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Back to Basics: Governing Antibacterial Resistance by Means of Mundane Technoscience and Accountability Relations

Författare och institution:
Fredrik Bragesjö (Institutionen för filosofi, lingvistik och vetenskapsteori)
Publicerad i:
Konferensbidrag till the 4S Conference in Cleveland, Ohio, November 2-5, 2011, s. 12
Konferensbidrag, refereegranskat
Sammanfattning (abstract):
In the spring of 2006, a sudden spread of a strain of a multiresistant bacterium (Klebsiella pneumonia, ESBL) arouse inside of a Swedish university hospital (the UAS in Uppsala). Measures were immediately taken to fight the bacteria spread in order to stop what soon developed into an epidemic. Hereby, the officers at the hospital initiated a complex system of accountability relations, in this article analyzed through a model, developed by Neyland & Woolgar. We employ text analyses of relevant hospital documents and archive material, complemented with interviews of relevant actors. We have been given access to substantive empirical material from UAS, consisting of memoranda, PM's, internal reports, notifications, records of meetings and discussions from the procedure. Semi-structured interviews with employees of UAS were carried out in 2009. We show how the introduction of mundane technoscientific artifacts, education, stricter guidelines and supervision of hygiene standards compliance was closely connected with the efforts of making these measures seemingly understandable, recognizable, relevant and necessary to the actors involved. In October 2007, the hospital declared the measures taken a success. The developed system had led to a beneficial change of behavior and practices among the employees, patients and visitors. The consumption of antiseptics had increased, the compliance to hospital hygiene rules had improved significantly, and the number of rule-breaking doctors had dropped greatly as had also the use of jewellery and wristwatches among nurses and auxiliary staff. Furthermore, the prescription of antibiotics had decreased and become more appropriate and there were additional rooms available with their own sanitary facilities. Although succeeding in seizing the epidemic, both the implementation and above all the sustainability of the accountability system proved exceedingly exigent. To uphold an adequate practice and behavior in the long run, the system needs constant management and monitoring. Well aware of this difficulty, the officers had the objective of creating a new, selfsupporting culture. Our findings suggest that
Ämne (baseras på Högskoleverkets indelning av forskningsämnen):
Filosofi, etik och religion ->
Filosofi ->
accountability; mundane technoscience; governance; antibiotic resistance
Postens nummer:
Posten skapad:
2011-11-08 16:53

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