— 安全與感染控制 · MEDIUM · MCQ —
在照顧艱難梭菌（C. difficile）病人時，為防止擴散，下列哪項行動是正確的？
Which action is correct when caring for a client with Clostridioides difficile to prevent spread?
- AKeep the door open to ensure air circulation保持房門開啟以確保空氣流通
- BUse only gloves and skip the gown僅戴手套而不穿防護衣
- CUse an alcohol-based hand rub after every contact每次接觸後使用酒精性乾洗手液
- DUse soap and water to wash hands✓ 正解使用肥皂和水洗手
— Explanation · 中文詳解 —
艱難梭菌（C. difficile）是一種會產生芽孢的細菌，其芽孢對酒精乾洗手液具有極高的抵抗力，無法有效殺滅。因此，照顧此類病人時，必須使用肥皂與水進行物理性洗手，以機械力移除手上的芽孢。接觸隔離（Contact Precautions）亦要求穿戴 PPE 並關上病房門，以防止孢子散播至其他區域。
Clostridioides difficile spores are resistant to alcohol-based hand sanitizers, making soap and water the only effective method for physical removal of spores during hand hygiene. Contact precautions also require wearing gowns and keeping isolation room doors closed to prevent the spread of infectious spores.
✦ 台美臨床差異
美方醫院對於 C. diff 病人的隔離要求極嚴，除了洗手，清潔人員使用漂白水（Bleach-based）消毒環境也是標準程序。