Federation of Infectious Diseases Societies of Southern Africa (FIDSSA)

 South African guideline for the management of community-acquired pneumonia in adults 2017

Updated recommendations for the management of upper respiratory tract infections in South Africa

Pocket Guide to antimicrobial prescribing in South Africa 2015

Local Guidelines on FIDDSA Website

Antimicrobial Prescribing
Infectious Diseases
Microbiology and Infection Control

National Department of Health Guidelines

National Department of Health Standard Treatment Guidelines and Essential Medicines Lists (Primary Health Care, Adults and Children Hospital level and Tertiary and Quaternary care are available at:

The National Department has also Issued multiple other guidelines on specific issues and diseases, falling under the Ideal Clinic Program and on the Ideal Clinical website www.idealhealthfacility.org.za :
(Go to the Documents Tab - access number 5: Guidelines)

  • Adult primary care guide 2016/2017
  • Guidelines for Maternity care in South Africa: A manual for clinics, community health centres and district hospitals
  • Management of Drug Resistant Tuberculosis
  • Updated Management of hypertension in adults at primary care level
  • National Consolidated Guidelines for the prevention of Mother-to-Child Transmission of HIV (PMTCT) and the management of HIV in Children, adolescents and adults
  • Integrated Management of Childhood illness
  • Guidelines for the Management of tuberculosis in children
  • National Tuberculosis Management Guidelines 2014
  • National infection prevention and control guidelines for TB, MDR Tb and XDR TB, 2015
  • Sexually transmitted infections management Guidelines 2015
  • National Guidelines on epidemic preparedness and response

Additional Department of Health Guidelines include:

Guidelines for the prevention of malaria in South Africa- 2017

National guidelines for the treatment of malaria in South Africa- 2018

Guidelines for Healthy eating information for nutrition educators – 2014

Guidelines for the management of tuberculosis, HIV and STIs in correctional facilities - 2013

Food-based Dietary Guidelines for South Africa – 2013

Infant and young Child feeding policy – 2013

National contraception and family planning policy and service delivery guidelines – 2012

National Contraception Clinical Guidelines – 2012

Vaccinators Manual: Immunization that works – 2012

South African National Guidelines for Medical Male Circumcision - 2016

Leprosy control in South Africa - 2011

Guidelines for the management, prevention and control of meningococcal disease in South Africa – 2011

National Institute for Communicable Diseases (NICD) and National Health Laboratory Service (NHLS)

The NHLS has also published some useful guidelines on their website.

Useful NICD Resources

NICD Diseases A-Z list

NICD-NHLS handbook for diagnosis of foodborne illness clusters / outbreaks – 2016

EPI Diseases Surveillance Guideline 3 rd Edition (2015) Guidelines for Detecting, Reporting, Investigating and Responding to EPI Priority Diseases – 2015

NICD-NHLS quick reference guide for the laboratory diagnosis of priority communicable diseases – 2012

Healthcare workers handbook on bioterrorism – 2011

Healthcare workers guidelines on rift valley fever (RVF) – 2011

Recommendations pertaining to the use of influenza vaccines and influenza antiviral drugs – 2016

National Pathology Group

The National Pathology Group has a guideline which it issues relating to the use of appropriate laboratory investigations. This may be freely accessed at :

The website also contains recommendations for pathology testing for several conditions:

Additionally the following international sites are of value: ARUP Laboratories: A national reference laboratory: www.aruplab.com Lab Tests Online : labtestsonline.org Royal College of Pathologists of Australasia: www.rcpa.edu.au/Home

National Osteoporosis Foundation of South Africa (NOFSA)
  • Guidelines on Diagnosis and Management of Osteoporosis
  • Recommendations for the acute and long-term medical management of low trauma Hip Fractures
  • Atypical Femoral Fractures
  • Vertebral factures


South African National Blood Service (SANBS)

Clinical Guidelines for the use of Blood products in South Africa – 2014

South African Society of Psychiatrists

Treatment Guidelines for Psychiatric Disorders

South African Addiction Medicine Society

Guidelines for the pharmacological management of Alcohol Use Disorder – 2016

South African guidelines for the management of opioid dependence – 2015

SA Heart Association


SA Heart® subscribes to the guidelines issued by the European Society of Cardiology. The ESC Clinical Practice Guidelines can be viewed and downloaded from the ESC website guidelines page. You can also download an app to view the pocket guidelines together with interactive tools (algorithms, calculators, charts, scores...) from this site.  
SA Heart® publishes position papers or commentary on guidelines for local circumstances where appropriate. 

Guideline: Management of Pulmonary Hypertension (2015)
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Position Statement Prevention of Infective Endocarditis Before Dental Procedures
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Guideline: Diet for prevention of cardiovascular disease
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Guideline: Bridgepoint CTO
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Position Statement: Renal denervation
The SA Heart® - Hypertension Society update on renal denervation.
Read more

Guideline: South African Dyslipidaemia
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Guideline: Management of Acute Coronary Syndromes
This guideline describes the recognition and management of unstable angina (UA) and non-ST-segment elevation myocardial infarction (NSTEMI). These are two of the three components of the acute coronary syndrome (ACS).
Read more

Guideline: Cardiac imaging with Cardiac CT and MRI
The rapid advance in the field of cardiac imaging has necessitated guidelines for the performance and interpretation of these newer imaging modalities.
Read more

Guideline: Paediatric echocardiography in South Africa
This document provides guidelines for standards of practice in paediatric transthoracic echocardiography in South Africa. Paediatric echocardiography is not a substitute for a proper clinical opinion and such studies are best performed as part of an assessment by a paediatric cardiologist.
Read more

Guideline: Trans-catheter Aortic Valve Implantation (TAVI)
The South African Heart Association (SA Heart®) together with two of its special interest groups, SASCI and SCTSSA represent the scientific, educational, socioeconomic, ethical and professional interests of South African cardiac specialists, with a combined membership of over 200 members. We are the only national organisations exclusively representing practising cardiologists and cardiothoracic surgeons.
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Accredited Training Units
Cardiology Training is offered only at universities with linked medical schools and training hospitals in South Africa. Limited training positions are available, according to government allocations in the respective provinces. 
In order to start the three year specialization course in cardiology, one has to be a qualified physician. Please apply directly to the respective heads of departments for a training post.
Read more

Guideline: Cardiology Training
Cardiology Training follows strict guidelines. A logbook must be kept to prove proficiency in techniques, and a prescribed minimum number of each different procedure performed must be recorded. 
The College of Medicine is responsible for conducting the qualifying examination at the end of the three year course. 
You can find the cardiology syllabus and logbook requirements here.
Read more

Treatment of Myorcardial Revascurlarisation - DES
SASCI as an official Special Interest Group of the South African Heart Association subscribe to the European Society of Cardiology (ESC) guidelines. The ESC guidelines are regularly updated to include the latest appropriate Evidence Based Medicine but local guidance (comment) is...Read more

Guideline: EHRA Consensus
Antithrombotic therapy in atrial fibrillation associated with valvular heart disease: a joint consensus document from the European Heart RhythmAssociation (EHRA) and
European Society of CardiologyWorking Group on Thrombosis, endorsed by the ESC Working Group on Valvular Heart Disease, Cardiac Arrhythmia Society of Southern
Africa (CASSA), Heart RhythmSociety (HRS), Asia Pacific Heart RhythmSociety (APHRS), South African Heart (SA Heart) Association and Sociedad Latinoamericana de
Estimulacion Cardiaca y Electrofisiologoıa (SOLEACE).
Read more

South African HIV Clinicians Society


Two documents have been developed. The first provides a quick reference and summary of the main aspects related to supporting antiretroviral therapy adherence for HIV positive adolescents and young adults. The second, this expanded version, provides more detail for those requiring additional background information, resources and references.

This document provides a quick reference and summary of the main aspects related to supporting antiretroviral therapy adherence for HIV positive adolescents and young adults.

These guidelines are intended as an update to those published in the Southern African Journal of HIV Medicine in 2014 and the update on when to initiate antiretroviral therapy in 2015. Since the release of the previous guidelines, the scale-up of antiretroviral therapy (ART) in southern Africa has continued. New antiretroviral drugs have become available with improved efficacy, safety and more robustness. The guidelines are intended for countries in the southern African region, which vary between lower and middle income.

A supplement to the National HIV Testing Services Policy 2016.

The aim of the this PrEP guideline is to explain what PrEP is, outline current indications for its use, outline steps for appropriate user selection and provide guidance to monitor and maintain PrEP users.

This document is a corrigendum to our "Guideline on the management of occupational and non-occupational exposure to the human immunodeficiency virus and recommendations for post-exposure prophylaxis: 2015 Update".

This guideline is an update of the post-exposure prophylaxis (PEP) guideline published by the Southern African HIV Clinicians Society in 2008.

These guidelines are an update of the Southern African HIV Clinicians Society’s ART 2014 guidelines. The update is to the section of the adult ART guidelines relating to when ART should be initiated.

UPDATED:Algorithms which assist in managing infants with indeterminate HIV PCR results.

Update to 2007 guidance to include all types of migrants and crisis-affected populations, including those forcibly displaced. This update stresses that migration and forced displacement must NO T be used as an excuse to deny treatment. Clear recommendations are provided for states, clinicians and programme managers, civil society, donors and United Nations (UN ) agencies.

2014 update to the Society guideline on adult antiretroviral therapy.

This document is provided as an information resource for all health care workers to assist in the appropriate prescribing of antibiotics.

Guideline on mental health disorders and CNS sequelae in HIV positive children and adolescents

A reference document to assist HIV nurse and doctor clinicians in managing mental health disorders

Practical guidance on the re-introduction of anti-TB drugs and ART in HIV/TB co-infected individuals presenting with DILI

Updated to include newly available drug formulations: ABC 60mg dispersible tablets and ABC (60mg) + 3TC (300mg) tablets

Update to 2007 guidelines on the prevention, diagnosis and management of cryptoccocal meningitis among HIV-infected persons

Guidance on how to switch patients from 3 separate antiretroviral (ARV) drugs to the new, single, FDC tablet containing tenofovir (TDF), emtricitabine (FTC) and efavirenz (EFV).

Recommendations for HIV resistance testing for people living with HIV in the southern African region







Southern African Hypertension Society

South African Hypertension Guideline version 2014

5th hypertension guideline published by the Southern African Hypertension Society (SAHS)
View document

SA Society of Anaesthestioloigsts (SASA)

The South African Society of Anasethesiologists has several guidelines available for the management of pain, sedation and other areas www.sasaweb.com


SASA Practice Guidelines 2018

SASRA Guidelines 2016

South African Acute Pain Guidelines 2015

SASA Pain Guidelines 2015

SASA High Spinal Anaesthesia Guidelines 2015

South African Society of Anaesthesiologists Sedation Guidelines 2015

SAMBA Guidelines for PONV 2014

SASA Guidelines for Infection Control 2014

Southern African Arthroplasty Society

Guidelines for best practice in primary hip replacement surgery in South Africa – 2016

Guideline to good practice in total knee replacement in South Africa – 2016

SA Society of Obstetricians and Gynaceologists

A number of guidelines are available on the SASOG webpage at: www.sasog.co.za/Professional/Guidelines

Setting of a sterile tray (No date)

Guideline document: Cervical Cancer Screening in South Africa – 2015

Guideline for special investigations in antenatal care (No date)

HPV prophylactic vaccine (No date)

South African Society of Orthopaedic Surgeons

SA Society of Orthopaedic Surgeons

South African Gastroenterology Society (SAGES)

The SAGES website contains the Society’s short positions on several pertinent issues in gastroenterology:

In addition there are links to international Guideline websites.

South African Renal Society (SARS)

Aligning to the international KDIGO Guidelines, SARS has local guidance available.

Guideline for optimal care of patients on chronic dialysis in South Africa – 2015

Guideline for chronic dialysis in children in South Africa – 2015

Guideline for the care of patients with acute kidney injury – 2015

South African Stroke Society

South African guideline for management of ischaemic stroke and transient ischaemic attack 2010: A guideline from the South African Stroke Society (SASS) and the SASS Writing Committee

National Guidelines

South African Thoracic Society

Cystic Fibrosis consensus document – 2017

Recommendations for the management of idiopathic pulmonary fibrosis in South Africa – 2017

Recommendations for the use of endoscopic lung volume reduction in South Africa: Role in the treatment of Emphysema – 2016

Guideline for office spirometry in adults 2012 – 2013


Diabetic Guidelines: www.semdsa.org.za/Member/Guidelines

Other guidelines

Society of Vascular Surgery

Society for Vascular Surgery

Specialist Nuclear Physician / Nuclear Medicine

The South African Society of Nuclear Medicine officially endorses selected international guidelines. Links to all of these guidelines can be found on their website: www.sasnm.com/Guidelines

Wound Healing Association of Southern Africa (WHASA)

While the publications of WHASA are consensus documents, rather than guidelines, they offer valuable insights into the management of ulcers, diabetic foot and acute burns. www.whasa.org

WHASA Consensus Document on the management of lower limb ulcers – 2016

WHASA Consensus Document on the management of diabetic foot – 2015

WHASA Consensus document on the management of acute burns – 2015

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