— 安全與感染控制 · EASY · MCQ —
一位病人的傷口培養結果顯示對抗藥性金黃色葡萄球菌 (MRSA) 呈陽性，護理師應執行哪種隔離防護措施？
A nurse is caring for a client who has a positive result for methicillin-resistant Staphylococcus aureus (MRSA) in a wound culture. Which type of isolation precaution should the nurse implement?
- AContact precautions✓ 正解接觸防護措施
- BDroplet precautions飛沫防護措施
- CProtective environment保護性環境
- DAirborne precautions空氣防護措施
— Explanation · 中文詳解 —
MRSA 主要透過直接接觸病人的傷口、分泌物或被污染的環境表面傳播。根據 CDC 指引，對於多重抗藥性生物，接觸防護措施（Contact Precautions）是標準要求，重點在於手部衛生與穿戴隔離衣與手套以防止交互感染。
MRSA is transmitted mainly through direct contact with the patient's wounds, secretions, or contaminated environmental surfaces. According to CDC guidelines, contact precautions are the standard requirement for multidrug-resistant organisms, with an emphasis on hand hygiene and the use of gowns and gloves to prevent cross-infection.
✦ 台美臨床差異
台美對於 MRSA 隔離政策相似，均強調接觸防護與嚴格的手部衛生，但在台灣醫院常併用手套與隔離衣。