Guidelines

3,191 entries

NDOH Standard Treatment Guidelines and clinical protocols

Summary of What's New in the 2023 Guideline for Vertical Transmission Prevention of Communicable InfectionsClick on the image to enlarge. Click here for the pdf . South African National Department of Health, Guideline for VerticalTransmission Prevention of Communicable Infections, Version 2_August 2023Other→
Summary of the Care Continuum for Clients 5 years of age and older on ARTClients on ART can be differentiated into those who are: Clinically well and adherent on ART and Those who are clinically non-stable and/or struggling with adherence. Clients that are clinically well at their first clinical review one month after starting ART, only need to be seen again 2 months later for clinical review and their first viral load and serum creatinine. After that, taking treatmenOther→
Summary pointsThese 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→
Summary pointsThese 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→
Summary pointsSummary pointsOther→
Summary pointsThese 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→
Summary pointsThese 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→
Summary pointsThese 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→
Summary pointsThese 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→
Summary pointsThese 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→
Summary, Authors, Affiliations & AcknowledgementsBackground Methods Results Conclusion Contribution Keywords Authors Affiliations Acknowledgements Background Allergic rhinitis (AR) has a significant impact on the community as a whole with regard to quality of life and its relationship to allergic multi-morbidities. Appropriate diagnosis, treatment and review of the efficacy of interventions can ameliorate these effects. Yet, the importance of AOther→
Summary, Objectives and Position Statement DevelopmentSummary Asthma prevalence is increasing worldwide, and surveys indicate that most patients in developed and developing countries, including South Africa, do not receive optimal care and are therefore not well controlled. Standard management guidelines adapted to in-country realities are important to support optimal care. The South African Thoracic Society (SATS) first published a guidelineOther→
Summary: SEMDSA Algorithm for the Management of Type 2 DiabetesSEMDSA Algorithm for the Management of Type 2 DiabetesOther→
Summary: Vaccination guidelines for HIV-infected adolescents & AdultsVaccination guidelines for HIV-infected adolescents & AdultsOther→
Superior Vena Cava ObstructionAn approach to symptom management to guide decision-making in the management of patients with life-threatening illnessOther→
Suppression of Labour for Foetal DistressStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults, Updated for the 2023 EditionEML (Adult)→
Suprapubic Urine CollectionManagement 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.Other→
Surgery for Ectopic PregnancyThis 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→
Surgical & Other Treatment OptionsManagement options depend on the presumed diagnosis, and on the patient’s wishes regarding pregnancy Medication Drug treatment may be given for at least 3 months, and the patient may be reviewed after that, to continue or to stop treatment. • Tranexamic acid (Cyclokapron) 0.5 to 1 g orally 3 times daily for the first 3 days of bleeding. Can reduce regular heavy bleeding by 50%. Useful for acute bleeding and long term. Does not make irregular bleeding regular. Do not prescribe in patients with a history of thromboembolism. Injectable Medroxyprogesterone acetate (Depo-Provera) 150 mg IM every 3 months, Norethisterone ethanoate(Nur-isterate) 200mg; useful for acute bleeding and long-term. At first, bleeding may be irregular, if this happens add 4 weeks of Norethisterone (Primolut) 10 mg orally twice daily. Reduce bleeding by 95-100%. Progestogens may cause slight weight gain, feeling of heaviness, oily skin, mood changes and rarely headache • Medroxyprogesterone acetate (Provera) 5 mg orally twice daily for 21-28 days per month (never only 5-14 days: has no effect) • Norethisterone (Primolut) 10 mg orally twice daily or 5 mg orally 3 times daily for 21-28 days per month (not 5-14 days, as the package insert suggests – this is ineffective); useful when bleeding is irregular • Combined oral contraceptives. They also reduce dysmenorrhea and provide contraception. Beware of contraindications. Decrease bleeding up to 50%. • Nonsteroidal anti-inflammatory drugs such as Ibuprofen 400 mg orally 3 times daily, mefenamic acid 500 mg orally 3 times daily, or naproxen 500 mg orally 3 times daily for the duration of bleeding. Useful for dysmenorrhea, but decrease bleeding variably 10-45%. Beware of contraindications – peptic ulceration, asthma, renal dysfunction • Levonorgestrel-containing intrauterine system (Mirena) is effective, not available at some public hospitals, irregular spotting may occur at first. Reduce bleeding 95-100%. • For prolonged bleeding following use of Depo Provera, or oral contraceptives, one can give conjugated oestrogen (Premarin) 0.625 mg daily for three weeks, after demonstrating a thin endometrium on ultrasoundOther→
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→
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→
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→
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)→
TB (Age 2 months up to 5 years)IMCI - Child (Age 2 months up to 5 years)IMCI→
TB Chemoprophylaxis/ Isoniazid Preventive Therapy (IPT) in ChildrenPulmonary Tuberculosis (TB)Primary Care→
TB Chemoprophylaxis/Isoniazid Preventive Therapy (IPT) in AdultsPulmonary TuberculosisPrimary Care→
TB Control Programme: Medicine Regimens in AdultsPulmonary TuberculosisPrimary Care→
TB Control Programme: Medicine Regimens in ChildrenPulmonary Tuberculosis (TB) in ChildrenPrimary Care→
TB Drug DosingTB Control Programme Treatment Regimen for TB in Adult Patients and Children 8 years and olderOther→
TB Drug Dosing Chart for Children < 8 Years of Age (2013)TB Drug Dosing Chart for Children <8 Years of Age (2013)Other→
TB Drug Dosing Chart for Children ≥8 years of ageTB Drug Dosing Chart for Children ≥8 years of ageOther→