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第6階段 — 評估結果。回顧臨床趨勢並選擇最佳的評估和出院感染控制計畫。

Trend

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Time	Data
Hospital day 4 — suspected CDI	Six watery stools since 0400; T 37.9 C; HR 96; BP 118/72; WBC 14.2; creatinine 1.1 from baseline 1.0; contact precautions initiated自凌晨0400點以來六次水樣便；體溫37.9°C；心率96；血壓118/72；白血球14.2；肌酸酐從基準值1.0升至1.1；已啟動接觸傳染防護措施
Hospital day 4 — confirmed CDI	GDH antigen and toxin EIA positive; no hypotension, ileus, or megacolon; fidaxomicin started; unnecessary non-CDI antibiotics stopped; individualized fluid replacement underwayGDH抗原和毒素酵素免疫分析 (EIA) 陽性；無低血壓、腸阻塞或巨結腸；已開始使用Fidaxomicin；已停用不必要的非CDI抗生素；正在進行個別化液體補充
Hospital day 5	Two unformed stools in 24 hours; T 37.2 C; HR 84; BP 120/74; WBC 12.0; creatinine 1.1; oral intake and urine output improving24小時內兩次不成形糞便；體溫37.2°C；心率84；血壓120/74；白血球12.0；肌酸酐1.1；口服攝入量和尿量正在改善
Hospital day 8	No unformed stools for 48 hours; most recent stool formed; T 36.8 C; HR 76; BP 122/78; WBC 8.8; creatinine 1.0; tolerating prescribed therapy48小時內沒有不成形糞便；最近一次糞便已成形；體溫36.8°C；心率76；血壓122/78；白血球8.8；肌酸酐1.0；對處方治療耐受良好

Q1. How is the client responding to treatment?個案對治療的反應如何？

Clinically improving without evidence of fulminant disease; complete the prescribed course and do not perform a test of cure臨床上正在改善，沒有暴發性疾病的證據；完成處方療程，不要進行治癒測試 Worsening because a negative PCR has not yet documented eradication惡化中，因為尚未有陰性PCR證明根除 Treatment failure requiring immediate surgery despite stable abdominal and hemodynamic findings治療失敗，儘管腹部和血流動力學檢查結果穩定，仍需立即手術

Q2. What is the best discharge infection-control plan?最佳的出院感染控制計畫是什麼？

Follow facility duration policy, complete EPA List K terminal cleaning, and teach soap-and-water handwashing, home surface cleaning, and recurrence warning signs遵循機構的持續時間政策，完成EPA K清單的終期清潔，並教導用肥皂和水洗手、居家表面清潔和復發警訊 End precautions based on a repeat negative test and use any general disinfectant without checking the label根據重複陰性檢測結果結束防護措施，並使用任何通用消毒劑而不檢查標籤 Stop CDI therapy now because stools formed and omit household prevention teaching立即停止艱難梭菌感染 (CDI) 治療，因為糞便已成形，並省略家庭預防教學 Use alcohol-based hand sanitizer alone after toileting because symptoms have improved因為症狀已改善，如廁後單獨使用酒精性乾洗手液

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