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English RG, Bateman ED, Zwarenstein MF, Fairall LR, Bheekie A, Bachmann MO, Majara B, Ottmani S, Scherpbier RW. Development of a South African integrated syndromic respiratory disease guideline for primary care. Prim Care Resp J 2008;17(3):156-163. DOI: http://dx.doi.org/10.3132/pcrj.2008.00044
Citation details
English RG, Bateman ED, Zwarenstein MF, Fairall LR, Bheekie A, Bachmann MO, Majara B, Ottmani S, Scherpbier RW
Development of a South African integrated syndromic respiratory disease guideline for primary care
(2008) Prim Care Resp J 17 (3), pp. 156-163.
DOI: http://dx.doi.org/10.3132/pcrj.2008.00044
Article web page: http://www.thepcrj.org/journ/view_article.php?article_id=587
PDF url: http://www.thepcrj.org/journ/vol17/17_3_156_163.pdf
Abstract:
AIMS: The Practical Approach to Lung Health in South Africa (PALSA) initiative aimed to develop an integrated symptom- and sign-based
(syndromic) respiratory disease guideline for nurse care practitioners working in primary care in a developing country.
METHODS: A multidisciplinary team developed the guideline after reviewing local barriers to respiratory health care provision, relevant
health care policies, existing respiratory guidelines, and literature. Guideline drafts were evaluated by means of focus group discussions.
Existing evidence-based guideline development methodologies were tailored for development of the guideline.
RESULTS: A locally-applicable guideline based on syndromic diagnostic algorithms was developed for the management of patients 15 years
and older who presented to primary care facilities with cough or difficulty breathing.
CONCLUSIONS: PALSA has developed a guideline that integrates and presents diagnostic and management recommendations for priority
respiratory diseases in adults using a symptom- and sign-based algorithmic guideline for nurses in developing countries.
Keywords:
Guideline, diagnosis, primary care, nurse, asthma, COPD, tuberculosis, infection, management
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