— 安全與感染控制 · EASY · MCQ —
護理師照護一名困難梭狀桿菌陽性病人，應採取何種措施防止傳播？
A nurse is caring for a client who has a positive result for Clostridium difficile. Which action should the nurse take to prevent transmission to other clients?
- AUse alcohol-based hand sanitizer after contact接觸後使用酒精性手部消毒劑
- BPlace the client on droplet precautions將病人置於飛沫隔離措施
- CWear an N95 respirator when entering the room進入病房時佩戴 N95 口罩
- DEnsure the client is in a private room or with a cohort✓ 正解確保病人在單獨病房或與同類病患分組安置
— Explanation · 中文詳解 —
困難梭狀桿菌對酒精具有抗性，必須使用肥皂及水洗手。該菌透過接觸傳播，因此需採接觸防護措施（Contact Precautions），單人房或與相同病菌者分組（cohorting）是核心策略，不需防護口罩或 droplet 措施。
Clostridium difficile is resistant to alcohol; soap and water hand washing is required. Transmission is by contact, so contact precautions are used—private room or cohorting with similarly infected patients is the core strategy. Droplet precautions or N95 respirators are not needed.
✦ 台美臨床差異
美台對 C. diff 感染控制原則高度一致，皆強制規定肥皂洗手並執行接觸隔離。