Evidence Based Relationship Between Healthcare Infrastructure and Nosocomial Infections in Romania

We investigate the regional dynamic of nosocomial infections in Romanian hospitals, and find potential predictors. Our data covers 13 years, and refer to the incidence of nosocomial infections for each of the 42 Romanian administrative units every year. A preliminary cluster analysis reveals that there is heterogeneity across counties both in terms of average, and variability of nosocomial infections incidence. The heterogeneity can be explained to an important degree by the local level of healthcare infrastructure, urbanization rate and economic development. Supporting programs and clear standards for quality assurance must accompany the investment in health infrastructure, and the development of new out – care units should be prioritized