— 基本照護與舒適 · EASY · MCQ —
根據 CDC 指引，關於手部衛生的敘述何者正確？
Which of the following statements about hand hygiene is accurate according to CDC guidelines?
- AAlcohol-based hand sanitizer is effective after contact with C. difficile接觸艰难梭菌後，含酒精的免沖洗洗手液有效
- BGloves replace the need for hand hygiene between patients手套可取代病患間的手部衛生
- CHand hygiene is only required if hands are visibly soiled僅在手部明顯髒污時才需進行手部衛生
- DHand washing with soap and water is required after contact with C. difficile✓ 正解接觸艰难梭菌後，需用肥皂和水洗手
— Explanation · 中文詳解 —
針對難辨梭狀芽孢桿菌（C. difficile），酒精類乾洗手液無法有效殺死芽孢，必須使用肥皂與水進行機械性清洗。戴手套不能取代洗手，脫下後仍需洗手。洗手不限於手髒，而是接觸病人前後及無菌技術操作的核心預防機制。
Alcohol-based sanitizers are ineffective against Clostridioides difficile spores, making soap and water the required method for hand hygiene after caring for these patients. Hand hygiene is essential regardless of visible soiling and must be performed after glove removal to prevent transmission.
✦ 台美臨床差異
台灣醫院目前極力推廣手部衛生，與美國 CDC 指引完全接軌，落實度甚至更高。