— 安全與感染控制 · EASY · MCQ —
護理師照護一位困難梭菌（C. difficile）檢測呈陽性的病人，應採取何種防護措施？
A nurse is caring for a client who has a positive result for Clostridium difficile. Which type of precautions should the nurse implement?
- AContact precautions✓ 正解接觸防護措施
- BDroplet precautions飛沫防護措施
- CProtective environment保護性環境
- DAirborne precautions空氣微粒防護措施
— Explanation · 中文詳解 —
困難梭菌（C. difficile）會產生芽孢，對環境抵抗力強，且酒精性乾洗手液無法有效殺滅芽孢。因此，照護此類病人必須採取接觸防護措施（Contact Precautions），進入病室需穿戴手套與隔離衣（Gown）。最關鍵的臨床重點是：手部衛生必須使用肥皂與水（Soap and water）洗手，以機械性方式移除芽孢。
Clostridium difficile requires contact precautions because its spores are resistant to alcohol-based hand sanitizers and spread via direct or indirect contact. Healthcare providers must wear gloves and gowns, and perform hand hygiene with soap and water to mechanically remove spores, ensuring effective infection control.