— 安全與感染控制 · EASY · MCQ —
護理師照護一位困難梭狀桿菌陽性病人，為維持感染控制，應優先採取哪項措施？
A nurse is caring for a client who has a positive result for Clostridium difficile. Which action is the priority to maintain infection control?
- AWear a N95 respirator during care照護期間佩戴N95呼吸器
- BPerform soap and water handwashing✓ 正解使用肥皂和清水洗手
- CUse an alcohol-based hand sanitizer使用酒精性搓手液
- DPlace the client in a negative pressure room將病人安置於負壓病房
— Explanation · 中文詳解 —
困難梭狀桿菌產生之芽孢對酒精具有抗性，因此酒精乾洗手無法有效清除。根據 CDC 標準防護規範，接觸感染此菌之病人，手部衛生必須使用肥皂與流水徹底清洗，以物理方式去除芽孢。負壓隔離與 N95 口罩適用於空氣傳染疾病，如肺結核或麻疹。
The spores produced by Clostridium difficile are resistant to alcohol; alcohol-based hand rubs cannot effectively eliminate them. Per CDC standard guidelines, when caring for a patient with this infection, hand hygiene must be performed with soap and running water to remove spores mechanically. Negative-pressure isolation and N95 masks are used for airborne illnesses, such as tuberculosis or measles.
✦ 台美臨床差異
台美臨床對困難梭狀桿菌之接觸隔離規範一致，均嚴格執行接觸隔離與濕洗手。