— 安全與感染控制 · MEDIUM · SATA —
護理師準備照護一位困難梭狀桿菌（C. difficile）感染病人，應準備哪些防護物資？（選所有適合的）
A nurse is preparing to care for a client with Clostridioides difficile. Which supplies should the nurse gather? (Select all that apply.)
- AAlcohol-based hand sanitizer含酒精的免沖洗洗手液
- BNon-sterile gloves✓ 正解非無菌手套
- CGowns✓ 正解隔離衣
- DN95 respiratorN95 呼吸防護具
- ESoap and water✓ 正解肥皂和水
— Explanation · 中文詳解 —
困難梭狀桿菌具有孢子，酒精無法將其殺滅，故必須執行濕洗手（肥皂+水）。此外，病患需採取接觸隔離（Contact Precautions），進入房間應穿戴隔離衣與手套。N95 適用於空氣傳播，非 C. diff 所需。正確手部衛生（肥皂洗手）是阻斷傳播鏈最關鍵的步驟。
Clostridioides difficile is spread via spores that are resistant to alcohol-based sanitizers, making soap and water essential for effective hand hygiene. Contact precautions require the use of non-sterile gloves and gowns to prevent contamination from fecal matter. Respirators are unnecessary as the organism is not airborne, but strict adherence to wet handwashing and barrier protection is critical to stop transmission.
✦ 台美臨床差異
美台對 C. difficile 隔離規範一致，但美國對於環境消毒（使用含氯漂白水）的要求在臨床稽核上極為嚴格。