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安全與感染控制 · EASY · MCQ

護理師準備對多重抗藥性病原體感染的病人給予靜脈注射抗生素。下列哪項措施是預防感染擴散最有效的方法?

A nurse is preparing to administer an intravenous antibiotic to a client with a multi-drug resistant organism. Which practice is the most effective way to prevent the spread of infection?

  • APerforming hand hygiene✓ 正解
    執行手部衛生
  • BWearing double gloves
    戴雙層手套
  • CUsing a private room
    使用單人病房
  • DDisinfecting the IV pump
    消毒靜脈輸注幫浦
Explanation · 中文詳解

在感染控制中,手部衛生(Hand Hygiene)是切斷接觸傳播(Contact Transmission)最基礎且最有效的手段。無論是多重抗藥性生物(MDRO)還是其他病原體,病原體最常經由醫護人員受污染的雙手在病人之間傳播。雖然其他選項如單人病房或消毒設備是輔助措施,但手部衛生在降低醫療照護相關感染(HAI)的效果上具有壓倒性的證據支持。臨床上,護理師需在接觸病人前後、執行無菌技術前、接觸體液後以及接觸病人環境後嚴格執行。

In infection control, hand hygiene is the most basic and effective means of breaking the chain of contact transmission. Whether dealing with a multidrug-resistant organism (MDRO) or other pathogens, organisms are most frequently spread between clients via contaminated hands of health care personnel. Although other measures such as private rooms or equipment disinfection are supportive, hand hygiene has overwhelming evidence supporting its effectiveness in reducing healthcare-associated infections (HAIs). Clinically, the nurse must strictly perform hand hygiene before and after client contact, before aseptic procedures, after contact with body fluids, and after contact with the client's environment.

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