護理師正在接收入院診斷為困難梭狀芽孢桿菌(C. diff)感染的病人。應實施何種接觸隔離措施?
A nurse is admitting a client diagnosed with Clostridium difficile (C. diff) infection. Which transmission-based precautions should the nurse implement?
- AAirborne precautions空氣隔離措施
- BStandard precautions only僅實施標準預防措施
- CDroplet precautions飛沫隔離措施
- DContact precautions✓ 正解接觸隔離措施
困難梭狀芽孢桿菌(C. diff)會產生孢子,在環境中極具抵抗力,且透過糞口途徑傳播。標準預防措施不足以完全防護,必須採取接觸隔離(Contact precautions)。這包括入住單人病房(或隔離病房)、穿戴隔離衣與手套。特別注意,酒精性乾洗手無法有效殺滅 C. diff 孢子,必須使用肥皂與水洗手。
Clostridium difficile produces spores that are highly resistant to environmental conditions and spread via the fecal-oral route, necessitating contact precautions rather than standard precautions alone. This includes placing the client in a private room and wearing a gown and gloves. Note that alcohol-based hand sanitizers are ineffective against C. diff spores; therefore, washing hands with soap and water is required.
美國醫療照護中,針對 C. diff 病人,除了接觸隔離外,強調需使用漂白水(Bleach)為基礎的清潔劑消毒環境,因一般清潔劑對孢子無效。