— 安全與感染控制 · EASY · MCQ —
護理師照護一位困難梭菌(C. difficile)陽性的病人,應採取哪種隔離措施?
A nurse is caring for a client who has a positive result for Clostridium difficile. Which type of isolation precaution should the nurse implement?
- AContact precautions✓ 正解接觸隔離
- BAirborne precautions空氣隔離
- CDroplet precautions飛沫隔離
- DProtective environment保護性環境
— Explanation · 中文詳解 —
困難梭菌(C. difficile)會產生芽孢(Spores),此種芽孢對酒精具有抗性,因此一般的酒精性乾洗手無法殺滅芽孢,反而可能導致芽孢在手上散播。照護此類病人必須實行接觸隔離(Contact precautions),並嚴格執行「肥皂與水洗手(Soap and water handwashing)」,以透過機械力移除芽孢。
Clostridium difficile produces spores that are resistant to alcohol-based sanitizers, necessitating the use of soap and water for mechanical removal during hand hygiene. To prevent the transmission of these spores via direct or indirect contact, the nurse must implement contact precautions. This includes wearing gloves and a gown, as airborne, droplet, or protective environment precautions are not indicated for this pathogen.