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Guidance on COVID-19 Vaccination in Hidradenitis Suppurativa Patients: A Modified Delphi Consensus of Experts
Jonathan W Rick1, Devea R De2, Terri Shih3
1Department of Dermatology, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
Insights
Hidradenitis suppurativa (HS) patients need guidance on COVID-19 vaccination. Expert consensus provides recommendations for vaccine and HS treatment counseling for these at-risk individuals.
Area of Science:
- Dermatology
- Immunology
- Public Health
Background:
- Hidradenitis suppurativa (HS) patients face increased risks from COVID-19.
- Comorbidities and medications in HS patients complicate COVID-19 management.
- Expert consensus on COVID-19 vaccination for HS patients is lacking.
Purpose of the Study:
- To establish expert-driven consensus recommendations for COVID-19 vaccination in HS patients.
- To provide guidance on vaccine and HS treatment counseling for clinicians.
- To address the unique needs of HS patients regarding SARS-CoV-2 vaccination.
Main Methods:
- A modified Delphi consensus survey was employed.
- The survey included 12 practice statements for expert review.
- Consensus was defined as ≥70% agreement among participating HS experts.
Main Results:
- 33 HS experts participated in the survey.
- Consensus was achieved in the first round for all 12 statements.
- Recommendations cover vaccine and HS treatment counseling.
Conclusions:
- The consensus provides a valuable resource for clinicians advising HS patients on COVID-19 vaccination.
- These recommendations will be updated as new COVID-19 evidence emerges.
- Expert consensus supports informed decision-making for HS patients regarding vaccination.
Introduction:
Hidradenitis suppurativa (HS) patients may be at increased risk of COVID-19 infection and complications from their medications and comorbidities. There is a lack of expert consensus on recommendations for the COVID-19 vaccine for HS patients. Herein, we aim to provide expert-driven consensus recommendations regarding COVID-19 vaccinations in HS patients.
Methods:
A modified Delphi consensus survey developed by a core committee of 7 dermatologist HS experts consisting of 4 demographic questions and 12 practice statements was distributed to the US HS Foundation-sponsored provider listserv. Participants were attending physician HS experts. Survey results were to be reviewed by the core group and revised and resubmitted until consensus (≥70% agreement) was achieved.
Results:
Among the 33 survey participants, there were 30 (87%) dermatologists, 1 general surgeon, 1 plastic surgeon, and 1 rheumatologist. Consensus for all 12 statements on vaccine counseling and HS treatment counseling was achieved after the first round.
Discussion/Conclusion:
For now, this consensus can serve as a resource for clinicians discussing COVID-19 vaccination with their HS patients. These recommendations will need to be updated as new evidence on COVID-19 emerges.
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