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目的 分析2019 年我国31 个省（自治区、直辖市）和东、中、西部疫苗可预防性疾病（vaccine preventable disease, VPD）一级预防服务能力水平、2004-2019 年的变化趋势及其与发病率的关系, 为提升预防服务能力, 究善VPDs 防控工作提供参考。方法 收集31 个省（自治区、直辖市）2004-2019 年所有涉及VPDs 的法律法规和 政策等公开文件, 基于文本分析方法量化计算一级预防服务能力和变化趋势, 并运用相关分析检验其与VPDs 发 病率的相关性。结果 2019 年我国VPDs 一级预防服务能力达到57.02%, 与2004 年相比增长61.44%, 但健康教育、 疾病和危险因素监测、危险因素控制或行为干预的服务可考核率仅为40.80%、29.98%、18.60%;东、中、西部地 区VPDs 一级预防服务能力分别为69.09%、52.15%、49.19%, 东部服务覆盖程度与可考核程度均超过中、西部; 我国层面的VPDs一级预防服务能力与发病率之间呈现负相关（r = - 0.693, P＜0.01）。结论 2004年以来我国VPDs一级预 防服务能力具有提升, 但是各地区之间能力存在差异, 进一步提升VPDs预防服务能力需要"扩面"与"提质"兼顾. [ABSTRACT FROM AUTHOR]

Objective To evaluate the effectiveness of multi-disciplinary team (MDT) mode in the prevention and control of multidrug resistant organism (MDRO) infection in lung transplant recipients. Methods Lung transplant recipients admitted to the hospital from 2019 to 2022 were enrolled. MDT expert group was established in January, 2020. A series of prevention and control measures were conducted. The implementation rate of MDRO prevention and control measures and the detection rate of MDRO on the environmental surface from 2020 to 2022, and the detection rate of MDRO in lung transplant recipients from 2019 to 2022 were analyzed. Results The overall implementation rate of MDRO prevention and control measures for medical staff was increased from 64.9% in 2020 to 91.6% in 2022, showing an increasing trend year by year (P<0.05). The detection rate of MDRO on the environmental surface was decreased from 28% in 2020 to 9% in 2022, showing a downward trend year by year (P<0.05). The detection rate of MDRO in lung transplant recipients was decreased from 66.7% in 2019 to 44.3% in 2022, showing a decreasing trend year by year (P<0.001). Conclusions MDT mode management may enhance the implementation of MDRO prevention and control measures for medical staff, effectively reduce the infection rate of MDRO in lung transplant recipients and the detection rate of MDRO on the environmental surface, which is worthy of widespread application. [ABSTRACT FROM AUTHOR]