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This is an official
CDC HEALTH ADVISORY

Distributed via Health Alert Network
Tuesday, February 26, 2008, 20:15  EST (8:15  PM EST)
CDCHAN-00270-2008-02-26-ADV-N

Important Safety Information -- Revised Directions for Using Rabies Immune Globulin (Human), HyperRAB ™ S/D in Fixed Needle 2 mL Pre-filled Syringe  

The Centers for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA) have been notified by Talecris Biotherapeutics, Inc. that its Rabies Immune Globulin (Human), HyperRAB™ S/D in fixed needle 2 mL pre-filled syringe does not address all dosing situations. Specifically, the fixed needle (22 gauge, 1.25 inch) and the absence of graduations on the 2 mL pre-filled syringe do not permit administration of the recommended dose of Rabies Immune Globulin (Human), HyperRAB™ S/D in one or more of the following situations:

· A dose < 2 mL is required (e.g. for pediatric use);

· A dose < 2 mL must be injected over multiple sites; or

· An alternate needle (different length or gauge) is required based on the patient (adult or child), wound or site of injection.

Three lots of HyperRAB™ S/D have been manufactured with the 2 mL pre-filled syringe configuration (see Table below):

Lot Number

Expiration Date

Size/Container

NDC Number

26N87R1

Jan-26-2009

2 mL pre-filled syringe

13533-618-03

26N88K1

Jan-26-2009

2 mL pre-filled syringe

13533-618-03

26N9HP1

Feb-18-2010

2 mL pre-filled syringe

13533-618-03

Healthcare providers may continue to administer HyperRAB S/D supplied in the 2 mL pre-filled syringe by following the "Revised Directions for Use" that are packaged with these lots. The full "Revised Directions for Use" of these lots is available on-line: http://www.talecris.com/us/documents/FINAL_FDA_Approved_Revised_
Directions_for_Syringe_Use__21-FEB-08.pdf . Talecris has discontinued manufacturing the HyperRAB™ S/D fixed needle, 2 mL pre-filled syringe.

For additional information regarding this product, please contact Talecris on-line at www.talecris.com, or call 919-412-1030, or toll free at 1-800-520-2807.

Human rabies PEP (post-exposure prophylaxis) is recommended when potentially infectious material (e.g. saliva) from a rabid animal is introduced via a bite, or comes into direct contact with broken skin or mucous membranes. More detailed information regarding evaluation for and administration of PEP is available at http://www.cdc.gov/mmwr/preview/mmwrhtml/00056176.htm.

For more information about rabies and its prevention, contact your state or local public health official or CDC at 1-800-CDC-INFO or visit www.cdc.gov/rabies.

The Centers for Disease Control and Prevention (CDC) protects people's health and safety by preventing and controlling diseases and injuries; enhances health decisions by providing credible information on critical health issues; and promotes healthy living through strong partnerships with local, national and international organizations.

DEPARTMENT OF HEALTH AND HUMAN SERVICES


HAN Message Types
  • Health Alert: Conveys the highest level of importance; warrants immediate action or attention. Example: HAN00001
  • Health Advisory: Provides important information for a specific incident or situation; may not require immediate action. Example: HAN00316
  • Health Update: Provides updated information regarding an incident or situation; unlikely to require immediate action. Example: HAN00309
  • Info Service: Provides general information that is not necessarily considered to be of an emergent nature. Example: HAN00319

 

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