哪項介入措施對預防導尿管相關尿路感染 (CAUTI) 最有效？
Which intervention is most effective in preventing catheter-associated urinary tract infections (CAUTI)?
- ACleansing the perineal area with antiseptic solutions daily每日使用消毒溶液清潔會陰部
- BRemoving the catheter as soon as it is no longer indicated✓ 正解一旦不再有醫療指征，立即拔除導尿管
- CIrrigating the catheter with sterile saline regularly定期用無菌生理食鹽水沖洗導尿管
- DKeeping the drainage bag below the level of the bladder保持引流袋低於膀胱水平
導尿管相關尿路感染（Catheter-Associated Urinary Tract Infections, CAUTI）是醫療照護相關感染（Healthcare-Associated Infections, HAIs）中最常見的一種，不僅延長病人的住院時間、增加醫療費用，更可能導致敗血症等嚴重併發症。預防 CAUTI 是護理師在日常照護中的重要職責，也是醫院品質指標的關鍵項目。核心概念在於盡可能縮短導尿管留置時間，並在留置期間採取嚴格的感染控制措施。 護理師在評估病人是否需要導尿管時，應謹慎評估其必要性；一旦導尿管不再有醫學指徵，就應立即移除。這項決策需要護理師具備批判性思維和臨床判斷能力，以平衡導尿管的治療效益與潛在感染風險，從根本上降低 CAUTI 的發生率。
Catheter-associated urinary tract infections (CAUTI) are among the most common healthcare-associated infections, prolonging hospital stays, increasing costs, and potentially leading to sepsis. CAUTI prevention is a key nursing responsibility and a hospital quality indicator. The core concept is to minimize indwelling catheter duration and apply strict infection-control measures while it is in place. The nurse must assess the necessity of the catheter and remove it promptly once no longer indicated. This decision requires critical thinking to balance therapeutic benefit against infection risk, fundamentally reducing CAUTI incidence.
導尿管相關尿路感染（CAUTI）的預防策略在台灣和美國是高度一致的。兩地都強調減少導尿管的非必要使用、盡早移除，並在留置期間嚴格遵守無菌操作和日常護理規範。這些建議來自於國際性的感染控制指南和實證醫學研究，旨在提升病人安全和醫療品質。因此，NCLEX 考試中關於 CAUTI 預防的知識，對於台灣護理師在美國執業是直接適用的，沒有顯著的臨床做法差異。