Change FDA Sepsis Screening Strategy: Dingell and McCormick
Reps. Debbie Dingell (D-MI) and Rich McCormick (R-GA) are calling on FDA to adopt a more effective strategy for identifying sepsis in human tissue donors. In a 5/26 letter to acting commissioner Kyle Diamantas, Dingell and McCormick say they have learned from talking with experts that screening for systemic infection (meaning evidence of an active, disseminated infection with the potential for communicable disease transmission), rather than a sepsis diagnosis, may be a more effective strategy for mitigating disease transmission. They ask the agency to consider adopting such an approach before finalizing a draft guidance on recommendations to reduce the risk of transmission of disease agents associated with sepsis by human cells, tissues, and cellular and tissue-based products.
“When FDA finalized its most recent guidance on donor eligibility in 2007,” the two write, “it was reasonable to classify sepsis as a relevant communicable disease agent or disease as a surrogate measure for infection risk. However, given the evolution of sepsis in clinical practice since the 2007 donor eligibility guidance, a sepsis diagnosis is not a scientifically valid surrogate for communicable disease risk in tissue donation. As detailed below, reliance on sepsis as a surrogate may both unnecessarily exclude otherwise eligible donors and potentially fail to identify donors with true potential for disease transmission.”