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Saibene AM, Allevi F, Ayad T, et al. 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. Eur Arch Otorhinolaryngol. 2021;278(10):4091-4099doi: 10.1007/s00405-021-06794-6.
Saibene, A. M., Allevi, F., Ayad, T., Baudoin, T., Bernal-Sprekelsen, M., Briganti, G., Carrie, S., Cayé-Thomasen, P., Dahman Saidi, S., Dauby, N., Fenton, J., Golusiński, W., Klimek, L., Leclerc, A. A., Longtin, Y., Mannelli, G., Mayo-Yáñez, M., Meço, C., Metwaly, O., Mouawad, F., Niemczyk, K., Pedersen, U., Piersiala, K., Plzak, J., Remacle, M., Rommel, N., Saleh, H., Szpecht, D., Tedla, M., Tincati, C., Tucciarone, M., Zelenik, K., & Lechien, J. R. (2021). 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. European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery, 278(10), 4091-4099. https://doi.org/10.1007/s00405-021-06794-6
Saibene, Alberto Maria, et al. "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." European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery vol. 278,10 (2021): 4091-4099. doi: https://doi.org/10.1007/s00405-021-06794-6
Saibene AM, Allevi F, Ayad T, Baudoin T, Bernal-Sprekelsen M, Briganti G, Carrie S, Cayé-Thomasen P, Dahman Saidi S, Dauby N, Fenton J, Golusiński W, Klimek L, Leclerc AA, Longtin Y, Mannelli G, Mayo-Yáñez M, Meço C, Metwaly O, Mouawad F, Niemczyk K, Pedersen U, Piersiala K, Plzak J, Remacle M, Rommel N, Saleh H, Szpecht D, Tedla M, Tincati C, Tucciarone M, Zelenik K, Lechien JR. 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. Eur Arch Otorhinolaryngol. 2021 Oct;278(10):4091-4099. doi: 10.1007/s00405-021-06794-6. Epub 2021 Apr 15. PMID: 33855628; PMCID: PMC8046580.
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Eur Arch Otorhinolaryngol. 2021 Oct;278(10):4091-4099. doi: 10.1007/s00405-021-06794-6. Epub 2021 Apr 15.

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.

European archives of oto-rhino-laryngology : official journal of the European Federation of Oto-Rhino-Laryngological Societies (EUFOS) : affiliated with the German Society for Oto-Rhino-Laryngology - Head and Neck Surgery

Alberto Maria Saibene, Fabiana Allevi, Tareck Ayad, Tomislav Baudoin, Manuel Bernal-Sprekelsen, Giovanni Briganti, Sean Carrie, Per Cayé-Thomasen, Sara Dahman Saidi, Nicolas Dauby, John Fenton, Wojciech Golusiński, Ludger Klimek, Andrée-Anne Leclerc, Yves Longtin, Giuditta Mannelli, Miguel Mayo-Yáñez, Cem Meço, Osama Metwaly, François Mouawad, Kazimierz Niemczyk, Ulrik Pedersen, Krzysztof Piersiala, Jan Plzak, Marc Remacle, Nathalie Rommel, Hesham Saleh, Dawid Szpecht, Miroslav Tedla, Camilla Tincati, Manuel Tucciarone, Karol Zelenik, Jerome R Lechien

Affiliations

  1. Otolaryngology Unit, ASST Santi Paolo E Carlo, Department of Health Sciences, Università Degli Studi Di Milano, Via Antonio di Rudinì, 8, 20142, Milan, Italy. [email protected].
  2. Young Otolaryngologists-International Federation of Otorhinolaryngological Societies (Yo-IFOS), Paris, France. [email protected].
  3. Maxillofacial Surgery Unit, ASST Santi Paolo E Carlo, Department of Health Sciences, Università Degli Studi Di Milano, Milan, Italy.
  4. Young Otolaryngologists-International Federation of Otorhinolaryngological Societies (Yo-IFOS), Paris, France.
  5. Division of Otolaryngology-Head and Neck Surgery, Centre Hospitalier de L'Université de Montréal, Montreal, QC, Canada.
  6. Department of Otorhinolaryngology and Head and Neck Surgery, University Clinical Hospital Centre Sestre Milosrdnice, Zagreb University School of Medicine, Zagreb, Croatia.
  7. Confederation of European Otorhinolaryngology-Head and Neck Surgery (CEORL-HNS), Vienna, Austria.
  8. Rhinology and Skull Base Unit, Department of Otorhinolaryngology, Hospital Clinic, University of Barcelona, Barcelona, Catalonia, Spain.
  9. Richard J McNally Laboratory, Harvard University, Cambridge, MA, USA.
  10. Freeman Hospital, Newcastle, UK.
  11. Department of Oto-Rhino-Laryngology, Head and Neck Surgery, and Audiology, Copenhagen University Hospital Rigshospitalet, Copenhagen, Denmark.
  12. Private Practice, Ganshoren, Belgium.
  13. Department of Infectious Diseases, CHU Saint-Pierre, Université Libre de Bruxelles (ULB), Brussels, Belgium.
  14. School of Public Health, Université Libre de Bruxelles (ULB), Brussels, Belgium.
  15. Institute for Medical Immunology, Brussels, Belgium.
  16. Department of ORL-HNS, University of Limerick Medical School, Limerick, Ireland.
  17. Department of Head and Neck Surgery, Poznan University of Medical Sciences, The Greater Poland Cancer Centre, Poznan, Poland.
  18. Center for Rhinology and Allergology, Wiesbaden, Germany.
  19. Division of Otolaryngology and Head and Neck Surgery, University of Montréal, Montreal, Canada.
  20. Department of Medicine, Jewish General Hospital, Montreal, Canada.
  21. Head and Neck Oncology and Robotic Surgery, Azienda Ospedaliero Universitaria Careggi, Firenze, Italy.
  22. Otorhinolaryngology-Head and Neck Surgery Department, Complexo Hospitalario Universitario A Coruña (CHUAC), A Coruña, Galicia, Spain.
  23. Clinical Research in Medicine, International Center for Doctorate and Advanced Studies (CIEDUS), Universidade de Santiago de Compostela (USC), Santiago de Compostela, Galicia, Spain.
  24. Department of ORL-HNS, Ankara University Medical School, Ankara, Turkey.
  25. Department of ORL-HNS, Salzburg Paracelsus Medical University, Salzburg, Austria.
  26. Kasr Alainy School of Medicine, Cairo University, Giza, Egypt.
  27. Department of Otorhinolaryngology and Head and Neck Surgery, CHU de Lille, Université de Lille 2, Lille, France.
  28. Department of Otorhinolaryngology, Head and Neck Surgery, Medical University of Warsaw, Warsaw, Poland.
  29. University Clinic of ORL-HNS, Aarhus University Hospital, Aarhus, Denmark.
  30. Department of Clinical Science, Intervention and Technology (CLINTEC), Karolinska Institutet, Stockholm, Sweden.
  31. Department of Otorhinolaryngology and Head and Neck Surgery, 1st Faculty of Medicine, Charles University, Motol University Hospital, Prague, Czech Republic.
  32. Department of ORL-Head & Neck Surgery, Centre Hospitalier du Luxembourg, Luxembourg, Luxembourg.
  33. Department of Gastroenterology, Neurosciences, Experimental ORL, Neurogastroenterology & Motility, Deglutology-University Hospitals Leuven, University of Leuven, Leuven, Belgium.
  34. Department of Otolaryngology, Charing Cross and Royal Brompton Hospitals, Imperial College, London, UK.
  35. Department of Neonatology, Poznan University of Medical Sciences, Poznan, Poland.
  36. Medical Faculty, Comenius University, Bratislava, Slovakia.
  37. Infectious Disease Unit, ASST Santi Paolo E Carlo, Department of Health Sciences, Università Degli Studi Di Milano, Milan, Italy.
  38. Department of Otorhinolaryngology and Head and Neck Surgery, Jerez University Hospital, Jerez de la Frontera, Spain.
  39. Department of Otorhinolaryngology and Head and Neck Surgery, University Hospital Ostrava and Faculty of Medicine, University of Ostrava, Ostrava, Czech Republic.
  40. Department of Otolaryngology-Head and Neck Surgery, Foch Hospital, Paris Saclay University, Saint-Aubin, France.

PMID: 33855628 PMCID: PMC8046580 DOI: 10.1007/s00405-021-06794-6

Abstract

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.

© 2021. The Author(s).

Keywords: Breastfeeding; Coronavirus infections; Covid-19; Health planning guidelines; Healthcare workers; Pregnancy; Vaccine

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