Antimicrobial Stewardship Guidelines for Cat Companion Animal Practice

Antimicrobial Stewardship Guidelines for Companion Animal Practice

Updated: July 2025

Antimicrobial resistance (AMR) continues to rise globally, and veterinarians are on the frontlines of prevention. Companion animal practitioners have a critical responsibility to use antimicrobials wisely, ensuring effective treatments today and in the future.

This guideline outlines core actions for implementing antimicrobial stewardship (AMS) in small animal practice.

✅ 1. Assess Before Prescribing

Before initiating antimicrobial treatment, always:

Conduct a thorough clinical examination.
Evaluate whether the infection is bacterial and warrants antibiotics.
Use cytology, culture, or other diagnostics where feasible.
Educate clients on non-antibiotic management when appropriate.

💊 2. Choose the Right Antimicrobial

Select an antimicrobial based on:

Empirical evidence or culture and sensitivity results.
Choosing narrow-spectrum drugs whenever possible.
Avoiding critically important antimicrobials unless strictly necessary.
Referencing national or regional antibiotic use guidelines.

🕒 3. Optimize Dosage and Duration

Prescribe the correct dose and frequency based on species and weight.
Use the shortest effective treatment duration.
Monitor for adverse reactions or lack of response.

🧼 4. Promote Preventive Care

Reduce the need for antimicrobials by:

Encouraging vaccination and parasite control.
Supporting nutritional health and wellness.
Improving dental hygiene and skin care routines.
Educating pet owners on infection prevention at home.

📋 5. Maintain Clear Medical Records

Document diagnosis, treatment rationale, antimicrobial name, dose, and duration.
Track repeated treatments or recurrent infections.
Use reminder systems to follow up on chronic cases.