Pain medicine

Multisociety multispecialty position statement on corticosteroid injections and influenza and COVID-19 vaccine administration

Reg Anesth Pain MedPublished Multisociety multispecialty position statement

Methodological detailsmodified Delphi process, consensus ≥75% agreement, modified US Preventive Services Task Force grading, All SRs approved by all participants after 4 rounds of discussion
  • Modified Delphi process
  • Consensus ≥75% agreement
  • Modified US Preventive Services Task Force grading
  • All SRs approved by all participants after 4 rounds of discussion

Recommendations

As issued by the authors

  1. If a vaccine has been recently administered or planned, for non-urgent indications, offer the CSI at least 1 week before or after vaccine administration.

  2. For healthy patients, CSI or vaccine administration may be performed without a 7-day interval after informed discussion and consent regarding the risk of blunted vaccine efficacy.

  3. For non-healthy patients, shared decision-making should include discussion of diminished vaccine effectiveness and the possibility of influenza or COVID-19 infection.

Original publication

Multisociety multispecialty position statement on corticosteroid injections and influenza and COVID-19 vaccine administration. Reg Anesth Pain Med. Published 27 February 2026. doi:10.1136/rapm-2025-107556

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