Business and Technology Department, La Salle, Universitat Ramon Llull, Barcelona, Spain.
Population Health Sciences, Bristol Medical School, University of Bristol, Bristol, UK.
Med Anthropol. 2023 Oct 3;42(7):682-696. doi: 10.1080/01459740.2023.2256451.
Antimicrobial resistance is one of the twenty-first century's major health challenges. Linked to the extensive use of antibiotics and other antimicrobials, resistance occurs when microbes stop responding to medications. Rates of antibiotic consumption in Spain are among the highest in Europe. Drawing on research conducted in Catalonia, in this article we present findings from ethnographic fieldwork and semi-structured interviews with general practitioners, residents of Barcelona, and professionals who have worked in antibiotic stewardship. We argue that the circulation of antibiotics should be understood in relation to broader historical processes and the deficient systems of health and social care provision they have produced.
抗菌药物耐药性是 21 世纪面临的重大健康挑战之一。抗菌药物耐药性的产生与抗生素和其他抗菌药物的广泛使用有关,当微生物停止对药物产生反应时,就会出现耐药性。西班牙的抗生素消费水平在欧洲属于较高水平。本文利用在加泰罗尼亚开展的研究,通过人种志实地调查和对全科医生、巴塞罗那居民以及参与抗生素管理的专业人员进行半结构化访谈,展示了研究结果。我们认为,应该将抗生素的流通与更广泛的历史进程以及由此产生的卫生和社会保健系统缺陷联系起来进行理解。