— 安全與感染控制 · EASY · MCQ —
護理師照護一位感染困難梭狀芽孢桿菌的病人，下列哪項感染控制措施是強制性的？
A nurse is caring for a client with Clostridium difficile. Which action is mandatory for infection control?
- AWear a N95 respirator佩戴 N95 呼吸器
- BUse alcohol-based hand sanitizer使用含酒精的免沖洗洗手液
- CPerform hand hygiene with soap and water✓ 正解以肥皂和水執行手部衛生
- DMaintain a negative-pressure room維持負壓隔離病房
— Explanation · 中文詳解 —
困難梭狀芽孢桿菌（C. difficile）會產生芽孢，酒精無法殺死芽孢，因此必須使用肥皂與水洗手，透過物理性摩擦將芽孢清除。A（酒精乾洗手）對此類芽孢無效；B（N95）用於空氣傳播疾病；D（負壓）用於空氣傳播病人。
Clostridium difficile forms spores that are resistant to alcohol-based hand sanitizers. Therefore, strict hand hygiene with soap and water is mandatory to physically remove the spores and prevent cross-contamination, as alcohol does not effectively kill them.
✦ 台美臨床差異
美台皆嚴格遵循接觸預防措施，但台灣醫院對於酒精洗手液的限制更強調在手部肉眼可見污漬時使用。