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The Canadian Breakpoint

Dr. Rupeena Purewal
Antimicrobial Resistance
Sepsis
Antimicrobial Stewardship
Canbuild AMR
IV Amoxicillin Clavulanate
CLEAR Registry
Antibiotic Stewardship
Cystic Fibrosis
Patient Safety / Clinical Outcomes
National Collaborating Centre For Infectious Diseases
AMR Aware Canada
Procalcitonin
Primary Health Care
Long-Term Care
Canada
Health Equity
Public Health Agency Of Canada
Pan Canadian Action Plan
Pediatrics
Intraabdominal Infections

A Canadian Infectious Diseases Podcast by Canadian Infectious Diseases Physicians.

PublishesTwice monthlyEpisodes36Founded5 years ago
Number of ListenersCategories
MedicineLife SciencesScienceHealth & Fitness

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Artwork for The Canadian Breakpoint

Latest Episodes

For this episode Dr. Rupeena Purewal welcomes Melissa Kucey, antimicrobial stewardship and infectious diseases pharmacist with the SHA Antimicrobial Stewardship Program in Regina, to discuss Procalcitonin.

Dr. Rupeena Purewal is LIVE at the 2025 AMR Symposium in Toronto visiting with all of you! For this LIVE episode we welcome Dr. Kanchana Amuratunga to discuss The Public Health Agency of Canada’s AMR Task Force and the Pan Canadian Action Plan. For m... more

For this episode we go LIVE from The Quay in Toronto at the 2025 AMR Symposium.

"Canadian Sepsis Strategies; Optimizing Patient Management with AMS and Equity"

Dr. Rupeena Purewal discusses the National Sepsis Action Plan with Dr. Kali Barrett and... more

Dr. Rupeena Purewal is LIVE at the 2025 AMR Symposium in Toronto visiting with all of you! For this LIVE episode we welcome Dr. Peter Daley to discuss Canbuild AMR in Newfoundland. For more information visit:

Canbuild AMR Audit and Feedback

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Recent Guests

Melissa Kucey
Antimicrobial stewardship and infectious disease pharmacist
Saskatchewan Health Authority
Episode: Procalcitonin
Dr. Kanchana Amuratunga
Infectious disease physician; Director of Stewardship and Medical Advisor for the AMR Task Force at PHAC
Public Health Agency of Canada
Episode: LIVE at the 2025 AMR Symposium: The Public Health Agency of Canada’s AMR Task Force and the Pan Canadian Action Plan with Dr. Kanchana Amuratunga
Kali Barrett
MD, internal medicine and adult critical care physician
National Sepsis Action Plan / Ontario Health Technology Advisory Committee (Ontario Health)
Episode: LIVE at the 2025 AMR Symposium: Canadian Sepsis Strategies
Fatima Sheikh
Ph.D. candidate focused on health equity and social determinants of health
McMaster University; Hamilton Health Sciences
Episode: LIVE at the 2025 AMR Symposium: Canadian Sepsis Strategies
Peter Daley
Adult ID physician and medical microbiologist
St. John's, Newfoundland and Labrador
Episode: LIVE at the 2025 AMR Symposium: Canbuild AMR Newfoundland with Dr. Peter Daley
Harpa Isfeld-Kiely
Knowledge broker in infectious disease public health
National Collaborating Centre for Infectious Diseases
Episode: LIVE at the 2025 AMR Symposium: NCCID CAN AMS with Harpa Isfeld-Kiely
Huda Razzak
Ms. Huda Razzak, has cystic fibrosis and focuses on antimicrobial stewardship from a patient perspective
CF patient and advocate
Episode: LIVE at the 2025 AMR Symposium: AMR in Cystic Fibrosis, A Patient Perspective with Huda Razzak
Jason Vanstone
Research scientist, Antimicrobial Stewardship Program, Saskatchewan Health Authority
Saskatchewan Health Authority
Episode: LIVE at the 2025 AMR Symposium: Antimicrobial Resistance and Stewardship with Jason Vanstone
George Zhanel
Microbiologist and pharmacologist; professor and researcher; Chief Editor of CARA website
Canadian Antimicrobial Resistance Alliance (CARA) / University of Manitoba / CARA
Episode: IV Amoxicillin Clavulanate

Hosts

Summer Stewart
Host of The Canadian Breakpoint
Rupeena Purewal
Host of The Canadian Breakpoint

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Talking Points

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Sepsis
Q: So how is it diagnosed? Are there clinical criteria? And are these being applied in clinical practice?
Diagnosis relies on a constellation of clinical signs and organ dysfunction rather than a single biomarker; vital signs, evidence of organ dysfunction, and clinician judgment guide evaluation, with biomarkers playing a supplementary role rather than being definitive. Early recognition and timely treatment are emphasized, especially in suspected sepsis or shock.
LIVE at the 2025 AMR Symposium: Antimicrobial Resistance and Stewardship with Jason Vanstone
Q: Why are you here today and what are you hoping to share from Saskatchewan?
I'm here to discuss how our provincial antimicrobial stewardship program operates, the data-driven approach we use, and how we're moving from understanding barriers to implementing practical changes across hospital, primary care, and long‑term care sectors.
LIVE at the 2025 AMR Symposium: Canbuild AMR Newfoundland with Dr. Peter Daley
Q: And do we need better infrastructure, a different infrastructure for acute care clinics and community care?
Dr. Daley explains that outpatient stewardship is the key focus, with data tailored to each physician's practice to drive meaningful change, and acknowledges provincial fragmentation as a barrier to national implementation.
LIVE at the 2025 AMR Symposium: NCCID CAN AMS with Harpa Isfeld-Kiely
Q: What's the new thing that's been going on or the newer projects you guys have been working on?
Harpa explains the move toward patient storytelling, the integration of stories from Health Canada campaigns, and co-creating stories with patients, along with new features like a news page and a resource repository.
LIVE at the 2025 AMR Symposium: NCCID CAN AMS with Harpa Isfeld-Kiely
Q: Harpa, what brings you to AMR, and can you let our audience know a little bit about yourself?
Harpa describes her role as a knowledge broker and project manager with NCCID, and outlines NCCID's focus on infectious disease and AMR awareness initiatives like AMR Aware Canada.

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Frequently Asked Questions About The Canadian Breakpoint

What is The Canadian Breakpoint about and what kind of topics does it cover?

A Canadian Infectious Diseases-focused series examining real-world challenges in antimicrobial stewardship, sepsis, and national health policy. Episodes highlight practical implementation of diagnostic tools like procalcitonin, audit-and-feedback approaches in outpatient and hospital settings, and the design and rollout of national initiatives such as AMR governance, sepsis action plans, and data registries. Live-recorded segments from health symposiums emphasize practical tools for clinicians, equity considerations in health policy, and cross-provincial collaboration. Noteworthy elements include a strong emphasis on actionable stewardship tactics, patient perspectives, and the translation of research into national guidelines and federated ... more

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1. The Daily

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The Canadian Breakpoint launched 5 years ago and published 36 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.

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What guests have appeared on The Canadian Breakpoint?

Recent guests on The Canadian Breakpoint include:

1. Melissa Kucey
2. Dr. Kanchana Amuratunga
3. Kali Barrett
4. Fatima Sheikh
5. Peter Daley
6. Harpa Isfeld-Kiely
7. Huda Razzak
8. Jason Vanstone

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