ˇא אز #אم %&'(وˆ* א - dha.gov.ae · ـــد ـ ـــ ــ ـ ا ـــ ـ ـ ا...
TRANSCRIPT
ا�ـ�ـ�ــ�ــــ� ا��ـ�ـ ـــ� ا�ـــ�ـــ� �ـ� د�ـــ� General Medical Committee in Dubai
1
د�א�������� �א������������א�����������زא�א����א
�� א��*���و)�'�&%م��א#�زא��א�"! ��
2011�
Medical Guidelines of sick leaves duration Medical Guidelines of sick leaves duration Medical Guidelines of sick leaves duration Medical Guidelines of sick leaves duration
issued in cooperation with Dubai Health issued in cooperation with Dubai Health issued in cooperation with Dubai Health issued in cooperation with Dubai Health
Authority Medical Department Authority Medical Department Authority Medical Department Authority Medical Department
2011201120112011
���� د�� ���� ا���� ا���� ا
��� �� ���� ه دو� ا���رات ا����� ا���ة
General Medical Committee in Dubai Dubai Health Authority United Arab Emirates
ا�ـ�ـ�ــ�ــــ� ا��ـ�ـ ـــ� ا�ـــ�ـــ� �ـ� د�ـــ� General Medical Committee in Dubai
2
Index
NO. Name
1 Haematology
2 Digestive Diseases
3 Neurosurgery
4 ENT
5 Cardiology & Cardiothoracic Surgery
6 Neurology
7 Dermatology
8 Obstetric & Gynecology
9 General Surgery
10 Family Medicine
11 PLASTIC SURGERY
12 Infectious Diseases
13 Pulmonary Medicine
14 Diabetes Mellitus
15 Vascular Surgery
16 Ophthalmology
17 Urology
18 Dental
19 Orthopaedic
ا�ـ�ـ�ــ�ــــ� ا��ـ�ـ ـــ� ا�ـــ�ـــ� �ـ� د�ـــ� General Medical Committee in Dubai
3
1- Haematology
Haematology Sick leave Period
Idiopathic thrombocytopenic purpura
1 week
Autoimmune hemolytic anemia 1 week
Hemophilia - joint bleeding 2 weeks
Hemophilia - other bleeding 7 - 28 days
Severe iron - deficiency anemia 1 week
Severe megaloblastic anemia (Hgb less than 5 g)
1 week
Acute leukemia 6 months
Multiple Myeloma 1-2 weeks
Chronic myeloid leukemia 1 week
Chronic lymphocytic leukemia 1 - 4 days
Polycythemia vera 1 - 4 days
Aplastic anemia 15 - 60 days
ا�ـ�ـ�ــ�ــــ� ا��ـ�ـ ـــ� ا�ـــ�ـــ� �ـ� د�ـــ� General Medical Committee in Dubai
4
2-Digestive Diseases
Digestive Diseases Sick leave Period
Acute hepatitis 2-3 weeks
Acute non-variceal bleeding 7 to 10 days
Acute variceal bleeding 10 days to 2 weeks
Acute relapse of inflammatory bowel disease
1 to 2 weeks
Hepatic encephalopathy 2 weeks ?( To continue light duty)
Massive ascites 7 to 10 days
Gastroenteritis 3 to 5 days
Irritable bowel syndrome Up to 3 days
Spontaneous bacterial peritonitis 10 days to 2 weeks
Mild Corrosive ingestion 3 to 5 days
Moderate to severe corrosive ingestion
1 to 2 weeks
Foreign body removal Up to 3 days
PROCEDURES
Endoscopy 1 to 2 days
Liver biopsy 3 days
Elective variceal banding 3 days
ERCP 3 to 5 days
Endoscopic Dilatation 3 to 5 days
ا�ـ�ـ�ــ�ــــ� ا��ـ�ـ ـــ� ا�ـــ�ـــ� �ـ� د�ـــ� General Medical Committee in Dubai
5
3- Neurosurgery
Neurosurgery Sick leave Period
Lumber microdiscectomy 2-3 Months
Cervical microdiscectomy 1 - 2 months
Craniotomy operation 3 months
Severe Head Injury 2 - 3 months
Shunt operation 1 month
Carpal tunnel decompression 2 - 4 weeks
Depressed fractures and mild head injury 1 month
Spinal fusion 2-3 months
ا�ـ�ـ�ــ�ــــ� ا��ـ�ـ ـــ� ا�ـــ�ـــ� �ـ� د�ـــ� General Medical Committee in Dubai
6
4- ENT
ENT department Sick leave Period
Ears
Acute otitis Externa 5 - 7 days
Acute otitis media 5 - 7 days
Acute endo lymphatic hydrops 7 - 10 days
Baro trauma 5 - 7 days
Vestibular neuronitis 10 - 14 days
Tympanoplasty 14 days
Cortical mastoidectomy 14 days
Radical mastoidectomy 14 - 21 days
Bell's palsy 10 - 14 days
Minem Diseases
Nose
Fracture nasal bone 3 - 5 days
Acute sinusitis 5 - 7 days
Vestibulitis 3 - 5 days
Septoplasty 14 days
FESS 10 - 14 days
Reduction Fracture nasal bone 7 - 10 days
Septo Phinoplasty 14 - 21 days
ا�ـ�ـ�ــ�ــــ� ا��ـ�ـ ـــ� ا�ـــ�ـــ� �ـ� د�ـــ� General Medical Committee in Dubai
7
ENT department Sick leave Period
Throat
Acute Follicular tonsillitis 5 - 7 days
Peritonsillar Abscess 5 - 7 days
Acute laryngitis 5 - 7 days
Epiglottis 5 - 7 days
Tonsillectomy 10 - 14 days
Micolaryngoscopy 3 - 5 days
Hypopharyngoscopy 3 - 5 days
Oesophagoscopy 3 - 5 days
ا�ـ�ـ�ــ�ــــ� ا��ـ�ـ ـــ� ا�ـــ�ـــ� �ـ� د�ـــ� General Medical Committee in Dubai
8
5- Cardiology and Cardiothoracic Surgery
Cardiology and Cardiothoracic Surgery Sick leave Period
Cardiothoracic Surgery
Coronary Artery Bypass Surgery 8 weeks
Valve Replacement / Repair surgery 8 weeks
Congenital Heart surgeries 8 weeks
Other open heart surgeries 8 weeks
Thoracotomy 4 weeks
Thoracoscopy 3 weeks
Intercostal Drain Insertion (ICD) (eg. Pneumothorax)
2 weeks
Mediastinoscopy 2 weeks
Chest trauma with rib fractures or flail chest
4 - 6 weeks
Surgical pacemaker insertion (addition)
2 - 3 weeks
Cardiology
Acute Myocardial Infraction 4 weeks
Acute Myocardial Infraction (Complicated)
up to 8 weeks
Left Ventricular Failure 1 week
Cognestive Cardiac Failure up to 2 weeks
Control of INR, low INR, high INR 2 days up to 1 week
ا�ـ�ـ�ــ�ــــ� ا��ـ�ـ ـــ� ا�ـــ�ـــ� �ـ� د�ـــ� General Medical Committee in Dubai
9
Cardiology and Cardiothoracic Surgery Sick leave Period
Cardiology
Pulmonary embolism up to 4 weeks
Deep vein thrombosis up to 3 weeks
Acute Pericarditis up to 1 week
Acute Bacterial endocarditis up to 4 weeks
Sub acute bacterial endocarditis up to 4 weeks
Unstable angina up to 4 weeks
Angina pectoris - stable up to 1 week
Chest pain for evaluation - non cardiac
3 days
Elective admission for coronary angiogram
3 days
Procardial pain 3 days
Atrial fibrillation 3 days
Other arrhythmias 3 days
Post permanent pacemaker insertion 1 week
Post CR or ICD insertion 2 weeks
Acute coronary syndrome following angioplasty
2 weeks
Ischemic Heart Disease Up to 1 week
ا�ـ�ـ�ــ�ــــ� ا��ـ�ـ ـــ� ا�ـــ�ـــ� �ـ� د�ـــ� General Medical Committee in Dubai
10
Cardiology and Cardiothoracic Surgery Sick leave Period
Exacerbation of Heart failure - Uncomplicated
Up to 2 week
Exacerbation of Heart failure - Complicated
Up to 4 week
Arrhythmias (tachy & Brady) - Uncomplicated
Up to 1 week
Arrhythmias (tachy & Brady) - Complicated
2 - 4 weeks
Pacemaker implantation with or without PCI
1 - 2 Weeks
Coronary Angiography with or without PCI to multiple Arteries
2 - 4 Weeks
Transesophageal / Dodutamine Stress Echocardiography
1- 3 Days
Other Cardiac Illness depending on severity
2 - 6 Weeks
ا�ـ�ـ�ــ�ــــ� ا��ـ�ـ ـــ� ا�ـــ�ـــ� �ـ� د�ـــ� General Medical Committee in Dubai
11
6- Neurology
Neurology Sick leave Period
Multiple Sclerosis relapse 1- 8 weeks
Ischaemic stroke 2 weeks - 3 months
Haemorrhagic stroke 2 weeks - 3 months
Epilepsy 1 day - 2 weeks
Headaches including migraine 1 - 5 days
Back pain and neck pain due to spondylosis or prolapse disc
1 - 2 weeks
Guillain - Barre Syndrome (GBS)
2 - 6 months
Transverse myelitis with paprplegia
2 - 6 months
ا�ـ�ـ�ــ�ــــ� ا��ـ�ـ ـــ� ا�ـــ�ـــ� �ـ� د�ـــ� General Medical Committee in Dubai
12
7- Dermatology
Dermatology Sick leave Period
Steven Johnson Syndrome ( SJS) 2 weeks
Toxic Epidermal necrolysis (TEN)
3 - 4 weeks
Severe adverse cutaneous drug eruption
2-7 days
Erythroderma 5-14 days
Pustular psoriasis 5-14 days
Acute palmoplanter dermatosis 5-14 days
Severe infected generalized eczema
3-7 days
Severe pemphigus vulgaris 5-14 days
Severe acute hand dermatitis 3-7 days
Severe acute urticaria - angioedema
2-5 days
Acute Erythema nodosum 5-10 days
Herpes zoster 7-10 days
Chicken pox 7-10 days
Severe mouth ulcerations 5-10 days
Cellulitis 5-10 days
ا�ـ�ـ�ــ�ــــ� ا��ـ�ـ ـــ� ا�ـــ�ـــ� �ـ� د�ـــ� General Medical Committee in Dubai
13
8- Obstetric & Gynecology
Obstetric & Gynecology Sick leave Period
20-23 weeks - Preterm delivery 2- 4 weeks
24 weeks to Term Delivery 6 weeks postparutm
Abdominal hysterectomy 6 weeks
Anterior Posterior repair 4 weeks
Anterior Posterior repair with enterocele
4 - 6 weeks
Cervical cauterization 1-2 days
Cervical cerclage 2 weeks
Cervical conization 1-2 weeks
Chorionic Villi biopsy upto 1 week
D&C 1 week
Fibroid myomectomy 6 weeks
Hystero laparoscopy 2 - 3 weeks
Hysteroscopic surgery 1 week
Laparoscopic drilling for ovaries for polycystic ovary
1 week
Laparoscopic hysterectomy 3 - 4 weeks
ا�ـ�ـ�ــ�ــــ� ا��ـ�ـ ـــ� ا�ـــ�ـــ� �ـ� د�ـــ� General Medical Committee in Dubai
14
Obstetric & Gynecology Sick leave Period
Laparoscopic ovarian cystectomy/drilling/tubal ligation
2 weeks
Laparoscopic salpingectomy 2 weeks
Laparotomy for any reasons 4 - 6 weeks
Marsupilization – Bartholin cyst
1 week
Miscarriage - up to 20 weeks 1 week
Perineorrhaphy 1 week
Premature uterine contraction 2-3 days (otherwise needs admission)
Threatened abortion with or without hematoma
2-4 weeks
TVT, TOT 4 weeks
Up to 20 weeks – miscarriage 1 week
Vaginal hysterectomy 4 - 6 weeks
ا�ـ�ـ�ــ�ــــ� ا��ـ�ـ ـــ� ا�ـــ�ـــ� �ـ� د�ـــ� General Medical Committee in Dubai
15
9- General Surgery
General Surgery Sick leave Period
MINOR SURGICAL PROCEDURES
Excision of cyst 3 days
Removal of foreign body by speculum, forceps or superficial incision
3 days
Incision and drainage abscess upto 4 weeks
Suture of laceration (simple) 3 days
Excision biopsy of skin or subcutaneous tumor
3 days
Biopsy of superficial lymph node
3 days
Breast Biopsy 1 week
Lymph node dissection 1 week
Thyroid biopsy 3 days
PERINEAL PROCEDURES Haemorroidectomy 2 weeks Transrectal hemorrhoidal dearterialization
1 week
Longo procedure 3 days
Injection of piles 3 days
Pilonidal cyst excision/marsupialization
1 week
Drainage deep ischio-rectal abscess
upto 4 weeks
Evacuation of thrombosed haemorrhoid
1 week
Fistula and Sinuses 1 week
Sphincter reconstruction 1 week
HERNIOPLASTY
Inguinal hernia 2 - 4 weeks
ا�ـ�ـ�ــ�ــــ� ا��ـ�ـ ـــ� ا�ـــ�ـــ� �ـ� د�ـــ� General Medical Committee in Dubai
16
Femoral hernia 2 - 4 weeks
Incisional hernia 2 - 4 weeks
Ventral hernia 2 - 4 weeks
Spigelian hernia 2 - 4 weeks
Umbilical hernia 2 - 4 weeks
BARIATRIC SURGERIES
Gastric Bypass surgery 4 weeks
Sleeve gastrectomy 4 weeks
MINOR LAPAROSCOPIC PROCEDURES
Appendectomy 2 - 4 weeks
Non-complicated Cholecystectomy (Laparoscopic)
2 weeks
Excision of Meckel’s diverticulum
2 - 4 weeks
Percutaneous endoscopic gastrostomy
2 weeks
MAJOR LAPAROSCOPIC PROCEDURES
Gastric & small bowel surgeries
4 weeks
Colon surgery 4 weeks
Rectal surgery 4 weeks
Spleen surgery 4 weeks
Liver & gall bladder surgery 4 weeks
Diaphragmatic surgery 4 weeks
Diagnostic laparoscopic procedures
1-2 weeks
MINOR LAPAROTOMY
Appendectomy 2 -4 weeks
Excision of Mickle's diverticulum
2 -4 weeks
ا�ـ�ـ�ــ�ــــ� ا��ـ�ـ ـــ� ا�ـــ�ـــ� �ـ� د�ـــ� General Medical Committee in Dubai
17
MAJOR LAPAROTOMY Rectal procedures 4 weeks Liver surgery 4 weeks Gastric and bowel resection 4 weeks Biliary tract surgery 4 weeks Pancreas surgery 4 weeks Splenic surgery 4 weeks Surgery of adrenal glands 4 weeks Oesophageal surgery 4 weeks Thoracotomy 4 weeks Exploratory laparotomy 4 weeks
BREAST SURGERIES
Mastectomy, simple 3 weeks
Mastectomy, radical 4 weeks
AMPUTATIONS
Hind Quarter amputation 6-8 weeks
Four quarter amputation 4-6 weeks
Below knee amputation 4-6 weeks
Above knee amputation 4-6 weeks
Below elbow amputation 4-6 weeks
Above elbow amputation 2-4 weeks
Mid tarsal amputation 2-4 weeks
Wide Excsion And Graft for Malignant Skin Lesion
2-3 weeks
Ray amputation of fingers and toes
2-3 weeks
THYROID AND PARATHYROID SURGERIES
Enucleation 3 weeks
Hemithyroidectomy 4 weeks
Subtotal thyroidectomy 4 weeks
ا�ـ�ـ�ــ�ــــ� ا��ـ�ـ ـــ� ا�ـــ�ـــ� �ـ� د�ـــ� General Medical Committee in Dubai
18
Total thyroidectomy 4 weeks
Parathyroidectomy 4 weeks
CYSTS AND TUMORS OF NECK INCLUDING SALIVARY GLANDS
Subtotal parotidectomy 4 weeks
Total parotidectomy 4 weeks
Extensive neck lymphnode excision
1 week
Excision of neck cyst 1 week
NB:
All the patients will need follow-up after discharge and some patients might require longer period of sick leave if indicated
and justified.
ا�ـ�ـ�ــ�ــــ� ا��ـ�ـ ـــ� ا�ـــ�ـــ� �ـ� د�ـــ� General Medical Committee in Dubai
19
10 -Family Medicine
General medical conditions Sick leave Period Common cold 1-3 days Acute pharyngitis 1-3 days Acute sinusitis 5-7 days Allergic rhinitis 1-3 days Cough* 1-3 days Suture* 1-3 days Back pain( mechanical)* 1-3 days muscle strain spasm & cramps* 1-3 days Removal of foreign body by speculum, forceps or superficial incision*
1-3 days
Simple burn* 3-5 days Simple cut injuries* 1-3 days Falls* 1-3 days Malaise &fatigue* 3-5 days Burn out &stress Undue concern and* preoccupation with stressful events
3-5 days
Depression & anexity* 3-5 days
Pregnant lady for GTT day 1
Insomnia* 1-3 days
Myalgias* 1day Tooth ache* 1 day Fever (non specific)* 3- 1 days
Mother accompanying sick child Based on child condition
Epistaxis* 1-2 days Acute abdominal pain* 1-3 days Perineal pain* 1-3 days Jaundice – unspecified* 1-3 days
Limping (difficulty in walking) * 1-3 days
Lack of coordination* 1-3 days
Dysuria* 1-3 days Retention of urine* 1-3 days Haematuria* 1-3 days Anuria and oliguria * 1-3 days Incontinence* 1-3 days
ا�ـ�ـ�ــ�ــــ� ا��ـ�ـ ـــ� ا�ـــ�ـــ� �ـ� د�ـــ� General Medical Committee in Dubai
20
Urethral discharge* 1-3 days Dizziness and giddiness*
1-3 days
Domestic Violence* 1-5 days Hoarseness of voice* 1-3 days Fatigue* 1-3 days Enlarged Lymph node* 1-3 days Peripheral oedema) L.Limb * ( 1-3 days
* means affecting patient normal daily physical activity, Overall the duration of sick leave depends on the Doctors judgment and sometimes it is difficult to generalize the duration on every condition because it is an individualized decision
ا�ـ�ـ�ــ�ــــ� ا��ـ�ـ ـــ� ا�ـــ�ـــ� �ـ� د�ـــ� General Medical Committee in Dubai
21
11- PLASTIC SURGERY PLASTIC SURGERY
PROCEDURES Sick leave Period
MINOR AND MAINS
AESTHETIC
LIPOSUCTION ,ABDOMEN 1 - 2 weeks
LIPOSUCTION TORSO 1 - 2 weeks
MAJOUR LIPOSUCTION 2 - 3 weeks
LIPOSUCTION CHIN 1 week
BODY LIPOSUCTION 2 - 3 weeks
LIPOSUCTION ARMS 1 - 2 weeks
ABDOMINOPLASTY 2-3 weeks
MINIABDOMINOPLASTY 1 week
LIPOSUCTION ASSISTED MINI 1 - 2 weeks
BREAST REDUCTION 1 - 2 weeks
BREAST AUGMENTATION 1 week
BREAST MASTOPEXY 1 - 2 weeks
RHINOPLASTY 1 - 2 weeks
TIP NOSE OPEARTION 1 week
NOSE BONE RESHAPING 2 weeks
WINGS NOSE REDUCTION 1 week
BLEPHAROPLASTY UPPER 1 week
BLEPHAROPLASTY LOWER 1 week
BLEPHAROPLASTY UPPER AND LOWER 1 - 2 weeks
EYE BROW LIFT 1 week
ا�ـ�ـ�ــ�ــــ� ا��ـ�ـ ـــ� ا�ـــ�ـــ� �ـ� د�ـــ� General Medical Committee in Dubai
22
PLASTIC SURGERY PROCEDURES Sick leave Period
OTOPLASTY 1 week
LIP AUGMENTATION BY OPERATION 3-5 Days
FACE LIFT 1 - 2 weeks
MINIFACE LIFT 1 week
CHEEK AUGMENTATION FY FAT 3-4 DAYS
CHIN LIFT 5-7 DAYS
HAIR GRAFT 1 weeks
FILLERS 0 DAY
BOTOX 0 DAY
MESOTHERAPY 0 DAY
RECONSTRUCTION
SMALL FLABS 1 week
MODERATE FLABS 1 week
MAJOR FLABS 1 - 2 week
FREE FLAPS ??
PERFORATOR FLAP 2 - 3 weeks
PARTIAL THIKNESS SKIN GRAFT 1 week
FULL THIKNEE SKIN GRAFT 1 week
BURN 10% 1 - 2 W weeks
BURN 10% - 30% 2 - 3 weeks
BURN OVER 30% 3 - 8 weeks
BREAST RECONSTRUCTION 2 weeks
ا�ـ�ـ�ــ�ــــ� ا��ـ�ـ ـــ� ا�ـــ�ـــ� �ـ� د�ـــ� General Medical Committee in Dubai
23
PLASTIC SURGERY PROCEDURES Sick leave Period
SYNDACTYLES 1- 3 weeks
HIDROADENITIS 1 - 3 weeks
SMALL LESION 1 3 DAYS
SKIN TAGS 1 DAY
ا�ـ�ـ�ــ�ــــ� ا��ـ�ـ ـــ� ا�ـــ�ـــ� �ـ� د�ـــ� General Medical Committee in Dubai
24
12- Infectious Disease Infectious Disease sick leave period
Acute Pharyngitis / tonsillitis (Streptococcus Group B)
5 - 10 days
Amebiasis: amoebic liver abscess 15 - 21 days
Abscess, Liver 7-56 days
Abscess, Psoas 5-56 days
Abscess, Peritonsillar 2-7 days
Amebiasis (amoebic intestinal infections)
3-10 days
Brain Abscess 28-56 days
Actinomycosis 0-35 days
Bronchitis, Acute 0-14 days
Brucellosis 7-21 Days
Campylobactoer gastroenterities 3 - 7 days
Candidiasis 0-7 days
Cat Scratch Disease 0-10 days
Cold 0-5 days
Chagas' Disease 3-21 days
Chickenpox 7-21 days
Cholera 3-7 days
Chlamydia pneumonia 10 - 21 days
Cryptococcosis 3-119 days
Cystitis, Acute 0-7 days
Diarrhea 0-7 days
ا�ـ�ـ�ــ�ــــ� ا��ـ�ـ ـــ� ا�ـــ�ـــ� �ـ� د�ـــ� General Medical Committee in Dubai
25
Infectious Disease sick leave period
Dengue Fever 7-42 days
Dysentery 3-10 days
E. Coli 3-10 days
Fever 0-3 days
Filariasis 0-14 days
Food Poisoning 0-10 days
Malaria 5-21 days
Mononucleosis 7-28 days
Mumps 7-14 days
Legionnaire's Disease 5-35 days
Giardiasis 3-14 days
Influenza 3-28 days
Influenza, A H1N1 3-28 days
Orchitis 3-21 days
Rubella 7-14 days
Rubeola 10-42 Days
Meningitis,Aseptic 14-42 days
Meningitis, Bacterial 14-21 days
Meningitis, Chronic 42-182 days
Mycosis Fungoides 10-182 days
Hepatitis A 0-21 days
ا�ـ�ـ�ــ�ــــ� ا��ـ�ـ ـــ� ا�ـــ�ـــ� �ـ� د�ـــ� General Medical Committee in Dubai
26
Infectious Disease Infectious Disease
Hepatitis B 0-42 days
Hepatitis C 0-42 days
Hepatitis E 10 - 28 days
Herpes Simplex 0-5 days
Herpes Zoster 0-21 days
Polio 84-168 days
Pneumonia 7-28 days
Pneumocystis Carinii Pneumonia 1-28 days
Pott's Disease 10-84 days
Tetanus 10-28 days
Tuberculosis, Respiratory 10-42 days
Toxoplasmosis 28-63 days
Typhoid Fever 14-63 days
Pyelonephritis, Acute 3-14 days
Salmonellosis 3-14 days
Shigellosis 3-14 days Syphilis 0-14 days
HIV/AIDS Depends on associated opportunistic infection & clinical status
Mycobacterium avium complex (MAC) infections
21-42 days
Pneumocystis pneumonia 21-35 days
Toxoplasmosis 28-42 days
ا�ـ�ـ�ــ�ــــ� ا��ـ�ـ ـــ� ا�ـــ�ـــ� �ـ� د�ـــ� General Medical Committee in Dubai
27
Infectious Disease Infectious Disease
Cryposporidiosis 3-7 days
Bacterial respiratory Diseases 7-21 days
Salmonellosis 7-42 days
Shigellosis 7-14days
Campylobacteriosis 7-14days
Syphilis 1-14days
Candidiasis(Mucosal) 7-21days
Cryptococcal Meningitis 21-56days
CMV Infection 14-35days
Varicella-Zoster Virus Disease 5-21days
Leishmaniasis,Visceral 14-42days
Leishmaniasis,Cutaneous 14-42days
Clostridium difficile infections 7 - 15 days
Cryptosporidium diarrhea 15 - 21 days
Diphtheria 15 - 21 days
E.Coli gastroenteritis 3 - 7 days
E.Coli 0157 H7 gastroenteritis 7 - 21 days
Encephalitis (viral) 10 - 15 days
Enteric Viral Infections (Viral gastroenteritis)
3 - 5 days
Leptospirosis 5 - 15 days
Listeria: gastroenteritis 3 - 7 days
ا�ـ�ـ�ــ�ــــ� ا��ـ�ـ ـــ� ا�ـــ�ـــ� �ـ� د�ـــ� General Medical Committee in Dubai
28
Infectious Disease Infectious Disease
Lyme Diseases 10 - 28 days
Pertussis 7 - 15 days
Respiratory Syncytial Virus (RSV) 5 - 15 days
Tuberculosis: intestinal 21- 42 days
Tuberculosis: cervical 15 - 28 days
ا�ـ�ـ�ــ�ــــ� ا��ـ�ـ ـــ� ا�ـــ�ـــ� �ـ� د�ـــ� General Medical Committee in Dubai
29
13- Pulmonary Medicine
Pulmonary Medicine Sick leave Period
Bronchial Asthma 4 -7 days
COPD 1 Week
Interstitial Lung Disease ( ILD ) 2- 4 Weeks
Pulmonary Embolisum ( PE ) 2- 4 Weeks
Bronhchitis 1 Weeks
Bronchiectasis 1 Weeks
Pneumonia 1- 2 Weeks
Pleurisy 1- 2 Weeks
Pnemothorax 1- 2 Weeks
Pulmonary T.B 2- 4 Weeks
Lung Abscess 2- 4 Weeks
Acute respratory Distress Syndrome (ARDS) 2- 4 Weeks
ا�ـ�ـ�ــ�ــــ� ا��ـ�ـ ـــ� ا�ـــ�ـــ� �ـ� د�ـــ� General Medical Committee in Dubai
30
14- Diabetes
Diabetes Related Problems Sick leave Period
Outpatient
Hypoglycemia 1 Day
Hyperglycemia 1 Day
Bronchitis 2 - 3 Days
Pneumonia 5 Days
UTI 2 Days
Gastroenteritis 2 Days
Cellulitis 4 days
Heart Failure 5 Days
Angina 3 Days
Uncontrolled Hypertention 3 days
INpatient
diabetic Ketoacidosis 3 Days
Hypoglycemia 2 Day
Hyperglycemia 2 Day
ا�ـ�ـ�ــ�ــــ� ا��ـ�ـ ـــ� ا�ـــ�ـــ� �ـ� د�ـــ� General Medical Committee in Dubai
31
15- Vascular Surgery
Vascular Surgery Sick leave days
Post operative venous surgery 2 weeks to 1 month
Post operative arterial surgeries 1 month to 2 months
Superficial phlebitis 1 week to 2 weeks
Deep vein thrombosis 2 weeks to 1 month
Minor limb amputations 2 weeks to 1 month
Major limb amputations 3 weeks to 2 months
Lymphatic pathology 2 weeks to 1 month
Endovascular arterial procedures 1 week to 1 month
Endovascular venous procedures 1 week to 2 weeks
Endovenous laser therapy 1 week to 3 weeks
Sclerotherapy for varicose veins 3 days to 1 week
ا�ـ�ـ�ــ�ــــ� ا��ـ�ـ ـــ� ا�ـــ�ـــ� �ـ� د�ـــ� General Medical Committee in Dubai
32
16- Ophthalmology
Ophthalmology sick leave period
Phaco + IOL 1 - 2 weeks
ECCE + IOL 2 - 4 weeks
Trabeculectomy 1 - 3 weeks
Squint 2 - 3 weeks
Entropion / ectropion 1 - 2 weeks
Ptosis 2 - 3 weeks
Minor lid lesion excision 2 - 3 days
Major lid lesion excision 1 - 2 weeks
Blepharoplasty 1 - 2 weeks
Lid injury 1 week
Chalasion 2 - 3 days
Pterygium 1 - 2 weeks
Conjunctival tear 1 week
Conjunctival hood / graft 2 weeks
DCR 2 - 3 weeks
Punctal occlusion 1 - 2 days
Evisceration / enucleation 3 - 4 days
Socket reconstruction 3 - 4 weeks
Lasik 3 days - 5 days
PRP 1 day
SLT 1 day
Laser capsulotomy 1 - 2 days
Laser P.I. 1 - 2 days
Epilasik / PRK/ PTK 1 - 2 weeks
Corneoscleral perforation 2 - 3 weeks
Corneal F.B. removal 1 - 2 days
Buckling / encircling 3- 4 weeks
Vitrectomy gas / oil 4 - 6 weeks
ا�ـ�ـ�ــ�ــــ� ا��ـ�ـ ـــ� ا�ـــ�ـــ� �ـ� د�ـــ� General Medical Committee in Dubai
33
Ophthalmology sick leave period
Silicon oil removal 1 week
Intraocular foregin body removal 2 - 3 weeks
Avastin / other intravitreal injection 1 - 2 days
Conjunctivitis 1 day to 1 week bacterial or viral
Keratitis 1 day to 1 week
Uveitis 3 days to 2 weeks
Dacryocystitis 2 weeks
Preseptal cellulitis 2 - 3 weeks
Orbital cellulitis 3 - 4 weeks
Corneal abscess 1 day to 2 weeks
FFA 1 day
Fundus examination 1 day
Fundus fluorescence 1 day
Viral keratitis 1 day - 3 Weeks according to severity
PRK ( PR Keratectetomy) 2 Weeks - 4 Weeks
Cataract Operation 3 Weeks - 4 Weeks
Iridio cyclistis 1 Month - 2 Month according to severity
Keratoconus Surgery 2 Weeks - 4 Weeks
Corneal transplant 4 Weeks - 6 Weeks
ا�ـ�ـ�ــ�ــــ� ا��ـ�ـ ـــ� ا�ـــ�ـــ� �ـ� د�ـــ� General Medical Committee in Dubai
34
17- Urology
Urology Recommended sick leave period
Kidney and Adrenal
Adrenalectomy, laparoscopic 2 Weeks
Adrenalectomy, open 4 Weeks
Endopyelotomy 2Weeks
Kidney fine needle biopsy 3 Days
Nephrolithotomy, laparoscopic 4 Weeks
Nephrolithotomy, open 6Weeks
Nephropexy, laparoscopic 3 Weeks
Nephropexy, open 4 Weeks
Nephropexy, percutaneous 4 Weeks
Nephroureterectomy, laparos. 3 Weeks
Nephroureterectomy, open 5 Weeks
Partial nephrectomy, laparos. 3 Weeks
Partial nephrectomy, open 5 Weeks
Percut. Nephrolithotripsy (PCNL) 3 Weeks
Percut. Nephrostomy 1 Weeks
Perinepheric abscess drainage 1 Weeks
Pyelolithotomy, laparoscopic 3 Weeks
Pyelolithotomy, open 5 Weeks
Pyeloplasty, laparoscopic 3 Weeks
Pyeloplasty, open 5 Weeks
Radical nephrectomy, laparos. 3 Weeks
Radical nephrectomy, open 5 Weeks
Renal cyst excision, laparos. 1 Weeks
Renal cyst excision, open 2 Weeks
Renal cyst puncture 3 Days
Repair of injured kidney 6Weeks
Simple nephrectomy, laparos. 3 Weeks
Simple nephrectomy, open 5 Weeks
ا�ـ�ـ�ــ�ــــ� ا��ـ�ـ ـــ� ا�ـــ�ـــ� �ـ� د�ـــ� General Medical Committee in Dubai
35
Urology Recommended sick leave period Surgery for renal abscess 3 Weeks
Retroperitoneum and Ureter
Retrograde pyelography 3 Days
Retroperitoneal biopsy 1 Weeks
Retroperitoneal draingae 1 Weeks
Retroperitoneal Lymph Node Dissec. Laparos.
3 Weeks
Retroperitoneal Lymph Node Dissec. Open
6Weeks
Ureter reimplantation, laparos. 4Weeks
Ureter reimplantation, open 6Weeks
Ureteric stent insertion 3 Weeks
Ureteric stent removal 1 Weeks
Ureterocele incision 1 Weeks
Uretero-cutaneostomy 3 Weeks
Ureterolithotomy, laparoscopic 2 Weeks
Ureterolithotomy, open 4Weeks
Ureterolysis, laparoscopic 1 Weeks
Ureterolysis, open 3 Weeks
Ureteroscopy & lithotripsy 1 weeks
Ureterotomy 1 Weeks
Ureteroureterostomy, laparos. 3 Weeks
Ureteroureterostomy, open 5 Weeks
Urinary Bladder
Bladder hydrodistention 1 Weeks
Cystolitholapaxy 1 Weeks
Cystolithotomy, laparoscopic 3 Weeks
Cystolithotomy, open 4 Weeks
Cystoscopy & cold biopsy 3 Days
Partial cystectomy, laparos. 3 Weeks
Partial cystectomy, open 5 Weeks
Radical cystectomy, laparos. 5 Weeks
Radical cystectomy, open 8Weeks
ا�ـ�ـ�ــ�ــــ� ا��ـ�ـ ـــ� ا�ـــ�ـــ� �ـ� د�ـــ� General Medical Committee in Dubai
36
Urology Recommended sick leave period Repair of injured bladder 3 Weeks
Suprapubic cystostomy, open 3 Weeks
Suprapubic cystostomy, percut. 3 Days
Transurethral resection of bladder diverticulum
1 Weeks
Transurethral resection of bladder tumor (TUR-BT)
3 Weeks
Urethrocystoscopy 3 Days
Urinary diversion, laparos. 4 Weeks
Urinary diversion, open 6 Weeks
Vesical diverticulectomy laparos. 3 Weeks
Vesical diverticulectomy, open 4 Weeks
Vesical fistula repair, laparos. 3 Weeks
Vesical fistula repair, open 5 Weeks
Urethra
Excision of paraurethral cyst 3 Days
Excision of urethral carbuncl 3 Days
Excision of urethral polyp 3 Days
Excision of Urethral warts 3 Days
Internal urethrotomy 1 Week
Meatotomy and repair 1 Week
Repair of urethral fistula 3 Weeks
Resection of post. urethral valve 2 Weeks
Urethral biopsy 1 Week
Urethral dilation 3 Days
Urethral diverticulectomy 1 Week
Urethral reconstuction 4 Weeks
Urethrectomy 4 Weeks
Urethroplasty 4 Weeks
Prostate and Seminal Vesicles
Laser surgery of prostate 2 weeks
Microwave thermotherapy of prostate 3 Days
Pelvic lymph node dissec. Laparos. 3 Weeks
ا�ـ�ـ�ــ�ــــ� ا��ـ�ـ ـــ� ا�ـــ�ـــ� �ـ� د�ـــ� General Medical Committee in Dubai
37
Urology Recommended sick leave period Pelvic lymph node dissec. open 5 Weeks
Perineal prostate biopsy 1 Week
Prostatic abscess drainage 1 Week
Prostatic stenting 1 Week
Radical prostatectomy laparos. 4 Weeks
Radical prostatectomy, open 6 Weeks
Retropubic prostatectomy 4 Weeks
Transrectal US-guided prostate biopsy 1Week Transurethral incision of prostate (TUIP)
2 Weeks
Transurethral resection of ejaculatory ducts (TURED)
2 Weeks
Transurethral resection of prostate (TURP)
3 Weeks
Testes and Scrotum Epididymal sperm retrival 1 Week Epididymectomy 2 Weeks Fournier's gangrene necrectomy 8 Weeks Hydrocele aspiration 3 Weeks Hydrocelectomy 2 Weeks Orchidopexy 2 Weeks Radical orchidectomy 2 Weeks Repair of testicular torsion 2 Weeks Scrotal exploration 2 Weeks Simple orchidectomy 2 Weeks Spermatocelectomy 2 Weeks Surgical castration 2 Weeks Testicular biopsy, open 1 Week Testicular biopsy, percut. 1 Week Testicular prosthesis 1 Week Testicular sperm retrival (TESE) 1 Week Varicocelectomy, laparos. 2 Weeks Varicocelectomy, open 2 Weeks External genitalia Biopsy of penile lesion 1 Week Circumcision 1 Week Epispadias repair 4 Weeks Excision of penile condyloma 3 Weeks Frenulum incision 3 Weeks Hypospadias repair 4 Weeks
ا�ـ�ـ�ــ�ــــ� ا��ـ�ـ ـــ� ا�ـــ�ـــ� �ـ� د�ـــ� General Medical Committee in Dubai
38
Urology Recommended sick leave period Inguinal lymphadenectomy 4 Weeks Intracavernous drug injection 3 Weeks Partial penile amputation 3 Weeks Penile prosthesis removal 2 Weeks Penile prosthesis-Inflatable 2 Weeks Penile prosthesis-Semi-Rigid 2 Weeks Reduction of paraphimosis 3 Weeks Repair of penile fracture 2 Weeks Surgery for Peyronie's disease 2 Weeks Surgery for priapism 2 Weeks Total penile amputation 4 Weeks Vascular surgery for impotence 2 Weeks
Pelvic floor
Cystocele repair, abdominal 3 Weeks Cystocele repair, transvaginal 2 Weeks Cysto-rectocele repair, abdom. 4 Weeks Cysto-rectocele repair,vaginal 3 Weeks Laparos. for stress incontin. 2 Weeks Rectocele repair, abdominal 3 Weeks Rectocele repair, transvaginal 2 Weeks Tension-free vaginal tape (TVT) 2 Weeks Trans-obturator tape (TOT) 2 Weeks
Other Urologic Prodecures
ESWL 3 Weeks Excision of skin atheroma 3 Weeks Intravesical therapy 3 Weeks Oncotomy 1 Week Other genital organ surgery 2 Weeks Peritoneal dialysis catheter insertion, laparos.
2 Weeks
Peritoneal dialysis catheter insertion, open
3 Weeks
Peritoneal dialysis catheter removal 2 Weeks
Subcutan. foreign body removal 1 Week Transurethral bulking agent 1 Week Transurethral foreign body removal 1 Week Urethral catheterization 3 Days Urodynamic test 3 Days
UROLOGY DISESES
Acute cystitis 3 Days Acute orchidoepididymitis 1 Week
ا�ـ�ـ�ــ�ــــ� ا��ـ�ـ ـــ� ا�ـــ�ـــ� �ـ� د�ـــ� General Medical Committee in Dubai
39
Urology Recommended sick leave period
Acute prostatitis 1 Week
Pyelonephritis 1 Week
Renal colic 1 Week
Any other severe urology diseases 1 Week
ا�ـ�ـ�ــ�ــــ� ا��ـ�ـ ـــ� ا�ـــ�ـــ� �ـ� د�ـــ� General Medical Committee in Dubai
40
18- Dental
Dental sick leave period
Acute Pulpitis 1 - 2 days
Endodontic emergency 1 - 3 days
Tooth fracture or loss 1 day
Dental Extraction 1 - 2 teeth 1 day
Dental Extraction 3 or more 1 - 3 days
Dry or Infected socket 2 days
Acute Periapical or Periodontal Abscess
1 - 2 days
Surgical removal of teeth 1 - 2 days
Surgical removal of wisdom teeth 1 - 3 days
Bleeding socket 1 day
Multiple oral ulcerations 0 - 3 days
Dento alveolar fracture 1 - 2 days
Surgical procedure under general anesthesia
5 days
Orthognathic surgery single jaw 12 days
Orthognathic surgery Bimax 21 days
Facial Trauma (maxilla / mand / zygoma)
7 days
Poly facial Trauma 7 - 30 days
Acute Salivary gland infection 4 days
Acute TMJ pain 2 - 4 days
Surgical Implantology 1 - 4 implants
1 day
ا�ـ�ـ�ــ�ــــ� ا��ـ�ـ ـــ� ا�ـــ�ـــ� �ـ� د�ـــ� General Medical Committee in Dubai
41
Dental sick leave period
Surgical Implantology more than 4 implants
2 - 7 days
Sinus lifting or bone grafting procedures
3 days
Tumor resection or reconstruction GA
10 - 20 days
Tumor Excision LA 2 - 3 days
Gingival surgery localized 2 - 3 days
Total Gigivectomy 12 days
ا�ـ�ـ�ــ�ــــ� ا��ـ�ـ ـــ� ا�ـــ�ـــ� �ـ� د�ـــ� General Medical Committee in Dubai
42
19- Orthopaedic
Orthopedic Department sick leave period
ACL reconstruction 12 to 16 weeks
Adductor tenotomy 3 to 4 weeks
Arthrodesis toe 8 weeks
Arthroscopy knee removal loose body 10 to 14 days
Arthroscopy knee and synovectomy 4 to 6 weeks
Arthroscopy ankle 4 to 6 weeks
Arthroscopy knee diagnostic 14 days
Arthroscopy knee debridement and lavage 3 weeks
Arthrotomy elbow 6 to 8 weeks
Arthrotomy hip 12 weeks
Arthrotomy knee 8 to 12 weeks
Arthrotomy wrist 6 to 8 weeks
Bankart repair 12 to 16 weeks
Biopsy bone 6 to 12 weeks
Biopsy joint 4 to 6 weeks
Biopsy soft tissues 2 to 3 weeks
Carpal tunnel release 2 weeks
Curettage and bone grafting 10 to 12 weeks
De Qervains deroofing 7 to 14 days
Halux valgus osteotomy 6 to 8 weeks
Hamstring aponeurotomy 6 weeks
ا�ـ�ـ�ــ�ــــ� ا��ـ�ـ ـــ� ا�ـــ�ـــ� �ـ� د�ـــ� General Medical Committee in Dubai
43
Orthopedic Department sick leave period
Hip release 8 to 12 weeks
High tibial osteotomy 12 to 16 weeks
Laminectomy and fusion 12 to 16 weeks
Laminectomy discectomy 8 to 12 weeks
Laminectomy and fixation 12 to 14 weeks
Arthroscopy and Menisectomy 4 to 6 weeks
Nucleoplasty 10 days to 2 weeks
Shoulder stabilization 12 to 14 weeks
Shoulder arthroscopy 10 to 14 days
Spinal instrumentation 16 to 18 weeks
Subacromial decompression 6 to 8 weeks
Subtrochanteric osteotomy valgus 12 to 16 weeks
Subtrochanteric osteotomy varus 12 to 16 weeks
Supracondylar osteotomy femur 12 to 16 weeks
Tendo-Achilles lengthening 8 to 12 weeks
Tendon transfer 8 to 12 weeks
Total hip arthroplasty 8 to 12 weeks
Total knee arthroplasty 8 to 12 weeks
Triceps release 6 weeks
Trigger finger release 7 to 14 days
Triple arthrodesis 12 weeks
Depomedrol injection – soft tissue 1 to 2 weeks