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Understanding antibiotic use: practices, structures and networks.

A C Tompson1, L Manderson2, C I R Chandler1

  • 1Department of Global Health & Development, London School of Hygiene & Tropical Medicine, 15-17 Tavistock Place, London WC1H 9SH, UK.

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Summary
This summary is machine-generated.

Social sciences reveal how global antibiotic use is embedded in daily life through practices, structures, and networks. Understanding these factors is key to addressing antimicrobial resistance (AMR).

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Area of Science:

  • Social Sciences
  • Medical Anthropology
  • Public Health

Background:

  • Global antibiotic use is rising, driven by complex interactions between pathogens, humans, animals, and the environment.
  • Antimicrobial resistance (AMR) is a growing public health concern, necessitating a deeper understanding of antibiotic usage patterns.

Purpose of the Study:

  • To explore how social sciences, particularly ethnography, can illuminate the multifaceted drivers of global antibiotic use.
  • To synthesize existing social science research on antibiotic use, categorizing it into practices, structures, and networks.

Main Methods:

  • Drawing on ethnographic approaches to understand human behavior and societal contexts.
  • Reviewing and grouping scholarship related to antibiotic use within the frameworks of practices, structures, and networks.

Main Results:

  • Antibiotic use is characterized as a practice across various user groups (patients, farmers, clinicians).
  • Reliance on antibiotics is shaped by political-economic structures, including living conditions, healthcare quality, and sanitation.
  • Antibiotics are embedded in complex networks encompassing social, institutional, physical, and historical connections.

Conclusions:

  • Social science research highlights that antibiotic use is deeply integrated into daily life.
  • Ethnographic approaches reveal often-overlooked factors influencing antibiotic consumption.
  • A multi-faceted approach considering practices, structures, and networks is essential for diversifying AMR responses.