Evaluating the long-term impact of an antimicrobial stewardship programme in a Central London mixed medical and surgical intensive care unit.

Carbapenem usage, however, had increased, while there was an increasing trend in overall DDD 3 years after ASP introduction. 8 To evaluate the longer-term success of the ASP, using the key metrics of antimicrobial consumption and antimicrobial resistance, we evaluated data over a 9 year period (pre-outbreak to 8 years after the ASP implementation).

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