Guidelines
119 entriesSpeciality / institutional guidelines
- SARAA Eligibility Criteria for b/tsDMARD Therapies for PsAPolyarthritis treated with at least two conventional DMARDs (maximal dosages, sequentially or in combination) with lack of improvement (50% of DAPSA) within 3 months or failure to achieve MDA within 6 months. Severe persistent oligoarthritis with a major demonstrable influence on wellbeing of the patient where treatment has failed, with at least two csDMARDs and appropriate intra-articu→
- SASA Endorsed Guidelines on Obstetrics and COVID-19Guidance documents released by SASA around COVID-19. Issued 12 March 2020.→
- SASA Endorsed PACSA Guidelines: Children and COVID-19Guidance documents released by SASA around COVID-19. Issued 25 March 2020.→
- SASA guidance breathing system filters for COVID-19 patientsPublished 30 March 2020→
- SIMPLE Pain and Bleeding in the Pregnant PatientSIMPLE pain and bleeding in the pregnant patient→
- SNOBS Standardised Nursing Observations for StrokeClick on the image to enlarge. Click here for the pdf . Angels Initiative South Africa _ Registered Nurse rtPA Treatment Pack_2024→
- SOP Guidance for Community PharmacyIndependent Community Pharmacy Association Guidelines. March 2020.→
- SOP for Preparedness, Detection and Response to a Coronavirus Outbreak in South AfricaThis document outlines the standard operating procedures for detection and response to case/s of suspected novel coronavirus disease (2019-nCoV) in South Africa. Published 30 January 2020.→
- Safe Injection and Drug Administration PracticesNeedles and syringes Preservative-free (single-dose) ampoules or vials Multi-dose vials Infusions, administration sets or items in contact with the vascular system or other sterile body compartments Non-injectable items Needles and syringes 9,18-20 Needles and syringes are sterile items, intended for singlepatient use only. A syringe and needle should be considered contaminated after contact with→
- Safe Sedation PracticeTo access the PDF version of the guidelines on safe sedation practice 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: Safe Sedation Practice SASA Paediatric Guidelines for the Safe use of Procedural Sedation and Analgesia for Diagnostic a→
- Safety MonitoringHaematological Peripheral neuropathy Optic neuritis Haematological Anaemia in TB patients is common. It is often due to TB itself, a normocytic normochromic anaemia. Treating the TB treats the anaemia. There may be other contributing factors including nutritional deficiencies, blood loss from haemoptysis or other sources and HIV co-infection. TB patients are vulnerable to drops in Hb and may deco→
- SalicylatesSalicylates→
- Scope and PurposeThe aim of this guideline is to improve the practice of critical care in SA by providing clear blood management guidelines to be utilised in the care of critically ill patients in SA. The specific objectives of the guideline are: to provide current, evidence-based, context-specific blood management guidelines to be used in the treatment of critically ill patients in SA to improve clinical outcome→
- Screening and Diagnosis of Type 2 Diabetes and Intermediate HyperglycaemiaScreening and Diagnosis of type 2 Diabetes and Intermediate Hyperglycaemia→
- Screening for Chronic Kidney DiseaseChronic kidney disease is defined by the presence of a low GFR (<60 ml/min) and/or evidence of kidney damage (e.g. proteinuria, haematuria, imaging abnormalities) for more than 3 months. Individuals at increased risk for chronic kidney disease should be screened annually. These include individuals with the following: Diabetes mellitus HIV infection Hypertension Cardiovascular, cerebrovascular→
- Scrotal PathologyIntroduction Background Important details on history Important details on examination Management and referral guidelines for acute scrotum Management and referral guideline for non-acute scrotum References SETTING Primary and Secondary Healthcare Institutions in the Western Cape which refer to Red Cross War Memorial Children’s Hospital (RCWMCH) FOR STAFF Primary and Secondary Doctors and Nurses w→
- Secondary Postpartum HaemorrhageThe 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.→
- Selection for PDEvaluation of the parent/caregiver Contraindications to chronic PD It is important to evaluate the family’s socio-economic and psychological background to determine the ability of the family to cope with the burden of care associated with the provision of chronic home treatment on a daily basis. In addition the level of education of the caregiver/parent is equally important. Evaluation of th→
- Selection of Healthcare ProvidersSelection of Healthcare Providers→
- Self-QuizSANBS Guideline - Updated August 2023→
- Senior Staff Duties and ResponsibilitiesDistrict level hospital guidelines applicable for interns and comm service doctors. Published in 2016→
- Sensory Organs ATC Code S01LA04 Medicine Ranibizumab Indication Sub-retinal neovascular membranes and non resolving macular odema NEMLC Recommendation Not Approved Bevacizumab to be agent for this indication Review Indicators None Date Ratified 10 December 2015 National Essential Medicines List Committee (NEMLC) Tertiary and Quaternary Level Essential Medicines List November 2023→
- Sepsis in an Adult with Recent HospitalisationInfection Sepsis in an adult with Recent hospitalisation Brief outline/clinical setting Patients with recent hospitalisation (<6 weeks prior) at higher risk of infection due to drug resistant pathogens Patient has signs of organ dysfunction and requires admission Aetiologies/organisms S.aureus, E.coli, K.pneumoniae, E.cloacae, Proteus spp, Enterococcus spp, These organisms may harbour resistan→
- Septic MiscarriageInfection Septic miscarriage Brief outline/clinical setting Infection of the uterus and products of conception. Infection occurs shortly before after abortion Aetiologies/organisms Group B Streptococci, Enterococci, E.coli, other enteric bacteria Optimal antimicrobial selection Amoxicillin- clavulanate 1.2g ivi 8hrly Duration Dependant on culture results Alternative if allergic/not available For→
- Service Provision and Collaborative CareThe ideal model for palliative care in CKD Critical elements of creating a renal supportive clinic The ideal model for palliative care in CKD [16] Healthcare utilisation in advanced CKD is high [50] . There are limited data on the cost-effectiveness of renal supportive care frameworks [51] ; however, there is more solid evidence for other illness, such as cancer [50] . Supportive care may reduce→
- Services Provided (Inpatient and Outpatient Care)District level hospital guidelines applicable for interns and comm service doctors. Published in 2016→
- Severe Acute Malnutrition (SAM)Severe Acute Malnutrition (SAM)→
- Severity Classification & Differential DiagnosisClassification of severity Differential diagnosis Classification of severity In SA, the Allergic Rhinitis and Its Impact on Asthma (ARIA) guidelines are widely applied 9 , 17 despite the recognition of some weaknesses. 26,27 These guidelines divide symptoms into intermittent or persistent and severity into mild or moderate-severe (Figure 1). 7,9 Click on the image to enlarge Source : From Greiner→
- Sexual AssaultThis 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.→
- Sexually Transmitted InfectionsThe 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.→
- Sexually Transmitted InfectionsThis 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.→
- Shock, Sepsis and the Unconscious PatientShock, Sepsis & the Unconscious Patient→
- Shock: Paediatric Emergency ManagementGuidance on Paediatric Shock Emergency Management→
- Shoulder DislocationThe glenohumeral joint (GHJ) is the most commonly dislocated major joint in the body. The lack of intrinsic bony stability in conjunction with its wide range of motion predisposes the joint to dislocations.→
- Sickle Cell Disease GuidelinesSickle Cell Disease Guidelines→
- Side-Effect Profile of HIF-PHIsCardiovascular Events Thromboembolic Events Progression of Kidney Disease Hypertension and Hyperkalaemia Malignancy Retinopathy Cardiovascular Events Cardiovascular safety of HIF-PHIs in non-dialysis dependent CKD has not been definitively established ( Table 3 ). In contrast, with regards to cardiovascular events HIF-PHIs appear to be non inferior to conventional ESA in CKD patients on dialysis.→
- SilicosisWho TPT should be offered to TPT should be deferred or not offered if the individual Management of TPT for people with silicosis People with confirmed silicosis have a significant risk for developing TB disease and require initial TPT regardless of significant exposure. After new TB exposure, TB evaluation is again required along with a decision to offer TPT or TB treatment (see Section 4 - Adult→
- SinusitisInfection Sinusitis Brief outline/clinical setting Sinusitis refers to inflammation of the sinuses. Acute sinusitis is commonly caused by respiratory viruses, which then predisposes to secondary bacterial infection. Allergy, trauma and dental infection may also predispose to acute bacterial sinusitis. Indications for antibiotics in patients with acute bacterial sinusitis include: Symptoms &→
- Skin and Soft Tissue InfectionsThis 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.→
- Snakebite EmergenciesThis guideline was approved in December 2014 and will be reviewed in December 2016, or sooner if important evidence becomes available.→
- Soft Tissue NeoplasmSoft Tissue Neoplasm→
- Soft Tissue Sepsis and Necrotising FasciitisSoft Tissue Sepsis and Necrotising Fasciitis→
- Somerset Hospital Weekly ScheduleSomerset Hospital weekly schedule→
- South African Guidelines on the Determination of DeathGeneral statements Definitions Brain death Circulatory death Organ donation Training and documentation Strengths and limitations Conclusion General statements Death is the clinical point of irreversible loss of the capacity for consciousness and the irreversible loss of the capacity to breathe. [16] Death is determined by either neurological or circulatory criteria and must be made in accordance→
- South African National Health and Nutrition Examination Survey-1 (SANHANES-1)South African National Health and Nutrition Examination Survey-1 (SANHANES-1)→
- South African Society of Anaesthesiologists (SASA): AbbreviationsList of abbreviations Abbreviations Definitions AA Agent analysis AAGBI Association of Anaesthetists of Great Britain and Ireland ADR Adverse drug reaction APPSA Association for Peri-Operative Practitioners in South Africa ASA American Society of Anesthesiologists BIS Bispectral index BP Blood pressure CanMEDS Canadian Medical Education Directives for Specialists CEUs Continuing education units C→
- South African Society of Anaesthesiologists (SASA): IntroductionGoals of the guidelines Establishment of guidelines (methodology) Format of practice guidelines Date of next review Outline of the 2022 revision Strength of recommendations Conclusion The South African Society of Anaesthesiologists’ (SASA) mission is “leading the science and practice of safe anaesthesia at the highest standard and ensuring the sustainability of anaesthesiology services. SASA is d→
- Special Considerations in Asthma ManagementCOVID-19 Well-controlled asthma, without significant comorbidities, not requiring high-dose ICS or regular oral corticosteroids, and not having frequent acute exacerbations requiring extra bursts of systemic corticosteroids, is not associated with a higher risk of infection with the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) virus or its complications. Individuals with sev→
- Special Considerations in Paediatric PatientsDecision making around renal replacement therapy Management options for children with ESKD Choice of treatment modality Suitability for renal replacement therapy Renal transplantation The role of paediatric palliative care in paediatric renal supportive care Where consultation may be required with specialty palliative care during renal supportive care Specific paediatric requirements for symptom→
- Special Forms of HaemodialysisOnline Haemodiafiltration (HDF) Extended Dialysis Online Haemodiafiltration (HDF) Three meta-analyses came to disparate conclusions regarding potential benefits of convective therapies on cardiovascular mortality. Published data currently show that convective therapies, compared with conventional haemodialysis, have better removal of beta-2 microglobulin and improved haemodynamic stability.→