— 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，下列哪項措施對維持感染控制最重要？
A nurse is caring for a client with Clostridioides difficile infection. Which action is the most important for maintaining infection control?
- AUse alcohol-based hand sanitizer after contact接觸後使用含酒精的免洗洗手液
- BRestrict all visitors from entering the room禁止所有訪客進入病房
- CWear a N95 respirator when entering the room進入病房時佩戴N95呼吸器
- DWash hands with soap and water after contact✓ 正解接觸後用肥皂和水洗手
— 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（spores）。酒精乾洗手液無法殺滅這些孢子，反而可能將孢子擴散至手部各處。因此，接觸 C. diff 病人後，必須使用肥皂與流動水進行物理洗手（mechanical handwashing），透過摩擦與沖洗來移除孢子，這是最有效的感染控制手段。
Clostridioides difficile forms spores that are resistant to alcohol-based hand sanitizers, making mechanical removal essential for infection control. Nurses must wash hands with soap and water after contact to physically eliminate spores, as alcohol fails to kill them and may inadvertently spread contamination.