一名 30 歲男性詢問疫苗接種建議。護理師應優先為該個案安排哪項疫苗？

成人每 10 年應補打 Tdap 或 Td 疫苗，以維持對破傷風與白喉的免疫力。成人常忽略百日咳疫苗的重要性，但此對於預防群體傳播至關重要。肺炎鏈球菌疫苗通常針對 65 歲以上或高危險群，帶狀皰疹疫苗則是建議 50 歲以上施打，流感雖建議每年打，但 Tdap 補打常被忽略。

Adults should receive a Tdap or Td booster every 10 years to maintain immunity against tetanus and diphtheria. The pertussis component is often overlooked by adults, but is critical for preventing community transmission. Pneumococcal vaccine is generally indicated for adults over 65 or high-risk groups; herpes zoster vaccine is recommended for those 50 and older; while influenza vaccine is recommended annually, the Tdap booster is often forgotten.

台灣針對 Tdap 的推廣多針對孕婦或幼兒接觸者；美國對成人常規補打的落實度與宣導較為全面。