— 安全與感染控制 · MEDIUM · SATA —
護理師採取哪些措施以預防困難梭狀芽孢桿菌的傳播？（選所有適合的）
Which actions should the nurse perform to prevent the transmission of Clostridioides difficile? (Select all that apply.)
- APerform hand hygiene using soap and water✓ 正解使用肥皂和清水進行手部衛生
- BUse alcohol-based hand sanitizer after every contact每次接觸後使用酒精性乾洗手
- CWear a gown and gloves when entering the room✓ 正解進入房間時穿戴隔離衣和手套
- DDisinfect the environment with bleach-based agents✓ 正解使用含漂白水劑消毒環境
- EPlace the client on droplet precautions將病人實施飛沫隔離
— Explanation · 中文詳解 —
困難梭狀芽孢桿菌會產生孢子，酒精無法消滅。必須使用肥皂洗手以透過物理清洗去除孢子。此外，針對此菌需採取接觸防護措施（穿戴隔離衣與手套），且因其對一般清潔劑有抗性，環境清潔需使用含氯消毒液（漂白水）才能徹底消滅孢子。
Because Clostridioides difficile spores are resistant to alcohol, nurses must use soap and water for hand hygiene to physically remove them. Contact precautions, including wearing a gown and gloves, are required to prevent cross-contamination, and bleach-based disinfectants are necessary to eradicate spores from the environment.
✦ 台美臨床差異
台美臨床對於 C. difficile 的隔離規範高度一致，皆強調漂白水清潔與洗手方式。