— 健康促進與維護 · MEDIUM · MCQ —
護理師與 65 歲病人討論疫苗接種，哪種疫苗建議用於預防帶狀疱疹？
A nurse is discussing vaccination with a 65-year-old client. Which vaccine is recommended to prevent shingles (herpes zoster)?
- AShingrix (recombinant zoster vaccine)✓ 正解Shingrix (重组带状疱疹疫苗)
- BVarivax (varicella vaccine)Varivax (水痘疫苗)
- CTdap (tetanus, diphtheria, and pertussis)Tdap (破伤风、白喉和百日咳疫苗)
- DPneumovax 23 (pneumococcal vaccine)Pneumovax 23 (肺炎球菌疫苗)
— Explanation · 中文詳解 —
Shingrix 是目前針對 50 歲以上成人預防帶狀疱疹的首選重組疫苗。B 為預防肺炎鏈球菌；C 為預防破傷風、白喉及百日咳；B 雖然是水痘疫苗，但對年長者預防帶狀疱疹的效力遠低於 Shingrix，故不作為首選。
Shingrix is the preferred recombinant zoster vaccine for adults aged 50 and older for shingles prevention. B prevents pneumococcal disease; C protects against tetanus, diphtheria, and pertussis; B is a varicella vaccine—though related, it is far less effective than Shingrix for shingles prevention in older adults and is not the recommended option.
✦ 台美臨床差異
台灣目前針對 Shingrix 的公費給付與接種政策逐步推廣中，與美國政策略有時差。