— 安全與感染控制 · MEDIUM · MCQ —
護理師正在照護一位感染萬古黴素抗藥性腸球菌（VRE）的病人。應採取哪項預防措施？
A nurse is caring for a client with VRE (Vancomycin-Resistant Enterococcus). Which precaution should the nurse implement?
- AAirborne precautions空氣隔離措施
- BProtective isolation保護性隔離
- CContact precautions✓ 正解接觸隔離措施
- DDroplet precautions飛沫隔離措施
— Explanation · 中文詳解 —
VRE（萬古黴素抗藥性腸球菌）是嚴重的多重抗藥性微生物（MDRO）。由於該菌主要透過受污染的環境表面或醫護人員的手部傳播，因此必須嚴格執行「接觸預防措施（Contact Precautions）」。臨床照護重點包括：專用設備、單人病房（或 cohorting 同類病人），以及進入病室必須穿戴隔離衣與手套。
VRE is a multidrug-resistant organism primarily transmitted through direct or indirect contact with contaminated surfaces or healthcare workers' hands. Therefore, the nurse must implement contact precautions, which include wearing gloves and a gown, using dedicated equipment, and placing the client in a private room or cohorting with similar infections.