一位病人被診斷出困難梭狀桿菌 (C. diff) 感染,護理師應採取哪種隔離防護措施?
A client is diagnosed with Clostridioides difficile (C. diff). Which isolation precaution should the nurse implement?
- AAirborne precautions空氣隔離防護
- BDroplet precautions飛沫隔離防護
- CContact precautions✓ 正解接觸隔離防護
- DProtective environment保護性環境隔離
困難梭狀桿菌(C. diff)是院內常見的接觸傳染病,其芽孢對酒精具有高度抗性。因此,接觸隔離(Contact precautions)是必要的。除了穿戴隔離衣與手套外,手部清潔必須使用「肥皂與流水」,以達到機械清除芽孢的目的,酒精乾洗手液在此情況下無效。護理師應嚴格執行隔離措施,並確保醫療設備的專用性,預防交叉感染。
Clostridioides difficile (C. diff) is a common hospital-acquired contact-spread infection, and its spores are highly resistant to alcohol. Therefore, contact precautions are required. In addition to wearing a gown and gloves, hand hygiene must use soap and running water to mechanically remove spores; alcohol-based hand rubs are ineffective in this situation. The nurse must strictly implement isolation measures and ensure medical equipment is dedicated to that patient to prevent cross-infection.