— 基本照護與舒適 · EASY · MCQ —
下列哪項措施是預防院內感染最有效的方法？
Which of the following interventions is the most effective way to prevent the spread of hospital-acquired infections?
- AWearing double gloves for all procedures在所有程序中戴雙層手套
- BPerforming thorough hand hygiene between clients✓ 正解在照顧不同病人之間徹底執行手部衛生
- CKeeping the windows open for ventilation打開窗戶以保持通風
- DUsing antiseptic mouthwash for all patients為所有病人使用抗菌漱口水
— Explanation · 中文詳解 —
手部衛生是阻斷病原體經由醫療人員傳播給病人的最簡單且最有效的手段。雙重戴手套雖有防護效果，但不能取代手部清潔；口腔漱口水與通風雖有輔助，但非感染控制的第一線核心策略。正確的手洗程序應包含流動水、皂液與正確揉搓時間。
Hand hygiene is the simplest and most effective measure to interrupt the transmission of pathogens from healthcare workers to clients. Although double-gloving provides additional barrier protection, it does not replace hand hygiene; antiseptic mouthwash and ventilation are useful adjuncts but are not the first-line core strategies for infection control. Proper hand hygiene involves the use of running water, soap, and the correct duration of friction.
✦ 台美臨床差異
美國醫院推行「五個時刻」手部衛生規範極為嚴格，台灣亦跟進，但臨床忙碌時仍常忽略。