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HSC Medicine, Dentistry and Healthcare Sciences Current Awareness Bulletins: Guidelines and Cochrane Reviews

Guidelines and Cochrane Reviews

Frequency: Monthly

Links to articles in the current and previous 2 issues of this bulletin are displayed below.

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September 2025

All content new unless marked as updated

Cochrane reviews

Amplitude‐integrated electroencephalography compared with conventional video‐electroencephalography for detection of neonatal seizures

Clotting factor concentrates for preventing bleeding and bleeding‐related complications in previously untreated or minimally treated children with hemophilia A or B (updated)

Early versus late tracheostomy in people with multiple trauma

Effects of antibiotic prophylaxis during labour on maternal and neonatal outcomes in women planning vaginal birth

Exercise therapy for the treatment of delirium in the intensive care unit

First aid training for laypeople

Interventions for anal canal intraepithelial neoplasia (updated)

Interventions for preventing falls in older people in care facilities

Ketamine and other NMDA receptor antagonists for chronic pain

Linked color imaging versus conventional white‐light colonoscopy for the detection of colorectal polyps

Low‐complexity automated nucleic acid amplification tests for extrapulmonary tuberculosis and rifampicin resistance in adults and adolescents (updated)

Natalizumab for multiple sclerosis

Non‐targeted immunosuppressive and immunomodulatory therapies for idiopathic inflammatory myopathies

Phosphodiesterase type 5 inhibitor plus endothelin receptor antagonist compared to either alone for group 1 pulmonary arterial hypertension

Systemic pharmacological treatments for chronic plaque psoriasis: a network meta‐analysis (updated)

Telerehabilitation for neck pain

Vitamin D supplementation in pregnant or breastfeeding women or young children for preventing asthma

NICE guidelines

Bed frames for adults in acute medical or surgical hospital wards: late-stage assessment (HTE33)

Betula verrucosa for treating moderate to severe allergic rhinitis or conjunctivitis caused by tree pollen (TA1087)

Compression products for treating venous leg ulcers: late-stage assessment (HTE32)

Durvalumab with tremelimumab for untreated advanced or unresectable hepatocellular carcinoma (TA1090)

Guselkumab for previously treated moderately to severely active Crohn's disease (TA1095)

Guselkumab for treating moderately to severely active ulcerative colitis (TA1094)

Idebenone for treating visual impairment in Leber's hereditary optic neuropathy in people 12 years and over (TA1093)

Overweight and obesity management (QS212)

Pembrolizumab with carboplatin and paclitaxel for untreated primary advanced or recurrent endometrial cancer (TA1092)

Ribociclib with an aromatase inhibitor for adjuvant treatment of hormone receptor-positive HER2-negative early breast cancer at high risk of recurrence (TA1086)

Ruxolitinib cream for treating non-segmental vitiligo in people 12 years and over (TA1088)

Single-step scaffold insertion for repairing symptomatic chondral knee defects (IPG793 – updated)

Tarlatamab for extensive-stage small-cell lung cancer after 2 or more treatments (TA1091)

Transcatheter heart valves for transcatheter aortic valve implantation to treat aortic stenosis: late-stage assessment (HTE31)

WHO guidelines

Abortion care guideline (updated - 2nd edition)

WHO guidelines for malaria

Sources

Cochrane Library (Aug); NICE website (Aug); WHO website (Aug)

August 2025

All content new, unless marked as ‘updated’

Cochrane reviews

Automated versus non‐automated weaning for reducing the duration of mechanical ventilation for critically ill adults and children (updated)

Continuous positive airway pressure versus methylxanthine for apnoea in preterm infants (updated)

Corticosteroids for treatment of leptospirosis

Desmopressin for nocturnal enuresis in children (updated)

Digital health, technology‐driven or technology‐assisted interventions for the management of obesity in children and adolescents

Fertility‐sparing treatment for atypical endometrial hyperplasia and endometrial cancer

Gut microbiome‐based interventions for the management of obesity in children and adolescents aged up to 19 years

Hospital Anxiety and Depression Scale Anxiety subscale (HADS‐A) for detecting anxiety disorders in adults

Interventions for improving adherence to amblyopia treatments in children

Low‐intensity shockwave therapy for erectile dysfunction

Midazolam for sedation of infants in the neonatal intensive care unit

Organised trauma systems and designated trauma centres for improving outcomes in injured patients

Palivizumab for preventing severe respiratory syncytial virus (RSV) infection in children (updated)

Perioperative interventions in pelvic organ prolapse surgery (updated)

Postextubation use of non‐invasive respiratory support in preterm infants: a network meta‐analysis

Prophylactic manual rotation of the fetal head (manual rotation alone) to reduce operative delivery and complications for mother and babies

Rituximab for myasthenia gravis

Skin cleansers and leave‐on product interventions for preventing incontinence‐associated dermatitis in adults (updated)

Surgery for spontaneous supratentorial intracerebral haemorrhage

Surgical versus medical methods for second‐trimester induced abortion (updated)

Sustained versus standard inflations during neonatal resuscitation to prevent mortality and improve respiratory outcomes (updated)

Targeted immunosuppressive and immunomodulatory therapies for idiopathic inflammatory myopathies

Topical antibiotics for treating bacterial keratitis: a network meta‐analysis

Transcranial laser therapy for acute ischaemic stroke

Tumor necrosis factor‐alpha antagonists for treatment of pediatric Crohn’s disease

Vaginal lasers for treating stress urinary incontinence in women

Xpert MTB/RIF Ultra assay for pulmonary tuberculosis and rifampicin resistance in adults and adolescents (updated)

NICE guidelines

Cardiovascular risk assessment and lipid modification (QS100 – updated)

Cenobamate for treating focal onset seizures in epilepsy (TA753 – updated)

Dapagliflozin for treating chronic kidney disease (TA1075)

Digital front door technologies to gather service user information for NHS Talking Therapies for anxiety and depression assessments: early value assessment (HTE30)

Fruquintinib for previously treated metastatic colorectal cancer (TA1079)

Intermittent urethral catheters for chronic incomplete bladder emptying in adults: late-stage assessment (HTE28)

Mirikizumab for previously treated moderately to severely active Crohn's disease (TA1080)

Nemolizumab for treating moderate to severe atopic dermatitis in people 12 years and over (TA1077)

One-piece closed bags for colostomies: late-stage assessment (HTE29)

Pulsed-field ablation for atrial fibrillation (IPG806)

Vanzacaftor-tezacaftor-deutivacaftor for treating cystic fibrosis with 1 or more F508del mutations in the CFTR gene in people 6 years and over (TA1085)

Zanubrutinib for treating relapsed or refractory mantle cell lymphoma (TA1081)

WHO guidelines

Digital adaptation kit for self-monitoring of blood pressure during pregnancy: operational requirements for implementing WHO recommendations in digital systems

Guidelines for the management of asymptomatic sexually transmitted infections

Guidelines on lenacapavir for HIV prevention and testing strategies for long-acting injectable pre-exposure prophylaxis

Recommendations on the delivery of health services for the prevention and care of sexually transmitted infections

WHO guidelines for clinical management of arboviral diseases: dengue, chikungunya, Zika and yellow fever

Sources

Cochrane Library (Jul); NICE website (Jul); WHO website (Jul)

July 2025

All content new unless specified as updated

Cochrane reviews

Antibiotics versus topical antiseptics for chronic suppurative otitis media (updated)

Antiplatelet versus anticoagulation treatment for people with heart failure in sinus rhythm (updated)

Aural toilet (ear cleaning) for chronic suppurative otitis media (updated)

Brexanolone, zuranolone and related neurosteroid GABAA receptor positive allosteric modulators for postnatal depression

Community care navigation intervention for people who are at risk of unplanned hospital presentations

Community views on mass drug administration for soil‐transmitted helminths: a qualitative evidence synthesis

Controlled ovarian stimulation protocols for assisted reproduction: a network meta‐analysis

Corticosteroids for treating sepsis in children and adults (updated)

Cycle regimens for endometrial preparation prior to frozen embryo transfer (updated)

Early treatment versus expectant management of hemodynamically significant patent ductus arteriosus for preterm infants (updated)

Effects of combinations of diagnostic and treatment strategies for postpartum haemorrhage: a network meta‐analysis

Gonadotropin‐releasing hormone (GnRH) analogues for premenstrual syndrome (PMS)

Hormonal contraception for women at risk of HIV infection

Interventions for central serous chorioretinopathy: a network meta‐analysis (updated)

Interventions for fertility preservation in women with cancer undergoing chemotherapy

Interventions to prevent obesity in children aged 2 to 4 years old

Low‐complexity manual nucleic acid amplification tests for pulmonary tuberculosis in children

Lymphadenectomy or sentinel node biopsy for the management of endometrial cancer

Multifaceted behavioral interventions to improve topical glaucoma therapy adherence in adults

Non‐invasive respiratory support in preterm infants as primary mode: a network meta‐analysis

Parallel use of low‐complexity automated nucleic acid amplification tests and lateral flow urine lipoarabinomannan assays to detect tuberculosis disease in adults and adolescents living with HIV

Parallel use of low‐complexity automated nucleic acid amplification tests on respiratory and stool samples with or without lateral flow lipoarabinomannan assays to detect pulmonary tuberculosis disease in children

Peripheral venous blood gas analysis for the diagnosis of respiratory failure, hypercarbia and metabolic disturbance in adults

Peritoneal drainage versus laparotomy as initial treatment for surgical necrotising enterocolitis or spontaneous intestinal perforation in preterm very low birth weight infants (updated)

Pharmacological interventions for the prevention of pain during endotracheal suctioning in ventilated neonates

Phosphate binders for preventing and treating chronic kidney disease‐mineral and bone disorder (CKD‐MBD) (updated)

Postextubation use of non‐invasive respiratory support in preterm infants: a network meta‐analysis

Probiotics in infants for prevention of allergic disease (updated)

Progestogen for preventing miscarriage in women with recurrent miscarriage of unclear etiology (updated)

Regional analgesia techniques for postoperative pain after breast cancer surgery: a network meta‐analysis

Silymarin for adults with metabolic dysfunction‐associated steatotic liver disease

Stapler versus scalpel resection followed by handsewn closure of the pancreatic remnant for distal pancreatectomy (updated)

Surgical approaches for inserting hemiarthroplasty of the hip in people with hip fractures

Systemic antibiotics for chronic suppurative otitis media (updated)

Topical antibiotics for chronic suppurative otitis media (updated)

Topical antibiotics with steroids for chronic suppurative otitis media (updated)

Topical antiseptics for chronic suppurative otitis media (updated)

Topical versus systemic antibiotics for chronic suppurative otitis media (updated)

The use of telemedicine services for medical abortion

Virtual reality for stroke rehabilitation

NICE guidelines

Atezolizumab for adjuvant treatment of resected non-small-cell lung cancer (TA1071)

Caesarean birth (NG192 – updated)

Efgartigimod for treating antibody-positive generalised myasthenia gravis (TA1069)

Headaches in over 12s: diagnosis and management (CG150 – updated)

Intrapartum care (NG235 – updated)

Laparoscopic insertion of an inactive implant for gastro-oesophageal reflux disease (IPG803)

Linzagolix for treating symptoms of endometriosis (TA1067)

Marstacimab for treating severe haemophilia A or B in people 12 years and over without anti-factor antibodies (TA1073)

Somapacitan for treating growth hormone deficiency in people 3 to 17 years (TA1066)

Sparsentan for treating primary IgA nephropathy (TA1074)

Spesolimab for treating generalised pustular psoriasis flares (TA1070)

Targeted muscle reinnervation for managing limb amputation pain (IPG804)

Topical antimicrobial dressings for locally infected leg ulcers: late-stage assessment (HTE27)

Transcatheter aortic valve implantation (TAVI) for native aortic valve regurgitation (IPG805)

Other guidelines

Clinical management and infection prevention and control for mpox: living guideline, May 2025 (updated)

WHO consolidated guidelines on tuberculosis: module 3: diagnosis

WHO consolidated guidelines on tuberculosis: module 4: treatment and care

WHO guidelines for the treatment of patients with cystic echinococcosis

WHO guidelines on meningitis diagnosis, treatment and care

WHO guideline on the prevention of female genital mutilation and clinical management of complications

WHO guideline on preventing early pregnancy and poor reproductive outcomes among adolescents in low- and middle-income countries

Sources

Cochrane Library (Jun); NICE website (Jun); WHO website (Apr-Jun)

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