[In Process Citation].

Area of Science:

• Infectious Diseases
• Clinical Pharmacy
• Healthcare Management

Background:

• Optimizing anti-infective therapy is crucial and involves reviewing antibiotic prescriptions.
• Antibiotic Stewardship (ABS) teams use ward rounds or chart reviews for physician feedback.
• Evaluating the acceptance and effectiveness of different ABS review methods is essential.

Purpose of the Study:

• To compare the effectiveness of chart review versus attending ward rounds for ABS interventions.
• To assess physician acceptance and the feasibility of ABS recommendations.
• To evaluate the impact of ABS activities on antibiotic consumption.

Main Methods:

• Physicians completed questionnaires on ABS activities, review modality, effectiveness, and recommendation feasibility.
• On a trauma ward, the ABS review process shifted from chart review to daily ward rounds.
• The duration of the review process and anti-infective consumption (RDD/100PT) were compared between modalities.

Main Results:

• Physicians largely appreciated the ABS team's support, rating it relevant and effective.
• Implementing ABS recommendations increased on the trauma ward with daily ward rounds and academic detailing.
• Consumption of broad-spectrum antibiotics decreased following the intervention.

Conclusions:

• Formalized ABS activities by dedicated teams effectively optimize anti-infective therapy through prescription review.
• Physician interaction with ABS experts is fundamental to intervention effectiveness and implementation.
• Daily ward rounds with academic detailing enhance ABS recommendation uptake and reduce broad-spectrum antibiotic use.