感染管制護理師除了標準防護措施外,還會指派初步的傳播途徑防護措施。以下診斷已確認或高度懷疑。每個紀錄使用一個完整的類別:… | MyMerci
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Standard/Transmission-Based Precautions/Surgical Asepsis

感染管制護理師除了標準防護措施外,還會指派初步的傳播途徑防護措施。以下診斷已確認或高度懷疑。每個紀錄使用一個完整的類別:接觸、飛沫、空氣傳播或空氣傳播加接觸。每個紀錄指派一次;類別可接受多個紀錄且沒有配額限制。請考量病灶範圍、免疫狀態以及控制分泌物或引流液的能力。

Matrix Multiple Choice

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1. An unvaccinated adult has laboratory-confirmed measles with cough and a generalized rash; there is no separate contact-transmitted infection.一名未接種疫苗的成年個案,實驗室確診麻疹,伴有咳嗽和全身性皮疹;沒有單獨的接觸傳播感染。
2. A transplant recipient has new vesicles in several nonadjacent dermatomes and scattered lesions on the trunk; disseminated zoster is diagnosed.一名移植受贈者在數個非相鄰皮節出現新水泡,軀幹有散佈性病灶;診斷為瀰漫性帶狀疱疹。
3. A young adult has suspected meningococcal meningitis and has not yet received effective antimicrobial therapy.一名年輕成年個案疑似腦膜炎雙球菌性腦膜炎,尚未接受有效的抗菌治療。
4. After antibiotic exposure, an adult has frequent uncontained diarrhea and a positive test supporting symptomatic Clostridioides difficile infection.一名成年個案在接觸抗生素後,出現頻繁且無法控制的腹瀉,且檢測結果呈陽性,支持有症狀的困難梭狀桿菌感染。
5. An adult with cavitary pulmonary disease has sputum testing confirming infectious pulmonary tuberculosis and no other isolation indication.一名患有肺部空洞性疾病的成年個案,痰液檢測證實為傳染性肺結核,沒有其他隔離指徵。
6. An adult with fever and lesions in successive stages is diagnosed with varicella; several vesicles remain uncrusted.一名成年個案發燒且病灶處於不同階段,診斷為水痘;數個水泡仍未結痂。
7. An adult has laboratory-confirmed influenza with active cough; no aerosol-generating procedure is being performed and no other infection is suspected.一名成年個案實驗室確診流感,伴有活躍性咳嗽;未執行氣膠產生程序,且未懷疑有其他感染。
8. A large infected surgical wound produces drainage that repeatedly escapes the dressing; no airborne or droplet pathogen is identified.一個大型感染性手術傷口產生引流液,反覆滲出敷料;未發現空氣傳播或飛沫傳播病原體。
解析
接觸傳播:有症狀的困難梭狀桿菌感染和無法控制的大傷口引流液。飛沫傳播:腦膜炎雙球菌性腦膜炎和流感。空氣傳播:麻疹和肺結核。空氣傳播加接觸傳播:瀰漫性帶狀疱疹和水痘。有些病原體需要合併類別。麻疹需要空氣傳播加標準防護措施,而水痘和瀰漫性帶狀疱疹需要空氣傳播加接觸傳播加標準防護措施。病灶的範圍和分泌物或引流液的控制情況會改變相關的接觸傳播風險。
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