— 安全與感染控制 · EASY · MCQ —
護理師照護一位艱難梭菌感染的病人。為預防感染擴散，採取下列哪項措施最正確？
A nurse is caring for a client with Clostridium difficile. Which action is most appropriate to prevent the spread of infection?
- APerform surgical asepsis for all care執行所有照護之外科無菌技術
- BUse soap and water to wash hands✓ 正解使用肥皂和清水洗手
- CWash hands with alcohol-based hand sanitizer使用含酒精的免水洗手液洗手
- DWear a N95 respirator mask佩戴 N95 呼吸防護口罩
— Explanation · 中文詳解 —
艱難梭菌會產生芽孢（spores），酒精對其無效，必須使用肥皂與水進行機械式清潔以去除芽孢。此感染採取接觸隔離防護，無須 N95 口罩。外科無菌技術僅用於侵入性手術，常規照護採取標準防護加上接觸隔離即可。
Clostridium difficile produces spores that are resistant to alcohol-based sanitizers, making soap and water mechanical washing essential for removal. Standard contact precautions are sufficient for care, and surgical asepsis or N95 respirators are not required for routine management of this infection.
✦ 台美臨床差異
台美對艱難梭菌手部清潔規範高度一致，皆強制要求使用肥皂水而非酒精乾洗手。