Canadian Antibiotic Treatment Guidance

AMMI Canada received funding from the Public Health Agency of Canada to develop national antimicrobial prescribing guidelines for the empiric treatment of common infectious syndromes, an initiative for progress on the Pan Canadian Action Plan on Antimicrobial Resistance 2023-2027.  This project is a key step forward in ensuring judicious use of antibiotics under the Stewardship pillar where prescribers and other professionals have the resources to facilitate appropriate antimicrobial use (1) .

AMMI Canada is using a robust methodological framework reviewing systematic reviews and meta-analyses and evaluating the quality of evidence using the GRADE (Grading of Recommendations Assessment, Development and Evaluation) approach. A GRADE evidence to Decision frameworks for the adoption, adaptation, and de novo development (GRADE-ADOLOPMENT) (2) of the WHO’s essential medicines and Aware recommendations (3, 4) and other guidelines is applied. The pan-Canadian panel includes infectious disease physicians, medical microbiologists, pharmacists, family physicians, public health and preventive medicine specialists, pediatricians, and methodologists.

As part of the Pan-Canadian Action Plan, AMMI Canada is working with Firstline on the translation of the guidelines to the Firstline app.

For more information on the methodology click on the AMMI Canada Antibiotic Guidelines Methods Summary

Canadian Antibiotic Treatment Guidance:
Free Download and Quick Start CLICK HERE

This initial release focuses on respiratory tract infections. By downloading the guidance now, clinicians can begin adopting best practices to support more effective care for our patients and communities. Additional treatment guidance for other syndromes will be added over time, building on this foundation to promote consistent, evidence-based antibiotic prescribing across Canada.

To support the dissemination and uptake of the Canadian Antibiotic Treatment Guidance (CATG), we are pleased to offer a collection of ready-to-use graphics and images. This toolkit has been designed to help clinicians, organizations, and partners easily share key messages and promote evidence-based antibiotic use.

All materials are available for download and may be used across presentations, social media, websites, and educational resources. We encourage you to use and share these assets widely to help advance antimicrobial stewardship and support best practices across Canada.

Canadian Antibiotic Treatment Guidance – Communication Toolkit

Past Webinars

From Evidence to Action:
Initial Launch of the Canadian Antibiotic Treatment Guidance

Date:

November 13, 2025

Moderator:

Kanchana Amaratunga, MD, MPH, FRCPC
Infectious Diseases/Public Health Medical Advisor
Public Health Agency of Canada

Presenter:

Deborah Yamamura, BSc, MD, FRCPC
Chair, AMMI Canada Guideline Development Panel
Professor, Department of Pathology and Molecular Medicine
McMaster University, Hamilton, ON

Dena Zeraatkar, MSc, PhD
Co-Chair/Senior Methodologist, AMMI Canada Guideline Development Panel
McMaster University, Hamilton, ON

Michael Long, PhD
Chief Clinical Officer
Firstline

By the end of this webinar participants will be able to:

  • Understand the current antibiotic resistance (AMR) situation in Canada and worldwide
  • Review the WHO Essential Medicines List and Antibiotic Handbook
  • Gain a clear overview of the goals and methods behind the Canadian Antibiotic Treatment Guidance, including how the evidence was reviewed and adapted
  • Navigate and use the Firstline platform to access and integrate the guidance into point-of-care decision-making
  • See how the guidance applies to real cases such as: Acute pharyngitis and Community Acquired Pneumonia
  • Learn what is coming next for this national initiative

Panel Membership

Deborah Yamamura

BSc, MD, FRCPC, Chair

Discipline:
Medical Microbiology and Adult Infectious Diseases

Professor, Department of Pathology and Molecular Medicine, McMaster University
Hamilton, ON

Dena Zeraatkar

MSc, PhD Co-Chair/Senior Methodologist

Discipline:
Research and Guideline Methodology

McMaster University
Hamilton, ON

Kevin Afra

MD, MHA, FRCPC

Discipline:
Adult Infectious Diseases, Antimicrobial Stewardship, Infection Prevention & Control

University of British Columbia

Surrey, BC

Peter Daley

MD, MSc, FRCPC, DTM+H

Discipline:
Adult Infectious Diseases

Memorial University

St. John’s, NL

Bradley Langford

BSc(Pharm), PharmD, MPH

Discipline:
Pharmacist, Antimicrobial Resistance and Stewardship

Public Health Ontario and McMaster University

Toronto, ON

Tim Lau

BSc(Pharm), PharmD, ACPR, FCSHP

Discipline:
Pharmacist, Infectious Diseases & Antimicrobial Stewardship

University of British Columbia

Vancouver, BC

Nicole Le Saux

MD, FRCPC

Discipline:
Paediatric and Adult Infectious Disease, Antimicrobial Stewardship

University of Ottawa

Ottawa, ON

Mark Loeb

MSc, MD, FRCPC, FIDSA, FRSC

Discipline:
Medical Microbiology and Adult Infectious Diseases

McMaster University

Hamilton, ON

Philippe Morency - Potvin

MD, FRCPC

Discipline:
Medical microbiologist and Infectious Diseases

Centre hospitalier de l’Université de Montréal

Surrey, BC

Alyssa Ness

MD

Discipline: Public Health/Preventive Medicine

Medical Officer of Health, Central Zone, Government of Alberta

President, Public Health Physicians of Canada

University of Calgary

Calgary, AB

Melani Sung

BSc(Pharm), PharmD, ACPR

Discipline:
Pharmacist, Pediatric Infectious Diseases and Antimicrobial Stewardship

McMaster University

Hamilton, ON

Alena Tse-Chang

MD, FRCPC

Discipline:
Paediatric Infectious Diseases, Antimicrobial Stewardship

Associate Professor, Department of Pediatrics, University of Alberta

Edmonton, AB

Rene Wittmer

MD, CCFP

Discipline: Family Medicine

Université de Montréal

Montreal, QC

Riccarda Galioto

AMMI Canada, Executive Director

Dena Zeraatkar

Methodologist

Kevin Afra

AMMI Canada Project Coordinator

For further information contact
Riccarda Galioto, Executive Director, AMMI Canada riccarda@ammi.ca

References:

Disclaimer: The views expressed herein do not necessarily represent the views of the Public Health Agency of Canada.

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