STANDARD TREATMENT GUIDELINES - Madhya …

1 STANDARD TREATMENTGUIDELINES2016 Department of Public Health & FamilyWelfareMadhya Pradesh(i) STANDARD TREATMENTGUIDELINES(2016)Published byDepartment of Public Health &Family WelfareMadhya Pradesh(ii)Department of Health and Family welfareDirectorate Health Services,Satpura Bhawan,Bhopal ( )-462004 2014 Madhya Pradesh State STANDARD TREATMENT GuidlinesReprinted2016 All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, ortransmitted, in any form or by any means, electronic, mechanical, photocopying, recording orotherwise,without the prior written permission of the : Any set of GUIDELINES can provide only general suggestions for clinical practiceandpractitioners must use their own clinical judgment in treating and addressing the needs of eachindividual patient, taking into account patient s unique clinical situation.

2 There is no representation of theappropriateness or validity of these guideline recommendations for any given patient. This manual doesnot intend to be either restrictiveor prescriptive. TREATMENT GUIDELINES are provided in good and editors cannot be held responsible for errors, individual response to drugs and for sale in trade(iii)ForwardEvery public health system seeksto improve the health and well-being of people throughapproaches which focus on the entire population.

3 It s priority is to reduce disparities in health statusbetween different social groups. Access to affordable essential medicines is a vital component of anefficient health care system. In our resource-constrained environment with a high burden of disease, thevalue of the STANDARD TREATMENT GUIDELINES and Essential Drug List in ensuring affordable and equitableaccess to health-care should not be TREATMENT GUIDELINES ensure consistency, and TREATMENT efficacy for patients acrossdemographic and geographic GUIDELINES provide an expert consensus, quality care,standardbasis ofpatient monitoring for service providers and makes demand more predictable.

4 Allows pre-packs for supply managers. The GUIDELINES focus on therapeutic integration of special programs, promoteefficient use of funds by providers are informedaboutthe most appropriate TREATMENT improving the quality ofcare as the patients receive optimal therapy. The GUIDELINES enable consistent and predictable treatmentfrom all level of service providers and at all locations within the healthcare system. Consequently, drugavailability orabsence will not be the limiting factor with regards to the positive or negative impact criteria for the selection of essential drugs for primary health care in Madhya pradesh arebased on the WHO GUIDELINES for drawing up a State EDL.

5 Essential medicines are selected with dueregards to disease prevalence, evidence on efficacy and safety, and comparative keeping with the objectives of the State Drug Policy the department is trying to ensureprovision of essential drugs in generic form at various levels of health-care system Primary HealthCentre; Community Health Centre, District Hospitals and Speciality centres on the basis of servicesoffered and the competency of the staff at each document is an effort tooptimise the resources and provide quality of care to the populationin the will also minimise over and unnecessary medication.

6 Provision of good quality genericdrugs will also reduce the out-of-pocket expenses of the population at large .(ii)Extra PanelMedicinePaediatricsOrthopaedicsDr. J. L. Wadhwani, ProfessorBMC, Sagar ( )Dr. J. Shivastava, , Bhopal ( )Dr. Jiten Shukla, ProfessorGMC, Bhopal ( )Dr. Amit Agrawal, ProfessorGMC, Bhopal ( )SurgeryPsychiatryAnaesthesiaDr. Mahim Koshariya, , Bhopal ( )Dr. R. N. Sahu, , Bhopal( )Dr. A. Vatal, , Bhopal( )Dr. D. Choudhary, ProfessorGMC, Bhopal ( )Dr. Ruchi Tandon, ProfessorGMC, Bhopal( )Obstetrics And GynecologyOphthalmologyDermatologyDr.

7 R. Wadhwani, , Bhopal ( )Dr. Bhawna Sharma, ProfessorGMC, Bhopal( )Dr. Anna Alex, , Bhopal ( )Dr. Varuna Pathak, ProfessorGMC, Bhopal ( )Dr. Vivek Som, ProfessorGMC, Bhopal( ) Smita Soni, ProfessorGMC, Bhopal( )Dr. K. K. Mishra, MDSP rofessorGMC, Bhopal( )(ii)ContentsIntroduction to the Guidelines1 The Concept of Essential Medicines3 Abbreviations Diseases9 Acute fever, Fever in children, Fever of unknown origin, Anaemia, Dizziness andVertigo, Jaundice, Acute viral hepatitis, Tuberculosis and RNTCP, Malaria andNAMP, Dengue, Chikungunya, Enteric (typhoid)

8 Fever, Rheumatic fever,Epilepsy, Status epilepticus, resuscitation, Anaphylaxis, Burns, Shock, Fluid and electrolyteimbalance, Stridor (croup), Septicaemia, Head injury, Coma, Poisoning,Organophosphorus, Hydrocarbons, Datura, Opioid, Trauma-Thoracic trauma Blunt abdominal trauma-Penetrating stab injuries, Injuries of the Eye-Chemicalburns or injuries of eye-Foreign body in eye, Black eye, Fractures, Pelvicfractures, Bites-Snake bite-Dog bites-Insect and Arachnid bites and Diseases108 Infective endocarditis, Acute pericarditis, Cardiomyopathy, Hypertension, Anginapectoris, Unstable angina.

9 Myocardial infarction, Congestive heart failure,Pulmonary embolism/infarction, Arrhythmia-Supraventricular tachycardia-Ventricular tachycardia Sustained atrial fibrillation Bradyarrhythm ia and Diseases127 Bleeding disorders, Platelet disorders (thrombocytopenia), Platelet functiondefects, Coagulation Diseases129 Pneumonia, Chronic obstructive airway disease (COAD), Bronchiectasis, Diseases140 Recurrent oral aphthous ulcers, Acute oropharyngoesophageal candidiasis,Dyspepsia, Gastroesophageal reflux disease (GERD)

10 , Peptic ulcer, Vomiting,Constipation, Irritable bowel syndrome, Acute diarrhoea/gastroenteritis, Chronicdiarrhoea, Ulcerative colitis, Liver abscess-amoebic and pyogenic, Acutepancreatitis, Chronic pancreatitis, Gastrointestinal Bacterial, Viral andOpportunistic157 Tetanus, HIV/AIDS, Pre-and Post-test counselling, Opportunistic infections:Pneumocystis carinii pneumonia, Oesophageal candidiasis, Cryptococcosis,Toxoplasmosis, Infections174 Intestinal Protozoal Infections-Amoebiasis, Giardiasis, Hook worm infestation,Ascariasis, Enterobiasis, Kala azar, Leishmaniasis.