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護理師在為長者舉辦疫苗接種站。下列哪些疫苗是建議 65 歲以上長者施打的?(選所有適合的)

A nurse is conducting an immunization clinic for older adults. Which vaccines are recommended for individuals aged 65 and older? (Select all that apply.)

  • APneumococcal vaccine✓ 正解
    肺炎球菌疫苗
  • BInfluenza vaccine (annual)✓ 正解
    流感疫苗(年度)
  • CHerpes zoster vaccine✓ 正解
    帶狀疱疹疫苗
  • DVaricella vaccine (childhood booster)
    水痘疫苗(兒童加強劑)
  • ETetanus, diphtheria, and pertussis (Tdap) vaccine✓ 正解
    破傷風、白喉、百日咳(Tdap)疫苗
Explanation · 中文詳解

高齡者免疫功能下降,易發生肺炎鏈球菌感染、流感併發症、帶狀疱疹及破傷風。65 歲以上應優先接種肺炎鏈球菌疫苗、每年流感疫苗、兩劑帶狀疱疹疫苗,並確認每 10 年接種一次 Tdap。水痘疫苗(Varicella)通常在兒童時期完成,成人無常規建議。

Older adults have declining immune function and are prone to pneumococcal infection, influenza complications, herpes zoster, and tetanus. Adults aged 65 and older should be prioritized for the pneumococcal vaccine, annual influenza vaccine, and two doses of the herpes zoster vaccine, and should confirm Tdap vaccination every 10 years. The varicella vaccine is typically completed in childhood, and there is no routine recommendation for adults.

✦ 台美臨床差異

美國疫苗接種指引由 CDC 精細訂定;台灣由疾管署推廣,但長者對帶狀疱疹疫苗自費接種意識較低。

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