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安全與感染控制 · EASY · MCQ

一位處於接觸隔離措施的 MRSA 病人,護理師應執行哪項措施以最有效地預防感染擴散?

A nurse is caring for a client on contact precautions for MRSA. Which action is the most critical to prevent the spread of infection?

  • AEnsuring the client stays in a negative pressure room
    確保病人待在負壓病房
  • BPerforming hand hygiene before and after client contact✓ 正解
    在接觸病人前後執行手部衛生
  • CDisinfecting the blood pressure cuff after every use
    每次使用後消毒血壓計袖帶
  • DWearing double gloves when performing wound care
    進行傷口護理時戴雙層手套
Explanation · 中文詳解

MRSA(抗藥性金黃色葡萄球菌)主要透過直接或間接接觸傳播。在接觸隔離(Contact Precautions)措施中,手部衛生是切斷傳播鏈最關鍵的環節。即使配戴手套,手套表面仍可能沾染細菌,脫下手套後若未洗手,細菌極易轉移至護理師的手部或環境中。因此,在接觸前後執行標準洗手程序(或使用酒精乾洗手),是預防院內感染擴散最簡單且最有效的基礎。

MRSA (methicillin-resistant Staphylococcus aureus) is transmitted primarily through direct or indirect contact. In contact precautions, hand hygiene is the most critical step in breaking the chain of transmission. Even when gloves are worn, their surfaces can become contaminated with bacteria; if hands are not washed after glove removal, bacteria can readily transfer to the nurse's hands or the environment. Therefore, performing standard hand-washing (or using alcohol-based hand rub) before and after contact is the simplest and most effective foundation for preventing the spread of nosocomial infection.

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