Multidrug-resistant bacteria may be associated with bed allocation and utilization efficiency in healthcare institutions, based on national monitoring data from China (2014– 2020)

Abstract

Abstract Multidrug-resistant bacteria have become one of the most paramount health perils in the 21st century. In this study, provincial-level panel data in China were used to analyze the relationship between bed allocation, utilization efficiency, and MDROs detection rates by the panel data quantile regression model. It was shown that the number of beds per 1,000 people had a negative effect on the detection rate of MRSA, VREA, VREM, PRSP, MRCNS, and CTX/CRO-R ECO (regression coefficient < 0, P < 0.05). The hospital bed utilization rate had a positive effect on the detection rate of MRSA, MRCNS, VREM, PRSP, CTX/CRO-R ECO, CR-ECO, CTX/CRO-R KPN, CR-KPN, CR-PAE, and CR-ABA (regression coefficient > 0, P < 0.05). The average hospital stay had a positive effect on the detection rate of MRSA, MRCNS, VREA, VREM, PRSP, CTX/CRO-R ECO, CR-ECO, QNR-ECO, CTX/CRO-R KPN, CR-PAE, and CR-ABA (regression coefficient > 0, P < 0.05). MDROs are associated with bed allocation and utilization efficiency in healthcare institutions. The Department of Medical Administration should reduce the incidence of MDROs by increasing bed medical allocation and improving the efficiency of bed utilization in hospitalized patients.