Guidelines
3,191 entriesNDOH Standard Treatment Guidelines and clinical protocols
- AnalgosedationDescription Diagnostic criteria General and supportive measures Medicine treatment DESCRIPTION With respect to the comfort of critically ill children, the first priority is ensuring adequate analgesia, best assessed by validated pain assessment scales such as the revised FLACC (R-FLACC), Wong-Baker Faces, Numeric Pain Rating etc. However, sedation is routinely required to minimise anxiety and facPEML (Paeds)→
- AnaphylaxisDescription General Measures Emergency Treatment Medicine Treatment Referral ICD-10 code: T78.2/Y57.9 DESCRIPTION A very severe allergic reaction that usually occurs within seconds or minutes after exposure to an allergen, but may be delayed for up to 1 hour. The reaction can be short-lived, protracted or biphasic, i.e. acute with recurrence several hours later. Immediate reactions aPrimary Care→
- AnaphylaxisAnaphylaxisOther→
- Anaphylaxis/ Anaphylactic ShockDescription General measures Medicine treatment ICD-10 code: T78.2 + Y57.9 DESCRIPTION An acute, potentially life-threatening hypersensitivity reaction. The reaction usually starts within seconds to minutes after administration of, or exposure to a substance to which the individual has been sensitised. Clinical manifestations range from mild urticaria and angioedema to upper airway obstruction, bEML (Adult)→
- Anaphylaxis/Anaphylactic ReactionsPaediatric Anaphylaxis/Anaphylactic ReactionsOther→
- Anaphylaxis/Anaphylactic ReactionsDescription Diagnostic criteria General and supportive measures Medicines treatment Preventative measures and home based treatment Referral ICD 10 code: T78.2 DESCRIPTION An acute, potentially life-threatening hypersensitivity reaction starting within seconds to minutes after administration of, or exposure to, a substance to which the individual is sensitised. Clinical manifestations incluPEML (Paeds)→
- Anastomotic Leak GuidelinesAnastomotic Leak GuidelinesOther→
- Androgen DeficiencyStandard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2019 EditionEML (Adult)→
- Angina Pectoris, StableAngina Pectoris, StablePrimary Care→
- Angina Pectoris, Unstable/Non ST Elevation Myocardial Infarction (NSTEMI)Angina Pectoris, Unstable/Non ST Elevation Myocardial Infarction (NSTEMI)Primary Care→
- AngioedemaDescription General measures Medicine treatment ICD-10 code: T78.3 + Y57.9 Contact the 24/7 South African Angioedema Hotline at: 082 091 5684 if you require assistance with acute management, investigation or follow up. DESCRIPTION Two major groups of angioedema should be differentiated: allergic angioedema forming part of a systemic reaction to an allergen, and non-allergic angioedema caused by bEML (Adult)→
- AngioedemaAllergiesPrimary Care→
- Animal BitesDescription Medicine Treatment Prevention Referral ICD-10 code: S01.0-9/S11.0-2/S11.7-9/S21.0-2/S21.7-9/S31.0-5/S31.7-8/S41.0-1/S41.7-8/S51.0/S51.7-9/S61.0-1/S61.7-9/S71.0-1/S71.7- 8/S81.0/S81.7-9/S91.0-3/S91.7/T01.0-3/T01.6/T01.8-9/T09.1/T11.1/T13.1/T14.0-1/A82.0-1/A82.9/Z24.2/Z20.3 + External Cause Code (W,X,Y,Z) Note: Rabies and tetanus are notifiable medical conditions. DESCRIPTION AnimPrimary Care→
- Ankle DislocationAnkle DislocationOther→
- Ankle Injuries - AnatomyAnkle injuries - AnatomyOther→
- Ankle Injuries - Fracture ClassificationAnkle injuries - Fracture classificationOther→
- Ankle Injuries - ImagingAnkle injuries - ImagingOther→
- Ankle Injuries - Mechanism of InjuryAnkle injuries - Mechanism of injuryOther→
- Ankle Injuries - SummaryAnkle injuries - summaryOther→
- Ankle Injuries in the Emergency CentreAnkle Injuries in the Emergency CentreOther→
- Ankle injuries - Injury Patterns to LigamentsAnkle injuries - Injury patters to ligamentsOther→
- Annexure 1 - ART for the Term NeonateClick here to open the above PDF Click here to view Monitoring on ART 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: 07/08/2023Other→
- Annexure 1: Amoxicillin/Clavulanic Acid Weight Band Dosing TableAmoxicillin/Clavulanic Acid (14:1 Ratio) 600mg/42.9mg/5 ml Amoxicillin/clavulanic acid, oral, 45 mg/kg/dose of amoxicillin component, 12 hourly. Click on the image to enlarge. Erratum for updates (08 April 2026): Click here to access pdf . Standard Treatment Guidelines and Essential Medicines List for South Africa Paediatric Hospital _Annexure 1: Amoxicillin/Clavulanic Acid Weight BanPEML (Paeds)→
- Annexure 1: EGK Job AidClick on the image to enlarge. Click here for the pdf . South African National Department of Health, Guideline for Vertical Transmission Prevention of Communicable Infections, Version 2_August 2023Other→
- Annexure 1: Weight-Based Dosing of Medicines Used in Multidrug-Resistant TB Regimens, Adults and ChildrenClick on the image to enlarge. Click on the image to enlarge. Click on the image to enlarge. Click on the image to enlarge. Click on the image to enlarge. bd: two times a day; BPaL: bedaquiline, pretomanid and linezolid; BPaL-L: bedaquiline, pretomanid, linezolid and levofloxacin; cap: capsule; DR-TB: drug-resistant TB; dt: dispersible tablet; g: gram; GDG: Guideline Development Group; HIV: humanOther→
- Annexure 2 - ART for the Preterm NeonateClick here to open the above PDF Click here for Monitoring of ART Click here for ART for the Term Neonate 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: 07/08/2023Other→
- Annexure 2: PrEP Job Aid for CliniciansClick on the image to enlarge. Click here for the pdf . South African National Department of Health, Guideline for Vertical Transmission Prevention of Communicable Infections, Version 2_August 2023Other→
- Annexure 3 - Enhanced Adherence CounsellingEnhanced Adherence Counselling Sessions There are two sessions: Session 1: Initial enhanced adherence counselling for patients struggling with adherence. Session 2: Enhanced adherence counselling for persistent non-adherent patients (covered in DMOC SOP 2 ). Session 1 1. Explain the purpose of your session, define terms: Determine possible reasons for abnormal assessment results. Assess andOther→
- Annexure 3: Counselling for PrEPClick on the image to enlarge. Click here for the pdf . South African National Department of Health, Guideline for Vertical Transmission Prevention of Communicable Infections, Version 2_August 2023Other→
- Annexure 4 - Mental Health AssessmentSource: Differentiated Care Models Standard Operating Procedures 2023 As mental health disorders can impact adherence negatively, it is recommended that screening is provided for mental health disorders while treating HIV, TB, and NCDs. Basic screening should assess: What is the patient’s appearance? Is he/she clean and looking after him or herself? Does the person look worried or sad? Does the pOther→
- Annexure 4: Integrated Visit Schedule for the Mother Taking PrEPVisit Schedule for Integrated Care: Mother taking PrEP The principles are as follows: Wherever possible, try to align the mother’s PrEP, HIV and STI screening and contraception visits with that of the child’s EPI visit schedule so the mother-baby pair need only attend the facility once for all consultations on the same day Wherever possible, allow the mother and baby to receive care at the same sOther→
- Annexure 5 - Practical Advice on Administration of ARV DrugsClick 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: 07/08/2023Other→
- Annexure 5 TPT Dosing TablesTPT Regimens for Children Weighing Less than 25 Kilograms Recommended Daily Dosages for 3RH in HIV-Negative Children <25kg Recommended Daily Dosages for 6H amongst Children Living with HIV < 25kg TPT REGIMENS FOR CHILDREN WEIGHING LESS THAN 25 KILOGRAMS There are two potential regimens for children: 3RH (rifampicin and isoniazid for 3 months), and 6H (isoniazid for 6 months). TheOther→
- Annexure 6 - Antiretroviral Drug Dosing Chart for Children (2022) Click here to open the above content in the original PDF view 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: 07/08/2023Other→
- Annexure 7 - Child and Adolescent Disclosure Counseling for Children Living with HIVDisclosure should ideally be a gradual process over many years, advancing from partial disclosure to full disclosure, post-disclosure, and ongoing support. Ideally full disclosure should take place between 10 and 14 years old if the child is of normal cognition and maturity, making sure that it is done before sexual debut. The parent or caregiver (PCG) should be prepared for disclosure and supporOther→
- Annexure A: Infection Prevention Multimodal MeasuresSupporting the Antimicrobial Resistance Strategy Framework and the Guidelines on Implementation of the Antimicrobial Strategy in South Africa: One Health Approach and Governance, 2018Other→
- Annexure A: Pharmacovigilance FormClick on the image to enlarge. Click here to access the pdf . National Guidelines on the Treatment of Tuberculosis Infection, February 2023 Annexure A: Pharmacovigilance FormOther→
- Annexure B: Adherence PlanAdherence Step 1: Education of patient Adherence Step 2: Life goals Adherence Step 3: Patient support system Adherence Step 4: Getting to appointments Adherence Step 5 - Treatment schedule Adherence Step 6: Reminder strategies Adherence Step 7: Managing missed doses Adherence Step 8: Storing medication and extra doses Adherence Step 9: Dealing with side-effects Adherence Step 10: Planning for triOther→
- Annexure B: Infection Control Bundles for Prevention of HAIsSupporting the Antimicrobial Resistance Strategy Framework and the Guidelines on Implementation of the Antimicrobial Strategy in South Africa: One Health Approach and Governance, 2018Other→
- Annexure C : Laboratory Alert Organism ReportSupporting the Antimicrobial Resistance Strategy Framework and the Guidelines on Implementation of the Antimicrobial Strategy in South Africa: One Health Approach and Governance, 2018Other→
- Annexure C: TPT Integration into Repeat Prescription Collection Strategies for Clinically Stable PLHIV on ARTBackground Completion of TPT prior to enrolment in differentiated service delivery (DSD) model TPT initiation and completion within DSD model Transition to TLD regimen Background South African Adherence Guidelines enable clinically stable ART patients to access multi-month ART supply and easier drug supply collection through Repeat Prescription Collection Strategies (RPCs), namely facility pick-uOther→
- Annexure D: Healthcare Associated Infections Surveillance and DefinitionsSupporting the Antimicrobial Resistance Strategy Framework and the Guidelines on Implementation of the Antimicrobial Strategy in South Africa: One Health Approach and Governance, 2018Other→
- Annexure E: Hospital AMS CommitteeSupporting the Antimicrobial Resistance Strategy Framework and the Guidelines on Implementation of the Antimicrobial Strategy in South Africa: One Health Approach and Governance, 2018Other→
- Annexure F: Cumulative AntibiogramsSupporting the Antimicrobial Resistance Strategy Framework and the Guidelines on Implementation of the Antimicrobial Strategy in South Africa: One Health Approach and Governance, 2018Other→
- Annexure G: Antimicrobial Prescription ChartsSupporting the Antimicrobial Resistance Strategy Framework and the Guidelines on Implementation of the Antimicrobial Strategy in South Africa: One Health Approach and Governance, 2018Other→
- Annexure H: Diagnostic StewardshipSupporting the Antimicrobial Resistance Strategy Framework and the Guidelines on Implementation of the Antimicrobial Strategy in South Africa: One Health Approach and Governance, 2018Other→
- Anorexia NervosaAnorexia NervosaPEML (Paeds)→
- Anorexia, Asthenia and CachexiaAn approach to symptom management to guide decision-making in the management of patients with life-threatening illnessOther→
- Antenatal ClinicThe 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→
- Antenatal ClinicAntenatal Clinic Testing for HIV Treatment for HIV VL Monitoring and Management Screening for TB and other OI's Prevention of transmission of Syphilis, HBV and other infections Other care Antenatal Clinic When caring for a pregnant woman, always be sure to: Recognise the pregnant client that requires urgent attention as outlined in BANC Plus and manage/refer as appropriate Identify the pregnant cOther→