Guidelines

1,823 entries

Speciality / institutional guidelines

IntroductionThese are the approved guidelines published by the South African Society of Psychiatrists to provide an overview on treatment and management of commonly diagnosed psychiatric illnesses. The guidelines include consensus recommendations, based on peer contribution and using the international evidence based guidelines that are suitable for the local South African health service.→
IntroductionThese are the approved guidelines published by the South African Society of Psychiatrists to provide an overview on treatment and management of commonly diagnosed psychiatric illnesses. The guidelines include consensus recommendations, based on peer contribution and using the international evidence based guidelines that are suitable for the local South African health service.→
IntroductionThis is a consensus document Introduction This is a consensus document produced by members of a working party established by the South African Society of Anaesthesiologists The working party that developed the first version of these guidelines comprises: Raphael Samuel, Chair, Anaesthesia Dorinka Nel, Anaesthesia Ivan Joubert, Anaesthesia and Intensive Care Johann de Bruin, Anaesthesia Sean Dwyer→
IntroductionThe concept of hyperactivity in children has been documented in the medical literature since the 18th Century. In 1798, physician and author Sir Alexander Crichton described a mental state much like ADHD, referring to individuals with a ‘disease of attention,’ who refer to themselves as having ‘the fidgets,’ and have ‘the incapacity of attending with a necessary degree of constancy to any one obj→
IntroductionThis 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.→
IntroductionThese are the approved guidelines published by the South African Society of Psychiatrists to provide an overview on treatment and management of commonly diagnosed psychiatric illnesses. The guidelines include consensus recommendations, based on peer contribution and using the international evidence based guidelines that are suitable for the local South African health service.→
IntroductionEvidence Objectives of procedural sedation and analgesia Indications for sedation Risks to patient safety Clinical governance Sedation as a means to facilitate challenging or painful procedures, or as a safe, cost-effective and time-saving alternative to general anaesthesia (GA), is a popular addition to modern medical care. Provision of safe and effective sedation to children fulfils the→
IntroductionGeneral principles and management of cancer pain in adults→
IntroductionProstate cancer (PCa) is the most widespread non-cutaneous cancer found in males and ranks as the fifth leading cause of death globally. [1] In South Africa (SA), PCa is the predominant solid organ cancer detected, regardless of ethnic background, [1] and its prevalence in southern Africa has increased by ~60% during the past 15 years. [2] Black SA men typically receive a diagnosis at a more adva→
IntroductionScope and purpose Guideline development Working group Conflicts of interest Funding Acknowledgements The guideline aims to provide minimum standards for the provision of critical care services in South Africa. The intention is to ensure high quality critical care that focuses on patient safety and improving the outcome of critically ill patients, and that is appropriate to the South African conte→
IntroductionThe intensive care unit (ICU) is defined as a designated area where close monitoring and life support treatments are provided for patients with potential or established organ failure. The ICU therefore provides a higher level of care and facilities than the general wards or intermediate care units, with such care being delivered by specially trained staff. [1] For the purposes of the p→
IntroductionDeath is a medical occurrence that has social, legal, religious and cultural consequences requiring common clinical standards for its diagnosis and legal regulation. This document compiled by the Critical Care Society of Southern Africa outlines the core standards for determination of death in the hospital context. It aligns with the latest evidence-based research and international guidelines and→
IntroductionThis guideline provides an overview of the recommended Adult ADHD assessment steps, differentials to be considered and options for treatment according to the best available evidence based guidelines.→
IntroductionThe Critical Care Society of Southern Africa (CCSSA) patient blood management (PBM) guidelines have been developed to improve patient blood management in critically ill patients in Southern Africa. These consensus recommendations are based on a rigorous process by experts in the field of critical care who are also practising in South Africa (SA). The process comprised a Delphi technique, a round→
Introduction & DefinitionsIntroduction Definitions Background. Enuresis, also referred to as nocturnal enuresis, is characterised by discrete episodes of urinary incontinence during sleep in children aged ≥5 years in the absence of congenital or acquired neurological disorders. This guideline is an update of the 2017 version. Recommendations. The guideline provides recommendations and suggestions for various therapeutic o→
Introduction & EditorsEditors Summary of Recommendation Statements from the KDIGO Clinical Practice Guideline for Acute Kidney Injury Editors Ben van Rensburg Sarala Naicker Graham Paget Summary of Recommendation Statements from the KDIGO Clinical Practice Guideline for Acute Kidney Injury Kidney International Supplements (2012) 2; 8-12. doi:10.1038/kisup.2012.7 SARS recommendation: A nephrologist should be involved i→
Introduction / ForewordSANBS Clinical Guideline, 6th Edition, 2023→
Introduction and RationaleBackground TB Preventive Treatment (TPT) Tests of TB infection: Tuberculin Skin Tests (TST) and Interferon-Gamma Release Assays (IGRA) Background South Africa, with 13 other countries, carries the major triple burden of drug-susceptible TB (DS-TB), multidrug-resistant TB (MDR-TB) and TB co-infected with HIV (TB/HIV), and is among the top 30 high TB burden countries identified by the World Health→
Introduction to Axial Spondyloarthritis (axSpA)Early diagnosis and prompt treatment initiation are essential in the management of axial spondyloarthritis (axSpA), also known as ankylosing spondylitis, remembering that underdiagnosis and overdiagnosis of axSpA are common. These South African guidelines offer screening tools and details of useful investigations, including imaging. Care of the axSpA patient requires a multidisciplinary holistic→
Introduction to Spondyloarthritis (SpA) and Associated ConditionsPeripheral spondyloarthritis (SpA) includes psoriatic arthritis (PsA), inflammatory bowel disease (IBD)-associated arthritis, reactive arthritis and undifferentiated peripheral SpA. These South African guidelines offer information on diagnosis, assessment and therapy of peripheral SpA. Emphasis is placed on a multidisciplinary team, and a treat-to-target strategy with escalation of therapy i→
Introduction, Assessment & AnalgesiaThis 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.→
Introduction, Guideline Purpose & Emergency Protocol LevelsPreamble Purpose, Guidelines and Standards Emergency Protocol Level Introduction General Implications of the Pandemic on Public Health and Dentistry Clinical Implications of a Return to Routine Dentistry Community-based Dentistry Activity In Closing Preamble These guidelines were in effect during the Covid-19 pandemic in line with FDI, WHO, and RSA Government guidelines. As of 5 May 2023, the WHO→
Introduction, Important History and ExaminationIntroduction Important details on history Important details on examination 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 under the age of 13 years old with skin and soft tissue infections Introduction Skin→
Introduction, Objectives & MethodsThis guideline is endorsed by the following professional groups: Cape Pelvic Pain Society, PainSA, South African Rheumatism and Arthritis Association, and South African Society of Anaesthesiologists.→
Introduction: Empiric antibiotic choices at CHBAHThe current recommended empiric antibiotic choices and empiric durations for suspected bacterial infections at CHBAH, based on consensus agreement between Infectious Diseases (ID), Microbiology and specialties after review of our 2018 antibiogram data, is as follows until directed therapy is possible.→
Introduction: Perioperative Patient Blood ManagementAnaesthesiologists regularly request and administer blood components to their patients, a potentially life-saving intervention. All anaesthesiologists must be familiar with the indications and appropriate use of blood and blood components and their alternatives, but close liaison with haematologists and their local haematology blood sciences laboratory is encouraged. In the last decade, there hav→
Introduction: Transfusion MedicineTransfusion medicine is changing rapidly in response to new developments. Considerable changes in approaches to transfusion, together with the use of alternative agents, have become apparent over the past decade. Blood transfusion can be lifesaving, but this is a scarce and costly resource. There is increased focus on appropriate transfusion practice to ensure quality of service provision, and tr→
Intubation and Ventilation GuidelinesPaedaitrics - Intubation and Ventilation Guidelines→
Intubation and Ventilation of the NewbornIntubation and Ventilation of the Newborn→
Invasive Techniques for Cancer PainGeneral principles and management of cancer pain in adults→
Investigations to Exclude a GMC in Behaviorally Disturbed PatientsAlgorithm Guiding Investigations to Exclude a GMC in Behaviorally Disturbed Patients→
Involving Fathers in Antenatal and Postpartum Care Information for the Health Care Provider Information for the Father INFORMATION FOR THE HEALTH CARE PROVIDER Background: Why Should Fathers be Actively Engaged? Research shows benefits to the mother, baby, and father if male partners are involved during pregnancy and breastfeeding. ANC and PNC services should be family orientated and should welcome fathers to actively participate in clinic→
Iron PoisoningIron poisoning→
Irritable Bowel SyndromeThis 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.→
Isolation Referral FormReferral forms 11 June 2020→
JaundiceThe 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.→
Jaundice and Haematologic IssuesNeonatal jaundice Maternal Rhesus negative Polycythaemia Anaemia Neonatal jaundice 60% of term newborns and approximately 70% of preterm newborns will become jaundiced in their first week of life. It is important to understand that jaundice is not a diagnosis. It is a sign. Every baby with jaundice requires a serum bilirubin. Bilirubin results must be checked on the same→
Jaundice in ChildJaundice in Child→
Jaundice in InfantsIntroduction Background Important details on history Important details on examination Management and referral guidance 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 under the age of 13 years old with jaundi→
Kangaroo Mother Care (KMC)KMC is an important pillar of our neonatal care. It improves rates of breastfeeding, mother-infant bonding, nosocomial infection rates etc. KMC comprises: Kangaroo position: baby upright, skin-to-skin against the mother (or father) between her breasts Breastfeeding/breast milk wherever possible Early discharge with increased outpatient support Please encourage all women to practice KMC , whether→
Ketamine Sedation of Children in Emergency DepartmentsGuideline for Ketamine Sedation of Children in Emergency Departments→
Key Adherence Messages (DPOC SOP, 2023) and Summary of 1st Line ART RegimensKey Adherence Messages Summary of ART Regimens for Adolescent Girls (10-19 years) and Adult Woman Initiating ART KEY ADHERENCE MESSAGES (DIFFERENTIATED MODELS OF CARE STANDARD OPERATING PROCEDURES, 2023) 11 Step 1 Education about HIV - What does HIV do to your body? - How taking ART can help you? - The importance of VL suppressions for mother and baby. - Risks of poor a→
Key Components of an AMS ProgrammeSupporting the Antimicrobial Resistance Strategy Framework and the Guidelines on Implementation of the Antimicrobial Strategy in South Africa: One Health Approach and Governance, 2018→
Key Messages and Actions for COVID-19 Prevention and Control in SchoolsIFRC, UNICEF and WHO Issue Guidance to Protect Children and Support Safe School Operations. Published March 2020→
Key PointsSA has one of the highest reported asthma mortality rates, despite availability of inhaled corticosteroids (ICS) in all sectors of the healthcare system. The cornerstone of asthma treatment remains ICS. Patients with so-called ‘mild’ asthma are at risk for acute exacerbations and death, and should have an ICS included in their management strategy. Early diagnosis and control of→
Knee DislocationKnee Injury→
Laboratory DiagnosisLaboratory Diagnosis Laboratory testing of uncomplicated illness (patients who fit the ILI case definition) is NOT routinely recommended, as it provides no advantage in the management of individual patients. Testing can be considered for the following patients: Patients who meet the criteria for complicated or severe influenza, where a laboratory diagnosis will assist in patient management.→
Laboratory TestsCommon investigations Costs of blood tests Use of the blood gas machine in NICU Common investigations When filling in lab request forms - please use the name and MP number of the consultant in the unit at the time. Day 1: All sick babies need an FBC ( no differential count ) and blood culture Blood cultures should contain at least 1 ml of blood and must be done as a sterile procedure Day 2-3: U&a→
Labour and DeliveryTesting for HIV Antiretrovirals VL Monitoring and Management Screening for TB and other OI's Other Care for the Mother living with HIV at delivery Care of the HIV-exposed Infant at Delivery Prevention of transmission of Syphilis, HBV and other infections Testing for HIV PICT should be provided to all women presenting in labour ward who are not known to be HIV-positive (including born-befor→
Labour and Delivery in Hypertensive DisordersThe 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.→