— 安全與感染控制 · EASY · MCQ —
護理師照護一位艱難梭菌（C. difficile）感染的病人，進入病房時應穿戴哪種個人防護設備（PPE）？
A nurse is caring for a client with Clostridioides difficile infection. Which personal protective equipment (PPE) is most appropriate when entering the room?
- ASurgical mask, gown, and gloves外科口罩、隔離衣和手套
- BGloves and face shield手套和面罩
- CN95 respirator, gloves, and gownN95 呼吸器、手套和隔離衣
- DGown and gloves✓ 正解隔離衣和手套
— Explanation · 中文詳解 —
艱難梭菌（C. difficile）屬於接觸隔離（Contact Precautions）病原體，其芽孢無法被酒精洗手液殺滅，務必使用肥皂洗手。防護需求僅需隔離衣與手套，無需口罩，除非有噴濺風險才需加戴面罩。
Clostridioides difficile is transmitted via contact precautions, requiring the use of a gown and gloves to prevent spore transmission. Alcohol-based hand sanitizers are ineffective against C. difficile spores; therefore, soap and water hand hygiene is essential. Masks or respirators are not routinely required unless there is a risk of splashing or spraying.
✦ 台美臨床差異
美台皆強調接觸隔離，但台灣在執行 C. diff 照護時對於環境清潔用品的選擇（漂白水）更為嚴格監控。