— 安全與感染控制 · EASY · MCQ —
護理師照護一位感染困難梭狀桿菌（C. difficile）的病人，哪項措施對於防止感染擴散最為重要？
A nurse is caring for a client with Clostridium difficile. Which action is the highest priority to prevent the spread of infection?
- AUse a HEPA filter mask when entering the room進入房間時使用HEPA濾網口罩
- BPerform hand hygiene using soap and water✓ 正解使用肥皂和水進行手部衛生
- CPerform hand hygiene using alcohol-based hand rub使用酒精性搓手液進行手部衛生
- DPlace the client on droplet precautions將病人實施飛沫隔離措施
— Explanation · 中文詳解 —
困難梭狀桿菌會產生具抗藥性的芽孢，酒精無法有效殺死芽孢，因此接觸該類病人後務必使用肥皂與水洗手進行機械性移除。酒精乾洗手液對芽孢無效。此外，此病原體需執行接觸隔離（Contact Precautions）而非飛沫隔離。
Clostridium difficile produces resistant spores; alcohol cannot effectively kill these spores, so after caring for such clients, soap and water must be used for handwashing to mechanically remove them. Alcohol-based hand rub is ineffective against spores. In addition, this pathogen requires Contact Precautions rather than droplet precautions.
✦ 台美臨床差異
台美臨床指引對於 C. diff 的接觸隔離措施皆一致，強調務必使用肥皂洗手。