My Chicken Hez TB：60秒学会隔离

🧠 为什么重要

空气传播：My Chicken Hez TB（My代表麻疹、Chicken代表水痘、Hez代表带状疱疹、TB代表结核病），也就是麻疹、水痘（varicella）、播散性带状疱疹（或免疫功能低下患者出现局限性带状疱疹且尚未排除播散时）和结核病；这些疾病需要负压病房和N95呼吸器，而且水痘和带状疱疹在所有皮损干燥结痂之前还需要接触预防措施（隔离衣和手套）。飞沫传播：想想近距离因打喷嚏而感染的疾病，例如流感、百日咳、腮腺炎、风疹和脑膜炎球菌性脑膜炎，进入病房时戴上外科口罩。接触传播：MRSA、VRE、C. difficile、疥疮和RSV需要隔离衣和手套，而且C. diff需要用肥皂和水，因为酒精无法杀死芽孢。

AIRBORNE: My Chicken Hez TB, which is Measles, Chickenpox (varicella), Herpes zoster when disseminated (or localized in an immunocompromised client until dissemination is ruled out), and Tuberculosis; these need a negative-pressure room and an N95 respirator, and chickenpox and zoster also need contact precautions (gown and gloves) until all lesions are dry and crusted. DROPLET: think of the things you catch from a sneeze at close range, such as influenza, pertussis, mumps, rubella and meningococcal meningitis, and put on a surgical mask as you enter the room. CONTACT: MRSA, VRE, C. difficile, scabies and RSV need a gown and gloves, and C. diff requires soap and water because alcohol cannot kill spores.

🏥 真实场景

🧼 一位护士在护理一位C. diff患者后使用酒精凝胶，然后抱起一名新生儿。芽孢根本不在乎酒精。肥皂和水的规则是少数几个老式答案是唯一正确答案的情形之一。

🧼 A nurse uses alcohol gel after caring for a client with C. diff, then holds a newborn. Spores do not care about alcohol. The soap-and-water rule is one of the few places where the old-fashioned answer is the only right one.

📌 要点总结

• 空气传播需要N95加负压Airborne needs N95 plus negative pressure
• 飞沫传播需要在进入病房时戴外科口罩Droplet needs a surgical mask on entering the room
• 接触传播需要隔离衣和手套；C. diff需要肥皂和水Contact needs gown and gloves; C. diff needs soap and water

✅ 自我测试