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.
Saibene, Alberto Maria; Allevi, Fabiana; Ayad, Tarecket al.
2021 • In European Archives of Oto-Rhino-Laryngology, 278 (10), p. 4091-4099
[en] 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.
Saibene, Alberto Maria; ORCID: 0000-0003-1457-6871 ; Otolaryngology Unit, ASST Santi Paolo E Carlo, Department of Health Sciences, ; Young Otolaryngologists-International Federation of Otorhinolaryngological
Allevi, Fabiana; ORCID: 0000-0002-5012-4031 ; Maxillofacial Surgery Unit, ASST Santi Paolo E Carlo, Department of Health
Ayad, Tareck; Young Otolaryngologists-International Federation of Otorhinolaryngological ; Division of Otolaryngology-Head and Neck Surgery, Centre Hospitalier de
Baudoin, Tomislav; Department of Otorhinolaryngology and Head and Neck Surgery, University Clinical ; Confederation of European Otorhinolaryngology-Head and Neck Surgery (CEORL-HNS),
Bernal-Sprekelsen, Manuel; ORCID: 0000-0001-8191-9833 ; Confederation of European Otorhinolaryngology-Head and Neck Surgery (CEORL-HNS), ; Rhinology and Skull Base Unit, Department of Otorhinolaryngology, Hospital
Briganti, Giovanni ; Université de Mons - UMONS > Faculté de Médecine et de Pharmacie > Service de Neurosciences ; ORCID: 0000-0002-4038-3363 ; Richard J McNally Laboratory, Harvard University, Cambridge, MA, USA.
Carrie, Sean; ORCID: 0000-0003-1722-1814 ; Confederation of European Otorhinolaryngology-Head and Neck Surgery (CEORL-HNS), ; Freeman Hospital, Newcastle, UK.
Cayé-Thomasen, Per; ORCID: 0000-0002-6837-694X ; Confederation of European Otorhinolaryngology-Head and Neck Surgery (CEORL-HNS), ; Department of Oto-Rhino-Laryngology, Head and Neck Surgery, and Audiology,
Dauby, Nicolas; ORCID: 0000-0002-7697-6849 ; Department of Infectious Diseases, CHU Saint-Pierre, Université Libre de ; School of Public Health, Université Libre de Bruxelles (ULB), Brussels, Belgium. ; Institute for Medical Immunology, Brussels, Belgium.
Fenton, John; Confederation of European Otorhinolaryngology-Head and Neck Surgery (CEORL-HNS), ; Department of ORL-HNS, University of Limerick Medical School, Limerick, Ireland.
Golusiński, Wojciech; ORCID: 0000-0002-6075-3464 ; Confederation of European Otorhinolaryngology-Head and Neck Surgery (CEORL-HNS), ; Department of Head and Neck Surgery, Poznan University of Medical Sciences, The
Klimek, Ludger; ORCID: 0000-0002-2455-0192 ; Confederation of European Otorhinolaryngology-Head and Neck Surgery (CEORL-HNS), ; Center for Rhinology and Allergology, Wiesbaden, Germany.
Leclerc, Andrée-Anne; ORCID: 0000-0003-2398-8018 ; Young Otolaryngologists-International Federation of Otorhinolaryngological ; Division of Otolaryngology and Head and Neck Surgery, University of Montréal,
Longtin, Yves; Department of Medicine, Jewish General Hospital, Montreal, Canada.
Mannelli, Giuditta; ORCID: 0000-0001-7079-3964 ; Young Otolaryngologists-International Federation of Otorhinolaryngological ; Head and Neck Oncology and Robotic Surgery, Azienda Ospedaliero Universitaria
Mayo-Yáñez, Miguel; ORCID: 0000-0002-1829-6597 ; Young Otolaryngologists-International Federation of Otorhinolaryngological ; Otorhinolaryngology-Head and Neck Surgery Department, Complexo Hospitalario ; Clinical Research in Medicine, International Center for Doctorate and Advanced
Meço, Cem; ORCID: 0000-0001-8372-8045 ; Confederation of European Otorhinolaryngology-Head and Neck Surgery (CEORL-HNS), ; Department of ORL-HNS, Ankara University Medical School, Ankara, Turkey. ; Department of ORL-HNS, Salzburg Paracelsus Medical University, Salzburg, Austria.
Metwaly, Osama; ORCID: 0000-0002-4470-7329 ; Young Otolaryngologists-International Federation of Otorhinolaryngological ; Kasr Alainy School of Medicine, Cairo University, Giza, Egypt.
Mouawad, François; ORCID: 0000-0001-6307-2907 ; Young Otolaryngologists-International Federation of Otorhinolaryngological ; Department of Otorhinolaryngology and Head and Neck Surgery, CHU de Lille,
Niemczyk, Kazimierz; Confederation of European Otorhinolaryngology-Head and Neck Surgery (CEORL-HNS), ; Department of Otorhinolaryngology, Head and Neck Surgery, Medical University of
Pedersen, Ulrik; Confederation of European Otorhinolaryngology-Head and Neck Surgery (CEORL-HNS), ; University Clinic of ORL-HNS, Aarhus University Hospital, Aarhus, Denmark.
Piersiala, Krzysztof; ORCID: 0000-0003-3844-5999 ; Young Otolaryngologists-International Federation of Otorhinolaryngological ; Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska
Plzak, Jan; ORCID: 0000-0003-3710-4455 ; Confederation of European Otorhinolaryngology-Head and Neck Surgery (CEORL-HNS), ; Department of Otorhinolaryngology and Head and Neck Surgery, 1st Faculty of
Remacle, Marc; Confederation of European Otorhinolaryngology-Head and Neck Surgery (CEORL-HNS), ; Department of ORL-Head & Neck Surgery, Centre Hospitalier du Luxembourg,
Rommel, Nathalie; Confederation of European Otorhinolaryngology-Head and Neck Surgery (CEORL-HNS), ; Department of Gastroenterology, Neurosciences, Experimental ORL,
Saleh, Hesham; Confederation of European Otorhinolaryngology-Head and Neck Surgery (CEORL-HNS), ; Department of Otolaryngology, Charing Cross and Royal Brompton Hospitals,
Szpecht, Dawid; ORCID: 0000-0002-7966-3768 ; Department of Neonatology, Poznan University of Medical Sciences, Poznan, Poland.
Tedla, Miroslav; ORCID: 0000-0002-3471-7195 ; Confederation of European Otorhinolaryngology-Head and Neck Surgery (CEORL-HNS), ; Medical Faculty, Comenius University, Bratislava, Slovakia.
Tincati, Camilla; ORCID: 0000-0002-3083-2962 ; Infectious Disease Unit, ASST Santi Paolo E Carlo, Department of Health Sciences,
Tucciarone, Manuel; ORCID: 0000-0001-6463-1459 ; Young Otolaryngologists-International Federation of Otorhinolaryngological ; Department of Otorhinolaryngology and Head and Neck Surgery, Jerez University
Zelenik, Karol; ORCID: 0000-0003-1349-9958 ; Young Otolaryngologists-International Federation of Otorhinolaryngological ; Department of Otorhinolaryngology and Head and Neck Surgery, University Hospital
Lechien, Jerome R; ORCID: 0000-0002-0845-0845 ; Young Otolaryngologists-International Federation of Otorhinolaryngological ; Department of Otolaryngology-Head and Neck Surgery, Foch Hospital, Paris Saclay
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