— 安全與感染控制 · EASY · MCQ —
為預防醫療機構中困難梭狀芽孢桿菌的傳播，護理師應優先採取哪項措施？
Which action should the nurse prioritize to prevent the transmission of Clostridioides difficile in a hospital setting?
- AWear a N95 respirator while in the room在病房內佩戴 N95 呼吸器
- BPlace the patient in a negative-pressure room將病人安置於負壓病房
- CUse alcohol-based hand sanitizer after patient contact接觸病人後使用含酒精的免洗洗手液
- DWash hands with soap and water after patient contact✓ 正解接觸病人後用肥皂和水洗手
— Explanation · 中文詳解 —
困難梭狀芽孢桿菌（C. difficile）屬於接觸隔離（Contact Precautions）病原體。其產生孢子的特性使得酒精性乾洗手液（Alcohol-based sanitizer）完全無效，因為酒精殺不死孢子，甚至可能幫助孢子在手上擴散。因此，在接觸此類病人後，最優先的感染控制措施是使用肥皂與水洗手，透過物理摩擦將孢子沖洗掉。這是護理師在感染控制中必須具備的常識，以防止院內感染（Nosocomial infection）發生。
Clostridioides difficile is transmitted via contact, and its spores are resistant to alcohol-based hand sanitizers. Washing hands with soap and water is essential to mechanically remove spores and prevent transmission. Airborne precautions, such as N95 respirators or negative-pressure rooms, are unnecessary for this pathogen.