Since the establishment in 2016, especially after the outbreak of coronavirus disease 2019 (COVID-19) epidemic, the Hospital Infection Management Quality Control Center of Shuangliu District has carried out quality management and technical ability training for full-time and part-time infection prevention and control personnel through various methods, and used grid management to organize examinations and assessments, inspections and supervision, as well as consultation and assistance. As a result, the culture of infection prevention and control has been deeply rooted in the hearts of the people, the health administrative departments have increased investment in infrastructure and equipment, the funds for infection prevention and control have continued to increase, and the prevention and control quality of COVID-19 and daily works in the region has been continuously improved. The center plays a leading role in the promotion of the standardization, homogenization, and quality improvement of the prevention and control of hospital infection in the district.
目的 監測重癥醫學科（ICU）呼吸機相關性肺炎（VAP）的發病率，探討實施干預組合措施對VAP發病率的影響。 方法 對2011年6月1日－2012年5月31日ICU使用呼吸機患者478例為監測對象并按時間先后分為兩組，對照組按規范方法進行干預，試驗組在規范干預基礎上再采取組合干預措施，包括：每日評估患者、用一次性呼吸機螺紋管、用床角量角標識抬高床頭、床尾設置黃色警示線、調查手衛生依從性等，統計分析兩組VAP發病率。 結果 共監測ICU患者5 937個住院日，使用呼吸機1 510個機械通氣日，呼吸機使用率25.43%，發生VAP 60例，VAP發病率為39.74例/1 000機械通氣日，其中對照組發生VAP 21例，使用呼吸機343個機械通氣日，VAP發病率為61.22例/1 000機械通氣日；試驗組發生VAP 39例，使用呼吸機1 167個機械通氣日，VAP發病率為33.42例/1 000機械通氣日，兩組發病率差異有統計學意義（χ2=12.702，P=0.000）。 結論 實施干預組合措施可使VAP發病率顯著下降，但仍高于國內外大型醫院，基層醫院還需不斷努力控制好VAP的發病率。