The role of intra and inter-hospital patient transfer in the dissemination of heathcare-associated multidrug-resistant pathogens.

•The role of patient movement within and between hospitals on the KPC prevalence.•Hospital network based on Brazilian hospital sizes and locations.•Ratio of HCW per patient is one of the key parameters to control HAI.•Identifying the hospitals that acts as infection sources can optimize control.•Patient movement should be evaluated based on HAI prevalence.