Guidelines
1,823 entriesSpeciality / institutional guidelines
- Prevention of Central Venous Line-Associated InfectionThe placement and securing of central venous catheters Sterile technique for the placement of central venous catheters Catheter dressing and site management The use of catheters and dressings that have associated antimicrobial activity The management of lines and administration sets The insertion of peripheral catheters As anaesthesiologists are frequently responsible for the placement of invasiv→
- Prevention of HIVAll persons of reproductive age need access to comprehensive information, as well as non-judgemental, confidential, and (as necessary), youth friendly SRH services. Contraception and HIV testing services (HTS) should always be provided together. At every FP visit, offer HTS. At every HTS visit, offer FP. Click on the image to enlarge. Click here for the pdf . South African National Department of→
- Prevention of Unintended Pregnancies and Safe Conception in WomenClick on the image to enlarge. Click here for the Visit Schedule for Integrated Care for the Mother-baby Pair Living with HIV . Click here for the pdf . South African National Department of Health, Guideline for Vertical Transmission Prevention of Communicable Infections, Version 2_August 2023→
- Prevention of influenzaPrevention of influenza Influenza vaccination is the most effective method for prevention and control of influenza infection available currently. In general, influenza vaccines are most effective among children ≥ 2 years and healthy adults. A meta-analysis including data from years when there was a mismatch between vaccine and circulating strains estimated a pooled vaccine efficacy (VE) of 59% (9→
- Prevention or Delay of type 2 Diabetes MellitusPrevention or Delay of type 2 Diabetes Mellitus→
- Previous Caesarean SectionThe 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.→
- Primary & Secondary DysmenorrheaThis 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.→
- Primary 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.→
- Principles for Rational Antibiotic PrescribingThis 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.→
- Principles of Pain Management in ChildrenAnxiety, fear and pain in children are intricately linked. Intermittent intramuscular (IM) injections are distressing to children and are less effective in achieving pain control than IV infusions or intranasal (IN) administration. Therefore, IM injections are strongly discouraged. Avoid per request needed (PRN) dosing as far as possible. Where used, inform and empower the child/caregiver to requ→
- Prioritisation of Referrals: Definitions in Ophthalmology EmergenciesReferral guidelines – Prioritisation of referrals→
- Procedural ProtocolsSADA COVID-19 Guidelines, May 2020→
- Process ChartsSANBS Guideline - Updated August 2023→
- Professional and Ethical ConductDistrict level hospital guidelines applicable for interns and comm service doctors. Published in 2016→
- Proof of Emergency Obstetric Simulation Training/Drills FormProof of Emergency Obstetric Simulation Training/Drills Form→
- ProphylaxisThis 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.→
- Prophylaxis for the HIV-Exposed Infant During Breastfeeding Maternal VL monitoring should happen 6-monthly during breastfeeding. At every visit, check the results of the mother’s most recent VL. An elevated maternal VL during breastfeeding may require an infant HIV PCR to be done and higher-risk infant prophylaxis to be started, re-started, or extended The following are situations in which a mother’s VL may be elevated. These situations are therefo→
- Prophylaxis for the HIV-Exposed Infant at BirthThe VTP strategies include timely HIV diagnosis, ART initiation and VL suppression in the mother (either pre- or post-conception) and the provision of HIV post-exposure prophylaxis to the infant. The mother’s response to ART by the time of delivery is measured by the delivery VL, which will also determine the risk profile of the infant at birth and, subsequently, the infant’s ART prophylaxis regi→
- Proteinuria: Approach in ChildrenApproach to proteinuria in children→
- Protocol for Abnormal (RI>95th centile) Umbilical Artery Doppler (UAD)Protocol for Abnormal (RI>95th centile) Umbilical Artery Doppler (UAD)→
- Protocol for Induction of LabourProtocol for Induction of Labour→
- Protocol for Magnesium Sulphate (MgSO4) AdministrationThese protocols are intended for the use of students, interns and registrars within Tygerberg hospital and its immediate catchment area only. Always consult with a senior colleague if you are unsure of the correct management.→
- Protocol for Management of a Small for Gestational Age (SGA) Fetus with Normal Umbilical Artery Doppler (UAD)Protocol for Small for Gestational Age (SGA) Fetus with Normal Umbilical Artery Doppler (UAD)→
- Protocol for the Acute Management of Spontaneous Preterm Labour at Tygerberg HospitalDefinitions Risk factors for preterm labour/preterm birth Management: Initial assessment & work-up of preterm labour Management: No cervical changes but regular contractions Management: Confirmed spontaneous preterm labour regular contractions with cervical changes Management: Role of Tocolysis in PTL Management: Role of antenatal steriods in preterm labour Management: Role of magnesium sulph→
- Protocol for the Acute Management of Spontaneous Preterm Prelabour Rupture for MembranesDefinitions Complications of membranes preterm prelabour rupture of membranes Management: Initial assessment and work-up of PPROM Management: If no clinical evidence of ROM but highly suspicious Management: Conservative management of PPROM Management: Gestational specific/defined Management: Role of Tocolysis in PPROM Management: Role if antenatal steroids PPROM Management: Role of antibiot→
- Protocol for the Management of Hypertensive Disorders in PregnancyThese protocols are intended for the use of students, interns and registrars within Tygerberg hospital and its immediate catchment area only. Always consult with a senior colleague if you are unsure of the correct management.→
- Protocol for the Management of Venous Leg Ulcers in the Western CapeElective Surgical Conditions - Protocol for the Management of Venous Leg Ulcers in the Western Cape→
- Providing Palliative Care in South Africa During the COVID-19 PandemicThis guideline is aimed at ensuring that patients and families receive dignified, compassionate care during the COVID-19 pandemic. Version 2 (05 April 2020)→
- Psychological Issues Associated with EnuresisPsychological issues Early referral Neuromodulation Psychological issues [68] Psychological issues are well described as being associated with the pathogenesis of enuresis. Subclinical symptoms include sadness, moodiness, embarrassment and guilt. Enuresis leads to a lower quality of life for the patient and caregivers. Several clinical conditions are associated with enuresis: externalising disord→
- Public Health Response to Influenza10. Public Health Response to Influenza Influenza epidemics occur each year during the winter season. Vaccination of high-risk groups and individuals wishing to protect themselves against influenza is recommended prior to the expected start of the annual influenza season. No public health response is required in response to isolated cases of influenza or outbreaks of mild disease→
- Puerperal SepsisThe 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.→
- Pulmonary EmbolismPulmonary Embolism→
- Purpose and Organisation of the GuidelinesOrganisation of the guidelines These guidelines provide evidence-based practices for TPT to reduce the risk of progressing to TB in people who experience significant exposures or are immunocompromised, thus reducing the overall burden of TB in South Africa. These guidelines are informed by the latest WHO guidance for TB screening 20 and treatment of latent TB infection 21 and are adapted t→
- PyelonephritisInfection Pyelonephritis Brief outline/clinical setting Similar organisms but culture mandatory: If not septic (infection plus organ dysfunction) oral outpatient therapy Aetiologies/organisms Enterobacterales: E. coli, K. pneumoniae, Enterobacter spp, Proteus spp S. saprophyticus, Group B streptococcus, Enterococcus spp. Optimal antimicrobial selection Oral ciprofloxacin 500mg BD or levofloxacin→
- Quick Reference Guide - InfluenzaCategories of influenza Uncomplicated influenza: ILI (Influenza-like illness) may present with fever, cough, sore throat, coryza, headache, malaise, myalgia, arthralgia and sometimes gastrointestinal symptoms, but without any features of complicated influenza. Complicated influenza: Influenza requiring hospital admission and/or with symptoms and signs of lower respiratory tract infection (h→
- Quick Sepsis-related Organ Assessment (qSOFA)The 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.→
- RR-TB in Pregnancy and BreastfeedingAll non-pregnant women of childbearing potential should be appropriately counselled throughout RR-TB treatment and offered family planning as part of routine RR-TB care. Healthcare providers can initiate RR-TB treatment for pregnant patients without NCAC approval. A pregnancy registry will be developed so that this cohort can be more formally monitored and data collected nationally. Pregnant wome→
- RSC Primary Palliative Care Skills for Nephrology Teams: A Recommended ModelBasic management of pain and symptoms Basic management of depression and anxiety Basic discussions about prognosis Discussion and development of goals of treatment Resuscitation status discussion and precise documentation of what can and cannot be offered (for example, high-flow oxygen but not bag mask ventilation and intubation). Palliative care structures in paediatric nephrology are often insu→
- RabiesRabies Guidelines→
- Rabies ProphylaxisRabies Prophylaxis→
- Rabies Vaccine and Immunoglobin Storage Sites in Western CapeAvailability of Rabies Vaccine: Western Cape→
- Rabies: Guidelines for Management of a Suspected Case in Western CapeGuidelines for Management of Suspected Rabies in Western Cape→
- Rabies: Prevention in HumansPrevention of Rabies in Humans→
- RadiographyPelvic X-rays Magnetic resonance imaging Pelvic X-rays The modified New York criteria describe the grading of the SIJ on pelvic X-rays. [26,27] Sclerosis, erosions, joint space widening or ankylosis of SIJ are features of established disease, and may take years to develop. Changes compatible with a classification of axSpA are grade 2 (or higher) changes bilaterally or grade 3 (or higher) un→
- Rahima Moosa Neonatal UnitStaff Geography of the Neonatal Unit Work hours Weekly timetable Staff Consultants Dr Joy Fredericks Dr Delania Lawrence Dr Loshnee Nair Dr Karlien Oosthuizen Dr Azra Ghoor Dr Zola Ncube Registrars 2-3 in ward 16b 1 in NICU Interns & MOs 8-10 in ward 16b GEMP 4 students 2-4 allocated to neonates Geography of the Neonatal Unit Ward 16b comprises of: Admissions cubicle;→
- Ramadan Dietary Recommendations and Meal PlansRamadan dietary recommendations and meal plans→
- Ramsay Hunt SyndromeInfection Ramsay Hunt Syndrome Brief outline/clinical setting The combination of vesicular eruptions on the ear and facial paralysis due to Herpes Zoster infection is referred to as Ramsay Hunt syndrome. Progressive facial paresis can occur up to 3 weeks following onset. Incidence of Herpes zoster infection increases dramatically over the age of 60, due to decreased cell mediated immunity in this→
- Rapid Sequence Induction (RSI) in Paediatrics in the Emergency CentreGuideline for Rapid Sequence Induction (RSI) in Paediatrics in the Emergency Centre→
- Rapid Sequence Intubation - AdultAdult Rapid Sequence Intubation Algorithm→
- Rapid Sequence/ Failed Intubation - Additional InformationAdditional Information→