— 安全與感染控制 · EASY · MCQ —
護理師照護一名有抗藥性金黃色葡萄球菌（MRSA）病史的病人，應採取哪種隔離預防措施？
A nurse is caring for a client who has a history of methicillin-resistant Staphylococcus aureus (MRSA). Which type of isolation precautions should the nurse implement?
- AAirborne precautions空氣隔離預防措施
- BDroplet precautions飛沫隔離預防措施
- CContact precautions✓ 正解接觸隔離預防措施
- DStandard precautions標準隔離預防措施
— Explanation · 中文詳解 —
MRSA 主要透過直接接觸或環境表面傳播，因此必須採取接觸隔離。這包括執行手部衛生、穿戴手套及隔離衣。標準預防措施適用於所有病人，但對於具抗藥性病菌的病人，接觸隔離是進階的保護措施，以防細菌在病房內擴散。
MRSA is transmitted primarily by direct contact or via environmental surfaces, so contact precautions must be implemented. This includes performing hand hygiene and donning gloves and a gown. Standard precautions apply to all clients, but for clients with drug-resistant organisms, contact precautions are an additional protective measure to prevent the spread of bacteria within the unit.
✦ 台美臨床差異
台美兩地皆嚴格遵循 MRSA 接觸隔離原則，但台灣醫院常會額外對 MRSA 帶菌者進行定期篩檢。