— 照護管理 · MEDIUM · SATA —
護理師照護一位感染抗藥性菌種（MDRO）的病人，需要採取哪些感染控制措施？（選所有適合的）
A nurse is managing a client with a multi-drug resistant organism (MDRO). Which infection control measures are required? (Select all that apply.)
- APlace the client in a private room✓ 正解將客戶安置於單人房
- BWear a gown when entering the room✓ 正解進入房間時穿戴隔離衣
- CWear a N95 respirator mask at all times始終佩戴 N95 呼吸器口罩
- DPerform hand hygiene before and after patient contact✓ 正解在接觸病人前後執行手部衛生
- EDedicate reusable equipment to the client✓ 正解將可重複使用的設備專供該客戶使用
— Explanation · 中文詳解 —
MDRO（如 MRSA, VRE）需要執行接觸隔離防護。包括住單人房（或與相同病原體病人同房）、穿戴隔離衣與手套（進入病室）、落實洗手五時機，並使用專屬儀器設備。N95 僅用於空氣傳播隔離（如 TB），對接觸傳播之 MDRO 並非必要。
Clients with multidrug-resistant organisms require contact precautions, which include placing the client in a private room and wearing a gown upon entry to prevent cross-contamination. Hand hygiene must be performed before and after contact, and reusable equipment should be dedicated to the client to avoid transmission. N95 respirators are not indicated as these pathogens are not airborne.
✦ 台美臨床差異
台美對接觸隔離的規定高度一致，皆遵循 CDC 指導原則，差異在於各醫院對專屬設備（dedicated equipment）的採購彈性不同。