Guidelines

314 entries

NDOH Standard Treatment Guidelines and clinical protocols

Preventing the Spread of InfectionSupporting the Antimicrobial Resistance Strategy Framework and the Guidelines on Implementation of the Antimicrobial Strategy in South Africa: One Health Approach and Governance, 2018Other→
Prevention Of Mother To Child Transmission (PMTCT)ICD-10 code: Z20.60 See: The HIV exposed infant Standard Treatment Guidelines And Essential Medicines List For South Africa, Hospital Level, Paediatrics, 2023 Edition Chapter 19: Prematurity And Neonatal Conditions, 19.5 Infections, 19.5.6 Prevention Of Mother To Child Transmission (pmtct)PEML (Paeds)→
Prevention and Treatment of AKIIn the absence of hemorrhagic shock, we suggest using isotonic crystalloids rather than colloids (albumin or starches) as initial management for expansion of intravascular volume in patients at risk for AKI or with AKI. (2B) We recommend the use of vasopressors in conjunction with fluids in patients with vasomotor shock with, or at risk for, AKI. (1C) We suggest using protocol-based management ofOther→
Prevention and Treatment of Exit Site InfectionsThe exit site should be kept clean, dry, scab-free, crustfree, painless, and noninflamed Immobilization of the catheter and protection from trauma is essential The exit site should be cleaned every other day using aseptic technique Aqueous chlorhexidine 0.05% should be used until the site is clean and the chlorhexidine is then removed with water The exit site should be swabbed and cultured once aOther→
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 invasivOther→
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 ofOther→
Prevention of Ischaemic Heart Disease and AtherosclerosisPrevention of Ischaemic Heart Disease and AtherosclerosisPrimary Care→
Prevention of Preterm LabourStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults, Updated for the 2023 EditionEML (Adult)→
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 2023Other→
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% (9Other→
Prevention or Delay of type 2 Diabetes MellitusPrevention or Delay of type 2 Diabetes MellitusOther→
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.Other→
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.Other→
Primary AldosteronismStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 EditionEML (Adult)→
Primary Health Care Medicine Reviews 2020 - 2023 (Infections and related conditions)The National Essential Medicine List Committee (NEMLC) performs reviews of the evidence for proposed treatment options for Infections and related conditions: The Committee has evaluated evidence for: Primaquine for Malaria Elimination Doxycycline as Malaria Prophylaxis Standard Treatment Guidelines and Essential Medicines List for South Africa, Primary Healthcare Level, Updated for the 2023Primary Care→
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.Other→
Principles For the Safe and Effective Prescribing of Psychotropic MedicationPrinciples For the Safe and Effective Prescribing of Psychotropic MedicationPEML (Paeds)→
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.Other→
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 requOther→
Prioritisation of Referrals: Definitions in Ophthalmology EmergenciesReferral guidelines – Prioritisation of referralsOther→
Procedural ProtocolsSADA COVID-19 Guidelines, May 2020Other→
Procedural Sedation and AnalgesiaStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 EditionEML (Adult)→
Procedural Sedation and AnalgesiaGoals of procedural sedation and analgesia General and supportive measures Medicine treatment Children in hospital are exposed to a variety of painful diagnostic and therapeutic procedures. The aim of procedural pain management is to minimise physical discomfort, pain, movement, and psychological disturbance, without compromising patient safety. Failure to provide adequate preventative pain measuPEML (Paeds)→
Process ChartsSANBS Guideline - Updated August 2023Other→
Professional and Ethical ConductDistrict level hospital guidelines applicable for interns and comm service doctors. Published in 2016Other→
Proof of Emergency Obstetric Simulation Training/Drills FormProof of Emergency Obstetric Simulation Training/Drills FormOther→
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.Other→
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 therefoOther→
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 regiOther→
Prostate CancerUrologyPrimary Care→
ProstatitisGlomerular diseasePrimary Care→
ProstatitisStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 EditionEML (Adult)→
Proteinuria: Approach in ChildrenApproach to proteinuria in childrenOther→
Protocol for Abnormal (RI>95th centile) Umbilical Artery Doppler (UAD)Protocol for Abnormal (RI>95th centile) Umbilical Artery Doppler (UAD)Other→
Protocol for Induction of LabourProtocol for Induction of LabourOther→
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.Other→
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)Other→
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 sulphOther→
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 antibiotOther→
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.Other→
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 CapeOther→
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)Other→
Pruritus - Paediatric Palliative CareDescription General and supportive care Medicine treatment Referral ICD-10 code: R29.9 DESCRIPTION An unpleasant cutaneous sensation that provokes the desire to scratch. Can interfere with sleep and activities of daily living. Scratch marks may lead to skin excoriation and secondary infections. May be difficult to control with incurable conditions. Commonly seen in cholestasis, renal failurPEML (Paeds)→
PsoriasisDescription Diagnostic criteria General and supportive measures Medicine treatment Referral ICD-10 code: L40.9 DESCRIPTION An inflammatory condition of the skin and joints. DIAGNOSTIC CRITERIA Scaly, red, itchy papules and plaques over scalp, perineum, and skin folds and extensor surfaces. Nails may be opaque, deformed and crumbling. Occasional pustules are seen. GENERAL AND SUPPORTIVPEML (Paeds)→
PsoriasisStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 EditionEML (Adult)→
PsoriasisPsoriasisPrimary Care→
Psychiatric Patients - General Monitoring and CareDescription Recommendations for Specific Medicines Description Nursing staff are required to monitor users with serious mental illness between medical or psychiatric doctor visits. Regular monitoring with documented nursing notes in the file should occur monthly to 6- monthly depending on the severity of the illness and the risk of relapse, aggression, absconding or poor adherence, with referralPrimary Care→
Psychiatric Presentations in HIV Infected Children and AdolescentsPsychiatric Presentations in HIV Infected Children and AdolescentPEML (Paeds)→
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 disordOther→
Psychosis: IntroductionDescription Psychosis is characterised by a loss of contact with reality, and may present with: Delusions: Fixed, unshakeable, false beliefs which are not in keeping with a person’s society, culture, or religion. Beliefs may be persecutory, referential, grandiose, religiose, erotic, or bizarre in nature. Hallucinations: Perceptual disturbances, e.g. auditory hallucinations, which are heard as voiPrimary Care→