129.4 📌 章末速蚘

  • PCV20 ≥ 65 取代 PCV13+PPSV23
  • Tdap every 10 yr + each pregnancy 27-36 wk
  • Shingrix ≥ 50 (2 doses)
  • Pregnancy: Tdap + flu + RSV + COVID; no LA
  • Immunocompromised: avoid LA; Shingrix OK
  • Asplenic: PCV + Hib + Men ACWY + Men B
  • 22E 新疫苗: RSV adult, mRESVIA mRNA RSV