— 照護管理 · MEDIUM · MCQ —
護理師照顧 C. diff 感染病人，應採取哪些預防措施？
A nurse is managing a client with a C. diff infection. Which precautions should be implemented?
- AMaintain the room under negative air pressure維持房間為負壓
- BPlace the client in a private room and practice contact precautions✓ 正解將病人安置於單人房並實施接觸防護
- CUse alcohol-based hand sanitizer after every contact每次接觸後使用酒精性搓手液
- DRequire all visitors to wear a N95 respirator要求所有訪客佩戴 N95 口罩
— Explanation · 中文詳解 —
困難梭狀芽孢桿菌（C. difficile）會產生芽孢，酒精無法殺滅，必須使用肥皂與水洗手。其傳播途徑為接觸傳染（Contact Precautions），應採單人房隔離。N95 與負壓隔離適用於空氣傳染（如肺結核），與此無關。
Clients with Clostridioides difficile infections require contact precautions and a private room to prevent the spread of spores. Hand hygiene must involve washing with soap and water, as alcohol-based sanitizers are ineffective against C. diff spores.
✦ 台美臨床差異
台美針對 C. diff 的感染管制指引皆強烈建議使用肥皂水洗手。