— 安全與感染控制 · MEDIUM · MCQ —
護理師照顧一位疑似困難梭狀桿菌（C. diff）感染的病人，應採取何種手部衛生方式？
A nurse is caring for a client with a suspected Clostridioides difficile (C. diff) infection. What is the correct hand hygiene method?
- ASoap and water✓ 正解肥皂與清水
- BSterile gloves without washing hands不洗手直接戴上無菌手套
- CAlcohol-based hand sanitizer含酒精的免沖洗洗手液
- DUse of antimicrobial wipes only僅使用抗菌濕巾
— Explanation · 中文詳解 —
困難梭狀桿菌（C. diff）感染的控制是醫院感染管制（Infection control）的重要議題。因其芽孢具有高度抗性，傳統的酒精性乾洗手無法殺滅芽孢，且可能導致芽孢在手上散播。物理性的機械移除是唯一有效手段。護理師在接觸 C. diff 病人時，必須嚴格遵守接觸隔離（Contact precautions）標準。
Because Clostridioides difficile spores are resistant to alcohol-based sanitizers, mechanical removal via thorough handwashing with soap and water is the required hygiene method. This physical action effectively eliminates spores from the hands, reducing the risk of transmission during contact precautions.
✦ 台美臨床差異
美國醫院針對 C. diff 病人採取嚴格的 Contact Precautions，且強調在離開病室時務必洗手（Soap and Water），酒精乾洗手液通常會被移除或貼上告示。