護理師照護一位艱難梭菌(C. difficile)感染的病人。進入房間時最合適的個人防護裝備為何?
A nurse is caring for a client with Clostridioides difficile. Which personal protective equipment (PPE) is most appropriate when entering the room?
- AN95 respirator, gown, and glovesN95 呼吸器、隔離衣和手套
- BFace shield and surgical mask面罩和外科口罩
- CGown and gloves✓ 正解隔離衣和手套
- DSurgical mask and gloves外科口罩和手套
艱難梭菌(C. difficile)會產生芽孢,對環境抵抗力極強且無法被酒精殺滅。因此,針對此類病人,標準防護措施為接觸隔離(Contact Precautions)。進入房間時,必須穿戴隔離衣(Gown)與手套(Gloves)以阻斷病原體透過護理人員的制服或手部轉移至其他病人。NCLEX 考試重點在於區分不同傳播途徑的隔離需求,接觸隔離僅需隔離衣與手套,無需口罩或護目鏡。
Clostridioides difficile produces spores that are highly resistant to the environment and cannot be killed by alcohol. Standard precautions for these clients are therefore contact precautions. When entering the room, the nurse must wear a gown and gloves to block the transfer of pathogens to other clients via the nurse's uniform or hands. NCLEX questions emphasize distinguishing isolation requirements by transmission route; contact precautions require only a gown and gloves, with no need for a mask or eye protection.
美國臨床對於 C. diff 病人,除了嚴格執行接觸隔離,手部衛生必須使用肥皂與水洗手(Soap and water),酒精性乾洗手(Hand sanitizer)無法殺滅芽孢,這點在台美臨床規範是一致的。