Antibiotic Stewardship-Visiten: Zeitverschwendung oder Qualitätssteigerung?

Translated title of the contribution: Antibiotic stewardship ward rounds: Waste of time or improvement in quality?

Evelyn Kramme, André Bode, Bibiane Steinborn, Julia Thern, Anette Friedrichs*

*Corresponding author for this work
4 Citations (Scopus)


Introduction One of the core strategies to optimize antiinfective therapy is to review antibiotic prescriptions. Therefore, Antibiotic Stewardship (ABS) team members either attend ward rounds or perform a chart review to provide feedback to and discuss with the attending physician. Acceptance and effectiveness of both options are discussed in this article. Methods Attending physicians were asked to complete a questionnaire evaluating ABS activities. The modality of the reviewing process and its effectiveness, as well as the feasibility of recommendations was assessed. As the degree of implementation of ABS recommendations decreased on a trauma ward, the reviewing process was changed from chart review to attending the daily ward rounds. In this setting, the duration of the reviewing process and the consumption of antiinfectives in recommended daily doses/100 patient days (RDD/100PT) were assessed, comparing the two intervention modalities. Results Attending physicians predominantly appreciated the modality and extent of ABS currently offered to them by the ABS team, rating it relevant and effective. Implementation of ABS recommendations was increased on the trauma ward by academic detailing during the daily ward round; the consumption of broad spectrum antibiotics was reduced. Discussion ABS team members with formal authority and dedicated time for antibiotic stewardship activities effectively optimize antiinfective therapies by reviewing antibiotic prescriptions. The interaction of ABS experts and attending physicians contributes fundamentally to the effectiveness and degree of implementation of ABS interventions.

Translated title of the contributionAntibiotic stewardship ward rounds: Waste of time or improvement in quality?
Original languageGerman
JournalZeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen
Issue number7
Pages (from-to)535-541
Number of pages7
Publication statusPublished - 2015

Research Areas and Centers

  • Academic Focus: Center for Infection and Inflammation Research (ZIEL)


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