— 安全與感染控制 · MEDIUM · MCQ —
護理師照護一位困難梭狀桿菌感染的病人時，必須嚴格執行哪項措施？
A nurse is caring for a client with Clostridioides difficile infection. Which intervention must be strictly followed?
- AUsing alcohol-based hand sanitizer after contact接觸後使用含酒精的免洗洗手液
- BWashing hands with soap and water after care✓ 正解護理後用肥皂和水洗手
- CWearing a surgical mask when entering the room進入病房時佩戴外科口罩
- DImplementing droplet precautions實施飛沫隔離措施
— Explanation · 中文詳解 —
困難梭狀桿菌具有孢子，酒精無法殺死孢子，因此接觸病人後必須使用肥皂與清水沖洗。此菌需採取接觸隔離（Contact Precautions），飛沫隔離（D, C）適用於流感或腦膜炎等病原體。清潔手部物理機械動作能移除孢子。
Clostridioides difficile spores are resistant to alcohol-based hand sanitizers, making mechanical hand washing with soap and water essential to physically remove them. Additionally, strict contact precautions are required because the organism is transmitted via the fecal-oral route, not through droplets.
✦ 台美臨床差異
美國醫院針對 C. diff 的防護標準極高（專用廁所、漂白水消毒），台灣醫院亦遵循，但病房空間分配有時較為擁擠。