HEALTH ALERTS

 

Archive

 

 
Community Health Connections

The Bantam Commons

120 Hollywood Drive, Suite 201

Butler, PA  16001

Phone:  (724) 283-0990

Fax:  (724) 283-1012

Website:  www.hcqu.org

 

                                    

April 2007

March 2007

February 2007

December 2006

 


APRIL 2007

 

ResMed S8 Flow Generators (Continuous Positive Air Pressure or CPAP): S8 Compact, S8 Escape, S8 Elite, and S8 AutoSet Vantage 
April 24, 2007

ResMed and FDA notified consumers and healthcare professionals of a worldwide recall of approximately 300,000 S8 flow generators (Continuous Positive Air Pressure or CPAP) used for the treatment of obstructive sleep apnea. In Model S8 devices manufactured between July 2004 and May 15, 2006, there is a potential for a short circuit in the power supply connector. ResMed plans to work with its distribution partners globally to provide a replacement device to patients who have an affected S8 flow generator. See recall notice for serial numbers for affected S8 models.

Patients may continue to use their S8 flow generators until they receive a replacement device. As with any electrical device, patients should make sure that it is placed on a hard clean surface and that the area around the device is clear during use. Patients should discontinue use of the device if there are any signs of electrical failure such as intermittent power, cracking sounds, sparking or charred smell. Patients should not use supplemental oxygen with an affected device; patients using supplemental oxygen should immediately contact their home healthcare provider for a replacement.

Read the complete MedWatch 2007 safety summary, including a link to the manufacturer's Recall Notice, at:
http://www.fda.gov/medwatch/safety/2007/safety07.htm#ResMed

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Pertussis Health Advisory
April 16, 2007

It has come to the attention of the Pennsylvania Department of Health that residents in various regions of Pennsylvania have been diagnosed with Pertussis and cases of Pertussis are increasing statewide and throughout the nation. 

For more information on this alert you may link to the Department of Health Alert Advisory on Pertussis at  http://www.dsf.health.state.pa.us/health/cwp/view.asp?A=171&Q=247467

The Department of Health is requesting that all suspected or confirmed cases be immediately reported to the Pennsylvania Department of Health at 1-877-PA-HEALTH or to the local health department where the patient resides.

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MARCH 2007

 

Zelnorm Health Alert
Product Market Withdrawal - Study Results Showed Patients on Drug Had Higher Risk of Serious Cardiovascular Adverse Events

March 30, 2007

FDA notified healthcare professionals and patients that Novartis has agreed to discontinue marketing Zelnorm, a drug used for the short-term treatment of women with irritable bowel syndrome with constipation and for patients younger than 65 years of age with chronic constipation. FDA analysis of safety data pooled from 29 clinical trials involving over 18,000 patients showed an excess number of serious cardiovascular adverse events, including angina, heart attacks, and stroke, in patients taking Zelnorm compared to patients given placebo. Patients taking Zelnorm should contact their healthcare professional to discuss treatment alternatives and seek emergency medical care if they experience severe chest pain, shortness of breath, sudden onset of weakness or difficulty walking or talking, or other symptoms of a heart attack or stroke. Healthcare professionals should assess their patients and transition them to other therapies as appropriate.

Read the complete MedWatch 2007 Safety summary, including a link to the FDA Public Health Advisory regarding this issue at: http://www.fda.gov/medwatch/safety/2007/safety07.htm#Zelnorm

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Zanaflex Health Alert:
Zanaflex, a drug used to treat spasticity
March 5, 2007

Acorda Therapeutics and FDA informed healthcare professionals of changes to the CONTRAINDICATIONS and WARNINGS Sections of the product labeling for Zanaflex, a drug used to treat spasticity, In pharmacokinetic studies where tizanidine was coadministered with either fluvoxamine or ciprofloxacin (CYP1A2 inhibitors), the serum concentration of tizanidine was significantly increased and potentiated its hypotensive and sedative effects.  Although there are no clinical studies evaluating the effects of other CYP1A2 inhibitors on tizanidine, coadministration of tizanidine with other CYP1A2 inhibitors (zileuton, other fluroquinolones, antiarrythmics, cimetidine, famotidine, oral contraceptives, acyclovir and ticlopidine) should be avoided.

Read the complete MedWatch 2007 Safety summary, including a link to the manufacturer's Dear Healthcare Provider Letter regarding this issue at: http://www.fda.gov/medwatch/safety/2007/safety07.htm#Zanaflex

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FEBRUARY 2007

 

Health and Safety Alert issued by Pennsylvania Office of Developmental Programs: Adequate and Appropriate Supervision is Essential to Safety
February 2007

What are some examples of potential incidents of neglect?

An individual being left alone in a vehicle while staff run in “just for a minute” for something in a store;
An individual being left alone while taking a shower when close supervision is necessary, or;
An individual being left alone in their home while staff grab the mail.

Is there adequate staffing?

If individuals are left alone in the above examples or similar situations, they could possibly be victims of neglect. Neglect could take many forms; both intentional and unintentional. Regardless of the reason, neglect is dangerous and has zero tolerance with the Office of Developmental Programs. Assurance should be made so that staff understand explicitly (and that supervisory/program staff define explicitly) what “one-to-one” or other forms of enhanced supervision means with regard to the person they are supporting.

Has your agency adopted a “zero tolerance” policy?

Staff should be educated and dedicated to Everyday Lives. Assurance of safety is one of the Everyday Lives principles. Persons receiving services in Pennsylvania are afforded the right to be free from neglect. Examples of oversight include developing systems of required “check-ins” by staff working overnight and also make unannounced visits a regular part of your management plan.

Does your agency have a staffing coverage policy?

Flexibility is important when assuring adequate coverage is available. There should be a plan in place for unanticipated absences; including “fill-in” when necessary by management staff. This is important to assure that the required services for the individuals are met. Responsibility must be shared to assure that we have in place what is needed to keep each individual safe and healthy.

Ways to Avoid Leaving Someone Unsupervised:

  • Instead of using the drive-thru at the bank or fast food restaurant, empower individuals to complete their own banking or give opportunities to patronize eat-in restaurants. Thus giving them choice an control, two of the Everyday Lives principles.
  • Enhance skill by going to the grocery store, help individuals engage and learn, instead of leaving individuals at home or in a vehicle.
  • Reference the Everyday Lives principles to provide individuals with supports that will achieve independence and positive personal outcomes.

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DECEMBER 2006

 

Health Alert
Toxic Shock Syndrome
Office of Mental Retardation 
December 13, 2006

What is Toxic Shock Syndrome?

Toxic Shock Syndrome (TSS) is an infection caused by bacteria.  It is a serious, but relatively uncommon infection.  It is caused by two different bacteria, staphylococcus and streptococcus, which produce somewhat different symptoms.


Where does Toxic Shock Syndrome come from?

It generally occurs from two types of situations.  In women it can be related to the use of tampons or barrier contraceptives such as the sponge.  It also can be a complication of skin infections and surgery.

Who is at risk for Toxic Shock Syndrome?

Women using the products listed above can be at risk.  People that have skin abscesses can also get TSS as can anyone that has had recent surgery and developed an infection.  People that have had nose surgery or sinusitis seem to be at higher risk for this.  People with chronic heart or lung problems or diabetes are also at higher risk.

What are the symptoms of Toxic Shock Syndrome?

  • Staphylococcus Toxic Shock Syndrome is characterized by a sudden onset of vomiting and high fever (generally 102 degrees F/38.8 degrees C or higher).  People develop watery diarrhea, headache, sore throat, and muscle aches.  They also get light-headed or faint feeling because their blood pressure goes down.  Within the day of initial symptoms, they develop a rash that looks like sunburn.  They can become confused; thirsty with a decrease in urination; a weak, rapid pulse; rapid breathing; and pale, cool, moist skin.
  • Streptococcal Toxic Shock Syndrome generally follows a skin infection and is characterized by fever, dizziness/light-headedness, confusion, difficulty breathing, and a weak and rapid pulse.  There may be a blotchy, red rash that peels.  The area around the skin infection usually becomes red, swollen and the skin begins to look like it is dying.  The skin may also be pale, cool, and moist.  The person may develop bleeding problems and progress to kidney or liver failure.

Why is it important to know this?

There have been some recent cases of TSS in Pennsylvania.  As well while it is a rare infection, the consequences can be devastating.  Recognizing the symptoms as those that require immediate attention can help people get early treatment and avoid complications.
Additional information can be found at the website: http://www.toxicshock.com/

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