— 安全與感染控制 · EASY · MCQ —
在醫療環境中，預防感染傳播最有效的方法是什麼？
Which of the following is the most effective method to prevent the spread of infection in a healthcare setting?
- AConsistent and proper hand hygiene✓ 正解一致且正確的手部衛生
- BRegular administration of prophylactic antibiotics定期給予預防性抗生素
- CUsing alcohol-based hand rub only when hands are visibly soiled僅在手部明顯髒污時使用酒精性搓手液
- DWearing a mask for all client contact與所有病人接觸時佩戴口罩
— Explanation · 中文詳解 —
洗手（手部衛生）被公認為降低醫療照護相關感染（HAI）最簡單且最有效的單一措施。這包括在接觸病人前後、執行清潔/無菌操作前、接觸體液後以及接觸病人周遭環境後洗手。酒精洗手液可用於手部無肉眼可見髒污時，若有髒污則必須使用肥皂水。
Hand hygiene is recognized as the simplest and single most effective measure to reduce healthcare-associated infections (HAIs). This includes washing hands before and after client contact, before performing clean or aseptic procedures, after contact with body fluids, and after contact with the client's surroundings. Alcohol-based hand rub may be used when hands are not visibly soiled; if visibly soiled, soap and water must be used.
✦ 台美臨床差異
美國非常強調酒精乾洗手 (ABHR) 的普及與使用；台灣雖然也推行，但在特定感染（如 C.diff）時對肥皂洗手的堅持度較高。