American Cleaning Institute: Any FDA limits on antibacterial health care ingredients could put patient, employee safety at risk

by Brianna Crandall — September 5, 2014—An advisory committee to the U.S. Food and Drug Administration was told this week that unreasonable FDA restrictions on health care use of safe and effective antibacterial ingredients could jeopardize the safety of patients and health care workers alike. In a presentation to FDA’s Nonprescription Drugs Advisory Committee (NDAC) organized by the American Cleaning Institute (ACI), health professionals and industry safety experts said that active ingredients used in antibacterial hygiene products “clearly save lives” and are recognized as the “standard of care” for reducing health care infections.

“A robust body of research supports the safety of active ingredients used in health care antiseptic products,” wrote ACI in comments submitted to the NDAC panel. “Any suggestion that the benefit or risk of these products is in question, especially by FDA, could lead to unintended adverse consequences if usage patterns were to change in the health care setting.”

FDA is slated to propose a new set of rules governing antibacterial healthcare hygiene products in 2015. Previous public announcements made by FDA — questioning the safety and efficacy of key antibacterial ingredients — have failed to acknowledge the full database of studies and research supporting the ingredients’ benefits and safety profiles, says ACI.

“Health care providers need to have a full range of antibacterial actives at their disposal to best meet their infection control needs,” said Dr. Paul DeLeo, ACI associate vice president, environmental safety. “Any effort by FDA that would impede availability of these important ingredients would put patients and health care personnel at risk.”

Speakers at the ACI-organized presentation urged the Advisory Committee to recommend that FDA conduct a full risk assessment of currently available health and safety data on antibacterial ingredients.

“The active ingredients used in health care antiseptic drug products have a very favorable benefit/risk ratio demonstrated over many years of extensive use,” said Dr DeLeo. “These products clearly save lives by reducing bacterial transmission, which can cause infections in health care settings. By reducing health care-associated infections, these products also reduce health care costs.”