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Microbiology · Hospital infection control: spore-forming pathogen hygiene
Sample itemA surgical ward is managing an outbreak of Clostridioides difficile infection. Which hand hygiene practice is recommended for staff after caring for affected patients?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Washing hands with soap and water
Alcohol-based rubs do not kill bacterial spores, and spores contaminate the patient environment and skin for long periods. Soap and water washing physically removes spores, and it is combined with contact precautions, a single room, gowns, gloves and sporicidal (chlorine-based) environmental cleaning, along with antibiotic stewardship.
Option by option
A. Washing hands with soap and water (correct)
Correct. Mechanical washing with soap and water removes spores.
B. Alcohol-based hand rub alone
Alcohol rub does not inactivate spores, so it can leave contamination on the hands.
C. Wiping hands with a dry tissue
A dry tissue removes nothing meaningful and is not a hand hygiene method.
D. Wearing gloves and omitting hand hygiene afterwards
Hands can be contaminated during glove removal, so hand hygiene is still required.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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