— 安全與感染控制 · EASY · MCQ —
護理師在照顧艱難梭菌感染病人時，優先採取哪項措施以防止傳播？
Which action should the nurse prioritize to prevent the transmission of Clostridioides difficile in a client's room?
- AWash hands with soap and water after removing gloves✓ 正解脫掉手套後用肥皂和水洗手
- BMaintain the client in a private room with negative air pressure將病人安置在具有負壓氣流的單獨病房
- CWear a N95 respirator mask佩戴 N95 呼吸防護口罩
- DUse alcohol-based hand sanitizer after contact接觸後使用含酒精的免洗洗手液
— Explanation · 中文詳解 —
艱難梭菌屬於芽孢類細菌，酒精無法殺滅芽孢，必須透過物理性洗手（皂液加流水）來機械性移除細菌。負壓病房適用於飛沫核隔離，此菌則採取接觸隔離。穿戴 N95 是針對空氣傳播疾病（如肺結核）的要求，對此菌無效。
Clostridioides difficile spores are resistant to alcohol-based hand sanitizers, making soap and water washing essential for mechanical removal. Contact precautions are required, but negative air pressure and N95 respirators are unnecessary as the organism is not airborne. Proper hand hygiene with soap and water is the primary method to prevent transmission.
✦ 台美臨床差異
台美兩地在感染控制指引上關於 C. diff 的 hand hygiene 規定皆一致，皆嚴禁酒精乾洗手。