Journal
OTOLARYNGOLOGY-HEAD AND NECK SURGERY
Volume 166, Issue 1, Pages 183-185Publisher
SAGE PUBLICATIONS INC
DOI: 10.1177/01945998211006931
Keywords
COVID-19; chronic rhinosinusitis; oral corticosteroids
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The study found no significant association between the use of OCSs and the development of COVID-19 in patients with CRS. This suggests that providers can prescribe OCSs as needed for CRS patients during the COVID-19 pandemic without excessive concern for COVID-19 risks.
Chronic rhinosinusitis (CRS) management frequently comprises conservative treatment, including a combination of topical and oral corticosteroids (OCSs). However, in the midst of the coronavirus disease 2019 (COVID-19) pandemic, providers may have been reluctant to prescribe OCSs out of possible concern for an increased risk of contracting COVID-19 or developing more severe COVID-19 symptoms. This study thus sought to explore the association between the use of OCSs and the development of COVID-19 in patients with CRS. We found no statistically significant difference in the rates of patients with a positive diagnosis of COVID-19 who underwent an OCS treatment regimen compared to those who did not, both within 28 days (P = .389) and 14 days (P = .676) prior to the COVID-19 test. Given OCSs are often a major component of medical management of CRS, this study proves helpful in counseling patients on risks of steroid use in CRS treatment during the COVID-19 pandemic.
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