— 安全與感染控制 · MEDIUM · MCQ —
護理師照護一位感染困難梭菌（C. difficile）的病人，應採取何種手部衛生方式？
A nurse is caring for a client with Clostridioides difficile. Which hand hygiene practice is required?
- ANo specific hand hygiene required if gloves are worn若戴手套則無需特定手部衛生措施
- BSterile water rinse滅菌水沖洗
- CAlcohol-based hand sanitizer含酒精的乾洗手
- DSoap and water✓ 正解肥皂與清水
— Explanation · 中文詳解 —
困難梭菌（Clostridioides difficile）是一種會產生芽孢（Spores）的細菌，這些芽孢對酒精具有極高的抵抗力，一般的酒精類乾洗手（Alcohol-based hand rub）無法將其殺滅。因此，照護此類病人時，必須採取「濕洗手」策略，透過肥皂與清水的物理性摩擦與沖洗，將芽孢從皮膚表面徹底移除。這是預防院內感染擴散的重要感染控制措施。
Soap and water must be used for hand hygiene when caring for clients with Clostridioides difficile because alcohol-based sanitizers are ineffective against bacterial spores. The physical friction and rinsing action of soap and water are necessary to mechanically remove spores from the skin, thereby preventing the spread of infection.