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Appropriateness for SARS-CoV-2 vaccination for otolaryngologist and head and neck surgeons in case of pregnancy, breastfeeding, or childbearing potential: Yo-IFOS and CEORL-HNS joint clinical consensus statement

AM. Saibene, F. Allevi, T. Ayad, T. Baudoin, M. Bernal-Sprekelsen, G. Briganti, S. Carrie, P. Cayé-Thomasen, S. Dahman Saidi, N. Dauby, J. Fenton, W. Golusiński, L. Klimek, AA. Leclerc, Y. Longtin, G. Mannelli, M. Mayo-Yáñez, C. Meço, O. Metwaly,...

. 2021 ; 278 (10) : 4091-4099. [pub] 20210415

Jazyk angličtina Země Německo

Typ dokumentu časopisecké články

Perzistentní odkaz   https://www.medvik.cz/link/bmc21024909

PURPOSE: SARS-CoV-2 vaccines are a key step in fighting the pandemic. Nevertheless, their rapid development did not allow for testing among specific population subgroups such as pregnant and breastfeeding women, or elaborating specific guidelines for healthcare personnel working in high infection risk specialties, such as otolaryngology (ORL). This clinical consensus statement (CCS) aims to offer guidance for SARS-CoV-2 vaccination to this high-risk population based on the best evidence available. METHODS: A multidisciplinary international panel of 33 specialists judged statements through a two-round modified Delphi method survey. Statements were designed to encompass the following topics: risk of SARS-Cov-2 infection and use of protective equipment in ORL; SARS-Cov-2 infection and vaccines and respective risks for the mother/child dyad; and counseling for SARS-CoV-2 vaccination in pregnant, breastfeeding, or fertile healthcare workers (PBFHW). All ORL PBFHW were considered as the target audience. RESULTS: Of the 13 statements, 7 reached consensus or strong consensus, 2 reached no consensus, and 2 reached near-consensus. According to the statements with strong consensus otorhinolaryngologists-head and neck surgeons who are pregnant, breastfeeding, or with childbearing potential should have the opportunity to receive SARS-Cov-2 vaccination. Moreover, personal protective equipment (PPE) should still be used even after the vaccination. CONCLUSION: Until prospective evaluations on these topics are available, ORL-HNS must be considered a high infection risk specialty. While the use of PPE remains pivotal, ORL PBFHW should be allowed access to SARS-CoV-2 vaccination provided they receive up-to-date information.

Center for Rhinology and Allergology Wiesbaden Germany

Clinical Research in Medicine International Center for Doctorate and Advanced Studies Santiago de Compostela Galicia Spain

Confederation of European Otorhinolaryngology Head and Neck Surgery Vienna Austria

Department of Clinical Science Intervention and Technology Karolinska Institutet Stockholm Sweden

Department of Gastroenterology Neurosciences Experimental ORL Neurogastroenterology and Motility Deglutology University Hospitals Leuven University of Leuven Leuven Belgium

Department of Head and Neck Surgery Poznan University of Medical Sciences The Greater Poland Cancer Centre Poznan Poland

Department of Infectious Diseases CHU Saint Pierre Université Libre de Bruxelles Brussels Belgium

Department of Medicine Jewish General Hospital Montreal Canada

Department of Neonatology Poznan University of Medical Sciences Poznan Poland

Department of ORL Head and Neck Surgery Centre Hospitalier du Luxembourg Luxembourg Luxembourg

Department of ORL HNS Ankara University Medical School Ankara Turkey

Department of ORL HNS Salzburg Paracelsus Medical University Salzburg Austria

Department of ORL HNS University of Limerick Medical School Limerick Ireland

Department of Oto Rhino Laryngology Head and Neck Surgery and Audiology Copenhagen University Hospital Rigshospitalet Copenhagen Denmark

Department of Otolaryngology Charing Cross and Royal Brompton Hospitals Imperial College London UK

Department of Otolaryngology Head and Neck Surgery Foch Hospital Paris Saclay University Saint Aubin France

Department of Otorhinolaryngology and Head and Neck Surgery 1st Faculty of Medicine Charles University Motol University Hospital Prague Czech Republic

Department of Otorhinolaryngology and Head and Neck Surgery CHU de Lille Université de Lille 2 Lille France

Department of Otorhinolaryngology and Head and Neck Surgery Jerez University Hospital Jerez de la Frontera Spain

Department of Otorhinolaryngology and Head and Neck Surgery University Clinical Hospital Centre Sestre Milosrdnice Zagreb University School of Medicine Zagreb Croatia

Department of Otorhinolaryngology and Head and Neck Surgery University Hospital Ostrava and Faculty of Medicine University of Ostrava Ostrava Czech Republic

Department of Otorhinolaryngology Head and Neck Surgery Medical University of Warsaw Warsaw Poland

Division of Otolaryngology and Head and Neck Surgery University of Montréal Montreal Canada

Division of Otolaryngology Head and Neck Surgery Centre Hospitalier de L'Université de Montréal Montreal QC Canada

Freeman Hospital Newcastle UK

Head and Neck Oncology and Robotic Surgery Azienda Ospedaliero Universitaria Careggi Firenze Italy

Infectious Disease Unit ASST Santi Paolo E Carlo Department of Health Sciences Università Degli Studi Di Milano Milan Italy

Institute for Medical Immunology Brussels Belgium

Kasr Alainy School of Medicine Cairo University Giza Egypt

Maxillofacial Surgery Unit ASST Santi Paolo E Carlo Department of Health Sciences Università Degli Studi Di Milano Milan Italy

Medical Faculty Comenius University Bratislava Slovakia

Otolaryngology Unit ASST Santi Paolo E Carlo Department of Health Sciences Università Degli Studi Di Milano Via Antonio di Rudinì 8 20142 Milan Italy

Otorhinolaryngology Head and Neck Surgery Department Complexo Hospitalario Universitario A Coruña A Coruña Galicia Spain

Private Practice Ganshoren Belgium

Rhinology and Skull Base Unit Department of Otorhinolaryngology Hospital Clinic University of Barcelona Barcelona Catalonia Spain

Richard J McNally Laboratory Harvard University Cambridge MA USA

School of Public Health Université Libre de Bruxelles Brussels Belgium

University Clinic of ORL HNS Aarhus University Hospital Aarhus Denmark

Young Otolaryngologists International Federation of Otorhinolaryngological Societies Paris France

Citace poskytuje Crossref.org

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