The FAST-M complex intervention for the detection and management of maternal sepsis in low-resource settings: a multi-site evaluation.
Care bundle
complex intervention
feasibility study
low-resource setting
maternal sepsis
Journal
BJOG : an international journal of obstetrics and gynaecology
ISSN: 1471-0528
Titre abrégé: BJOG
Pays: England
ID NLM: 100935741
Informations de publication
Date de publication:
07 2021
07 2021
Historique:
accepted:
02
11
2020
pubmed:
5
2
2021
medline:
23
7
2021
entrez:
4
2
2021
Statut:
ppublish
Résumé
To evaluate whether the implementation of the FAST-M complex intervention was feasible and improved the recognition and management of maternal sepsis in a low-resource setting. A before-and-after design. Fifteen government healthcare facilities in Malawi. Women suspected of having maternal sepsis. The FAST-M complex intervention consisted of the following components: the FAST-M maternal sepsis treatment bundle and the FAST-M implementation programme. Performance of selected process outcomes was compared between a 2-month baseline phase and 6-month intervention phase with compliance used as a proxy measure of feasibility. Compliance with vital sign recording and use of the FAST-M maternal sepsis bundle. Following implementation of the FAST-M intervention, women were more likely to have a complete set of vital signs taken on admission to the wards (0/163 [0%] versus 169/252 [67.1%], P < 0.001). Recognition of suspected maternal sepsis improved with more cases identified following the intervention (12/106 [11.3%] versus 107/166 [64.5%], P < 0.001). Sepsis management improved, with women more likely to receive all components of the FAST-M treatment bundle within 1 hour of recognition (0/12 [0%] versus 21/107 [19.6%], P = 0.091). In particular, women were more likely to receive antibiotics (3/12 [25.0%] versus 72/107 [67.3%], P = 0.004) within 1 hour of recognition of suspected sepsis. Implementation of the FAST-M complex intervention was feasible and led to the improved recognition and management of suspected maternal sepsis in a low-resource setting such as Malawi. Implementation of a sepsis care bundle for low-resources improved recognition & management of maternal sepsis.
Identifiants
pubmed: 33539610
doi: 10.1111/1471-0528.16658
doi:
Substances chimiques
Anti-Bacterial Agents
0
Types de publication
Journal Article
Multicenter Study
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
1324-1333Subventions
Organisme : MSD for Mothers
Organisme : University of Birmingham
ID : RG_16-150
Organisme : Ammalife
ID : 1120236
Commentaires et corrections
Type : CommentIn
Informations de copyright
© 2021 The Authors. BJOG: An International Journal of Obstetrics and Gynaecology published by John Wiley & Sons Ltd.
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