一位 55 歲個案詢問疫苗接種需求。此年齡層建議施打哪些疫苗？（選所有適合的）
A 55-year-old client asks the nurse about immunization needs. Which vaccines are recommended for this age group? (Select all that apply.)
- AInfluenza vaccine (annual)✓ 正解流感疫苗（每年）
- BShingrix (Herpes Zoster) vaccine✓ 正解舒立欣（帶狀皰疹）疫苗
- CPneumococcal vaccine (PCV20 or PPSV23)肺炎鏈球菌疫苗（PCV20 或 PPSV23）
- DTetanus, diphtheria, and acellular pertussis (Tdap) booster✓ 正解破傷風、白喉與無細胞百日咳（Tdap）加強劑
- EHepatitis B vaccineB型肝炎疫苗
55歲個案屬於成人接種計畫。每年流感疫苗是常規；Shingrix 建議 50 歲以上施打；Tdap 每 10 年補強。肺炎鏈球菌疫苗通常建議 65 歲以上或有慢性病者（55歲若無共病不列常規）。B型肝炎疫苗主要針對高風險成人，非 55 歲常規。
A 55-year-old client falls within the adult immunization schedule. The annual influenza vaccine is routine; Shingrix is recommended for adults aged 50 and older; and Tdap is given as a booster every 10 years. Pneumococcal vaccines are generally recommended for adults aged 65 and older or for those with chronic conditions (so they are not routinely indicated for a 55-year-old without comorbidities). Hepatitis B vaccination is primarily for high-risk adults and is not routine at age 55.
美國成人疫苗接種種類較多且由藥局廣泛提供，台灣成人疫苗多需至家醫科門診預約接種。