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一位70歲患有COPD的成人，未曾接種RSV疫苗，且肺炎鏈球菌結合型疫苗接種史不明。完成現行CDC疫苗接種計畫。

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Recommend ::선택::influenza vaccine only when symptoms beginseasonal influenza vaccine; high-dose inactivated, recombinant, or adjuvanted inactivated preferred at age 65 or olderinfluenza vaccine once at age 50influenza vaccine every 5 years. Because the pneumococcal conjugate-vaccine history is unknown, use ::선택::PCV20 or PCV21 once, or PCV15 followed by PPSV23 1 year latertetanus vaccine as the only age-based vaccinehepatitis A vaccine instead of pneumococcal vaccineHPV vaccine as a substitute for pneumococcal vaccine. Because the client has not received RSV vaccine, recommend ::선택::annual yellow-fever vaccinationBCG vaccination because COPD is presentone RSV vaccine dose because age 50–74 with COPD is increased riskoral polio vaccination.

建議 ::선택::僅在症狀開始時接種流感疫苗季節性流感疫苗；65歲以上優先選用高劑量不活化、重組或佐劑不活化疫苗50歲時接種一次流感疫苗每5年接種流感疫苗。因肺炎鏈球菌結合型疫苗接種史不明，使用 ::선택::單獨接種PCV20或PCV21一次，或先接種PCV15，一年後再接種PPSV23破傷風疫苗作為唯一年齡別疫苗以A型肝炎疫苗取代肺炎鏈球菌疫苗以HPV疫苗取代肺炎鏈球菌疫苗。因個案未曾接種RSV疫苗，建議 ::선택::每年接種黃熱病疫苗因患有COPD而接種BCG疫苗因50–74歲且患有COPD屬高風險，接種一劑RSV疫苗口服小兒麻痺疫苗。

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