Guidelines
164 entriesSpeciality / institutional guidelines
- Perinatal DeathsThe guidelines recommend management of common obstetric conditions at primary and referral level, based on local experience and evidence-based practice. They are not intended as strict protocols nor as standard operating procedures, but rather as a guide to safe effective management of common obstetric problems. The guidelines should be most useful to interns, medical officers and registrars.→
- Perinephric AbscessInfection Perinephric abscess Brief outline/clinical setting The mainstay of treatment for perinephric abscess is drainage. Aetiologies/organisms S.aureus, Enterobacterales Optimal antimicrobial selection - Amoxicillin- clavulanate 1.2g IVI 8rly Duration Alternative if allergic/not available Rationale Level of evidence →
- Periorbital CellulitisInfection Periorbital cellulitis Brief outline/clinical setting Approximately 3% of sinusitis cases will progress to orbital cellulitis, with 60–85% of orbital cellulitis cases being secondary to sinusitis. In the absence of abscess formation or reduction in visual signs medical management should initially be imple- mented for the first 24 hours, with frequent monitoring. If no significant clinic→
- Peripheral Arterial DiseaseElective Surgical Conditions - Peripheral Arterial Disease→
- Peripheral Line SepsisThis guideline aims to assist healthcare workers with antibiotic prescribing for common clinical syndromes in adult patients in South Africa, utilizing Local and International guidelines, key publications, and expert opinion.→
- Peritoneal DialysisSuitable Candidates Equipment and Resources Preparation for Peritoneal Dialysis Initiating Peritoneal Dialysis Ultrafiltration and Fluid Management Solute Clearance Metabolic Factors Infectious Complications in Patients on Peritoneal Dialysis Diet and Peritoneal Dialysis Indications for Switching from PD to HD Suitable Candidates Patients with a “virgin abdomen” or minor prior abdominal surgery,→
- Peritoneal Dialysis (PD) Guideline for ChildrenPD has become the equal of haemodialysis in many centres Home PD is the preferred chronic dialysis modality for most children owing to its almost universal applicability and superior compatibility with lifestyle over other modalities. For technical reasons PD is without doubt the modality of choice in infants and young children. Long-term outcome of children on dialysis is inferior compared to ol→
- Peritonsillar AbscessInfection Peritonsillar abscess Brief outline/clinical setting Pus present deep to the capsule of the tonsil, in a plane between the tonsil and superior constrictor muscle. Presents with deviation of the uvula and tonsil toward the midline, soft palate swelling and trismus Aetiologies/organisms Staphylococcus aureus Group A Streptococcus Anaerobes Optimal antimicrobial selection Amoxicillin-clavu→
- Peritonsillar Abscess (Quinsy)Peritonsillar Abscess→
- Personal Protection EquipmentSADA COVID-19 Guidelines, May 2020→
- PersonnelTo access the PDF version of the guidelines on personnel as outlined in the "SASA paediatric guidelines for the safe use of procedural sedation and analgesia for diagnostic and therapeutic procedures in children: 2021–2026," please click on the link provided below: Personnel SASA Paediatric Guidelines for the Safe use of Procedural Sedation and Analgesia for Diagnostic and Therapeutic Procedures→
- PertussisPertussis→
- Pertussis vaccinesPertussis vaccines→
- Pesticide Identification and ReportingPesticide Identification and Reporting→
- Petechial RashesPetechial Rashes→
- Pharmaceutical Therapy for EnuresisDesmospressin Contraindications: Hyponatraemia, renal failure, known hypersensitivity Oxybutynin Propiverine hydrochloride Mirabegron (beta-3 adrenoreceptor agonist) Tricyclic antidepressants Desmospressin DDAVP is a synthetic version of the posterior pituitary hormone vasopressin, also known as ADH. DDAVP monotherapy is recommended in cases of NP (with normal bladder capacity). Success rates of→
- Pharmacological Management of RADMARDs Glucocorticoids Sequential DMARD Therapy for RA First-Line Therapy: MTX Monotherapy Second-Line Therapy: Combination csDMARD Therapy Third-Line Therapy: MTX plus b/tsDMARD Choice of b/tsDMARD Fourth-LineTherapy: Switching b/tsDMARDs De-escalation of Therapy Analgesics and Anti-Inflammatory Drugs DMARDs These agents are divided into three broad groups: conventional synthetic (csDMARDs), bio→
- Pharmacological Treatment of Allergic RhinitisIntranasal corticosteroids Systemic antihistamines Intranasal antihistamines Topical nasal decongestants Leukotriene receptor antagonists The efficacy of the various classes of drugs for the treatment of AR is listed in Table 3 43,44 and Figure 4. 19 TABLE 3: Efficacy of various classes of drugs for allergic rhinitis. Pharmacological agent Nasal obstruction Rhinorrhoea Sneezing Nasal itching Intr→
- PharyngitisInfection Pharyngitis Brief outline/clinical setting Aetiologies/organisms Streptococcus pneumoniae is most common Streptococcus pyogenes Haemophilus influenza Optimal antimicrobial selection Amoxicillin 1gm 8 hourly Amoxicillin-clavulanate 2000mg amoxicillin/125mg clavulanate 12 hourly if patient not responding Amoxicillin will cause rash in patients with Epstein-Barr virus (EBV) pharyngi→
- PharyngotonsillitisInfection Pharyngotonsillitis Brief outline/clinical setting Inflammation of the pharyngeal wall, pharynx and tonsils. Throat swab is recommended to rule out Group A beta haemolytic strep if <16 years old Aetiologies/organisms Viruses- coxsackie, adeno, influenza, parainfluenza, Strep pyogenes (Group ABHS), non-infectious Optimal antimicrobial selection Not for antimicrobial therapy if viral A→
- Photography in Clinical Practice - SummaryPhotography in clinical practice→
- Phototherapy and Exchange Transfusion Guidelines for All Weights and GestationsManagement guidelines for students, interns and registrars on a variety of routine and emergency situations in our neonatal service at Tygerberg Children’s Hospital. Published in 2014.→
- Physical Activity and Type 2 DiabetesPhysical Activity and type 2 Diabetes→
- Physical ExaminationThis booklet is intended as a practical guide to patient care for registrars, medical officers, interns and medical students attached to the gynaecology units at the University of the Witwatersrand Academic Hospitals. Anyone can use it.→
- Physical FacilitiesBed numbers ICU design Equipment Bed numbers The number of critical care beds required in a hospital or per capita is not clearly defined and is influenced by many factors. The recommended number of ICU beds per hospital varies according to the level of hospital and the services offered at the hospital. In general, the following targets for critical care beds are recommended: District hospitals:→
- Physiotherapy, Occupational Therapy and Complementary Health InterventionsGeneral principles and management of cancer pain in adults→
- Plasma Components and DerivativesSANBS Clinical Guideline, 6th Edition, 2023→
- Platelet Product TransfusionSANBS Clinical Guideline, 6th Edition, 2023→
- Platelet Transfusion In NeonatesManagement guidelines for students, interns and registrars on a variety of routine and emergency situations in our neonatal service at Tygerberg Children’s Hospital. Published in 2014.→
- Pneumococcal vaccinesPneumococcal vaccines→
- Pneumocystis Jiroveci Pneumonia (PJP)Pneumocystis Jiroveci Pneumonia (PJP)→
- PneumoniaPaediatrics - Pneumonia→
- Pneumonia & TuberculosisThe guidelines recommend management of common obstetric conditions at primary and referral level, based on local experience and evidence-based practice. They are not intended as strict protocols nor as standard operating procedures, but rather as a guide to safe effective management of common obstetric problems. The guidelines should be most useful to interns, medical officers and registrars.→
- PoisoningPaediatric - Poisoning→
- Poliovirus vaccinesPoliovirus vaccines→
- Poor Obstetric HistoryThe guidelines recommend management of common obstetric conditions at primary and referral level, based on local experience and evidence-based practice. They are not intended as strict protocols nor as standard operating procedures, but rather as a guide to safe effective management of common obstetric problems. The guidelines should be most useful to interns, medical officers and registrars.→
- Populations to Whom this Guideline AppliesPOPULATIONS TO WHOM THIS GUIDELINE APPLIES This guideline covers all settings where routine sexual and reproductive health (SRH) services and HIV care and treatment services are offered to HIV-uninfected and HIV-infected women, their partners and their families. It is to be used in all South African health care facilities, and by doctors, nurses and allied health workers at primary, secondary and→
- Portal Hypertension and Oesophageal Varices BleedingProtocol for the Management of Patient with Portal Hypertension and Oesophageal Variceal Bleeding→
- Position Statement on the Movement of Anaesthesia Practitioners Between Hospital/facility Sites during the COVID-19 PandemicGuidance documents released by SASA around COVID-19. Version 2. 15 April 2020.→
- Post Cardiac Arrest CarePost Cardiac Arrest Care→
- Post Cardiac Arrest Care (Return of Spontaneous Circulation)Post Cardiac Arrest Care (Return of Spontaneous Circulation)→
- Post Cardiac Arrest Care: Summary AlgorithmReturn of Spontaneous Circulation→
- Post Operative Care: General NotesThis booklet is intended as a practical guide to patient care for registrars, medical officers, interns and medical students attached to the gynaecology units at the University of the Witwatersrand Academic Hospitals. Anyone can use it.→
- Post Operative EndophthalmitisPost Operative Endophthalmitis→
- Post rt-PA: Standing OrderClick on the image to enlarge. Click here for the pdf . Angels Initiative South Africa _ Treating Doctor_Stroke patient acute treatment forms_2024→
- Post rt-PA: Standing orderClick on the image to enlarge. Click here for the pdf . Angels Initiative South Africa _ Registered Nurse_Stroke Patient Acute Treatment Form_2024→
- Post-Transfusing the PatientSANBS Guideline - Updated August 2023→
- Post-Treatment Follow UpAll patients who successfully complete treatment need to be evaluated twice, 6 and 12 months post-treatment. During these visits a physical examination must be conducted; and a sputum must be collected for TB microscopy and TB culture. Laboratory results must be documented in the patient folder and the electronic treatment register. Individuals may develop various conditions during treatment for→
- Postnatal InvestigationThe guidelines recommend management of common obstetric conditions at primary and referral level, based on local experience and evidence-based practice. They are not intended as strict protocols nor as standard operating procedures, but rather as a guide to safe effective management of common obstetric problems. The guidelines should be most useful to interns, medical officers and registrars.→
- Postoperative PainPreoperative strategies Intraoperative strategies The postoperative care unit The postoperative prescription Failure to treat postoperative and posttraumatic pain adequately result in increased psychological and physiological stress and contributes to the development of chronic pain. Perioperative clinicians are the most experienced in the management of postoperative pain and their experience in→