— 安全與感染控制 · MEDIUM · MCQ —
護理師照護困難梭狀芽孢桿菌（C. difficile）病人，哪種手部衛生方式最合適？
A nurse is caring for a client with a C. difficile infection. Which hand hygiene method is most appropriate?
- AAntiseptic surgical scrub抗菌外科刷洗
- BSoap and water✓ 正解肥皂與清水
- CAlcohol-based hand rub含酒精的搓手液
- DChlorhexidine wipes氯己定濕巾
— Explanation · 中文詳解 —
困難梭狀芽孢桿菌（Clostridioides difficile, C. diff）會產生具有極高環境抗藥性的芽孢（Spores）。酒精性乾洗手液（Alcohol-based hand rub）無法殺死這些芽孢，甚至可能將其散佈至手部。因此，針對 C. diff 感染病人，必須使用肥皂與流水進行物理性洗手，透過機械摩擦與沖洗移除手上的芽孢。
Soap and water handwashing is the most appropriate hygiene method for clients with Clostridioides difficile because mechanical friction and rinsing effectively remove spores from the skin. Alcohol-based hand sanitizers are ineffective against C. difficile spores and may fail to reduce transmission risk, making physical removal essential for infection control.