Brown, Nicholas Gerard Francis orcid.org/0000-0002-4742-8595, Buse, Christina orcid.org/0000-0002-0217-8238, Lewis, Alan et al. (2 more authors) (2021) Pathways, Practices and Architectures: Containing Anti-Microbial Resistance (AMR) in the Cystic Fibrosis Clinic. Health: An Interdisciplinary Journal for the Social Study of Health,Illness and Medicine. pp. 196-213. ISSN 1461-7196
Abstract
Antimicrobial resistance (AMR) and the adaptation of microbial life to antibiotics is recognised as a major healthcare challenge. Whereas most social science engagement with AMR has focussed on aspects of ‘behaviour’ (prescribing, antibiotic usage, patient ‘compliance’, etc), this article instead explores AMR in the context of building design and healthcare architecture, focussing on the layout, design and ritual practices of three cystic fibrosis (CF) outpatient clinics. CF is a life-threatening multi-system genetic condition, often characterised by frequent respiratory infections and antibiotic treatment. Preventing AMR and cross-infection in CF increasingly depends on the spatiotemporal isolation of both people and pathogens. Our research aims to bring to the fore the role of the built environment exploring how containment and segregation are varyingly performed in interaction with material design, focussing on three core themes. These include, first, aspects of flow, movement and the spatiotemporal choreography of CF care. Second, the management of waiting and the materiality of the waiting room is a recurrent concern in our fieldwork. Finally, we take up the question of air, the intangibility of air-borne risks and their material mitigation in the CF clinic.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | This is an author-produced version of the published paper. Uploaded in accordance with the publisher’s self-archiving policy. Further copying may not be permitted; contact the publisher for details. |
Dates: |
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Institution: | The University of York |
Academic Units: | The University of York > Faculty of Social Sciences (York) > Sociology (York) |
Funding Information: | Funder Grant number AHRC AH/R002037/1 UNSPECIFIED ES/M008398/1 |
Depositing User: | Pure (York) |
Date Deposited: | 24 Jun 2019 14:30 |
Last Modified: | 21 Jan 2025 17:40 |
Published Version: | https://doi.org/10.1177/1363459319866894 |
Status: | Published |
Refereed: | Yes |
Identification Number: | 10.1177/1363459319866894 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:147682 |
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