When we explored the distribution of AMR genes associated with significant spatial distribution, we found that TB predicted carriage of genes that showed significant relationships with inter-patient distance, including OXA-1, catB3, and dfrA14. The contribution of other variables such as antibiotic therapy, sepsis and length of stay were explored and demonstrated that length of stay predicted NDM-7 and CMY-2, and bacterial sepsis predicted CMY-2. The gene discussed is OXA1L; the disease is bacterial infectious disease with sepsis.