— 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，應採取哪種隔離防護措施？
A nurse is caring for a client with Clostridioides difficile. Which type of isolation precaution should the nurse implement?
- AStandard precautions標準防護措施
- BAirborne precautions空氣傳播防護措施
- CDroplet precautions飛沫傳播防護措施
- DContact precautions✓ 正解接觸防護措施
— Explanation · 中文詳解 —
困難梭狀芽孢桿菌（C. diff）透過糞口途徑傳播，且酒精無法殺死其孢子。接觸隔離措施要求進入病室戴手套與隔離衣，並使用肥皂與清水洗手，這對於去除孢子至關重要。標準預防僅適用於普遍接觸，無法阻斷其傳播鏈。
Contact precautions are required for Clostridioides difficile because its spores are resistant to alcohol-based sanitizers and spread via the fecal-oral route. Healthcare providers must wear gloves and gowns and wash hands with soap and water to effectively remove spores.
✦ 台美臨床差異
美國醫院針對 C. diff 極度嚴格執行肥皂洗手，台灣臨床雖有共識，但偶爾仍見酒精乾洗手被錯誤使用於此類個案。