— 安全與感染控制 · EASY · MCQ —
護理師照護一位感染艱難梭菌的病人。哪種手部衛生方式最合適？
A nurse is caring for a client with Clostridioides difficile infection. Which hand hygiene method is most appropriate?
- APerform surgical scrub執行外科洗手
- BWash hands with soap and water✓ 正解用肥皂和水洗手
- CUse alcohol-based hand sanitizer使用含酒精的乾洗手液
- DUse sterile gloves only僅使用無菌手套
— Explanation · 中文詳解 —
艱難梭菌（Clostridioides difficile）會產生芽孢（Spores），此種芽孢對酒精具有高度抗性，酒精類乾洗手劑無法殺滅或移除芽孢。因此，照護這類病人時，必須嚴格執行「接觸隔離」（Contact Precautions），並在接觸病人後使用肥皂及流水洗手，利用物理機械摩擦的方式將芽孢從皮膚上移除。這是預防院內感染擴散的關鍵步驟。
Soap and water must be used because C. difficile spores are resistant to alcohol-based sanitizers. Mechanical friction with soap physically removes spores from the skin, whereas alcohol fails to kill them, making handwashing critical for infection control.