病人被置於飛沫隔離(Droplet precautions),下列哪些疾病需要此措施?(選所有適合的)
A client is placed on droplet precautions. Which diseases require these measures? (Select all that apply.)
- AInfluenza✓ 正解流行性感冒
- BMeasles麻疹
- CPertussis✓ 正解百日咳
- DStreptococcal pharyngitis✓ 正解鏈球菌性咽炎
- EVaricella水痘
飛沫隔離(Droplet precautions)主要用於防止病原體經由大於 5 微米的飛沫傳播。這類飛沫通常在咳嗽、打噴嚏或說話時產生,傳播距離約為 3 英尺(約 0.9 公尺)。臨床上,這類病人的照護重點在於病人進入病房時須戴上外科口罩,且護理人員進入房間時也需採取防護。正確答案應包含流感、百日咳及鏈球菌性咽喉炎,因為這些均為典型的呼吸道飛沫傳播疾病。麻疹與水痘則屬於空氣傳播(Airborne precautions),需負壓病房與 N95 口罩,故不選。
Droplet precautions are indicated for diseases transmitted by large respiratory droplets, such as influenza, pertussis, and streptococcal pharyngitis. These pathogens spread over short distances via coughing or sneezing, requiring surgical masks for healthcare providers. In contrast, measles and varicella require airborne precautions due to their transmission via smaller aerosolized particles.
台美對於這類傳染病隔離等級的定義高度一致,均遵循 CDC(美國疾病管制與預防中心)規範。