Gastrointestinal Conditions Management Guidelines 2018
This presentation covers guidelines for managing gastrointestinal conditions, including dyspepsia, heartburn, indigestion, and helminthic infestations. It provides recommendations on medications such as Lansoprazole for short-term therapy and Albendazole as an alternative for roundworm infestations. Access to detailed evidence and rationale from the National Essential Medicines List Committee is emphasized for informed decision-making on medicine usage.
Download Presentation
Please find below an Image/Link to download the presentation.
The content on the website is provided AS IS for your information and personal use only. It may not be sold, licensed, or shared on other websites without obtaining consent from the author. Download presentation by click this link. If you encounter any issues during the download, it is possible that the publisher has removed the file from their server.
E N D
Presentation Transcript
Chapter 2: Gastro-intestinal conditions NATIONAL DEPARTMENT OF HEALTH AFFORDABLE MEDICINES ESSENTIAL MEDICINES PROGRAMME PRIMARY HEALTHCARE GUIDELINES 2018 1
EVIDENCE Please access the National Essential Medicines List Committee (NEMLC) report for detailed evidence (including rationale, references and costings) informing decision-making on medicine addition, amendments and deletions: http://www.health.gov.za/index.php/standard-treatment-guidelines-and- essential-medicines-list/category/285-phc DISCLAIMER This slide set is an implementation tool and should be used alongside the most recently published STG available on the EML Clinical Guide Application. This information does not supersede or replace the STG itself. 2
Dyspepsia, heartburn and indigestion, in adults DESCRIPTION Epigastric discomfort and minimal change in bowel habits. CHANGES Despite concerns over long-term Proton-Pump Inhibitor (PPI) use compared to antacids: Lansoprazole 30mg oral as first line, 14-day short-term therapy RETAINED REASON PPIs are cheaper and more effective than antacids No evidence of harm at PHC level following short courses of PPIs 3
Helminthic infestation, excluding tapeworm DESCRIPTION Types of worm infestations: Common roundworm, pinworm, hookworm and whipworm CHANGES Albendazole as a therapeutic alternative to mebendazole specifically for the commonly transmitted roundworm ADDED REASON There is evidence of comparable efficacy of mebendazole and albendazole for eradication of roundworm 4
