— 安全與感染控制 · EASY · MCQ —
護理師照護一位困難梭狀桿菌感染的病人。應採取哪種隔離措施？
A nurse is caring for a client with Clostridioides difficile infection. Which precaution should the nurse implement?
- AAirborne Precautions空氣隔離措施
- BContact Precautions✓ 正解接觸隔離措施
- CDroplet Precautions飛沫隔離措施
- DProtective Environment保護性環境
— Explanation · 中文詳解 —
困難梭狀桿菌（C. diff）具有抗藥性且孢子對酒精耐受，依據 CDC 指引，必須執行接觸隔離，並使用肥皂與水清潔雙手，酒精乾洗手液無法殺滅孢子。此類病人需要獨立病室或同類病人共同隔離，照顧者需穿戴手套與隔離衣。
Clostridioides difficile is transmitted via the fecal-oral route, necessitating Contact Precautions to prevent spread. Because C. diff spores are resistant to alcohol-based hand sanitizers, nurses must wash hands with soap and water. Patients should be placed in a private room or cohorted with other infected individuals, and healthcare providers must wear gloves and gowns.
✦ 台美臨床差異
美台對 C. diff 感染控制極為一致，皆強調手部衛生需使用肥皂水，酒精無效。