護理師照護一位困難梭狀芽孢桿菌病人。哪種病房安排最合適？
A nurse is caring for a client with Clostridioides difficile. Which type of room assignment is most appropriate?
- AA semi-private room with a client who also has C. diff與另一位C. diff病人同住半私人病房
- BA semi-private room with a client who has a surgical wound與一位有手術傷口的病人同住半私人病房
- CA private room with dedicated equipment✓ 正解配有專用設備的單人房
- DA room with a client who is immunocompromised與一位免疫功能低下者同住的病房
困難梭狀芽孢桿菌（Clostridioides difficile, C. diff）感染是一種常見的醫療照護相關感染，會引起嚴重腹瀉和結腸炎。C. diff 能形成孢子，這些孢子對酒精性乾洗手液和許多常見的消毒劑具有高度抵抗力，可長時間存活於環境表面，容易透過接觸傳播。因此，對於 C. diff 病人，採取嚴格的感染控制措施，包括適當的病房安排，對於防止其在醫療機構內傳播至關重要。 護理師在安排病房時，應優先考慮病原體的傳播特性和病人的易感性。為 C. diff 病人提供一個獨立的環境，並配備專用設備，能最大限度地減少交叉污染的風險，保護其他病人免受感染。這項決策體現了護理師對感染控制原則的深刻理解和臨床判斷能力。
Clostridioides difficile (C. diff) infection is a common healthcare-associated infection that causes severe diarrhea and colitis. C. diff forms spores that are highly resistant to alcohol-based hand sanitizers and many common disinfectants, can persist on environmental surfaces for long periods, and are easily transmitted through contact. Therefore, strict infection control measures—including appropriate room assignment—are essential to prevent its spread within healthcare facilities. When assigning a room, the nurse should prioritize the transmission characteristics of the pathogen and the susceptibility of other clients. Providing C. diff clients with an isolated environment and dedicated equipment minimizes the risk of cross-contamination and protects other clients from infection. This decision reflects the nurse's strong understanding of infection control principles and clinical judgment.
對於困難梭狀芽孢桿菌（C. diff）病人的病房安排，台灣和美國的感染控制指南是高度一致的。兩地都將單人房（private room）且配備專用醫療設備列為首選，並強調嚴格的接觸隔離措施，包括使用肥皂和水洗手（酒精性乾洗手液對 C. diff 孢子效果不佳）。在單人房不足的情況下，群聚隔離（cohorting）才被視為替代方案。因此，NCLEX 考試中關於 C. diff 病房安排的知識，對於台灣護理師在美國執業是直接適用的，沒有顯著的臨床做法差異。