— 安全與感染控制 · EASY · MCQ —
護理師照護一位感染困難梭菌（C. difficile）的病人，下列哪項措施是維持感染控制的首要行動？
A nurse is caring for a client with Clostridioides difficile infection. Which action is the priority to maintain safe infection control?
- AWash hands with soap and water after providing care✓ 正解提供照護後用肥皂和水洗手
- BUse an alcohol-based hand sanitizer after contact接觸後使用含酒精的免洗洗手液
- CWear a N95 respirator during all interactions在所有互動期間佩戴N95呼吸器
- DPlace the client in a negative-pressure airflow room將個案安置於負壓氣流房間
— Explanation · 中文詳解 —
困難梭菌芽孢無法被酒精殺死，手部衛生必須使用肥皂和水進行物理清洗以去除芽孢。負壓隔離室適用於空氣傳播疾病（如結核病），而 N95 則是針對空氣傳播或氣霧化操作。標準防護加接觸隔離是此類病人的標準照護程序。
Clostridioides difficile spores are resistant to alcohol-based hand sanitizers. Mechanical washing with soap and water is required to physically remove the spores from the hands. Contact precautions are sufficient; negative pressure rooms and N95 respirators are not indicated for this contact-transmitted organism.
✦ 台美臨床差異
台美對於 C. diff 的接觸隔離要求一致，皆強調手部清潔必須使用肥皂水。