— 健康促進與維護 · MEDIUM · MCQ —
一位 65 歲客戶詢問肺炎鏈球菌疫苗。護理師應提供何種適當的資訊？
A 65-year-old client asks the nurse about the pneumococcal vaccine. Which information is appropriate for the nurse to provide?
- AIt helps reduce the risk of severe pneumonia and invasive infections✓ 正解有助於降低嚴重肺炎及侵襲性感染的風險
- BIt is a one-time dose required for all adults at age 50這是 50 歲以上所有成人所需的一次性劑量
- CIt must be administered every 6 months to be effective必須每 6 個月施打一次才能發揮功效
- DIt prevents all types of viral respiratory infections可預防所有類型的病毒性呼吸道感染
— Explanation · 中文詳解 —
肺炎鏈球菌疫苗主要針對 65 歲以上老人或高風險族群，預防鏈球菌引起的侵襲性疾病及肺炎，而非預防病毒性感染。其接種時程依疫苗種類（PCV13/15/20 或 PPSV23）而異，並非每 6 個月施打，也不限於 50 歲接種。
The pneumococcal vaccine helps reduce the risk of severe pneumonia and invasive infections caused by Streptococcus pneumoniae, particularly in clients aged 65 and older. It does not protect against viral respiratory infections and follows specific scheduling guidelines rather than being a one-time dose at age 50 or a biannual requirement.
✦ 台美臨床差異
美國 CDC 建議 65 歲以上接種 PCV20 或 PCV15+PPSV23；台灣公費政策則多鼓勵高齡長者接種肺炎鏈球菌疫苗。