— 安全與感染控制 · EASY · MCQ —
護理師預防困難梭狀芽孢桿菌（C. difficile）傳播最有效的行動為何？
Which action is most effective for a nurse to prevent the transmission of Clostridioides difficile?
- AUse sterile gloves for all patient interactions對所有病人互動使用無菌手套
- BWear a N95 respirator mask while in the room在病房內佩戴 N95 呼吸器口罩
- CWash hands with soap and water after patient care✓ 正解病人照護後用肥皂與水洗手
- DUse alcohol-based hand sanitizer after every contact每次接觸後使用酒精性乾洗手液
— Explanation · 中文詳解 —
C. difficile 的芽孢對酒精具有耐受性，酒精搓手液無法有效殺死芽孢。物理性地使用肥皂和水洗手，透過機械方式將芽孢從皮膚移除，是預防交叉感染的標準且最有效的方法。N95 針對空氣傳播，非此菌種預防重點。
C. difficile spores are resistant to alcohol, and alcohol-based hand rubs cannot effectively kill the spores. Physical handwashing with soap and water, which mechanically removes spores from the skin, is the standard and most effective method to prevent cross-contamination. N95 respirators are used for airborne transmission and are not relevant to this organism.
✦ 台美臨床差異
美台皆嚴格執行肥皂洗手，但在醫療物資供應鏈上，美國醫院對於手套與洗手用品的庫存管理更為彈性。