Abstract
This chapter is a micro-sociological exploration of the justifications that Danish general practitioners adopt to support antibiotic usage in their clinical practices. Based on qualitative in-depth interviews with 21 general practitioners in Denmark, the chapter looks upon the clinic as a particular social world (a justificatory regime) in which different antibiotic treatment strategies are qualified and justified in regard to moral and societal concerns. The chapter demonstrates how the medical application of antibiotics is accompanied by different justifications concerned with efficiencies, general civic interests, localized knowledge and more pervasive ‘green issues’ linked to how to secure sustainable societal usage through political intervention.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Notes
- 1.
The philosophies of the different conventional orders are Augustine’s ‘order of inspiration’, Bossuet’s ‘domestic order’, Hobbes’ ‘order of fame’, Rousseau’s ‘civic order’, Smith’s ‘market’, and Saint-Simon’s ‘industrial order’.
References
Beck, U. (1992). Risk society: Towards a new modernity. London: Sage Publications.
Beck, U. (1996). World risk society as cosmopolitan society? Ecological questions in a framework of manufactured uncertainties. Theory, Culture and Society, 13(4), 1–32.
Boltanski, L. [1990] (2012). Love and justice as competences. Cambridge: Polity Press.
Boltanski, L., & Thévenot, L. (2000). The reality of moral expectations: A sociology of situated judgement. Philosophical Explorations: An International Journal for the Philosophy of Mind and Action, 3(3), 208–231.
Boltanski, L., & Thévenot, L. [1991] (2006). On justification—Economies of worth. Princeton, NJ: Princeton University Press.
Brown, B., & Crawford, P. (2009). ‘Post antibiotic apocalypse’: Discourses of mutation in narratives of MRSA. Sociology of Health and Illness, 31(4), 508–524.
Butler, C., Rollnick, S., Pill, R., Maggs-Rapport, F., & Stott, N. (1998). Understanding the culture of prescribing: Qualitative study of general practitioners’ and patients’ perceptions of antibiotics for sore throat. British Medical Journal, 317(7159), 637–642.
DANMAP. (2013). DANMAP 2013—Use of antimicrobial agents and occurrence of antimicrobial resistance in bacteria from food animals, food and humans in Denmark. The Danish Integrated Antimicrobial Resistance Monitoring and Research Program. Copenhagen: Statens Serum Institute, National Veterinary Institute, Technical University of Denmark, National Food Institute, Technical University of Denmark.
DANMAP. (2014). Use of antimicrobial agents and occurrence of antimicrobial resistance in bacteria from food animals, food and humans in Denmark. The Danish Integrated Antimicrobial Resistance Monitoring and Research Program. Copenhagen: Statens Serum Institute, National Veterinary Institute, Technical University of Denmark, National Food Institute, Technical University of Denmark.
EC. (2012). Council conclusions on the impact of antimicrobial resistance in the human health sector and in the veterinary sector—A “One Health” perspective. Brussels: The Council of the European Union.
ECDC. (2009). The bacterial challenge: Time to react. A call to narrow the gap between multidrug-resistant bacteria in the EU and the development of new antibacterial agents. European Centre for Disease Prevention and Control. Technical Report. Stockholm: ECDC.
ECDC. (2013). Antimicrobial resistance surveillance in Europe. Annual report of the European Antimicrobial Resistance Surveillance Network (EARS-Net). European Centre for Disease Prevention and Control. Stockholm: ECDC.
Gjelstad, S., Straand, J., Dalen, I., Fetveit, A., Strom, H., & Lindbaek, M. (2011). Do general practitioners’ consultation rates influence their prescribing patterns of antibiotics for acute respiratory tract infections? Journal of Antimicrobial Chemotherapy, 66(10), 2425–2433.
Høye, S., Frich, J., & Lindbæk, M. (2010). Delayed prescribing for upper: Respiratory tract infections: A qualitative study of GPs’ views and experience. British Journal of General Practice, 60(581), 907–912.
Jasanoff, S. (Ed.). (2004). States of knowledges—The co-production of science and social order. London: Routledge.
Kumar, S., Little, P., & Britten, N. (2003). Why do general practitioners prescribe antibiotics for sore throat? Grounded theory interview study. British Medical Journal, 326, 1–6.
Latour, B. (1998). To modernize or to ecologize? That’s the question. In N. Castree & B. Willems-Braun (Eds.), Remaking reality: Nature at the millenium (pp. 221–242). London: Routledge.
Levy, S. (2002). The antibiotic paradox: How the misuse of antibiotics destroy their curative power. Cambridge: Perseus Publishing.
Llor, C., & Bjerrum, L. (2014). Antimicrobial resistance: Risk associated with antibiotic overuse and initiatives to reduce the problem. Therapeutic Advances in Drug Safety, 5(6), 229–241.
Nerlich, B., & James, R. (2009). “The post-antibiotic apocalypse” and the “war on superbugs”: Catastrophe discourse in microbiology, its rhetorical form and political function. Public Understanding of Science, 18(5), 574–590.
Pedersen, I. K., & Jepsen, K. S. (2018). Prescribing antibiotics: General practitioners dealing with “non-medical issues”? Professions & Professionalism, 8(1) pp. 1–14
Petursson, P. (2005). GPs’ reasons for “non-pharmacological” prescribing of antibiotics. Scandinavian Journal of Primary Health Care, 23, 120–125.
Simpson, S., Wood, F., & Butler, C. (2007). General practitioners’ perceptions of antimicrobial resistance: A qualitative study. Journal of Antimicrobial Chemotherapy, 59, 292–296.
Thévenot, L. (2009). Postscript to the special issue: Governing life by standards—A view from engagements. Social Studies of Science, 39(5), 793–813.
Thévenot, L., Moody, M., & Lafaye, C. (2000). Forms of valuing nature: Arguments and modes of justification in French and American environmental disputes. In M. Lamont & L. Thévenot (Eds.), Rethinking comparative cultural sociology: Repertoires of evaluation in France and the United States. Cambridge: Cambridge University Press.
Washer, P., & Joffe, H. (2006). The “hospital superbug”: Social representations of MRSA. Social Science & Medicine, 63(8), 2141–2152.
WHO. (2001). WHO global strategy for the containment of antimicrobial resistance. World Health Organization, WHO/CDS/CSR/DRS.2001.2.
Wynne, B. (2002). Risk and environment as legitimatory discourses of technology: Reflexivity inside out? Current Sociology, 50(3), 459–477.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2019 The Author(s)
About this chapter
Cite this chapter
Jepsen, K.S., Pedersen, I.K. (2019). The Antibiotic Challenge: Justifications for Antibiotic Usage in the World of Medicine. In: Jensen, C.S., Nielsen, S.B., Fynbo, L. (eds) Risking Antimicrobial Resistance. Palgrave Macmillan, Cham. https://doi.org/10.1007/978-3-319-90656-0_11
Download citation
DOI: https://doi.org/10.1007/978-3-319-90656-0_11
Published:
Publisher Name: Palgrave Macmillan, Cham
Print ISBN: 978-3-319-90655-3
Online ISBN: 978-3-319-90656-0
eBook Packages: Social SciencesSocial Sciences (R0)