— 安全與感染控制 · EASY · MCQ —
護理師照護一位檢驗出「困難梭狀芽孢桿菌」陽性的病人，應執行哪種防護措施？
A nurse is caring for a client who has a positive result for Clostridioides difficile. Which type of precautions should the nurse implement?
- ADroplet precautions飛沫隔離
- BAirborne precautions空氣隔離
- CProtective environment保護性隔離
- DContact precautions✓ 正解接觸隔離
— Explanation · 中文詳解 —
困難梭狀芽孢桿菌（C. diff）會形成孢子，無法單純以酒精乾洗手殺滅，必須採取接觸防護措施（Contact Precautions），並使用肥皂與水洗手以達到機械性移除的效果。此菌主要透過糞口傳染，隔離區需落實專屬醫療設備使用，避免交叉感染。
Clostridium difficile (C. diff) forms spores that cannot be eradicated by alcohol-based hand rub alone; contact precautions must be implemented, and hands must be washed with soap and water for mechanical removal of spores. The organism is transmitted by the fecal-oral route, so dedicated patient-care equipment must be used in the isolation area to prevent cross-contamination.
✦ 台美臨床差異
美台臨床對於 C. diff 的隔離指引一致，皆強烈建議手部衛生必須使用肥皂與水，而非酒精類乾洗手液。