in pregnancy Aspects of treatment Fluids Interpretation of blood ketones Treatment pillars Cautionary notes: Insulin therapy Thromboprophylaxis Nil per Os vs early oral feeding Monitoring DKA precipitant - Identify, Record and Treat Fetal monitoring during DKA Transition to Subcutaneous Insulin Preventing recurrent DKA Multi-disciplinOther→
- Diabetic Ketoacidosis in Children: Tygerberg Children's Hospital ProtocolDiabetic Ketoacidosis in ChildrenOther→
- Diabetic Kidney DiseaseDiabetic Kidney DiseaseOther→
- Diabetic NephropathyDiabetic NephropathyPEML (Paeds)→
- Diabetic NephropathyMicrovascular Scular Complications of DiabetesPrimary Care→
- Diabetic NeuropathyMicrovascular Complications of DiabetesPrimary Care→
- Diagnosis & Assessment of Psoriatic Arthritis (PsA)Psoriatic arthritis Diagnosis of psoriatic arthritis Assessment of psoriatic arthritis Assessment of peripheral arthritis Skin assessment Nail assessment Axial spine assessment Dactylitis assessment Enthesitis assessment Global assessment Laboratory measures Psoriatic arthritis PsA is a chronic inflammatory arthritis that is associated with the skin disease psoriasis. [2] Psoriasis affects 1 - 3%Other→