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安全與感染控制 · MEDIUM · SATA

照護困難梭菌(C. diff)感染的病人時,應採取哪些措施?(選所有適合的)

When managing a client with Clostridium difficile, which actions are required? (Select all that apply.)

  • APerform hand hygiene with alcohol-based sanitizer
    使用含酒精的消毒劑進行手部衛生
  • BWash hands with soap and water✓ 正解
    用肥皂和水洗手
  • CWear a gown and gloves upon entry✓ 正解
    進入時穿戴隔離衣和手套
  • DUse dedicated medical equipment✓ 正解
    使用專用醫療設備
  • EPlace the client in a private room✓ 正解
    將病人安置於單獨病房
Explanation · 中文詳解

困難梭菌(C. diff)會產生具有抗性的芽孢,一般的酒精性乾洗手液對其無效,因此在接觸此類病人後,必須使用肥皂與清水洗手,透過物理性的機械摩擦去除芽孢。此外,需採取接觸隔離(contact precautions),包括穿戴隔離衣與手套,並盡量配置專用器材。若需共用器材,必須徹底消毒。將病人安置於單人房是預防交叉感染的優先選擇。

Clostridium difficile produces resistant spores, and ordinary alcohol-based hand rubs are ineffective against them. After contact with such clients, hands must therefore be washed with soap and water to physically remove the spores through mechanical friction. In addition, contact precautions must be implemented, including wearing a gown and gloves, and dedicated equipment should be used whenever possible. If equipment must be shared, it must be thoroughly disinfected. Placing the client in a private room is the preferred option for preventing cross-infection.

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