— 安全與感染控制 · EASY · MCQ —
護理師照護一名診斷為困難梭狀芽孢桿菌的病人。護理師應採取何種預防措施？
A nurse is caring for a client in a healthcare facility who is diagnosed with Clostridioides difficile. Which type of precautions should the nurse implement?
- AAirborne precautions空氣隔離措施
- BContact precautions✓ 正解接觸隔離措施
- CDroplet precautions飛沫隔離措施
- DStandard precautions only僅實施標準預防措施
— Explanation · 中文詳解 —
核心概念：困難梭狀芽孢桿菌（Clostridioides difficile, C. diff）感染的隔離措施。 為何正確答案對： B. C. diff 是一種透過接觸傳播（Contact Transmission）的感染。其產生的孢子（Spores）對酒精消毒具有抗性，因此標準預防措施（Standard Precautions）不足以完全防護。必須採取接觸隔離（Contact Precautions），這包括進入病室時穿戴隔離衣和手套，離開病室後徹底洗手（使用肥皂和流水，而非僅酒精乾洗手），並對共用設備進行嚴格消毒。台灣的醫療機構多採此標準。
Clostridioides difficile is transmitted via contact and produces spores resistant to alcohol-based sanitizers. Therefore, contact precautions are required, including wearing gloves and gowns, and washing hands with soap and water to effectively remove spores.