E. coli in Romaine Lettuce

CDC has urged everyone to avoid all Romaine Lettuce until further notice, as it is the leading suspect in a multi-state outbreak of Shiga toxin producing Escherichia coli O157:H7 (E. coli O157:H7) infections, and a specific source has not been identified.  CDC recommends that drawers and shelves that held Romaine be sanitized.  They also recommend that antibiotics NOT be used for this type of infection, as the combination can result in kidney failure, and no benefits have been demonstrated.  For detailed instructions, see https://www.cdc.gov/ecoli/2018/o157h7-11-18/index.html.

Recall: 2008T HD Systems w/ BlueStar Premium

The FDA has announced recalls of 120 Fresenius 2008T Hemodialysis Systems with BlueStar Premium Upgrade kits:

In the hemodialysis machine during the cleaning/disinfection program, when there is a power failure or interruption, the dialysis program button should be greyed out when the machine is powered up and a mandatory rinse should be required.  However, if a power failure or interruption occurs during the cleaning/disinfection program with the auto-start feature enabled, the machine enters the dialysis program even though the dialysis program button is disabled and the mandatory rinse has not been performed.  As a result, disinfecting chemical may not be completely removed from the machine before starting a treatment and disinfectant could exist in the dialysate delivered to the patient.

Recalls: MedComp Catheters

The FDA has announced Class II recalls of the following MedComp catheter products because suture wings may crack or break, causing catheter dislocation, bleeding, or air emboli:

Recall: Accord Hydrochlorothiazide

The FDA has announced a recall of one lot of Accord Healthcare Hydrochlorothiazide Tablets USP, 12.5 mg, Lot PW05264 (46632 Bottles, NDC 16729-182-01).  Hydrochlorothiazide is used to manage hypertension. This lot is mislabeled and actually contains Spironolactone Tablets USP 25 mg, and in certain cases this substitution can lead to life-threatening hyperkalemia.  For details see https://www.fda.gov/Safety/Recalls/ucm618583.htm.  If you are in possession of Accord Hydrochlorothiazide that does not match the image below, or if you are unsure, return to your pharmacy or healthcare provider for confirmation.