HIV Tuts & Tools

TOP TIP: ARV Regimens in the past decade and switching to TLD

This quick tut gives an overview of how regimens developed over the past decade and helps to set the context for when to switch patients to TLD

TOP TUT: Pre-exposure Prophylaxis for HIV

This Tut covers the use of PrEP for patients at risk of HIV infection. 

NDOH 2023 ART Guidelines Adults & Adolescents 

Dr Madeleine Muller June 2024

An in-depth summary of newly released 2023 ART guidelines - focusing on adults and adolescents age more than ten years old. 

Broadcast Live from the CMH Family medicine Boardroom in Mdantsane, Eastern Cape as part of the BCM / EC weekly HIV case discussion meetings. 

PLEASE NOTE THAT THE TPT RECOMMENDATIONS CHANGED IN THE JULY 2024 UPDATE OF THE GUIDELINE

NDOH 2023 ART Guidelines for Children less than 10 years old. 

Dr Madeleine Muller

An in-depth summary on all aspects of ART management in children under 10 years, using the 2023 ART guidelines, including an overview of available preparations and preventative therapy. 

Broadcast Live from the CMH Family medicine Boardroom in Mdantsane, Eastern Cape as part of the BCM / EC weekly HIV case discussion meetings. 

NDOH 2023 Guidelines for Vertical Transmission Prevention Webinar

Dr Madeleine Muller

The CMH Family Medicine HIV&TB presentation for October 2023 focused on the various aspects of the 2023 Guidelines for Vertical Transmission Prevention of Communicable Diseases, released by the NDOH in August 2023. 

No longer only focusing on the PMTCT of HIV, this guideline also looks at the prevention of Tuberculosis, Syphilis and Hepatitis B. 

This lecture was broadcast live from the CMH Family Medicine Department on the 29th of October and was presented by Dr Madeleine Muller, Family Physician CMH and Senior Lecturer WSU.

Diagnosis and Management of Hepatitis B infection. Dr Madeleine Muller

Webinar recording

The CMH Family Medicine HIV&TB presentation for February 2024 focused on the NDOH Viral Hepatitis guideline of 2019, highlighting the diagnosis and management of Active Hepatitis B infection, both acute and chronic. 

This presentation hopes to demystify chronic hepatitis B and identify which patients may warrant screening, treatment and closer follow-up. 

A 2024 update on Syphilis diagnosis, prevention and treatment in South Africa. Dr Madeleine Muller

There has been a worrying increase in congenital syphilis in South Africa. The NDOH has aligned itself with the WHO’s goal of eradicating congenital syphilis by 2028. In August 2023, the NDOH included syphilis prevention in the Prevention of Vertical Transmission Guideline, and in May 2024, the SAHCS published their guideline on the Clinical Management of Syphilis. 

This webinar summarises the recommendations of these two guidelines and was broadcast live on 31 May 2024 from the Family Medicine Boardroom at Cecilia Makiwane Hospital in Mdantsane, East London, South Africa.

Funda Friday: Approach to Advanced HIV Disease. 

This lecture was broadcast live from the CMH Family Medicine Department on the 24th of February 2023 and was presented by Dr Madeleine Muller, Family Physician CMH & Senior Lecturer WSU .

Funda Friday: Hepatitis B Prevention: Vaccination, PMTCT, PEP and infection control. 

The CMH Family Medicine HIV&TB presentation for March 2024 focused on the NDOH Viral Hepatitis guideline of 2019, highlighting the PREVENTION of Hepatitis B. 

This lecture was broadcast live from the CMH Family Medicine Department on the 22nd of March 2024 and was presented by Dr Schlunz, with supervision from Dr Madeleine Muller. 

The patient with Advanced HIV Disease in the acute setting.

Dr Madeleine Muller

This presentation focuses on managing ill patients with HIV who present in a Casualty or A&E  setting. Using the SAHCS Advanced HIV DIsease guidelines, Dr Muller discusses a systematic approach to assessing and stabilising the patient with advanced disease. Including presentations such as Shortness of Breath, Meningitis signs, Neurological fallout, diarrhoea and altered mental state. 

It also briefly covers the baseline work-up of the patient in A&E or Thuthuzela who is found to be HIV positive (as an incidental finding).

This webinar was recorded live at the Family Medicine / A&E CPD meeting at CMH in June 2024. 

ALTERED MENTAL STATE IN PLHIV

This Funda Friday presentation focuses on the person living with HIV presenting at a healthcare facility with an altered mental state. Using the approach as outlined by the SAHCS Guideline for Advanced HIV Disease, this tutorial covers delirium, dementia and psychosis.

This webinar, presented by Dr Unathi Nong with support from Dr Yusimi Fuentes, was broadcast live from the Family Medicine Boardroom at CMH in August 2024. 

Funda Friday: HIV and renal disease

The CMH Family Medicine HIV&TB presentation for April 2024 focused on HIV and renal disease, discussing how to manage an abnormal creatinine in a newly diagnosed patient, a patient with worsening renal function on ARVs and a patient with chronic kidney disease and HIV. 

This lecture was broadcast live from the CMH Family Medicine Department on 26 April 2024 and was presented by Dr Deana-Ray Smith, with supervision from Dr Madeleine Muller. 

Funda Friday July 2023:Immune Reconstitution Inflammatory Syndrome. This lecture was broadcast live from the CMH Family Medicine Department on the 28th of July 2023 and was presented by Dr Dani, with supervision from Dr Yusimi Fuentes.

Funda Friday Sep 2023: ENT Manifestations of HIV. 

This lecture was broadcast live from the CMH Family Medicine Department on the 30th of September and was presented by Dr Nel, with supervision from Dr Yusimi Fuentes.

Funda Friday March 2023: Pre-Exposure Prophylaxis in the primary health care setting. 

There was an issue with the slide recording during the zoom meeting, and  Dr Muller has re-recorded the presentation, using the slides Dr Siyakane’s and Dr Fuentes had prepared. Thank you for their hard work!

Funda Friday January 2023:  Occupational Post Exposure Prophylaxis.  

This lecture was broadcast live from the CMH Family Medicine Department on the 27th of January 2023 and was presented by Dr van Tonder, with supervision from Dr Yusimi Fuentes.

Funda Friday Nov 2022: HIV Associated Diarrhoea. 

This lecture was broadcast live from the CMH Family Medicine Department on the 25th of November 2022 and was presented by Dr S Bantu, with support from Dr Yusimi Fuentes. 

Funda Friday Oct 2023: Approach to elderly patients with HIV. 

This lecture was broadcast live from the CMH Family Medicine Department on the 28th of October 2022 and was presented by Dr du Plessis, with support from Dr Yusimi Fuentes. 

Funda Friday: Approach to poor adherence to ARVs in a patient living with HIV.
This lecture was broadcast live from the CMH Family Medicine Department on the 30th of September 2022 and was presented by Dr Mthombeni, with support from Dr Yusimi Fuentes. 

Funda Friday Aug 2022: HIV and the Skin
This lecture was broadcast live from the CMH Family Medicine Department on the 26th of August and was presented by Dr Shandu, with support from Dr Yusimi Fuentes. 

Funda Friday July 2022: HIV and Oral lesions.
This lecture was broadcast live from the CMH Family Medicine Department on the 29th of July and was presented by Dr SJ Mbambo. An excellent overview of the topic.

Funda Friday June 2022:  PCP 

Recorded live from the Family Medicine Boardroom CMH on 24 June 2022

This case discussion includes a discussion of Pneumocystis Jiroveci Pneumonia. Presented by Dr Donaldson