— 安全與感染控制 · EASY · MCQ —
護理師照護一位感染困難梭狀芽孢桿菌的病人。哪項措施是預防此菌傳播的首要行動？
A nurse is caring for a client with Clostridium difficile infection. Which action is the priority in preventing the spread of this organism?
- AUse an alcohol-based hand sanitizer after patient contact接觸病人後使用含酒精的免洗洗手液
- BWear a N95 respirator when entering the room進入房間時佩戴 N95 呼吸器
- CPlace the client in a private room with negative air pressure將個案安置在負壓空氣的獨立病房
- DWash hands with soap and water after removing gloves✓ 正解脫下手套後用肥皂和水洗手
— Explanation · 中文詳解 —
困難梭狀芽孢桿菌（C. difficile）會產生具高度抗藥性的孢子，酒精性乾洗手液無法有效殺死或去除這些孢子。因此，預防傳播的首要原則是採取「接觸傳播預防措施（Contact Precautions）」，其中最關鍵的行動是使用「肥皂與流動水（Soap and water）」洗手，透過物理性的沖刷將孢子從手上移除。
Clostridium difficile produces highly resistant spores, and alcohol-based hand sanitizers cannot effectively kill or remove these spores. Therefore, the primary principle for preventing transmission is to implement contact precautions, with the most critical action being hand hygiene with soap and running water, which physically removes the spores from the hands.