— 安全與感染控制 · MEDIUM · MCQ —
護理師照護一位活動性肺結核病人，需要哪種個人防護設備（PPE）？
A nurse is caring for a client with active tuberculosis. Which PPE is required?
- AFace shield防護面罩
- BSurgical mask外科口罩
- CN95 respirator✓ 正解N95 呼吸器
- DPowered air-purifying respirator (PAPR)動力送風過濾式呼吸器 (PAPR)
— Explanation · 中文詳解 —
活動性肺結核屬於空氣傳播（Airborne Precautions）疾病。N95 口罩能有效過濾結核桿菌微粒。外科口罩（Surgical mask）無法過濾小於 5 微米的微粒，因此不適用於防護空氣傳播。PAPR 通常用於無法配戴 N95 的特殊狀況，並非第一線常規選項。
Active pulmonary tuberculosis is an airborne precaution disease. An N95 respirator effectively filters tuberculosis bacillus particles. A surgical mask cannot filter particles smaller than 5 microns and is therefore unsuitable for airborne precautions. PAPR is typically used in special situations where an N95 cannot be worn and is not the first-line routine option.
✦ 台美臨床差異
台灣醫院對於結核病房的負壓空調要求極高，N95 穿戴規範與美方一致。