In Canada, our hope to achieve a coordinated response to antimicrobial resistance (AMR) was summarized in a report released in 2017 (Tackling Antimicrobial Resistance and Antimicrobial Use: A Pan-Canadian Framework for Action). In 2020, an action plan with concrete deliverables, measurable outcomes and timeframes will be released to support implementation of the Framework which is grounded in a One Health approach, and was developed with multiple governmental agencies with external stakeholders in human and animal health sectors to also address antimicrobial use (AMU). The Framework is based on surveillance, infection prevention and control, stewardship, and research and innovation. To support this framework, areas of additional focus include governance, education, international voice and impact evaluation.
In this short presentation, we will review the state of AMR and AMU in Canada, and how the data will be used to set targets and measurable goals. We will also explore how microbiology laboratories have applied diagnostic tests and improvements in the total diagnostic testing cycle to advance AMR activities in variably resourced hospital and community based labs across the country. The implementation challenges and successes will be highlighted using case studies from various clinical microbiology labs. Examples of diagnostic stewardship, rapid diagnostic tests and expedited methods of antimicrobial susceptibility results will be highlighted. Ultimately, the goal is to integrate diagnostics to efficiently support surveillance, infection prevention and control, and antimicrobial stewardship.