— 安全與感染控制 · MEDIUM · MCQ —
病人診斷為艱難梭菌（C. difficile）感染。下列哪項感染控制措施應優先執行？
A client is diagnosed with Clostridioides difficile. Which infection control measure is prioritized?
- AUse alcohol-based hand sanitizer使用含酒精的免洗洗手液
- BWash hands with soap and water✓ 正解用肥皂和水洗手
- CWear a surgical mask when entering the room進入房間時佩戴外科口罩
- DPlace the client in a private room with negative pressure將病人安置在具有負壓的私人病房
— Explanation · 中文詳解 —
艱難梭菌（C. difficile）會形成具高度抗性的芽孢（Spores），此類芽孢對酒精具有抗性，因此一般的酒精性乾洗手液無法將其有效移除，甚至可能透過搓手過程將孢子散佈至環境。針對此類感染，必須採取接觸隔離（Contact Precautions），且洗手時必須使用肥皂與清水，透過機械性的沖洗作用移除孢子。
Clostridioides difficile forms highly resistant spores. These spores are resistant to alcohol, so standard alcohol-based hand sanitizers cannot effectively remove them and may even spread the spores into the environment through rubbing of the hands. For this type of infection, contact precautions must be implemented, and hand hygiene must be performed with soap and running water, using mechanical washing to remove the spores.