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5th Edition 2015
Government of Malawi
Malawi Standard TreatmentGuidelines (MSTG)
Incorporating Malawi Essential Medicines List (MEML) 2015
Ministry of Health
Malawi Standard TreatmentGuidelines (MSTG)
Incorporating Malawi Essential Medicines List (MEML) 2015
Ministry of Health
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Foreword..............................................................................iii
References............................................................................v
Acknowledgements..............................................................vii
Prescribing Guidelines..........................................................xi
1.0 Blood and Haematological Condions........................1
2.0 Cardiovascular diseases............................................47
3.0 Central nervous system.............................................62
4.0 Ear nose and throat condions................................95
5.0 Emergencies...........................................................106
6.0 Endocrine disorders................................................121
7.0 Gastrointesnal condions...................................134
8.0 Hepac disorders....................................................161
9.0 Infecous diseases..................................................162
10.0 Oncology.................................................................225
11.0 Musculoskeletal disorders......................................246
12.0 Sexual and Reproducve Health ..............................257
13.0 Ophthalmic condions........................................304
14.0 Oral maxillofacial condions...................................320
15.0 Parasic diseases.....................................................333
16.0 Respiratory condions............................................371
17.0 Sexually transmied infecons................................393
18.0 Skin condions........................................................417
19.0 Vaccinaons............................................................437
Table of Contents
MSTG 2015
ii
20.0 Bites, burns and wounds.........................................439
21.0 Renal condions ....................................................454
22.0. Poisoning................................................................465
23.0 Nutrional Disorders.................................................475
24.0 Pain management and Palliave care....................504
25.0 Psychiatric condion..............................................520
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MSTG 2015
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List of Core Contributors to the 5th Edion ofMSTG/MEML
NAME INSTITUTIONDr Charles Mwansambo Ministry of HealthDr George ChithopeMwale Ministry of HealthDr. A. Chitsa Banda Malawi Defence ForceDr. Henry Ndindi Ministry of HealthAlbert Khuwi Ministry of HealthEnock Phale Ministry of HealthTadala Hamisi Kamuzu Central HospitalEphraim Chale Kamuzu Central HospitalChikondi Kadawa Ministry of HealthDr Mebratu Bejiga Clinton Health Access
IniaveChristopher Connolly Clinton Health Access
IniaveAlfred Kasito Clinton Health Access
IniaveMichael Udedi Ministry of HealthDr Amos Nyaka Kamuzu Central HospitalDr Rachel MlothaMitole Kamuzu Central HospitalDr Peter Kazembe Baylor TrustDr Bridon Mbaya Malawi Blood
Transfusion ServicesDr Charles Dzamala College of medicineDr Dan Namarika Partners in Hope ClinicDr Rodney Kalanda The MEDI ClinicDr Tiffany Priester Seventh Day Advenst
HospitalDr Y. B Mlombe College of MedicineDr Moses Chisale Central Medical Stores
TrustChitsanzo Mafuta Zomba Mental HospitalDr Jen Ahrens College of Medicine
viii
MSTG 2015
NAME INSTITUTIONLevie Mwale Queen Elizabeth
Central HospitalDr Kondwani Chalulu Queen Elizabeth Central
HospitalDr Samson Mndolo Queen Elizabeth Central
HospitalDr Leo Masamba Queen Elizabeth
Central HospitalDr Jessie Mlotha Namarika Kamuzu Central HospitalDr Peter Jeke Mzuzu Central HospitalDr John Chipolombwe Mzuzu Central HospitalDr Carlos Valera Kamuzu Central HospitalCatherine Chiwaula Ministry of HealthEmmaculate Kambiya Ministry of HealthLumbani Makwakwa Chrisan Health
Associaon of MalawiDr Martha Makwero Queen Elizabeth Central
HospitalDr Kabeya Maguy Zomba Central HospitalJanet Guta Ministry of HealthSyliver Kathumba Ministry of HealthGodfrey Kadewere Pharmacy, Medicines
and Poisons BoardKent Kawonga Queen Elizabeth Central
HospitalGelson Kuweruza Queen Elizabeth Central
HospitalSamuel Nowa Kasungu District Health
OfficeDr Jarome Nkhambule Kasungu District Health
OfficeR. J Mwale College of MedicineAngellina Chilumpha Zomba Mental Hospital
ix
MSTG 2015
NAME INSTITUTION
Dr Gian Samonte Kamuzu Central HospitalMercy T.Z. Magombo Zomba Central HospitalEmma Mchikaya Zomba Central HospitalLaston Chiko Ministry of HealthLameck Thambo Palliave Associaon of
MalawiDr. Leonard Banza Kamuzu Central HospitalDoreen Alli Ministry of HealthDr Stone Kabuluzi Ministry of HealthSheila Bandazi Ministry of HealthDr Owen Malemia Blantyre District Health
OfficeDr Lillian Chunda Kamuzu Central Hospital
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or the mouth or nose is full of secretions.
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Other ventilatory support.
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