Guidelines

223 entries

NDOH Standard Treatment Guidelines and clinical protocols

Surgical Antibiotic ProphylaxisStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 EditionEML (Adult)→
Surgical ProphylaxisDescription Principles of surgical prophylaxis Antibiotic prophylaxis Beta-lactam allergies DESCRIPTION Surgical prophylaxis is the pre- or intra-operative administration of antibiotics to patients to reduce the risk of postoperative wound infection. Specific epidemiological considerations may alter the choice of agents. PRINCIPLES OF SURGICAL PROPHYLAXIS The need for prophylactic antibioticPEML (Paeds)→
Surgical and Diagnostic ProductsStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 EditionEML (Adult)→
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, 2018Other→
Surviving Sepsis in Surgery (Acute Care Surgery Guidelines)Surgical Emergencies - Surviving Sepsis in Surgery (Acute Care Surgery Guidelines)Other→
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 unOther→
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.Other→
Switching Children and Adolescents between First Line ART RegimensIMCI - Anti-retroviral therapy (ART)IMCI→
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: 31/07/2023Other→
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-contOther→
Sydenham ChoreaSydenham ChoreaPEML (Paeds)→
Sympathomimetic Agent PoisoningDescription Diagnostic criteria General and supportive measures Medicine treatment Referral ICD-10 codes: T43.6/F14 DESCRIPTION Pseudoephedrine in decongestants, methylphenidate and illicit drugs such as cocaine and amphetamines ('Tik') are sympathomimetic agents. These agents are frequently abused as recreational drugs. DIAGNOSTIC CRITERIA Clinical hypertension, tachycardia, tachypnoPEML (Paeds)→
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: InOther→
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 afteOther→
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 conOther→
SyphilisStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults, Updated for the 2023 EditionEML (Adult)→
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 raOther→
Syphilis Serology and TreatmentSexually Transmitted InfectionsPrimary Care→
Syphilis in PregnancyDescription Diagnosis General measures Medicine treatment Referral (baby) O98.1 DESCRIPTION A sexually transmitted infection with many manifestations that has a latent phase and may be asymptomatic in pregnant women. It is caused by the spirochaete, T pallidum . Vertical transmission to the foetus occurs in up to 80% of cases in untreated mothers. Untreated maternal syphilis may lead to miscarriaPrimary Care→
Syphilis, Early CongenitalDescription Diagnostic criteria General and supportive measures Medicine treatment Referral ICD-10 code: A50.9 *Notifiable condition DESCRIPTION Multi-organ infection caused by T. pallidum and acquired by vertical transmission via the transplacental route during pregnancy. DIAGNOSTIC CRITERIA Clinical Suspect if mother has syphilis or positive serology for syphilis and the baby a positive nPEML (Paeds)→
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 SomatOther→
Systemic Lupus Erythematosis (SLE)Standard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 EditionEML (Adult)→
Systemic Lupus Erythematosus (SLE)Description Diagnostic criteria General and supportive measures Medicine treatment Referral ICD-10 code: M32.9 DESCRIPTION Systemic lupus erythematosus (SLE) is a multisystem inflammatory disease characterised by the presence of auto-antibodies directed against various cellular components, particularly DNA. It is often associated with antiphospholipid-antibodymediated hypercoagulability. InPEML (Paeds)→