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«Drug Administration and Control Authority of Ethiopia Contents January 2010 1 Contents Acknowledgments... ix Abbreviations...xii Forward...xiii ...»

-- [ Page 1 ] --

STNDARD TREATMENT GUIDELINE

FOR

PRIMARY HOSPITALS

Drug Administration and Control Authority of Ethiopia Contents

January 2010

1

Contents

Acknowledgments………………………………………………………………………………………………… ix

Abbreviations………………………………………………………………………………………………………xii

Forward ……………………………………………………………………………………………………………..xiii Introduction ………………………………………………………………………………………………………..xiv General Guidance…………………………………………………………………………………………….. xvi How to USE the STG………………………………………………………………………………………… xxxi Chapter I

INFECTIOUS DISEASES

Acquired Immunodeficiency Syndrome………………………………………………………………….2 Amebiasis………………………………………………………………………………………………………….12 Amebic liver Abscess………………………………………………………………………………………… 13 Bacillary Dysentry…………………………………………………………………………………………….…14 Bronchitis (Acute)…………………………………………………………………………………………….…15 Brucellosis……………………………………………………………………………………………………….. 18 Cholera…………………………………………………………………………………………………………..… 19 Gastroenteritis……………………………………………………………………………………………….…..20 Giardiasis………………………………………………………………………………………………………….. 21 Intestinal Parasitic Infestations……………………………………………………………………………22 Leishmaniasis…………………………………………………………………………………………………….26 Leprosy ………………………………………………………………………………………………………………28 Malaria……………………………………………………………………………………………………………….31 Meningitis………………………………………………………………………………………………………..…35 Onchocerciasis……………………………………………………………………………………………………40 Pneumocystis carinii( jirovecii) Pneumonia…………………………………………………………..41 Pneumonia…………………………………………………………………………………………………………44 Pneumonias(Aspiration) and Lung Abscesses……………………………………………………….48 Pyogenic Osteomyelitis………………………………………………………………………………………..50 Relapsing Fever ………………………………………………………………………………………………….51 Schistosomiasis…………………………………………………………………………………………………..52 Septic Arthritis……………………………………………………………………………………………………..53 Subacute Bacterial Endocarditis……………………………………………………………………………54 Tetanus………………………………………………………………………………………………………………..55 Toxoplasmosis(CNS)………………………………………………………………………………………………58 Tuberculosis………………………………………………………………………………………………………....59 Typhoid Fever………………………………………………………………………………………………………..68 2 Typhus…………………………………………………………………………………………………………………..69 Urinary Tract Infection……………………………………………………………………………………………70 Viral hepatitis…………………………………………………………………………………………………………72 Chapter II

NON-INFECTIOUS DISEASES

Acute cardiogenic pulmonary edema………………………………………………………………………75 Anemia………………………………………………………………………………………………………………….76 Anxiety disorder……………………………………………………………………………………………………..79 Arrythmias……………………………………………………………………………………………………………..80 Atrioventricular block……………………………………………………………………………………………..84 Bronchial asthma…………………………………………………………………………………………………..85 Constipation……………………………………………………………………………………………………….…91 Diabetes mellitus…………………………………………………………………………………………………..92 Dyspepsia……………………………………………………………………………………………………………..97 Epilepsy………………………………………………………………………………………………………………..98 Gout……………………………………………………………………………………………………………………101 Heart Failure……………………………………………………………………………………………………….102 Hemorrhoids……………………………………………………………………………………………………….104 Hypertension……………………………………………………………………………………………………….106 Immune thrombocytopenic purpura……………………………………………………………………..110 Migraine………………………………………………………………………………………………………………111 Mood disorders……………………………………………………………………………………………………114 Myocardial infarction……………………………………………………………………………………………116 Osteoarthritis………………………………………………………………………………………………………118 Peptic ulcer…………………………………………………………………………………………………………119 Portal hypertension……………………………………………………………………………………………..121 Rheumatic fever………………………………………………………………………………………………….123 Rheumatic heart disease(Chronic)………………………………………………………………………..124 Rheumatoid arthritis……………………………………………………………………………………………125 Schizophrenia……………………………………………………………………………………………………. 127 Thyrotoxicosis……………………………………………………………………………………………………..129 3 Chapter III





PEDIATRIC DISEASES

Bronchial Asthma………………………………………………………………………………………………..132 CROUP (Acute laryngotracheobronchitis)…………………………………………………………….…134 Diarrheal disease (Acute)……………………………………………………………………………………...135 Foreign body aspiration………………………………………………………………………………………...141 Heart failure………………………………………………………………………………………………………….142 HIV/ AIDS in Children ……………………………………………………………………………………………144 Jaundice in neonates…………………………………………………………………………………………….151 Malnutrition (severe)……………………………………………………………………………………………..153 Measles………………………………………………………………………………………………………………..164 Meningitis……………………………………………………………………………………………………………. 165 Oral thrush…………………………………………………………………………………………………………….168 Osteomyelitis…………………………………………………………………………………………………………168 Pertusis…………………………………………………………………………………………………………………169 Pneumocystis carinii pneumonia…………………………………………………………………………….170 Pneumonia in children……………………………………………………………………………………………171 Rickets…………………………………………………………………………………………………………………..173 Seizures (Neonatal)………………………………………………………………………………………………..175 Sepsis (Neonatal)…………………………………………………………………………………………………..176 Septic arthritis……………………………………………………………………………………………………….177 Tetanus (Neonatal)…………………………………………………………………………………………………178 Tinea capitis…………………………………………………………………………………………………………..178 Tuberculosis…………………………………………………………………………………………………………..179 Chapter IV

DERMATOLOGICAL DISORDERS

Acne vulgaris ……………………………………………………………………………………………………….183 Bacterial folliculitis………………………………………………………………………………………………. 184 Candidiasis……………………………………………………………………………………………………………185 Balanoposthitis…………………………………………………………………………………………..185 Candidal intertrigo……………………………………………………………………………………… 186 Candidal paronychia……………………………………………………………………………………186 Oral candidiasis…………………………………………………………………………………………. 187 Carbuncle………………………………………………………………………………………………………………188 4 Cellulites………………………………………………………………………………………………………………..188 Cutaneous leishmaniasis………………………………………………………………………………………. 189 Dermatophytes………………………………………………………………………..…………………………… 190 Eczema………………………………………………………………………………………………………………….193 Atopic Dermatitis…………………………………………………………………………………………193 Contact dermatitis……………………………………………………………………………………….194 Allergic contact dermatitis……………………………………………………………….. 194 Irritant Contact Dermatitis…………………………………………………….. …………196 Erysipelas

Furunclosis

Herpes simplex

Herpes zoster

Impetigo

Molluscum contagiosum

Pediculosis corporis and capitis……………………………………………………………………………..203 Pityriasis versicolor

Psoriasis

Scabies

Urticaria

Verruca vulgaris

Chapter V

SEXUALLY TRANSMITTED INFECTIONS

Acute Epididymitis…………………………………………………………………………………………….……212 Ectoparasitic infection…………………………………………….…………………………………………213 Pediculosis pubis…………………………………………………………………………………………213 Exophytic processes……………………………………………………………………………………………….214 External genital warts (Condylomata acuminata)…………………………………………..214 Genital ulcer disease syndrome

Chancroid

Genital herpes

Granuloma inguinale (donovanosis)

Lymphogranuloma venereum

Syphilis



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