Healthcare providers are reserving supplies of the
fluids for their most seriously ill patients, and the product
manufacturers — Baxter International Inc, Hospira Inc and B. Braun
Medical Inc — have stepped up production in response, said Valerie
Jensen, FDA's associate director for drug shortages.
"We have not heard of anyone running out of the IV solutions at this
point, but we know the hospitals are not comfortable with the low
supplies," Jensen said.
Manufacturers first notified FDA late last year that they expected
delays in filling orders, but an increase in hospitalizations two
weeks ago partly due to rising numbers of flu cases exacerbated the
problem, she said.
"The increase in demand pushed this into a shortage," Jensen said.
To cope with the shortage, healthcare providers are using substitute
products such as oral hydration fluids or smaller IV saline bags
with slower drip rates when appropriate, said Bona Benjamin,
director of medication use quality improvement for the American
Society of Health System Pharmacists.
"We have heard from our members all over the country that the
shortage is serious," Benjamin said. "People are able to cobble
together enough of a supply to get by day to day."
Baxter spokeswoman Deborah Spak said the company has increased its
production and is managing inventory to ensure supplies for
customers with the most urgent needs.
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"Baxter has been manufacturing solutions at maximum capacity in
amounts exceeding those of prior years and is making investments to
further increase supply in 2014," Spak said.
Hospira said it is expediting shipments to help mitigate local
supply disruptions. "We are doing everything we can to meet the
increase in demand," said company spokesman Dan Rosenberg.
Cathy Denning, a registered nurse with Novation, a supply chain
company that works with hospitals and other healthcare providers,
said it could be another two months before the shortage is resolved.
FDA's Jensen said the agency is also looking into alternative
sources, including overseas suppliers, to help address the shortage.
(Reporting by Susan Kelly in Chicago;
editing by Mohammad Zargham)
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