— 安全與感染控制 · MEDIUM · MCQ —
一位病人出現深層且具惡臭的傷口，經檢測為 MRSA（抗藥性金黃色葡萄球菌）感染。護理師應優先執行哪項防護？
A client presents with a deep, foul-smelling wound. The nurse identifies the causative organism is MRSA. Which precaution is priority?
- AAirborne precautions空氣隔離
- BContact precautions✓ 正解接觸隔離
- CDroplet precautions飛沫隔離
- DProtective environment保護性隔離
— Explanation · 中文詳解 —
MRSA 主要經由直接接觸或接觸受污染物品傳播，因此必須執行接觸防護措施（Contact Precautions），包括穿戴隔離衣與手套。Airborne 適用於結核病，Droplet 適用於流感或腦膜炎，Protective environment 適用於免疫低下病人。
MRSA is transmitted via direct or indirect contact with contaminated surfaces or individuals, necessitating Contact Precautions, including the use of gloves and gowns. Airborne precautions are reserved for pathogens like tuberculosis, while Droplet precautions are for infections such as influenza.
✦ 台美臨床差異
台美對 MRSA 隔離政策一致，但在台灣若為社區型 MRSA 有時僅要求加強手部衛生。