— 安全與感染控制 · MEDIUM · SATA —
在內外科病房中，哪些病人適合同處於同一個隔離區？（選所有適合的）
Which clients are appropriate for cohorting together in a medical-surgical unit? (Select all that apply.)
- AClient with VRE (Vancomycin-resistant Enterococcus)✓ 正解患有 VRE（萬古黴素抗性腸球菌）的病人
- BClient with MRSA (Methicillin-resistant Staphylococcus aureus)患有 MRSA（甲氧西林抗性金黃色葡萄球菌）的病人
- CClient with active Tuberculosis患有活動性結核病的病人
- DClient with another client confirmed to have the same VRE strain✓ 正解另一位確診為相同 VRE 菌株的病人
- EClient with influenza患有流行性感冒的病人
— Explanation · 中文詳解 —
群體隔離（Cohorting）的原則是兩位病人感染相同的病原體且具備相同的抗藥性特徵。VRE 病人可與另一位確診 VRE 的病人安置於同一區。MRSA 與 VRE 雖然都是多重抗藥性菌，但病原體不同，不可混在一起，結核病與流感更需獨立隔離。
The principle of cohorting is that two patients are infected with the same pathogen and share the same resistance profile. A patient with VRE may be placed in the same area as another patient confirmed to have VRE. Although MRSA and VRE are both multidrug-resistant organisms, they are different pathogens and cannot be cohorted together. Tuberculosis and influenza require separate isolation.
✦ 台美臨床差異
美台對於 Cohorting 的規定高度一致，均遵循 CDC 指引，但在急診室擁擠時，台灣有時會因床位緊縮而執行隔離分區困難。