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美国食品药品监督管理局药品召回的特点:一项为期30个月的分析。

Characteristics of FDA drug recalls: A 30-month analysis.

作者信息

Hall Kelsey, Stewart Tyler, Chang Jongwha, Freeman Maisha Kelly

机构信息

Walmart Pharmacy, Louisville, KY.

Mills Discount Pharmacy, Birmingham, AL.

出版信息

Am J Health Syst Pharm. 2016 Feb 15;73(4):235-40. doi: 10.2146/ajhp150277.

Abstract

PURPOSE

The characteristics of drug recalls issued over 30 months by the Food and Drug Administration (FDA) were analyzed.

METHODS

All FDA-issued recalls for drugs (prescription and nonprescription, including dietary supplements) and biological products issued from June 20, 2012, to December 31, 2014, were included in this retrospective analysis. Data for all drug recalls were downloaded and sorted by the inclusion criteria from weekly FDA enforcement reports. The following data were analyzed: product type, recall firm, type of recall firm (compounding or noncompounding), country, voluntary or involuntary recall, method of communication of recall, recall number, FDA recall classification (class I, II, or III), product availability (prescription or nonprescription), reason for recall, recall initiation date, and recall report date.

RESULTS

A total of 21,120 products were recalled during the 30-month study period. Of these, 3,045 drug products (14.4%) met the inclusion criteria and were analyzed. A total of 348 total manufacturers were associated with recalled drug products. The 5 firms most frequently involved in recalls accounted for 299, 273, 212, 118, and 112 recalls. The most common reasons for recalls were contamination, mislabeling, adverse reaction, defective product, and incorrect potency. There was a significant association between FDA recall classification and the following outcomes: reasons for recall, product availability, type of recall firm, and form of communication.

CONCLUSION

An investigation of FDA drug recalls revealed that the five most common recall reasons were contamination, mislabeling, adverse reaction, defective product, and incorrect potency. Compounding firms were associated more frequently with contamination than were noncompounding firms.

摘要

目的

分析美国食品药品监督管理局(FDA)在30个月内发布的药品召回特征。

方法

本次回顾性分析纳入了2012年6月20日至2014年12月31日期间FDA发布的所有药品(处方药和非处方药,包括膳食补充剂)及生物制品召回信息。所有药品召回数据从FDA每周执法报告中按纳入标准下载并分类。分析了以下数据:产品类型、召回公司、召回公司类型(配制或非配制)、国家、自愿或非自愿召回、召回通知方式、召回编号、FDA召回分类(I类、II类或III类)、产品可获得性(处方药或非处方药)、召回原因、召回起始日期和召回报告日期。

结果

在30个月的研究期间,共召回21,120种产品。其中,3,045种药品(14.4%)符合纳入标准并进行了分析。共有348家制造商与召回药品相关。召回次数最多的5家公司分别涉及299次、273次、212次、118次和112次召回。最常见的召回原因是污染、标签错误、不良反应、产品缺陷和效价不正确。FDA召回分类与以下结果之间存在显著关联:召回原因、产品可获得性、召回公司类型和通知形式。

结论

对FDA药品召回的调查显示,最常见的五个召回原因是污染、标签错误、不良反应、产品缺陷和效价不正确。与非配制公司相比,配制公司的产品更常因污染问题被召回。

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