— 安全與感染控制 · EASY · MCQ —
護理師照顧一位患有困難梭狀芽孢桿菌的病人。護理師應執行哪種防護措施？
A nurse is caring for a client with Clostridioides difficile. Which type of precautions should the nurse implement?
- AContact precautions✓ 正解接觸防護
- BDroplet precautions飛沫防護
- CStandard precautions標準防護
- DAirborne precautions空氣防護
— Explanation · 中文詳解 —
C. difficile 具高度傳染性且產生孢子，酒精洗手液無法殺滅孢子，因此必須執行接觸防護。護理師進入房間須穿戴手套與隔離衣，手部清潔務必使用肥皂與水沖洗，以機械方式移除孢子，這是感染控制中的核心原則。
Clostridioides difficile forms resilient spores that are not killed by alcohol-based hand sanitizers, making contact precautions essential to prevent transmission via direct and indirect contact. Nurses must wear gloves and gowns when entering the room and perform hand hygiene with soap and water to mechanically remove spores.
✦ 台美臨床差異
美台皆強調肥皂洗手對抗 C. diff，但在接觸防護衣的穿脫標準化流程上，台灣醫院較重視院感室的定期查核。