— 安全與感染控制 · EASY · MCQ —
護理師照護一位感染難辨梭狀芽孢桿菌的病人，應採取哪種預防措施？
A nurse is caring for a client with Clostridioides difficile. Which type of precautions should the nurse initiate?
- AStandard precautions標準防護措施
- BAirborne precautions空氣傳播防護措施
- CDroplet precautions飛沫傳播防護措施
- DContact precautions✓ 正解接觸防護措施
— Explanation · 中文詳解 —
難辨梭狀芽孢桿菌（C. diff）會形成芽孢，酒精乾洗手液無法有效殺死，必須使用接觸防護措施。護理師進入房間需穿戴手套與隔離衣，且處理完該病人後需使用肥皂與水徹底洗手，以機械性移除芽孢，避免交叉感染。
Contact precautions are mandatory for clients with Clostridioides difficile because its spores survive alcohol-based hand sanitizers. Nurses must wear gloves and gowns and wash hands with soap and water to mechanically remove spores and prevent cross-contamination.
✦ 台美臨床差異
美台臨床對於 C. diff 感染者的手部衛生規範一致，皆要求必須使用肥皂洗手，禁止僅使用酒精乾洗手。