— 安全與感染控制 · MEDIUM · SATA —
哪些病人需要嚴格採取接觸防護措施？（選所有適合的）
Which clients require strict contact precautions? (Select all that apply.)
- AClient with Clostridioides difficile infection✓ 正解患有艰难梭菌感染的客戶
- BClient with Vancomycin-resistant Enterococci (VRE)✓ 正解患有耐萬古黴素腸球菌 (VRE) 的客戶
- CClient with influenza患有流行性感冒的客戶
- DClient with Methicillin-resistant Staphylococcus aureus (MRSA)✓ 正解患有耐甲氧西林金黃色葡萄球菌 (MRSA) 的客戶
- EClient with Pertussis患有百日咳的客戶
— Explanation · 中文詳解 —
接觸防護措施主要針對可能透過直接接觸或環境表面傳播的病原體。梭狀芽孢桿菌（C. diff）、VRE 與 MRSA 均需執行接觸隔離。流感（Influenza）與百日咳（Pertussis）則屬於飛沫傳染，需執行飛沫防護措施。
Contact precautions are primarily directed at pathogens that can be transmitted through direct contact or via environmental surfaces. Clostridioides difficile (C. diff), VRE, and MRSA all require contact isolation. Influenza and pertussis are spread by droplets and therefore require droplet precautions.
✦ 台美臨床差異
台美對於 MRSA/VRE 隔離政策大同小異，但台灣醫院對於接觸隔離的執行細節常依據院內感染管制手冊。