— 照護管理 · MEDIUM · SATA —
護理師照護一位困難梭狀桿菌（C. difficile）感染的病人。需要採取哪些隔離措施？（選所有適合的）
A nurse is managing a client with an outbreak of C. difficile. Which of the following isolation measures are required? (Select all that apply.)
- APrivate room placement✓ 正解安置於單人病房
- BWearing a surgical mask upon entry進入時佩戴外科口罩
- CWearing a gown and gloves when entering the room✓ 正解進入病房時穿著隔離衣和手套
- DHand washing with soap and water✓ 正解使用肥皂和水洗手
- EUsing alcohol-based hand sanitizer after every contact每次接觸後使用酒精性乾洗手
— Explanation · 中文詳解 —
困難梭狀桿菌屬接觸傳染，必須採取接觸隔離措施（Contact Precautions）。包括單人病室、穿著隔離衣與手套。關鍵點在於酒精無法殺死該菌之芽孢，因此接觸後必須使用肥皂與水洗手，而非僅使用酒精乾洗手。
Clostridioides difficile is spread via contact with spores, necessitating contact precautions such as a private room, gown, and gloves. Because alcohol-based sanitizers do not kill C. difficile spores, thorough handwashing with soap and water is essential to mechanically remove spores and prevent transmission.
✦ 台美臨床差異
台美在 C. difficile 的接觸隔離要求基本一致，皆強烈建議接觸後必須使用肥皂洗手。