— 安全與感染控制 · MEDIUM · MCQ —
護理師照護一位有困難梭狀芽孢桿菌（C. diff）病史的病人，必須使用何種方式洗手？
A nurse is caring for a client with a history of C. diff. What must the nurse use to wash their hands?
- ASoap and water✓ 正解肥皂與清水
- BAlcohol-based hand sanitizer含酒精的乾洗手液
- CAntiseptic wipes抗菌濕紙巾
- DDry rubbing with a towel用毛巾乾擦
— Explanation · 中文詳解 —
困難梭狀芽孢桿菌（C. diff）是一種會產生芽孢的細菌，其芽孢對酒精具有高度抗性。一般市售的酒精性乾洗手液（Alcohol-based hand sanitizer）無法殺死芽孢，若僅使用乾洗手，芽孢會殘留在手上，造成後續交叉感染。因此，照護 C. diff 病人後，必須使用肥皂與水進行機械性沖洗，透過摩擦力將芽孢移除。
Clostridium difficile (C. diff) is a spore-forming bacterium, and its spores are highly resistant to alcohol. Commercially available alcohol-based hand sanitizers cannot kill the spores; if only hand sanitizer is used, the spores will remain on the hands and cause subsequent cross-contamination. Therefore, after caring for a client with C. diff, the nurse must perform mechanical washing with soap and water to physically remove the spores through friction.