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Microbiology · Infection control: alcohol hand rub
Sample itemIn a ward caring for a patient with Clostridioides difficile diarrhoea, why is soap-and-water handwashing preferred after glove removal?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Alcohol rubs do not reliably kill bacterial spores
C. difficile spores are resistant to alcohol-based hand rub. Soap and water physically removes spores, while gloves and appropriate environmental sporicidal cleaning help prevent transmission.
Option by option
A. Alcohol rubs do not reliably kill bacterial spores (correct)
Correct. Mechanical removal is important because spores survive alcohol.
B. Spores are destroyed only by ultraviolet light
UV may supplement environmental control but is not the only way to address spores.
C. Soap activates C. difficile toxin
Soap does not activate C. difficile toxin.
D. Alcohol rubs cause C. difficile to form capsules
Capsule formation is not the reason for this recommendation.
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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