— 安全與感染控制 · EASY · MCQ —
護理師照護一位困難梭狀桿菌感染的病人。進入病房時，哪項個人防護裝備最為重要？
A nurse is caring for a client with Clostridium difficile infection. Which personal protective equipment (PPE) is most important when entering the room?
- ASurgical mask and face shield外科口罩與面罩
- BN95 respiratorN95 呼吸器
- CSterile gloves無菌手套
- DGown and gloves✓ 正解隔離衣與手套
— Explanation · 中文詳解 —
困難梭狀桿菌（C. diff）感染的病人需採取接觸隔離（Contact Precautions）。此菌會產生芽孢，對一般酒精乾洗手液有極強的抗性，故進入病房時須穿戴隔離衣（Gown）與手套（Gloves），以避免直接接觸病人或環境表面造成的交叉污染。離開病房時，務必以肥皂與水徹底洗手，以機械力移除芽孢。
Clients with Clostridium difficile infection require contact precautions, specifically wearing a gown and gloves upon entry to prevent transmission via spores. Standard hand hygiene with soap and water is essential after leaving the room, as alcohol-based sanitizers are ineffective against C. difficile spores.
✦ 台美臨床差異
台美臨床對於 C. diff 的隔離原則一致。但美國 CDC 強調，若機構內發生 C. diff 爆發，洗手必須嚴格執行「肥皂與水」，禁用酒精乾洗手，此點在臨床實務上美國執行更為嚴格。