— 安全與感染控制 · EASY · MCQ —
護理師照護一位感染困難梭狀芽孢桿菌(C. difficile)的病人,應採取哪種隔離措施?
A nurse is caring for a client with Clostridioides difficile. Which type of isolation precaution must be initiated?
- AAirborne precautions空氣隔離措施
- BDroplet precautions飛沫隔離措施
- CStandard precautions標準隔離措施
- DContact precautions✓ 正解接觸隔離措施
— Explanation · 中文詳解 —
困難梭狀芽孢桿菌(C. difficile)會產生芽孢,對酒精性乾洗手液有強力抗性。因此,對於此類病人,接觸隔離(Contact Precautions)是標準做法。護理措施包括穿戴手套與隔離衣,且處理病人後必須使用肥皂與清水洗手,利用物理性的摩擦與沖洗將芽孢移除。這是感染控制中確保芽孢不被帶出病室的關鍵。
Clostridium difficile produces spores that are highly resistant to alcohol-based hand sanitizers. For clients with C. difficile, Contact Precautions are therefore standard practice. Nursing measures include wearing gloves and a gown, and after caring for the client the hands must be washed with soap and water, using physical friction and rinsing to remove the spores. This is the key infection-control measure for preventing spores from being carried out of the room.