Guidelines

119 entries

Speciality / institutional guidelines

Summary, Authors, Affiliations & AcknowledgementsBackground Methods Results Conclusion Contribution Keywords Authors Affiliations Acknowledgements Background Allergic rhinitis (AR) has a significant impact on the community as a whole with regard to quality of life and its relationship to allergic multi-morbidities. Appropriate diagnosis, treatment and review of the efficacy of interventions can ameliorate these effects. Yet, the importance of A→
Summary, Objectives and Position Statement DevelopmentSummary Asthma prevalence is increasing worldwide, and surveys indicate that most patients in developed and developing countries, including South Africa, do not receive optimal care and are therefore not well controlled. Standard management guidelines adapted to in-country realities are important to support optimal care. The South African Thoracic Society (SATS) first published a guideline→
Summary: SEMDSA Algorithm for the Management of Type 2 DiabetesSEMDSA Algorithm for the Management of Type 2 Diabetes→
Summary: Vaccination guidelines for HIV-infected adolescents & AdultsVaccination guidelines for HIV-infected adolescents & Adults→
Superior Vena Cava ObstructionAn approach to symptom management to guide decision-making in the management of patients with life-threatening illness→
Suprapubic Urine CollectionManagement 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.→
Surgery for Ectopic PregnancyThis 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.→
Surgical & Other Treatment OptionsManagement options depend on the presumed diagnosis, and on the patient’s wishes regarding pregnancy Medication Drug treatment may be given for at least 3 months, and the patient may be reviewed after that, to continue or to stop treatment. • Tranexamic acid (Cyclokapron) 0.5 to 1 g orally 3 times daily for the first 3 days of bleeding. Can reduce regular heavy bleeding by 50%. Useful for acute bleeding and long term. Does not make irregular bleeding regular. Do not prescribe in patients with a history of thromboembolism. Injectable Medroxyprogesterone acetate (Depo-Provera) 150 mg IM every 3 months, Norethisterone ethanoate(Nur-isterate) 200mg; useful for acute bleeding and long-term. At first, bleeding may be irregular, if this happens add 4 weeks of Norethisterone (Primolut) 10 mg orally twice daily. Reduce bleeding by 95-100%. Progestogens may cause slight weight gain, feeling of heaviness, oily skin, mood changes and rarely headache • Medroxyprogesterone acetate (Provera) 5 mg orally twice daily for 21-28 days per month (never only 5-14 days: has no effect) • Norethisterone (Primolut) 10 mg orally twice daily or 5 mg orally 3 times daily for 21-28 days per month (not 5-14 days, as the package insert suggests – this is ineffective); useful when bleeding is irregular • Combined oral contraceptives. They also reduce dysmenorrhea and provide contraception. Beware of contraindications. Decrease bleeding up to 50%. • Nonsteroidal anti-inflammatory drugs such as Ibuprofen 400 mg orally 3 times daily, mefenamic acid 500 mg orally 3 times daily, or naproxen 500 mg orally 3 times daily for the duration of bleeding. Useful for dysmenorrhea, but decrease bleeding variably 10-45%. Beware of contraindications – peptic ulceration, asthma, renal dysfunction • Levonorgestrel-containing intrauterine system (Mirena) is effective, not available at some public hospitals, irregular spotting may occur at first. Reduce bleeding 95-100%. • For prolonged bleeding following use of Depo Provera, or oral contraceptives, one can give conjugated oestrogen (Premarin) 0.625 mg daily for three weeks, after demonstrating a thin endometrium on ultrasound→
Surveillance of HAIs in the HospitalSupporting the Antimicrobial Resistance Strategy Framework and the Guidelines on Implementation of the Antimicrobial Strategy in South Africa: One Health Approach and Governance, 2018→
Surviving Sepsis in Surgery (Acute Care Surgery Guidelines)Surgical Emergencies - Surviving Sepsis in Surgery (Acute Care Surgery Guidelines)→
Suspected AppendicitisIntroduction Background Important details on history and examination Investigations Management and referral guidance Non-operative management of appendicitis 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 who refer patients to RCWMCH PATIENTS Patients un→
Suspected Prolonged PregnancyThe 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.→
Switching Children on PI-containing Regimens to DTG-containing RegimensSwitching Children on PI-containing Regimens to DTG-containing Regimens Click here to open the above PDF 2023 ART Clinical Guidelines for the Management of HIV in Adults, Pregnancy and Breastfeeding, Adolescents, Children, Infants and Neonates June 2023 Version 4 Upload date: 31/07/2023→
Switching Existing Clients to DTG-containing RegimensSwitching Existing Clients to DTG-containing Regimens (Adults, adolescents or children) Switching Existing Clients to DTG-containing Regimens (Adults, adolescents or children who have never used a DTG-containing regimen in the past) Switching Existing Clients to DTG-containing Regimens (Adults, adolescents or children) Click here to open the above PDF Switching Existing Clients to DTG-cont→
Symptom Management in ESKDPatients with advanced CKD experience multiple symptoms that contribute to their disease burden [16] . These guidelines are compiled to assist healthcare providers in managing patients with symptoms associated with advanced CKD. Validated scoring tools The routine screening of physical and emotional symptoms is recommended at each consultation using a validated tool. Recommended tools include: In→
SyphilisInfection Syphilis Brief outline/clinical setting An STI seen worldwide, can also be acquired congenitally Aetiologies/organisms Treponema pallidum Optimal antimicrobial selection STI Guideline algorithm Ceftriaxone 1g IM stat Doxycycline 100mg bd po for 10 days Metronidazole 400 tds po 10 days partner/s to be traced and treated Duration Alternative if allergic/not available Seek Gynae con→
SyphilisFrequency of syphilis testing Types of Syphilis Tests and their uses HIV & Syphilis Testing Guide for Pregnancy: Which test should be used when? What to do when a facility does not have syphilis rapid tests in stock Syphilis is a sexually transmitted infection that can have multiple different presentations but also be asymptomatic. The signs of secondary syphilis occur six to eight weeks afte→
Syphilis & HIV Testing and Management During PregnancySyphilis Rapid Diagnostic Testing HIV Rapid Diagnostic Testing Laboratory-Based Testing When Rapid Test are Unavailable or Inappropriate Treatment Partners Management Notification for Congential Syphilis Click on the image to enlarge. Click on the image to enlarge. Click on the image to enlarge. TREATING PARTNERS Trace and test partners of women with confirmed syphilis Test the partner using a ra→
Systemic Hormonal Preparations, excl. Sex Hormones and InsulinsAdrenocorticotrophic hormone (ACTH) Somatropin (Growth Hormone) Ornipressin Octreotide (Short-acting) Octreotide, Lanreotide ATC Code H01AA01 Medicine Adrenocorticotrophic hormone (ACTH) Indication Infantile spasms NEMLC Recommendation Not Approved Review Indicators Well controlled studies of proven efficacy of ACTH Date Ratified September 2010 ATC Code H01AC01 Medicine Somat→