— 安全與感染控制 · MEDIUM · MCQ —
在臨床環境中，預防 MRSA 傳播最有效的方式是什麼？
What is the most effective way to prevent the spread of MRSA in a clinical setting?
- AAntibiotic prophylaxis for all staff為所有員工提供抗生素預防性投藥
- BUsing only high-level disinfectants on equipment僅對設備使用高階消毒劑
- CConsistent and proper hand hygiene✓ 正解持續且正確地執行手部衛生
- DIsolating all patients with skin rashes隔離所有患有皮疹的病人
— Explanation · 中文詳解 —
在臨床環境中，MRSA 的傳播主要透過醫護人員未清潔的手部。手部衛生是預防所有院內感染（HAI）最簡單、成本效益最高且最有效的策略。即便醫院有嚴格的消毒流程，若醫護人員在接觸不同病人前後未徹底洗手，MRSA 仍會持續散播。因此，Consistent and proper hand hygiene 是感染控制的最高指導原則。
Consistent and proper hand hygiene is the most effective and cost-efficient strategy to interrupt the chain of transmission for MRSA and other healthcare-associated infections. While disinfection and isolation are important, they are secondary to the fundamental practice of hand hygiene. Antibiotic prophylaxis for staff is not indicated and contributes to resistance.