Health Alert Network (HAN) - 00518 | Disruptions in Availability of Peritoneal Dialysis and Intravenous Solutions from Baxter International Facility in North Carolina

Distributed via the CDC Health Alert NetworkOctober 12, 2024, 8:30 AM ETCDCHAN-00518

SummaryThe Centers for Disease Control and Prevention (CDC) is issuing this Health Alert Network (HAN) Health Advisory to inform healthcare providers, pharmacists, healthcare facility administrators, and state, tribal, local, and territorial health departments of a supply disruption of peritoneal dialysis (PD) and intravenous (IV) solutions from the Baxter International’s North Cove facility in North Carolina, due to Hurricane Helene. The supply disruption may impact patient care and require adjustments to the clinical management of patients. Healthcare providers, pharmacists, healthcare facility administrators, and state, tribal, local, and territorial health departments, regardless of supply chain disruptions, should immediately assess their supply and develop plans and mitigation strategies to reduce the impact on patient care.

This Health Advisory summarizes recommendations from the Food and Drug Administration (FDA); the Administration for Strategic Preparedness and Response Technical Resources, Assistance Center, and Information Exchange (ASPR TRACIE) ; the American Society of Health-System Pharmacists (ASHP); the American Society of Nephrology (ASN); and the American Society of Pediatric Nephrology(ASPN) among others, to address supply disruptions of PD and IV solutions. Facilities can implement strategies early to conserve their fluid supplies and avoid waste to reduce the impact on services. Strategies must ensure patient safety, timely and effective safety notifications, and education of healthcare personnel and patients. Emergency medical and outpatient services must be included in these strategies.

BackgroundOver several days in late September 2024, Hurricane Helene caused extensive damage to the southeastern United States. The storm affected the Baxter International’s North Cove facility in North Carolina, the largest manufacturer of peritoneal dialysis and intravenous solutions in the United States, halting production. Additional supply disruption may occur in the aftermath of Hurricane Milton.

Recommendations for Healthcare Providers, Pharmacists, and Healthcare Facility Administrators in Healthcare Facilities

Recommendations for Providers and Administrators in Dialysis Facilities

Recommendations for State, Tribal, Local, and Territorial Health Departments

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For U.S. Healthcare Settings, including Dialysis

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