Gröndal Hedvig
Upsala University,SwedenE-mail:
Sci Context. 2018 Dec;31(4):477-500. doi: 10.1017/S0269889718000315.
ArgumentThis article examines how antimicrobial resistance (AMR) came to be constituted as a matter of public concern in Sweden in conjunction with the development of an inter-professional organization called Strama, founded to promote rational prescription of antibiotics. An outbreak of penicillin-resistant pneumococci in the mid-1990s was crucial for this development, because it brought attention to AMR as an urgent public threat. This outbreak fuelled the constitution of AMR as caused by consumption of antibiotics and as a matter of disease control. As a consequence, Strama was able to mobilize the Swedish health officers responsible for disease control. The outbreak is conceptualized as a "transformative event" - an event that makes an issue and its associated risks concrete and urgent. Transformative events play the crucial role of expediting the transformation of issues into matters of public concern.
论点
本文探讨了抗微生物药物耐药性（AMR）在瑞典如何随着一个名为Strama的跨专业组织的发展而成为公众关注的问题，该组织旨在促进抗生素的合理处方。20世纪90年代中期耐青霉素肺炎球菌的爆发对这一发展至关重要，因为它使AMR作为一种紧迫的公共威胁受到关注。这次爆发促使AMR被认定为由抗生素使用引起的问题以及疾病控制问题。结果，Strama得以动员负责疾病控制的瑞典卫生官员。这次爆发被概念化为一个“变革性事件”——一个使问题及其相关风险变得具体和紧迫的事件。变革性事件在加速将问题转变为公众关注事项的过程中发挥着关键作用。
