{"id":10257,"date":"2025-03-01T14:03:18","date_gmt":"2025-03-01T19:03:18","guid":{"rendered":"https:\/\/dhss.delaware.gov\/dph\/dhan288\/"},"modified":"2025-03-02T00:51:22","modified_gmt":"2025-03-02T05:51:22","slug":"dhan288","status":"publish","type":"page","link":"https:\/\/dhss.delaware.gov\/dph\/php\/alerts\/dhan288\/","title":{"rendered":"php\/alerts\/dhan288 ~  Division of Public Health &#8212; Health Alert  &#8211; Delaware Health and Social Services &#8211; State of Delaware"},"content":{"rendered":"<div data-swiftype-index=\"true\">\n\n\n\n  <br>\n\n\n\n  <div class=\"container\" id=\"main_header\"> \n\n    <!-- BEGIN readspeaker div -->\n\n    <div class=\"rs_skip rsbtn rs_preserve\" id=\"readspeaker_button1\">\n\n      <a accesskey=\"L\" class=\"rsbtn_play\" href=\"https:\/\/app-na.readspeaker.com\/cgi-bin\/rsent?customerid=7262&#038;lang=en_us&#038;readid=main_content&#038;url=https:\/\/dhss.delaware.gov\/dph\/php\/alerts\/dhan288.html\" title=\"Listen to this page using ReadSpeaker\">\n\n        <span class=\"rsbtn_left rsimg rspart\"><span class=\"rsbtn_text\"><span>Listen<\/span><\/span><\/span>\n\n        <span class=\"rsbtn_right rsimg rsplay rspart\"><\/span>\n\n      <\/a>\n\n    <\/div>\n\n    <!-- END readspeaker div -->\n\n\n\n    \n\n    <header class=\"pull-left\">\n\n      <h1>Delaware Health Alert Network #<!--[type=EDIT name=\"DHAN Number\"]-->288 <!--[END]--> <\/h1>\n\n      <h2> <!--[type=EDIT name=\"DHAN Date\"]-->December 13, 2012 11:48 am <!--[END]--> <\/h2>\n\n    <\/header>\n\n  <\/div><br>\n\n \n\n  <div class=\"container\">\n\n    <div class=\"row\">\n\n      <div class=\"col-md-3\" id=\"leftCol\">\n\n        <div class=\"panel-group\" id=\"accordion\">\n\n          <div class=\"panel sectionmenu_panel\">\n\n            <div class=\"panel-heading\">\n\n              <p class=\"panel-title\"><a class=\"agency_nav\" data-parent=\"#accordion\" data-toggle=\"collapse\" href=\"#collapseOne\"><strong><i class=\"fa fa-align-justify fa-fw\"><\/i> Public Health Menu<\/strong><\/a><\/p>\n\n            <\/div>\n\n\n\n            <div class=\"panel-collapse collapse in\" id=\"collapseOne\">\n\n              <div class=\"panel-body\" id=\"clf_nav\">\n\n                  <ul class=\"nav nav-stacked nav-pills-clf\" id=\"agency_sidebar\">\n    <li><a href=\"\/dph\/\"><h2>Home <i class=\"fa fa-home fa-fw\"><\/i><\/h2><\/a><\/li>\n    <li class=\"toplevel\"><a data-parent=\"#agency_sidebar\" data-toggle=\"collapse\" href=\"#HomeMenu\"><h2>About <i class=\"fa fa-caret-right fa-fw\"><\/i><\/h2><\/a>\n      <ul class=\"panel-collapse collapse\" id=\"HomeMenu\">\n        <li><a href=\"\/dph\/about.html\">About DPH<\/a><\/li>\n        <li><a href=\"\/dph\/sections.html\">Sections &#038; 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Wellness<\/a><\/li>\n        <li><a href=\"\/dph\/hsp\/healthyhomes.html\">Healthy Homes<\/a><\/li>\n        <li><a href=\"\/dph\/hsp\/healthywp.html\">Healthy Workplaces<\/a><\/li>\n        <li><a href=\"\/dph\/lab\/labs.html\">Laboratory<\/a><\/li>\n        <li><a href=\"\/dph\/hsp\/feir.html\">Restaurant Inspections<\/a><\/li>\n        <li><a href=\"\/dph\/screen.html\">Screening and Testing<\/a><\/li>\n        <li><a href=\"\/dph\/chca\/dphwichominf01.html\">WIC<\/a><\/li>\n        <li><a href=\"\/dph\/servicesadd.html\">Additional Services<\/a><\/li><li>\n      <\/li><\/ul>\n    <\/li>\n    <li class=\"toplevel\"><a data-parent=\"#sidebar\" data-toggle=\"collapse\" href=\"#InformationMenu\"><h2>Information <i class=\"fa fa-caret-right fa-fw\"><\/i><\/h2><\/a>\n        <ul class=\"panel-collapse collapse\" id=\"InformationMenu\">\n        <li><a href=\"\/dph\/factsheetsaz.html\">A-Z Fact Sheets<\/a><\/li>\n        <li><a href=\"\/dph\/pubreportsaz.html\">A-Z Publications &#038; Reports<\/a><\/li>\n        <li><a href=\"\/dph\/diseasesandconditions.html\">Diseases &#038; Conditions<\/a><\/li>\n        <li><a href=\"\/dph\/faq.html\">FAQ&#8217;s<\/a><\/li>\n        <li><a href=\"\/dph\/php\/alerts.html\">Health Alerts<\/a><\/li>\n        <li><a href=\"\/dph\/healthylifestyles.html\">Healthy Lifestyles<\/a><\/li>\n        <li><a href=\"\/dph\/hipaa.html\">HIPAA<\/a><\/li>\n        <li><a href=\"\/dph\/regs.html\">Regulations<\/a><\/li>\n        <li><a href=\"\/dph\/forms.html\">Request Forms<\/a><\/li>\n        <li><a href=\"\/dph\/links.html\">Links &#038; Resources<\/a><\/li>\n        <li><a href=\"http:\/\/delaware.gov\/help\/foia_request.shtml\">FOIA Request Form<\/a><\/li>\n      <\/ul>\n    <\/li>\n    <li><a id=\"SocialMenuHeader\"><h2>Connect <i class=\"fa fa-thumbs-o-up fa-fw\"><\/i><\/h2><\/a>\n      <ul id=\"SocialMenu\">\n        <li class=\"facebook\"><a href=\"https:\/\/www.facebook.com\/DEPublicHealth\" target=\"_blank\" title=\"Division of Public Health Facebook Page\"><i class=\"fa fa-facebook-square fa-lg\"><\/i> Facebook<\/a><\/li>\n        <li class=\"twitter\"><a href=\"https:\/\/twitter.com\/Delaware_DHSS\" target=\"_blank\" title=\"Delaware Health and Social Services Twitter Account\"><i class=\"fa fa-twitter-square fa-lg\"><\/i> Twitter<\/a><\/li>\n        <!-- <li class=\"googleplus\"><a href=\"#\"><i class=\"fa fa-google-plus-square fa-lg\"><\/i> Google +<\/a><\/li>\n        <li class=\"flickr\"><a href=\"#\"><i class=\"fa fa-flickr fa-lg\"><\/i> Flickr<\/a><\/li>\n        <li class=\"youtube\"><a href=\"#\"><i class=\"fa fa-youtube-square fa-lg\"><\/i> Youtube<\/a><\/li>\n        <li class=\"instagram\"><a href=\"#\"><i class=\"fa fa-instagram fa-lg\"><\/i> Instagram<\/a><\/li>\n        <li class=\"linkedin\"><a href=\"#\"><i class=\"fa fa-linkedin-square fa-lg\"><\/i> Linkedin<\/a><\/li>\n        <li class=\"pinterest\"><a href=\"#\"><i class=\"fa fa-pinterest-square fa-lg\"><\/i> Pinterest<\/a><\/li> -->\n      <\/ul>\n    <\/li>\n  <\/ul>\n\n              <\/div>\n\n            <\/div>\n\n          <\/div>\n\n        <\/div><br>\n\n      <\/div>\n\n\n\n      <div class=\"col-md-9\" id=\"main_content\"> \n\n  \n\n<h2 class=\"center\">Health\n\n<!--[type=EDIT name=\"DHANType\"]-->\n\n\n\n   Alert<!--[END]-->\n\n<br>\n\n<!--[type=EDIT name=\"DHAN Heading\"]-->\n\n\n\nUPDATE: CONTAMINATION OF ADDITIONAL MEDICAL PRODUCTS FROM NEW ENGLAND COMPOUNDING<!--[END]-->\n\n<\/h2>\n\n\n\n<!--[type=HTMLEDIT name=\"Content\"]-->\n\n\n\n<p>\n\n\n  The Delaware Division of Public Health (DPH) is issuing this health alert to provide healthcare providers and facilities with details\n\n\n  regarding additional contaminated medical products identified in the ongoing Food and Drug Administration (FDA) investigation associated\n\n\n  with the fungal meningitis outbreak. In a previous DHAN, DPH reported information from the Centers for Disease Control (CDC) and FDA\n\n\n  regarding contaminated betamethasone and cardioplegia solution. A recently released CDC Health Alert provides additional information on\n\n\n  contaminated triamcinolone. It is unknown whether facilities in Delaware received the lots of contaminated betamethasone, triamcinolone\n\n\n  or cardioplegia solution.\n\n\n<\/p>\n\n\n<h3>\n\n\n  Background\n\n\n<\/h3>\n\n\n<p>\n\n\n  The CDC is reporting that product testing has identified bacterial contamination with several bacterial and fungal organisms in unopened\n\n\n  vials of betamethasone, triamcinolone, and cardioplegia solution that were distributed and later recalled by NECC on October 6, 2012. To\n\n\n  date, although CDC has received reports of illness in patients who have received the medications listed in the table below, including\n\n\n  some patients who had evidence of meningeal inflammation, CDC and public health officials have no reports of laboratory-confirmed\n\n\n  bacterial or fungal meningitis, spinal, or paraspinal infections caused by these products. The available epidemiological and laboratory\n\n\n  data do not, at this time, support evidence of an outbreak of infections linked to usage of non-methylprednisolone NECC products.\n\n\n<\/p>\n\n\n<p>\n\n\n  The following table provides CDC and FDA laboratory testing results and product lot numbers for the contaminated triamcinolone. See the\n\n\n  CDC health alert (<a href=\"http:\/\/emergency.cdc.gov\/HAN\/han00337.asp\">http:\/\/emergency.cdc.gov\/HAN\/han00337.asp<\/a>) for updated\n\n\n  information on the betamethasone and cardioplegia solution.\n\n\n<\/p><br>\n\n\n<table class=\"table table-condensed table-hover\">\n\n\n  <tbody>\n\n\n    <tr>\n\n\n      <th scope=\"col\">\n\n\n        Medication\n\n\n      <\/th>\n\n\n      <th scope=\"col\">\n\n\n        Lot number\n\n\n      <\/th>\n\n\n      <th scope=\"col\">\n\n\n        Microbial contamination\n\n\n      <\/th>\n\n\n    <\/tr>\n\n\n    <tr>\n\n\n      <td>\n\n\n        Triamcinolone*<br>\n\n\n        40mg\/mL injectable \u2013 1 mL per vial\n\n\n      <\/td>\n\n\n      <td>\n\n\n        06062012@6\n\n\n      <\/td>\n\n\n      <td>\n\n\n        <em>Bacillus lentus, Bacillus circulans<\/em>\n\n\n      <\/td>\n\n\n    <\/tr>\n\n\n    <tr>\n\n\n      <td>\n\n\n        Triamcinolone<br>\n\n\n        40 mg\/mL injectable \u2013 2 mL per vial\n\n\n      <\/td>\n\n\n      <td>\n\n\n        08172012@60\n\n\n      <\/td>\n\n\n      <td>\n\n\n        <em>Aspergillus tubingensis,<\/em> <em>Penicillium<\/em> sp.\n\n\n      <\/td>\n\n\n    <\/tr>\n\n\n    <tr>\n\n\n      <td>\n\n\n        Triamcinolone<br>\n\n\n        40mg\/mL injectable \u2013 10 mL per vial\n\n\n      <\/td>\n\n\n      <td>\n\n\n        08242012@2\n\n\n      <\/td>\n\n\n      <td>\n\n\n        <em>Aspergillus fumigatus<\/em>\n\n\n      <\/td>\n\n\n    <\/tr>\n\n\n  <\/tbody>\n\n\n<\/table><br>\n\n\n<h4>\n\n\n  Recommendations\n\n\n<\/h4>\n\n\n<ol>\n\n\n  <li>Clinicians should consider these product findings when reviewing laboratory results from patients who have been exposed to a NECC\n\n\n  product.\n\n\n  <\/li>\n\n\n  <li>Do not use any product produced by NECC as previously recommended by CDC and FDA.\n\n\n  <\/li>\n\n\n  <li>Continue follow-up of patients who received any injectable NECC product, including betamethasone, triamcinolong, and cardioplegia\n\n\n  solution purchased from or distributed by NECC after May 21, 2012.\n\n\n  <\/li>\n\n\n  <li>For healthcare providers diagnosing and treating symptomatic patients who have received NECC products, CDC recommendations have not\n\n\n  changed and can be found at <a class=\"anchors_link\" href=\"http:\/\/www.cdc.gov\/hai\/outbreaks\/clinicians\/index.html#Guidance\">http:\/\/www.cdc.gov\/hai\/outbreaks\/clinicians\/index.html#Guidance<\/a>.\n\n\n  <\/li>\n\n\n<\/ol>\n\n\n<h4>\n\n\n  Additional Information\n\n\n<\/h4>\n\n\n<ul>\n\n\n  <li>CDC health alert: <a href=\"http:\/\/emergency.cdc.gov\/HAN\/han00337.asp\">http:\/\/emergency.cdc.gov\/HAN\/han00337.asp<\/a>\n\n\n  <\/li>\n\n\n  <li>CDC\u2019s clinical guidance regarding diagnosis and treatment of symptomatic patients: <a class=\"anchors_link\" href=\"http:\/\/www.cdc.gov\/hai\/outbreaks\/clinicians\/index.html#testing\">http:\/\/www.cdc.gov\/hai\/outbreaks\/clinicians\/index.html#testing<\/a>\n\n\n  <\/li>\n\n\n  <li>Healthcare professionals and patients are encouraged to report adverse events or side effects related to the use of these products\n\n\n  online at <a href=\"http:\/\/www.fda.gov\/MedWatch\/report.htm\">www.fda.gov\/MedWatch\/report.htm<\/a>\n\n\n  <\/li>\n\n\n  <li>Delaware Division of Public Health, Bureau of Epidemiology (24\/7): 1-888-295-5156\n\n\n  <\/li>\n\n\n<\/ul>\n\n\n<p>\n\n\n  ******************\n\n\n<\/p>\n\n\n<p>\n\n\n  You are receiving this message because you are a registered member of the Delaware Health Alert Network. If you are not a member and\n\n\n  would like to subscribe, please register at <a href=\"https:\/\/healthalertde.org\">https:\/\/healthalertde.org<\/a>\n\n\n<\/p><!--[END]-->\n\n  \n\n        <div class=\"panel panel-danger\">\n\n          <div class=\"panel-heading\">    \n\n      <h2>Categories of Health Alert messages:<\/h2>\n\n       <\/div>\n\n       <div class=\"panel-body\">\n\n      <ul>\n\n        <li><strong>Health Alert:<\/strong> Conveys the highest level of importance; warrants immediate action or attention.<\/li>\n\n        <li><strong>Health Advisory:<\/strong> Provides important information for a specific incident or situation; may not require immediate action.<\/li>\n\n        <li><strong>Health Update:<\/strong> Provides updated information regarding an incident or situation; unlikely to require immediate action.<\/li>\n\n            <\/ul>\n\n         <div><strong>NOTE: This page is for informational purposes only and dated material (e.g. temporary websites) may not be available.<\/strong><\/div>\n\n          <\/div> \n\n        <\/div><br>  \n\n\n\n      <\/div>\n\n    <\/div>\n\n  <\/div><!-- \/container -->\n\n  <\/div>","protected":false},"excerpt":{"rendered":"<p>Listen Delaware Health Alert Network #288 December 13, 2012 11:48 am Public Health Menu Home About About DPH Sections &#038; Programs Office Locations Contact Info Calendar Services A-Z Services Air &#038; Water Quality Birth, Death, &#038; Marriage Records Clinics Health Data &#038; Statistics Emergency Preparedness Health &#038; Wellness Healthy Homes Healthy Workplaces Laboratory Restaurant Inspections [&hellip;]<\/p>\n","protected":false},"author":8,"featured_media":0,"parent":9294,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"class_list":["post-10257","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10257","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/comments?post=10257"}],"version-history":[{"count":1,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10257\/revisions"}],"predecessor-version":[{"id":11433,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/10257\/revisions\/11433"}],"up":[{"embeddable":true,"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/pages\/9294"}],"wp:attachment":[{"href":"https:\/\/dhss.delaware.gov\/dph\/wp-json\/wp\/v2\/media?parent=10257"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}