— 安全與感染控制 · EASY · MCQ —
護理師照護一位困難梭狀芽孢桿菌（C. difficile）感染的病人，最重要穿戴的防護裝備為何？
A nurse is caring for a client with Clostridium difficile infection. Which personal protective equipment (PPE) is most important to wear?
- AFace shield面罩
- BSurgical mask外科口罩
- CN95 respiratorN95 呼吸器
- DGown and gloves✓ 正解隔離衣和手套
— Explanation · 中文詳解 —
困難梭狀芽孢桿菌屬於接觸傳染（Contact Precautions），其孢子對酒精有抗性，手部衛生必須使用肥皂洗手。穿著隔離衣與手套可阻隔帶菌的排泄物與接觸面，是預防院內交叉感染的關鍵，此菌不經飛沫傳播，無需使用口罩或護目鏡。
Clostridium difficile requires contact precautions, making a gown and gloves the most important personal protective equipment to prevent the spread of spores through direct contact with contaminated surfaces or bodily fluids. Since the organism is not transmitted via droplets or air, masks or respirators are not indicated for routine care.
✦ 台美臨床差異
美台皆遵守標準與接觸防護原則，但美國對 C. diff 感染強調務必以肥皂洗手而非乾洗手，台灣亦同步此感染控制指引。