— 健康促進與維護 · MEDIUM · MCQ —
個案詢問關於預防帶狀疱疹的疫苗。護理師知道針對 50 歲以上的健康成人，目前的建議為何？
A client asks about vaccination to prevent shingles. The nurse knows that the current recommendation for a healthy adult aged 50 or older is:
- ANo vaccination is necessary if the client had chickenpox若病人曾患過水痘則無需接種疫苗
- BTwo doses of recombinant zoster vaccine, separated by 2 to 6 months✓ 正解接種兩劑重組帶狀疱疹疫苗，劑間隔 2 至 6 個月
- CA single dose of live attenuated vaccine接種單劑減毒活疫苗
- DVaccination is only required at age 65僅在 65 歲時才需要接種疫苗
— Explanation · 中文詳解 —
帶狀疱疹疫苗（Shingrix）目前建議 50 歲以上成人施打，採兩劑型重組疫苗，間隔 2 到 6 個月，其保護力較舊型疫苗高。即使曾罹患過水痘或帶狀疱疹，仍建議施打以加強免疫力，預防後續疱疹後神經痛的發生。
Current guidelines recommend two doses of the recombinant zoster vaccine (Shingrix) for healthy adults aged 50 and older, administered 2 to 6 months apart, due to its superior efficacy compared to the live attenuated vaccine.
✦ 台美臨床差異
台灣目前自費疫苗市場中，Shingrix 已逐漸普及，但尚未列入常規公費疫苗接種計畫。