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Social Science & Medicine
Volume 63, Issue 8, October 2006, Pages 2141-2152
 
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doi:10.1016/j.socscimed.2006.05.018    How to Cite or Link Using DOI (Opens New Window)
Copyright © 2006 Elsevier Ltd All rights reserved.

The “hospital superbug”: Social representations of MRSA

Peter Washera, Corresponding Author Contact Information, E-mail The Corresponding Author and Helene Joffeb, E-mail The Corresponding Author

aAcademic Centre for Medical Education, University College London, Archway Campus Highgate Hill, London N19 3LW, UK bDepartment of Psychology, University College London, Gower Street, London WC1E 6BT, UK

Available online 19 June 2006.

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Abstract

The so-called ‘hospital superbug’ methcillin-resistant Staphylococcus aureus (MRSA) became a topic of media and political concern in Britain from the middle of the 1990s. It was increasingly politicised in the period leading up to the British General Election of 2005. This study examines the meanings of MRSA that circulate in Britain by analysing newspaper coverage of the disease over the 10-year period 1995–2005. It utilises social representations theory and contextualises MRSA within existing research on representations of emerging infectious diseases (EIDs). A key pattern in the representation of EIDs is to externalise the threat they pose by linking the origin, risk and blame to ‘the other’ of those who represent them. It is in this light that this study investigates who and what MRSA is associated with and the impact that these associations have on levels of alarm and blame. Key findings are that MRSA is represented as a potentially lethal ‘superbug’, marking the end of a ‘golden age of medicine’ in which the story of the discovery of antibiotics has played such a key role. Furthermore, MRSA is constructed around an “it could be you/me” set of assumptions by way of the plethora of human interest stories that dominate the coverage. Finally, the blame for MRSA focuses not on its genesis, but rather on why it spreads. This is attributed to poor hygiene in hospitals, which is ultimately caused by mismanagement of the National Health Service and erosion of the authority and morality symbolised by the ‘matron’ role. This constellation of meanings informs a somewhat different pattern of response to MRSA when compared to many past EIDs.

Keywords: MRSA; “hospital superbug”; Emerging infectious diseases; Mass media; Social representations; UK

Article Outline

Introduction
The development of antibiotic resistant bacteria
Social representations theory
Methods
Results
How is MRSA described?
Who or what was held to blame?
Discussion
Concluding comments
Acknowledgements
Further Reading
References



Social Science & Medicine
Volume 63, Issue 8, October 2006, Pages 2141-2152
 
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