— 安全與感染控制 · MEDIUM · SATA —
針對困難梭狀桿菌（C. difficile）感染的病人，護理師應執行哪些防護措施？（選所有適合的）
Which precautions should a nurse implement for a client with Clostridioides difficile? (Select all that apply.)
- APerform hand hygiene using soap and water✓ 正解使用肥皂和水執行手部衛生
- BWear a gown when entering the room✓ 正解進入房間時穿著隔離衣
- CUse an alcohol-based hand sanitizer使用含酒精的手部消毒劑
- DWear gloves when entering the room✓ 正解進入房間時戴手套
- EPlace the client in a negative pressure room將病人安置於負壓病房
— Explanation · 中文詳解 —
困難梭狀桿菌會產生芽孢，酒精無法殺滅，故手部清潔須使用洗手乳與水，透過機械摩擦移除。此類感染採取接觸隔離（Contact Precautions），進病室需戴手套、穿隔離衣。負壓隔離用於空氣傳染病（如結核病），非此項必要條件。
Clostridioides difficile is transmitted via spores that are resistant to alcohol-based sanitizers, making soap and water the preferred method for hand hygiene. Contact precautions are required, necessitating the use of gloves and a gown upon entering the client's room to prevent indirect contact transmission.
✦ 台美臨床差異
兩地感染控制指引對於 C. diff 的 hand washing 規範高度一致，皆強調棄用酒精乾洗手。