A Survey of Hypertensive Practices at Two Community Health Centres in Cape Town (Clinical Report)

A Survey of Hypertensive Practices at Two Community Health Centres in Cape Town (Clinical Report)

Background. Control of hypertension remains an elusive goal, but doctors’ non-compliance with guidelines, patient attitudes and adherence to treatment, and poor delivery of care at clinics are important contributing factors. Objectives. To determine the overall quality of hypertensive care, and compliance with current hypertension guidelines at community health centres (CHCs) in the Western Cape.

Safety and Efficacy of Procedural Sedation and Analgesia (PSA) Conducted by Medical Officers in a Level 1 Hospital in Cape Town (Original Articles) (Report)

Safety and Efficacy of Procedural Sedation and Analgesia (PSA) Conducted by Medical Officers in a Level 1 Hospital in Cape Town (Original Articles) (Report)

Procedural sedation and analgesia (PSA) is a skill commonly required when dealing with patients in the emergency department (ED). Typical procedures performed under PSA in the ED or minor theatre setting are reduction of fractures and common dislocations, incision and drainage of abscesses, laceration repair in children, foreign body removal, and evacuation of retained products […]

HIV/AIDS Influences Blood and Blood Product Use at Groote Schuur Hospital, Cape Town (Original Articles) (Report)

HIV/AIDS Influences Blood and Blood Product Use at Groote Schuur Hospital, Cape Town (Original Articles) (Report)

Human immunodeficiency virus (HIV) infection is associated with cytopenias of all major blood cell lines. Anaemia occurs in up to 70% of patients with HIV/AIDS, and thrombocytopenia, neutropenia or lymphopenia in 40 – 70%. (1) The incidence and severity of cytopenias correlate directly with the degree of immunosuppression, while isolated haematological abnormalities, particularly anaemia and […]

Quality of Cause of Death Certification at an Academic Hospital in Cape Town, South Africa (Original Articles) (Report)

Quality of Cause of Death Certification at an Academic Hospital in Cape Town, South Africa (Original Articles) (Report)

South Africa has a well-established system for vital registration and collection of mortality statistics, but is challenged by under-reporting of death statistics, particularly in rural areas and of young children. (1) The quality of medical certification and misclassification of causes of death are also of concern. (2-5) Errors could result from difficulties in clinical diagnosis, […]

Utilisation and Outcomes of Cervical Cancer Prevention Services Among Hiv-Infected Women in Cape Town (Original Articles) (Report)

Utilisation and Outcomes of Cervical Cancer Prevention Services Among Hiv-Infected Women in Cape Town (Original Articles) (Report)

Cervical cancer is the most common cancer among South African women. The age-standardised mortality rate from cervical cancer is 21.0% in South Africa but only 8.9% worldwide. (1,2) This differential highlights inequality in the availability of screening for easily treated precursor lesions. South Africa’s cervical cancer burden severity is compounded by its HIV epidemic (2008 […]