Guidelines
1,823 entriesSpeciality / institutional guidelines
- Unanticipated Difficult Tracheal IntubationDuring routine of anaesthesia in a child aged 1 - 8 years→
- Uncomplicated UTIInfection Uncomplicated UTI Brief outline/clinical setting Community acquired organisms are becoming increasingly resistant and where possible a culture should be performed prior to therapy. Cultures should be performed always: Where symptoms persist When antibiotics have been administered in the last 3 months Symptoms with negative dipstix for nitrites or leucocyte esterase Aetiologies/organisms→
- Underwater Chest Drain Insertion (Thoracostomy)Management 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.→
- Undescended TestesIntroduction Background Important details on history Important details on examination Management and referral pathways 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 undesc→
- Universal Measures to Prevent Infections During PregnancyTable 2 below summarizes the universal preventative measures that all pregnant woman should observe to prevent transmission of infections to her infant during pregnancy or breastfeeding . Table 2 Universal Measures to Prevent Infections during Pregnancy The Health care provider should advise the pregnant or breastfeeding client about the following practices that may increase or decrease the risks→
- Upper Gastrointestinal BleedingSurgical Emergencies - Upper Gastrointestinal Bleeding→
- Urgent CasesThis 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.→
- Urinary FistulaThis 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.→
- Urinary HaemorrhageAn approach to symptom management to guide decision-making in the management of patients with life-threatening illness→
- Urinary IncontinenceThis 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.→
- Urinary Tract InfectionThe 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.→
- Urinary Tract InfectionThis 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.→
- Urinary Tract InfectionAn approach to symptom management to guide decision-making in the management of patients with life-threatening illness→
- Urinary Tract Infection (UTI)This 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.→
- Urinary Tract 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.→
- Urinary Tract InfectionsUrinary Tract Infections→
- Urinary Tract Infections in ChildrenGuideline to the approach to urinary tract infections in children→
- Use of Chest Imaging in COVID-19A Rapid Advice Guide 11 June 2020→
- Use of HbA1C for the Diagnosis of Type 2 DiabetesUse of HbA1C for the Diagnosis of Type 2 Diabetes→
- Useful Telephone NumbersUseful Telephone Number→
- Useful Telephone NumbersDistrict level hospital guidelines applicable for interns and comm service doctors. Published in 2016→
- Uterovaginal ProlapseThis 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.→
- VL Monitoring Algorithm for Clients on TLD Click here to open the above PDF Click here for Routine HIV VL Monitoring on ART Click here for Enhanced Adherence Support Click here for Drug Dosing Chart Click here for Drug Interactions with DTG and Rifampicin-containing TB Treatment Click here for ABCDE assessment of an Elevated Viral Load Click here for Management of Confirmed Virological Failure on TLD 2023 ART Clinica→
- VL Non-Suppression Algorithm for Pregnant and Breastfeeding Women on TLD Click on the image to enlarge. The shorter 4-week interval between doing the first VL above 50 and the repeat VL is preferred wherever possible. However, if the first elevated VL is the delivery-VL, the next visit may only occur at the 6-week post-natal visit. Due to their high genetic barrier, resistance to a first-line DTG-containing (TLD1) regimen is extremely rare. If other reasons for→
- Vaccines for Umrah & Hajj: Updated May 2018Vaccines for Umrah & Hajj: Updated May 2018→
- Vaginal Bleeding in a ChildSurgery depends on the cause, e.g. myomectomy or hysterectomy for fibroids (below), or hysterectomy for persistent excessive bleeding not responding to drug treatment. N.B. a small submucous fibroid may lead to heavy bleeding and may be resected by hysteroscope. Endometrial ablation can be considered in some units for bleeding from a normal uterus – i.e. when the uterus is of normal size and no specific cause is found. If there is marked dysmenorrhoea there is less satisfaction with ablation. Many different types of ablation exist. Pregnancy after ablation is contra-indicated, and specified as such in consent. Uterine artery embolisation may be offered in some units. Pregnancy after is cautiously allowed. Catheterisation and occlusion of both uterines is achieved via the femoral artery. A watery blood stained discharge follows, which is very rarely associated with overwhelming sepsis. MANAGEMENT OF MULTIFIBROID UTERUS Drug treatment (as for excessive vaginal bleeding) may control haemorrhage sufficiently to avert hysterectomy, at least in the short term. 1. Do not force a hysterectomy an unwilling patient 2. Consider myomectomy. Consent for a myomectomy must include specific mention of proceeding to hysterectomy if there are intraoperative problems 3. Consider alternatives: Uterine artery embolization(UAE) or High Intensity Focused Ultrasound(HIFU) for suitable patients who want to preserve their fertility. UAE may shrink the uterus by 50%. Pregnancy Following UAE may have complications(IUGR, prem labour, placenta accreta). This should enter consent. HIFU has not to date been used much on the larger uterus(the current limit is 18 weeks size). Always discuss with a consultant. 4. Where fertility is an issue, consider other causes. N.B. if, for a person with bleeding, there is a delay while awaiting an operation or a procedure and that person is not maintained on progestagens and haematinics, when the procedure is due there will be anaemia and it will be cancelled.→
- Vaginal DischargeThis 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.→
- Vaginal Discharge (PVD)Infection Vaginal Discharge (PVD) Brief outline/clinical setting PVD does not necessarily mean there is PID or bacterial vaginosis. Detailed history and clinical examination is warranted to exclude sinister causes of PVD like Ca Cervix. If infective cause-ALWAYS treat partner/s All PVD in prepubertal girls and children (below age of consent) to be discussed with an ED-CONSULTANT and REFERRED to G→
- Vaginal Discharge and Vaginal Discharge SyndromeVaginal Discharge and Vaginal Discharge Syndrome→
- Valid Informed Consent to Sedation and Analgesia for Medical or Dental ProceduresValid informed consent ( Appendix 3 ) is a complex process. The General Dental Council (GDC), UK, provides valuable principles and standards for the dental team regarding consent for dental procedures. 6 It should be documented that appropriate consent was obtained from the patient, or a responsible person (parent/caregiver), according to local and international requirements. Before the process c→
- Varicella (Chicken Pox)Varicella (Chicken Pox)→
- VariousDeferasirox Folinic acid, intravenous Lanthanum carbonate, Sevelamer Mesna ATC Code V03AC03 Medicine Deferasirox ( film-coated and dispersible tablets considered equivalent ) Indication Treatment of transfusional iron overload NEMLC Recommendation Approved Added as an oral alternative to deferoxamine Review Indicators n/a Date Ratified 30 November 2023 Film-coated tablet update ( Previousl→
- Venous Thromboembolism (VTE) ProphylaxisVenous Thromboembolism (VTE) Prophylaxis→
- Venous Umbilical CatheterisationManagement 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.→
- Ventilation Concepts: OverviewVentilation Concepts→
- Ventilation Specifics: Normal Lungs / Lung Injury (Pneumonia/ARDS)Ventilation is frequently commenced in the Emergency Centre following intubation. The following suggested principles for specific medical conditions are based on the pathophysiology of the condition and settings should be tailored to each patient individually.→
- Ventilation Specifics: Obstructive Lung Disease (COPD / Asthma)Ventilation is frequently commenced in the Emergency Centre following intubation. The following suggested principles for specific medical conditions are based on the pathophysiology of the condition and settings should be tailored to each patient individually.→
- Ventilator Associated PneumoniaVAP Bundles→
- Vincent’s AnginaInfection Vincent’s angina Brief outline/clinical setting Vincent’s angina refers to acute necrotizing ulcerative lesions of the oral mucosal membranes and tonsils, with bleeding inflammation and halitosis Aetiologies/organisms Organisms involved are polymycrobial but often include Fusobacterium necrophorum, Treponema, Selenomonas, Prevotella Optimal antimicrobial selection Amoxicilli→
- Viral Load Monitoring ScheduleClick on the image to enlarge. Click here for VL Non-Suppression Algorithm . Click here for Management of a High Maternal Viral Load after Delivery . Click here for the pdf . South African National Department of Health, Guideline for Vertical Transmission Prevention of Communicable Infections, Version 2_August 2023→
- Visit Schedule for Adults, Adolescents and Children 5 Years and Older on ARTClick here to open the above PDF Click here for Baseline Clinical Assessments Click here for Baseline Lab Assessments Click here for Monitoring of ART Click here for Annexure 3 - Enhanced Adherence Counselling 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: 04/08/2023→
- Visit Schedule for Integrated Care for Clients already on ART when diagnosed with Drug-sensitive TBClick here to Visit Schedule for Integrated Care for Clients already on ART when diagnosed with Drug-sensitive TB 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: 04/08/2023→
- Visit Schedule for Integrated Care for the Mother-baby Pair Living with HIVVisit Schedule for Integrated Care for the Mother living with HIV and her HIV-exposed Infant (HEI) The principles are as follows: Wherever possible, try to align the mother’s ART, VL monitoring, and contraception visits with that of the child’s visit schedule so the mother-baby pair need only attend the facility once for both consultations on the same day Wherever possible, allow the mother and b→
- Visit Schedule for Integrated Care for the Mother-baby Pair Living with HIVClick here to view the Visit Schedule for Integrated Care for the Mother-baby Pair Living with HIV 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: 04/08/2023→
- Vulval Skin Problems, Dysplasias & VulvodyniaThis 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.→
- Vulvar CancerThis guideline 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.→
- WHO Guiding Principles on Human Cell, Tissue and Organ TransplantGuiding Principle 1 Guiding Principle 2 Guiding Principle 3 Guiding Principle 4 Guiding Principle 5 Guiding Principle 6 Guiding Principle 7 Guiding Principle 8 Guiding Principle 9 Guiding Principle 10 Guiding Principle 11 Guiding Principle 1 Cells, tissues and organs may be removed from the bodies of deceased persons for the purpose of transplantation if: (a) any consent required by law is obtain→
- WHO Recommendations for the Use of AnalgesicsGeneral principles and management of cancer pain in adults→
- Ward Management of Surgical Patients: Administrative IssuesTips and suggestions for surgical management→
- Ward Management of Surgical Patients: Clinical IssuesTips and suggestions for surgical management→