Guidelines
PrEP guidelines/links to resources for medical practitioners in SA
South African guidelines recommend that pre-exposure prophylaxis (PrEP) should be considered for people who are HIV-negative and at significant risk of acquiring HIV infection. PrEP may be suitable for: Any sexually active HIV-negative MSM or...
Expert panel strongly recommends against almost all shoulder pain surgery
February 13th, 2019 Surgery should not be performed in almost all patients with a common cause of shoulder pain known as subacromial pain syndrome or SAPS (also called shoulder impingement or rotator cuff disease), say a panel of international experts. Their strong...
2011 guidelines on management of gonorrhoea updated
February 6th, 2019 A new guideline on the management of gonorrhoea has been issued by the British Association for Sexual Health and HIV, says a MDmagazine report. The 2019 guideline introduced changes made to the 2011 guideline including: removing the recommendation...Third-line SA antiretroviral guidelines
Third-line antiretroviral treatment (ART) is used when a patient has experienced virological failure on drugs from the NRTI, NNRTI and PI classes, and has documented PI resistance. South African Guidelines for Third Line Treatment in Adults and...
AHA recommendation on newer type of blood-thinning medications
January 30th, 2019 A newer type of blood-thinning medications, non-vitamin K oral anticoagulants (NOACs), is now recommended as the preferred alternative to warfarin for reducing the risk of stroke associated with atrial fibrillation (AFib), according to a focused...NICE guidelines for pelvic organ prolapse and stress urinary incontinence
The UK’s National Institute for Health and Care Excellence (NICE) has published draft guidelines for the clinical management of pelvic organ prolapse and stress urinary incontinence. The guidelines, which are open for public consultation until 19...CDC guidelines on treatment of paediatric mild TBI
New evidence-based guidelines, developed by the Centres for Disease Control and Prevention (CDC) with input from the American College of Emergency Physicians (ACEP) and others put forward recommendations for a broad range of health care providers...Canadian guidelines for rehabilitation of patients with TBI
Clinical practice guidelines play a critical role in promoting quality care for patients with traumatic brain injury (TBI). A new Canadian set of guidelines for rehabilitation of patients with moderate to severe TBI – incorporating insights from...
Routine prostate cancer testing not recommended — international panel
September 12th, 2018 Routine testing for prostate cancer with the prostate specific antigen (PSA) test is not recommended for most men because the benefit is small and uncertain and there are clear harms, say a panel of international experts. The experts acknowledge,...Diagnosis and treatment guidelines for C.difficile in new-borns
New-borns require special diagnosis and treatment considerations for the infectious diarrhoea Clostridioides difficile (C. difficile) infection, according to a new evidence-based white paper. The publication is in conjunction with the release of a...
A review article on the clinical use of probiotics
August 29th, 2018 A review article in Gastroenterology & Endoscopy News provides recommendations for the selection of a probiotic regimen where evidence appears strong. Interest in modifying the gut flora by consuming foods or microbes that may improve...
SA national guidelines for the treatment of malaria — 2018 update
August 8th, 2018 The SA Department of Health has released updated national guidelines for the treatment of malaria. Since 2000, the burden of malaria morbidity and mortality has been reduced substantially. Implementing more effective treatments for uncomplicated...2018 recommendations on antiretrovirals and Tx for HIV infection
New drugs and new approaches to prevent and manage HIV infection necessitate an update to the International Antiviral (formerly AIDS) Society–USA (IAS-USA) recommendations, last published in 2016. This report incorporates current data on new...Guidelines for treating paediatric asthma
The Paediatric Asthma Yardstick, a new guideline from the American College of Allergy, Asthma and Immunology (ACAAI), offers a user-friendly "operational document." It helps health care professionals understand which controller treatments are right...Pain management in inflammatory arthritis and osteoarthritis
The European League Against Rheumatism has released recommendations for health professionals to use in approaching pain management in inflammatory arthritis (IA) and osteoarthritis (OA). Dr Rinie Geenen, from Utrecht University in the...