— 安全與感染控制 · MEDIUM · MCQ —
病人出現難辨梭菌感染症狀，護理師採取哪項感染控制措施最為優先？
A client presents with symptoms of C. difficile. Which action is the priority for infection control?
- AOrder a high-efficiency particulate air (HEPA) filter訂購高效微粒空氣 (HEPA) 過濾器
- BImplement contact precautions✓ 正解實施接觸隔離措施
- CPerform hand hygiene using an alcohol-based sanitizer使用酒精性搓手液進行手部衛生
- DRestrict all visitors from the room禁止所有訪客進入病房
— Explanation · 中文詳解 —
難辨梭菌（C. difficile）會產生孢子，酒精類洗手液對其孢子無效。因此，接觸 C. diff 病人後，必須徹底執行「肥皂與水洗手」（Soap and water hand hygiene）以物理性移除孢子。此外，必須執行接觸隔離（Contact precautions），包含穿戴手套與隔離衣，以防病原體透過醫護人員的手或衣物傳播給其他病人。
Clostridioides difficile (C. difficile) produces spores, and alcohol-based hand sanitizers are ineffective against the spores. Therefore, after caring for a client with C. difficile, thorough soap-and-water hand hygiene must be performed to physically remove the spores. In addition, Contact Precautions must be implemented, including wearing gloves and a gown, to prevent transmission of the pathogen to other clients via the hands or clothing of healthcare workers.