— 健康促進與維護 · HARD · MCQ —
護理師向社區團體衛教萊姆病預防，哪項訊息正確？
A nurse is teaching a community group about preventing Lyme disease. Which information is correct?
- AUse insect repellent with at least 50% DEET使用含有至少50% DEET的防蚊液
- BApply topical antibiotics to all tick bites immediately立即在所有壁蝨叮咬處塗抹外用抗生素
- CCheck for ticks only once a week每週僅檢查一次壁蝨
- DWear light-colored clothing while hiking✓ 正解健行時穿著淺色衣物
— Explanation · 中文詳解 —
萊姆病經由壁蝨叮咬傳播。穿著淺色衣物可更容易發現爬行中的壁蝨。防蚊液 DEET 濃度 20-30% 已足夠，過高對皮膚刺激性大。檢查壁蝨應在每次戶外活動後立即進行，而非每週。抗生素不建議常規塗抹於叮咬處。
Lyme disease is transmitted through tick bites. Wearing light-colored clothing makes it easier to spot ticks crawling on the clothes. A DEET concentration of 20 to 30 percent in insect repellent is sufficient; concentrations that are too high are excessively irritating to the skin. Tick checks should be performed immediately after each outdoor activity, not weekly. Routinely applying antibiotics to the site of the bite is not recommended.
✦ 台美臨床差異
美國東北部萊姆病盛行，此衛教為護理師常規工作；台灣萊姆病案例較少，重點轉向恙蟲病預防。