FDA Advises Caution on Probiotics for Preterm Infants After Fatal Incident

FDA Advises Caution on Probiotics for Preterm Infants After Fatal Incident
FDA cautions against the use of probiotics in premature infants following linked injuries and a death. With multiple reports since 2018, the agency emphasizes the absence of approved probiotic treatments for babies and urges vigilance. Nastya Dulhiier on Unsplash

The U.S. Food and Drug Administration (FDA) has raised a significant health concern for the medical community, health care providers, and the general public. This alert is in light of alarming reports of severe injuries and, more distressingly, at least one confirmed death associated with the administration of probiotic products to premature infants within hospital environments.

Probiotics, which are often championed for their supposed health benefits due to the inclusion of live organisms such as beneficial bacteria or yeast, are under scrutiny. Recent findings suggest that in premature infants, these supplements can lead to severe, invasive infections or even fatal diseases.
In a detailed update on Thursday, the FDA presented its preliminary findings. These findings have chillingly linked one death this year and a concerning tally of over two dozen injuries from 2018 to such probiotic supplements. The agency's admission that it is currently looking into other reports that point to similar patterns of injuries and deaths only serves to heighten the gravity of the situation.

Unapproved Products

Adding to the seriousness of the situation, the FDA highlighted that no probiotic products have been officially endorsed or greenlit as specific drugs or treatments intended for infants. As a response to these findings, the agency swiftly issued warning letters to two major companies that were found to be marketing these probiotic products in violation of established regulations. One such business, Abbott Laboratories, had previously come under intense public scrutiny as a result of a recall and subsequent severe shortage of its powdered infant formula the year before.

In the wake of the FDA's recent warning, Abbott Laboratories took immediate action by halting sales of its product named 'Similac Probiotic Tri-Blend'. Furthermore, the company assured the FDA of its willingness to collaborate and undertake necessary corrective actions.

In an attempt to quell rising public concern, Abbott officials released a statement. They clarified that fewer than 200 hospitals were using their contentious probiotic products in treatment protocols. They also firmly asserted that these products bear no relation to the widely available Similac powdered infant formulas found in stores.

In another unsettling revelation made last September, the FDA pinpointed a probiotic product named 'Evivo with MCT Oil', produced by Infinant Health based in Norwalk, Connecticut. This product was identified as the direct culprit behind the tragic death of a premature infant earlier in the year. Subsequent detailed genetic investigations validated that the strain of bacteria that instigated sepsis in the infant was identical to the germ detected in the probiotic product.

Medical Justification

Reacting to this harrowing incident and its repercussions, officials from Infinant Health took a stance of responsibility. They announced that the company had taken the initiative to recall the product and had permanently ceased its production and distribution. They also emphasized the product's limited distribution, exclusively within hospital environments, and its lack of connection with any products found in general retail stores.

Even though there is a lot of debate about them right now, probiotic supplements are used in medicine because they might help prevent necrotizing enterocolitis, a disease that can be very dangerous.

This perilous infection, which strikes premature infants, results in the inflammation and subsequent necrosis of intestinal tissues. The statistics are somber, with almost 9,000 infants being afflicted every year and a staggering 50% of them succumbing to it.

This urgent and eye-opening revelation from the FDA stands as a testament to the pressing need for rigorous evaluations, stringent oversight, and unwavering vigilance, especially when dealing with products intended for our society's most vulnerable members. The agency's ongoing probes and its decisive actions against erring companies stand as a beacon of its commitment to upholding the highest standards of public health and safety.

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