— 基本照護與舒適 · EASY · SATA —
管理留置導尿管時，哪些護理措施可預防感染？（選所有適合的）
Which of the following nursing actions are appropriate when managing a client's urinary catheter to prevent infection? (Select all that apply.)
- AKeep the drainage bag below the level of the bladder✓ 正解保持引流袋低於膀胱水平
- BClean the perineal area daily✓ 正解每日清潔會陰區域
- CAllow the bag to touch the floor允許引流袋觸碰地面
- DEnsure the tubing is free of kinks✓ 正解確保管路無扭曲
- EIrrigate the catheter every 4 hours routinely常規每 4 小時沖洗導尿管
— Explanation · 中文詳解 —
導管相關泌尿道感染（CAUTI）預防重點為防止逆流與保持通暢。袋子需低於膀胱以利用重力引流；每日清潔會陰部可減少細菌；管路無扭曲確保流暢。接觸地板會增加污染；例行沖洗則會破壞無菌系統，除非有堵塞醫囑，否則不應 Routine 執行。
Prevention of catheter-associated urinary tract infection (CAUTI) focuses on preventing reflux and maintaining patency. The drainage bag must remain below the bladder for gravity drainage; daily perineal hygiene reduces bacterial load; kink-free tubing ensures smooth flow. Contact with the floor introduces contamination, and routine irrigation breaks the closed system and should not be performed unless specifically ordered for obstruction.
✦ 台美臨床差異
美台皆強調預防 CAUTI，但在 Routine 沖洗的觀念上已完全一致，即「非必要不沖洗」。