— 安全與感染控制 · EASY · MCQ —
護理師照護一位困難梭狀桿菌陽性的病人。護理師應執行哪種防護措施？
A nurse is caring for a client who has a positive result for Clostridium difficile. Which type of precaution should the nurse implement?
- AAirborne precautions空氣傳播隔離
- BStandard precautions標準預防措施
- CContact precautions✓ 正解接觸傳播隔離
- DDroplet precautions飛沫傳播隔離
— Explanation · 中文詳解 —
困難梭狀桿菌（C. diff）會形成芽孢，酒精乾洗手無法殺死，必須使用接觸防護措施（Contact Precautions），並強迫使用肥皂與水洗手以物理性移除芽孢。此病菌主要透過糞口傳染，嚴格執行手部衛生與器械專用是預防院內感染的關鍵。
Clostridium difficile (C. diff) forms spores that are not killed by alcohol-based hand rubs, so Contact Precautions must be used along with mandatory hand washing with soap and water to physically remove the spores. This organism is transmitted primarily by the fecal-oral route, and strict hand hygiene together with dedicated equipment is the key to preventing healthcare-associated infection.
✦ 台美臨床差異
美台對 C. diff 皆採取嚴格接觸防護，台灣 CDC 特別強調接觸病人前後皆需肥皂水洗手。