— 安全與感染控制 · MEDIUM · MCQ —
病人被診斷為困難梭狀芽孢桿菌（C. difficile）感染，下列何種洗手規範是強制性的？
A client is diagnosed with Clostridioides difficile. Which hand hygiene practice is mandatory?
- AWear double gloves only僅戴雙層手套
- BPerform hand hygiene only after leaving the room僅在離開房間後進行手部衛生
- CUse soap and water for hand hygiene✓ 正解使用肥皂和水進行手部衛生
- DUse alcohol-based hand rub before and after care在照護前後使用酒精性搓手液
— Explanation · 中文詳解 —
困難梭狀芽孢桿菌（C. difficile）會產生具高度抗藥性的芽孢（spores）。酒精成分的乾洗手液（alcohol-based hand rub）對芽孢無效。因此，照護此類病人時，必須使用肥皂與流水（soap and water）進行機械性沖洗，才能有效將芽孢從皮膚移除，這是預防院內感染擴散的強制性規範。
Clostridioides difficile (C. difficile) produces highly resistant spores. Alcohol-based hand rub is ineffective against these spores. Therefore, when caring for such clients, soap and water must be used to perform mechanical handwashing in order to effectively remove the spores from the skin. This is a mandatory standard for preventing the spread of healthcare-associated infections.