Consensus statement. Corticosteroid therapy in ENT in the context of the COVID-19 pandemic.
Identifieur interne : 001265 ( Main/Exploration ); précédent : 001264; suivant : 001266Consensus statement. Corticosteroid therapy in ENT in the context of the COVID-19 pandemic.
Auteurs : P. Herman [France] ; C. Vincent [France] ; C. Parietti Winkler [France] ; N. Loundon [France] ; V. Couloigner [France] ; F. Tankere [France] ; S. Tringali [France] ; P. Gallet [France] ; J-F Papon [France] ; M. Montava [France] ; J-P Lavieille [France] ; A. Charpiot [France] ; S. Schmerber [France]Source :
- European annals of otorhinolaryngology, head and neck diseases [ 1879-730X ] ; 2020.
Descripteurs français
- KwdFr :
- Hormones corticosurrénaliennes (usage thérapeutique), Humains (MeSH), Infections à coronavirus (complications), Infections à coronavirus (traitement médicamenteux), Maladies oto-rhino-laryngologiques (traitement médicamenteux), Maladies oto-rhino-laryngologiques (virologie), Pandémies (MeSH), Pneumopathie virale (complications), Pneumopathie virale (traitement médicamenteux).
- MESH :
- traitement médicamenteux : Infections à coronavirus, Maladies oto-rhino-laryngologiques, Pneumopathie virale.
- usage thérapeutique : Hormones corticosurrénaliennes, Infections à coronavirus, Pneumopathie virale.
- virologie : Maladies oto-rhino-laryngologiques.
- Humains, Pandémies.
English descriptors
- KwdEn :
- Adrenal Cortex Hormones (therapeutic use), Coronavirus Infections (complications), Coronavirus Infections (drug therapy), Humans (MeSH), Otorhinolaryngologic Diseases (drug therapy), Otorhinolaryngologic Diseases (virology), Pandemics (MeSH), Pneumonia, Viral (complications), Pneumonia, Viral (drug therapy).
- MESH :
- chemical , therapeutic use : Adrenal Cortex Hormones.
- complications : Coronavirus Infections, Pneumonia, Viral.
- drug therapy : Coronavirus Infections, Otorhinolaryngologic Diseases, Pneumonia, Viral.
- virology : Otorhinolaryngologic Diseases.
- Humans, Pandemics.
Abstract
This consensus statement about the indications and modalities of corticosteroid treatment in the context of the COVID-19 pandemic was jointly written by experts from the French Association of Otology and Oto-Neurology (AFON) and from the French Society of Otorhinolaryngology, Head and Neck Surgery (SFORL). There is currently not enough data in favour of danger or benefit from corticosteroids in COVID-19, so until this matter is resolved it is advisable to limit their indications to the most serious clinical pictures for which it is well established that this type of treatment has a positive impact on the progression of symptoms. In Grade V and VI Bell's palsy according to the House-Brackmann grading system, a week's course of oral corticosteroids is recommended. Corticosteroid therapy is also recommended in cases of sudden hearing loss of more than 60dB, either in the form of intratympanic injections or a week's course of oral medication. In rhinology, there is no indication for systemic corticosteroid therapy in the current situation. However, patients are advised to continue with their local corticosteroid therapy in the form of a nasal spray or by inhalation. Treatments with corticosteroid nasal sprays can still be prescribed if there is no alternative. Finally, systemic or local corticosteroid therapy is not indicated for bacterial ENT infections.
DOI: 10.1016/j.anorl.2020.04.014
PubMed: 32482571
PubMed Central: PMC7198134
Affiliations:
- France
- Alsace (région administrative), Auvergne-Rhône-Alpes, Grand Est, Hauts-de-France, Lorraine (région), Nord-Pas-de-Calais, Provence-Alpes-Côte d'Azur, Rhône-Alpes, Île-de-France
- Grenoble, Lille, Lyon, Marseille, Nancy, Paris, Strasbourg
Links toward previous steps (curation, corpus...)
Le document en format XML
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<term>Coronavirus Infections (complications)</term>
<term>Coronavirus Infections (drug therapy)</term>
<term>Humans (MeSH)</term>
<term>Otorhinolaryngologic Diseases (drug therapy)</term>
<term>Otorhinolaryngologic Diseases (virology)</term>
<term>Pandemics (MeSH)</term>
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<term>Infections à coronavirus (complications)</term>
<term>Infections à coronavirus (traitement médicamenteux)</term>
<term>Maladies oto-rhino-laryngologiques (traitement médicamenteux)</term>
<term>Maladies oto-rhino-laryngologiques (virologie)</term>
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<term>Pneumopathie virale (complications)</term>
<term>Pneumopathie virale (traitement médicamenteux)</term>
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<term>Infections à coronavirus</term>
<term>Pneumopathie virale</term>
</keywords>
<keywords scheme="MESH" qualifier="virologie" xml:lang="fr"><term>Maladies oto-rhino-laryngologiques</term>
</keywords>
<keywords scheme="MESH" qualifier="virology" xml:lang="en"><term>Otorhinolaryngologic Diseases</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Humans</term>
<term>Pandemics</term>
</keywords>
<keywords scheme="MESH" xml:lang="fr"><term>Humains</term>
<term>Pandémies</term>
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<front><div type="abstract" xml:lang="en">This consensus statement about the indications and modalities of corticosteroid treatment in the context of the COVID-19 pandemic was jointly written by experts from the French Association of Otology and Oto-Neurology (AFON) and from the French Society of Otorhinolaryngology, Head and Neck Surgery (SFORL). There is currently not enough data in favour of danger or benefit from corticosteroids in COVID-19, so until this matter is resolved it is advisable to limit their indications to the most serious clinical pictures for which it is well established that this type of treatment has a positive impact on the progression of symptoms. In Grade V and VI Bell's palsy according to the House-Brackmann grading system, a week's course of oral corticosteroids is recommended. Corticosteroid therapy is also recommended in cases of sudden hearing loss of more than 60dB, either in the form of intratympanic injections or a week's course of oral medication. In rhinology, there is no indication for systemic corticosteroid therapy in the current situation. However, patients are advised to continue with their local corticosteroid therapy in the form of a nasal spray or by inhalation. Treatments with corticosteroid nasal sprays can still be prescribed if there is no alternative. Finally, systemic or local corticosteroid therapy is not indicated for bacterial ENT infections.</div>
</front>
</TEI>
<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">32482571</PMID>
<DateCompleted><Year>2020</Year>
<Month>09</Month>
<Day>10</Day>
</DateCompleted>
<DateRevised><Year>2020</Year>
<Month>09</Month>
<Day>10</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1879-730X</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>137</Volume>
<Issue>4</Issue>
<PubDate><Year>2020</Year>
<Month>Sep</Month>
</PubDate>
</JournalIssue>
<Title>European annals of otorhinolaryngology, head and neck diseases</Title>
<ISOAbbreviation>Eur Ann Otorhinolaryngol Head Neck Dis</ISOAbbreviation>
</Journal>
<ArticleTitle>Consensus statement. Corticosteroid therapy in ENT in the context of the COVID-19 pandemic.</ArticleTitle>
<Pagination><MedlinePgn>315-317</MedlinePgn>
</Pagination>
<ELocationID EIdType="pii" ValidYN="Y">S1879-7296(20)30104-6</ELocationID>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.anorl.2020.04.014</ELocationID>
<Abstract><AbstractText>This consensus statement about the indications and modalities of corticosteroid treatment in the context of the COVID-19 pandemic was jointly written by experts from the French Association of Otology and Oto-Neurology (AFON) and from the French Society of Otorhinolaryngology, Head and Neck Surgery (SFORL). There is currently not enough data in favour of danger or benefit from corticosteroids in COVID-19, so until this matter is resolved it is advisable to limit their indications to the most serious clinical pictures for which it is well established that this type of treatment has a positive impact on the progression of symptoms. In Grade V and VI Bell's palsy according to the House-Brackmann grading system, a week's course of oral corticosteroids is recommended. Corticosteroid therapy is also recommended in cases of sudden hearing loss of more than 60dB, either in the form of intratympanic injections or a week's course of oral medication. In rhinology, there is no indication for systemic corticosteroid therapy in the current situation. However, patients are advised to continue with their local corticosteroid therapy in the form of a nasal spray or by inhalation. Treatments with corticosteroid nasal sprays can still be prescribed if there is no alternative. Finally, systemic or local corticosteroid therapy is not indicated for bacterial ENT infections.</AbstractText>
<CopyrightInformation>Copyright © 2020 Elsevier Masson SAS. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Herman</LastName>
<ForeName>P</ForeName>
<Initials>P</Initials>
<AffiliationInfo><Affiliation>Department of otorhinolaryngology, head and neck surgery, Lariboisière university hospital, AP-HP, Paris, France. Electronic address: philippe.herman099@gmail.com.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Vincent</LastName>
<ForeName>C</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Department of otorhinolaryngology, head and neck surgery, Lille university hospital, Lille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Parietti Winkler</LastName>
<ForeName>C</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>Department of otorhinolaryngology, head and neck surgery, Nancy university hospital, Nancy, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Loundon</LastName>
<ForeName>N</ForeName>
<Initials>N</Initials>
<AffiliationInfo><Affiliation>Department of otorhinolaryngology, head and neck surgery, Necker hospital for sick children, AP-HP, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Couloigner</LastName>
<ForeName>V</ForeName>
<Initials>V</Initials>
<AffiliationInfo><Affiliation>Department of otorhinolaryngology, head and neck surgery, Necker hospital for sick children, AP-HP, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Tankere</LastName>
<ForeName>F</ForeName>
<Initials>F</Initials>
<AffiliationInfo><Affiliation>Department of otorhinolaryngology, head and neck surgery, La Pitié-Salpêtrière university hospital, AP-HP, Paris, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Tringali</LastName>
<ForeName>S</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Department of otorhinolaryngology, head and neck surgery, Lyon south university hospital, Lyon, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Gallet</LastName>
<ForeName>P</ForeName>
<Initials>P</Initials>
<AffiliationInfo><Affiliation>Department of otorhinolaryngology, head and neck surgery, Nancy university hospital, Nancy, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Papon</LastName>
<ForeName>J-F</ForeName>
<Initials>JF</Initials>
<AffiliationInfo><Affiliation>Department of otorhinolaryngology, head and neck surgery, Bicêtre university hospital, AP-HP, Le Kremlin Bicêtre, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Montava</LastName>
<ForeName>M</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Department of otorhinolaryngology, head and neck surgery, La Conception university hospital, AP-HM, Marseille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Lavieille</LastName>
<ForeName>J-P</ForeName>
<Initials>JP</Initials>
<AffiliationInfo><Affiliation>Department of otorhinolaryngology, head and neck surgery, La Conception university hospital, AP-HM, Marseille, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Charpiot</LastName>
<ForeName>A</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Department of otorhinolaryngology, head and neck surgery, Hautepierre university hospital, Strasbourg, France.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Schmerber</LastName>
<ForeName>S</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Department of otorhinolaryngology, head and neck surgery, CHU38 university hospital, Grenoble, France.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<PublicationTypeList><PublicationType UI="D016446">Consensus Development Conference</PublicationType>
<PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D017065">Practice Guideline</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2020</Year>
<Month>05</Month>
<Day>04</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>France</Country>
<MedlineTA>Eur Ann Otorhinolaryngol Head Neck Dis</MedlineTA>
<NlmUniqueID>101531465</NlmUniqueID>
<ISSNLinking>1879-7296</ISSNLinking>
</MedlineJournalInfo>
<ChemicalList><Chemical><RegistryNumber>0</RegistryNumber>
<NameOfSubstance UI="D000305">Adrenal Cortex Hormones</NameOfSubstance>
</Chemical>
</ChemicalList>
<SupplMeshList><SupplMeshName Type="Disease" UI="C000657245">COVID-19</SupplMeshName>
</SupplMeshList>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName UI="D000305" MajorTopicYN="N">Adrenal Cortex Hormones</DescriptorName>
<QualifierName UI="Q000627" MajorTopicYN="Y">therapeutic use</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D018352" MajorTopicYN="N">Coronavirus Infections</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName>
<QualifierName UI="Q000188" MajorTopicYN="Y">drug therapy</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D010038" MajorTopicYN="N">Otorhinolaryngologic Diseases</DescriptorName>
<QualifierName UI="Q000188" MajorTopicYN="Y">drug therapy</QualifierName>
<QualifierName UI="Q000821" MajorTopicYN="N">virology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D058873" MajorTopicYN="N">Pandemics</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D011024" MajorTopicYN="N">Pneumonia, Viral</DescriptorName>
<QualifierName UI="Q000150" MajorTopicYN="N">complications</QualifierName>
<QualifierName UI="Q000188" MajorTopicYN="Y">drug therapy</QualifierName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Anosmia</Keyword>
<Keyword MajorTopicYN="N">Bell's palsy</Keyword>
<Keyword MajorTopicYN="N">COVID-19</Keyword>
<Keyword MajorTopicYN="N">Prednisone</Keyword>
<Keyword MajorTopicYN="N">SARS-CoV-2</Keyword>
<Keyword MajorTopicYN="N">Sudden hearing loss</Keyword>
</KeywordList>
</MedlineCitation>
<PubmedData><History><PubMedPubDate PubStatus="pubmed"><Year>2020</Year>
<Month>6</Month>
<Day>3</Day>
<Hour>6</Hour>
<Minute>0</Minute>
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<PubMedPubDate PubStatus="medline"><Year>2020</Year>
<Month>9</Month>
<Day>12</Day>
<Hour>6</Hour>
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<Month>6</Month>
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<affiliations><list><country><li>France</li>
</country>
<region><li>Alsace (région administrative)</li>
<li>Auvergne-Rhône-Alpes</li>
<li>Grand Est</li>
<li>Hauts-de-France</li>
<li>Lorraine (région)</li>
<li>Nord-Pas-de-Calais</li>
<li>Provence-Alpes-Côte d'Azur</li>
<li>Rhône-Alpes</li>
<li>Île-de-France</li>
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<settlement><li>Grenoble</li>
<li>Lille</li>
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<name sortKey="Charpiot, A" sort="Charpiot, A" uniqKey="Charpiot A" first="A" last="Charpiot">A. Charpiot</name>
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<name sortKey="Lavieille, J P" sort="Lavieille, J P" uniqKey="Lavieille J" first="J-P" last="Lavieille">J-P Lavieille</name>
<name sortKey="Loundon, N" sort="Loundon, N" uniqKey="Loundon N" first="N" last="Loundon">N. Loundon</name>
<name sortKey="Montava, M" sort="Montava, M" uniqKey="Montava M" first="M" last="Montava">M. Montava</name>
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<name sortKey="Parietti Winkler, C" sort="Parietti Winkler, C" uniqKey="Parietti Winkler C" first="C" last="Parietti Winkler">C. Parietti Winkler</name>
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<name sortKey="Tringali, S" sort="Tringali, S" uniqKey="Tringali S" first="S" last="Tringali">S. Tringali</name>
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