Guidelines
3,191 entriesNDOH Standard Treatment Guidelines and clinical protocols
- Neck MassElective Surgical Conditions - Neck MassOther→
- 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 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 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 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 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 ResuscitationNeonatal ResuscitationOther→
- 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 SyndromeStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 EditionEML (Adult)→
- Nephrotic SyndromeGlomerular diseasePrimary Care→
- Nephrotic SyndromeNephrotic SyndromeOther→
- 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)→
- NeurocysticercosisNeurocysticercosisPEML (Paeds)→
- NeurocysticercosisNeurocysticercosisOther→
- Neuroleptic Malignant SyndromeDescription General measures Referral ICD-10 code: G21.0 + (T43.0-6/T43.8-9) Description Neuroleptic malignant syndrome (NMS) is a rare but potentially fatal syndrome characterised by a tetrad of fever, muscle rigidity, altered mental state, and autonomic dysfunction. An altered mental state with confusion, delirium, or stupor may precede other clinical signs of NMS. Suspect if there is a historyPrimary Care→
- Neuroleptic PoisoningDescription Diagnostic criteria General and supportive measures Medicine treatment Referral ICD-10 code: T43.5 DESCRIPTION Neuroleptic overdose may cause a depressed level of consciousness, hypotension, tachycardia and cardiac dysrhythmias and seizures. Commonly used neuroleptics include chlorpromazine, haloperidol and phenothiazine anti-emetics (e.g. promethazine). Acute dystonic reactionsPEML (Paeds)→
- Neurologic DisordersPerinatal asphyxia Therapeutic Hypothermia Seizures Sub-aponeurotic haemorrhage (SAH) Perinatal asphyxia The biggest concern is hypoxic-ischaemic encephalopathy (HIE) or neonatal encephalopathy. Sometimes the baby is obviously encephalopathic from birth, with prolonged low Apgar’s, delayed onset of breathing, seizures, abnormal posturing etc. Sometimes the features develop more subtly. Any newborOther→
- Neuropathic PainAn approach to symptom management to guide decision-making in the management of patients with life-threatening illnessOther→
- NeuropathyStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 EditionEML (Adult)→
- NeuropathyCentral Nervous SystemPrimary Care→
- Neuropathy AssessmentNeuropathy AssessmentOther→
- Neuropsychiatric ConditionsStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 EditionEML (Adult)→
- Neutral Environmental Temperature For NewbornsManagement 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→
- Neutropaenic SepsisAn approach to symptom management to guide decision-making in the management of patients with life-threatening illnessOther→
- New Guidelines for the Use of Insulin Infusion Pumps in South AfricaNew Guidelines for the Use of Insulin Infusion Pumps in South AfricaOther→
- New in 2023 ART Clinical GuidelineClick on the image to enlarge Click here to open the above PDF 2023 ART Clinical Guidelines for the Management of HIV in Adults, Pregnancy and Breastfeeding, Adolescents, Children, Infants and Neonates June 2023 Version 4 Upload date: 28/07/2023Other→
- Newborn Resuscitation AlgorithmNewborn Resuscitation AlgorithmOther→
- Newborn Resuscitation AlgorithmNewborn Resuscitation AlgorithmOther→
- Non - Typhoid Salmonella (NTS)Description Diagnostic criteria General and supportive measures Medicine treatment Referral ICD-10 code: A02.9 DESCRIPTION Present as: gastroenteritis, or extra-intestinal (invasive) disease. DIAGNOSTIC CRITERIA Clinical Self-limiting mucosal intestinal disease presenting with diarrhoea and vomiting in immunocompetent patients. Young infants (< 3 months) and immunodeficient children (espPEML (Paeds)→
- Non-Itchy Skin RashIMCI - Skin problemsIMCI→
- Non-Penetrating Eye InjuryDescription Diagnostic criteria Medicine treatment Referral ICD-10 code: S05.1 DESCRIPTION An intact cornea and sclera, but severely contused eye. A foreign body on or embedded in the cornea of an intact eye. DIAGNOSTIC CRITERIA Signs depend on the site affected and nature of the non-penetrating trauma. Corneal injury Contusion: hazy oedematous cornea. A foreign body embedded on/in the cornPEML (Paeds)→
- Non-Pharmaceutical Therapies for EnuresisAlternative treatment / complementary therapies Urotherapy Alarm therapy Pelvic floor muscle training Biofeedback Alternative Treatment / Complementary Therapies Minimal advances in this area have been observed. No efficient or direct comparative data are available for any alternative therapies. There are no measurable outcomes data or placebo-controlled data available. Various forms of acupunctuOther→