Guidelines
3,191 entriesNDOH Standard Treatment Guidelines and clinical protocols
- Pulmonary Oedema, AcuteDescription General measures Medicine treatment ICD-10 code: J81 DESCRIPTION A life-threatening condition with abnormal accumulation of fluid in the lungs. Common causes include acute decompensation of chronic underlying heart failure and acute renal failure (e.g. acute nephritis). Patients with acute decompensated heart failure appear extremely ill, restless, poorly perfused and sweaty, tachypnoEML (Adult)→
- Pulmonary Oedema, AcuteDescription Emergency Treatment Referral ICD-10 code: J81 DESCRIPTION A life-threatening condition with abnormal accumulation of fluid in the lungs. Common causes include acute heart failure and acute renal failure (e.g. acute nephritis). Persons with pulmonary oedema may present similarly to acute bronchospasm. It is important to distinguish this condition from an acute attack of asthma. EMERGENPrimary Care→
- Pulmonary Oedema, AcuteCardiac Failure, Congestive (CCF)Primary Care→
- Pulmonary Tuberculosis (TB)Pulmonary TuberculosisPrimary Care→
- Pulmonary Tuberculosis (TB) in AdultsPulmonary TuberculosisPrimary Care→
- Pulmonary Tuberculosis (TB) in ChildrenPulmonary Tuberculosis (TB)Primary Care→
- 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 tOther→
- 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 levofloxacinOther→
- 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 (hOther→
- 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.Other→
- 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 womeOther→
- 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 insuOther→
- RUFT (Ready-to-Use Therapeutic Food)IMCI - Counsel the Mother or Caregiver on Infant and Young Child FeedingIMCI→
- RabiesDescription Diagnostic criteria General and supportive measures Medicine treatment to prevent infection Referral ICD-10 code: A82.9 *Notifiable condition. (Inform state veterinarian or local veterinary official.) DESCRIPTION A viral infection of the central nervous system following transmission of the rabies virus from the saliva of affected animals through bites or contamination of mucosaPEML (Paeds)→
- RabiesRabies GuidelinesOther→
- Rabies ProphylaxisRabies ProphylaxisOther→
- Rabies Vaccine and Immunoglobin Storage Sites in Western CapeAvailability of Rabies Vaccine: Western CapeOther→
- Rabies: Guidelines for Management of a Suspected Case in Western CapeGuidelines for Management of Suspected Rabies in Western CapeOther→
- Rabies: Prevention in HumansPrevention of Rabies in HumansOther→
- 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) unOther→
- 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;Other→
- Raised Intracranial PressureRaised Intracranial PressurePEML (Paeds)→
- Ramadan Dietary Recommendations and Meal PlansRamadan dietary recommendations and meal plansOther→
- 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 thisOther→
- Rapid Sequence Induction (RSI) in Paediatrics in the Emergency CentreGuideline for Rapid Sequence Induction (RSI) in Paediatrics in the Emergency CentreOther→
- Rapid Sequence Induction and IntubationInduction agents Muscle relaxants Post - intubation sedation Anaesthetic and sedative medication may be administered only by medical practitioners trained and experienced in their use. Sound theoretical and practical training followed by supervised experience in the administration of anaesthetic and sedative medication is essential. Even within the recommended dosage range, anaesthetic agents canEML (Adult)→
- Rapid Sequence Intubation (RSI)Description Medicine treatment Healthcare professionals engaged in intensive care must undergo appropriate training, with junior doctors working under appropriate supervision. Endotracheal intubation should usually be performed using the rapid sequence technique and must be undertaken by the most experienced clinician during emergencies. For Neonatal Care see: Prematurity and Neonatal Conditions.PEML (Paeds)→
- Rapid Sequence Intubation - AdultAdult Rapid Sequence Intubation AlgorithmOther→
- Rapid Sequence/ Failed Intubation - Additional InformationAdditional InformationOther→
- Rapid Stroke Assessment NIHSS Stroke Scale (Short Version)Click on the image to enlarge. Click here for the pdf . Angels Initiative South Africa _ Stroke Physician Clinical Decision Pack_2024Other→
- Rapid Stroke Assessment NIHSS Stroke Scale (Short Version)Click on the image to enlarge. Click here for the pdf . Angels Initiative South Africa _ Emergency Department Physician Stroke Patient Pack_2024Other→
- Rapid Stroke Assessment NIHSS Stroke Scale (Short Version)Click on the image to enlarge. Click here for the pdf . Angels Initiative South Africa _ Treating Doctor_Stroke patient acute treatment forms_2024Other→
- Rapid Triage of Children Presenting with Acute Conditions in Clinics and CHCsAdapted from Pocketbook Care for Children. Management of Common Childhood Illnesses. National Department of Health. South Africa, 2016. www.health.gov.za/ and the Integrated Management of Childhood Illness 2022: NDoH. Click on images to enlarge. The Emergency Triage Assessment and Treatment (ETAT) triage process, presented above, should be a minimum standard of triage in community health centres.Primary Care→
- Rational use of personal protective equipment for coronavirus disease (COVID-19) and considerations during severe shortagesInterim Guidance WHO 06 April 2020Other→
- Re-initiating ART in Non-pregnant Clients who have Interrupted TreatmentClick here to open the above PDF Click here for Switching existing clients to DTG-containing regimens Click here for Routine HIV VL Monitoring on ART Click here for Abbreviations 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: 28/07/2023Other→
- Reactive ArthritisManagement SARAA eligibility criteria for b/tsDMARD therapies for other SpA (including ReA, IBD-associated arthritis and undifferentiated SpA) Reactive arthritis (ReA) is an inflammatory arthritis that manifests several days to weeks after a gastrointestinal or genitourinary infection. Because the pathogens cannot be cultured from the affected joints, this is not a septic arthritis but rather anOther→
- Ready to Use Therapeutic Food (RUTF) (Age 2 months up to 5 years)IMCI - Child (Age 2 months up to 5 years)IMCI→
- RecommendationsOnly offer PCa screening to informed, asymptomatic men, in line with their personal values and preferences, who have a life expectancy of >10 years Use the PSA blood test as the first screening test Offer early PSA testing to asymptomatic, well-informed men with a life expectancy of >10 years who are at high risk of CaP Individualise screening intervals for PSA testing in men who had a normOther→
- Recommendations for Airway Management for COVID-19 PatientsGuidance documents released by SASA around COVID-19. Published 05 April 2020.Other→
- Recommendations for Chronic Opioid Therapy (COT) in Specific Pain SyndromesThis 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.Other→
- Recommendations for Workflow and Anaesthesia for COVID-19 Patients Presenting to the Operating TheatreGuidance documents released by SASA around COVID-19. Issued 24 March 2020.Other→
- Recommendations for Workflow and Anaesthesia in Paediatric patients where Covid-19 infection is not suspectedEndorsed PACSA Workflow in Paediatric Patients - Updated 31 March 2020Other→
- Recommendations for the Management of Anaesthesia and Surgery for Elective ProceduresGuidance documents released by SASA around COVID-19. Issued on 25 March 2020 .Other→
- Recommendations on Personal Protective Equipment (PPE) for anaesthesia providers during the COVID-19 pandemicGuidance documents released by SASA around COVID-19. Published 06 May 2020.Other→
- Recommended Analgesia Strategies for Specific Surgical ProceduresEar, nose, and throat procedures Common procedures performed in children and suggested regional anaesthesia techniques Principles of postoperative analgesic prescription Pain in children with cerebral palsy, deformities and cognitive impairment Pain in children with autism spectrum disorders Patients with obstructive sleep apnoea Pain in children with cancer Ear, nose, and throat procedures MyrinOther→
- Recommended Coding Guidelines for Anaesthetists During Covid-19 EraRecommended Anaesthetic ICU Coding Guidelines 06 May 2020Other→
- Recommended ReadingSANBS Guideline - Updated August 2023Other→
- Recommended baseline investigations for BDThese 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.Other→
- Recurrent Abdominal PainDescription Diagnostic criteria General and supportive measures Medicine treatment Referral ICD-10 code: R10.4 DESCRIPTION Recurrent abdominal pain for which no cause can be found occurring at least monthly for 3 consecutive months with severity that interferes with routine function of the child. DIAGNOSTIC CRITERIA Clinical Peri-umbilical pain associated with belching, bloating with negative finPEML (Paeds)→
- Recurrent Abdominal PainRecurrent Abdominal PainOther→