Spatial panel data analysis of antimicrobial resistance in Escherichia coli in China

Antimicrobial resistance is a major concern, causing significant loss of life, health, and economic property. A study analyzed spatial effects of Escherichia coli (E. coli) in 30 provinces using data from the China Antibiotic Resistance Surveillance System. Results showed significant spatial autocorrelation and regional differences, with provinces in close proximity often having more similar resistance rates. The study suggests more attention should be paid to areas with higher E. coli prevalence and interregional dynamics, and the effects of ambient temperature, PM2.5, hospital beds, and healthcare facilities on E. coli prevalence should be fully recognized.