一位護理師正在接收入院一位確診為 MRSA(Methicillin-resistant Staphylococcus aureus)感染的病人。應實施哪種接觸隔離措施?
A nurse is admitting a client with a confirmed MRSA infection. Which transmission-based precautions should the nurse implement?
- AStandard precautions only僅執行標準防護
- BContact precautions✓ 正解接觸隔離
- CAirborne precautions空氣隔離
- DDroplet precautions飛沫隔離
MRSA 主要透過皮膚與皮膚的直接接觸或接觸受污染的物體(如床欄、聽診器)傳播。因此,針對 MRSA 確診或帶原的病人,必須執行「接觸隔離」(Contact precautions)。這包括入住單人房(若無則 Cohorting 與同類病人住一起)、穿戴隔離衣與手套,並在離開房間前徹底執行手部衛生,以防止細菌散播。
MRSA is primarily transmitted through direct skin-to-skin contact or contact with contaminated objects (such as bed rails and stethoscopes). Therefore, for clients confirmed to be infected with or colonized by MRSA, contact precautions must be implemented. This includes placing the client in a private room (or cohorting with similar clients if a private room is unavailable), wearing gowns and gloves, and performing thorough hand hygiene before leaving the room, to prevent the spread of the organism.