— 安全與感染控制 · EASY · MCQ —
下列哪項措施對於預防醫療相關感染（HAI）最為有效？
Which of the following interventions is most effective in preventing health care-associated infections (HAIs)?
- AConsistent hand hygiene✓ 正解確實執行手部衛生
- BUsing private rooms for all patients為所有病人提供單人房
- CWearing sterile gloves for all patient contact與所有病人接觸時佩戴無菌手套
- DAdministering prophylactic antibiotics給予預防性抗生素
— Explanation · 中文詳解 —
醫療相關感染（Healthcare-associated infections, HAIs）是病人安全的重要指標。手部衛生（Hand hygiene）是打破微生物傳播鏈最有效、最具成本效益的單一措施。大多數 HAIs 是透過醫護人員未清潔的手部進行交叉污染。雖然抗生素與單人房有其輔助功能，但無法取代手部衛生作為第一線預防措施的地位。
Consistent hand hygiene is the single most effective and cost-efficient measure to prevent healthcare-associated infections by breaking the chain of microbial transmission. While other measures like private rooms or antibiotics have roles, they cannot replace hand hygiene as the primary defense against cross-contamination.
✦ 台美臨床差異
美國醫院對洗手遵從率有極高要求，通常會進行嚴格的稽核（如 Secret Shopper 觀察），且強調使用含酒精乾洗手液（Alcohol-based hand rub）在無明顯污漬時的便利性。