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NASPGHAN Tools for HCPs Managing Infants and Children Affected by Formula Recall

The table below contains possible substitutions for recalled formulas on February 17, 2022.

Any substitution should only be done under the recommendation and supervision of a healthcare professional.

RECALLED FORMULA COMPARABLE FORMULA (in alphabetical order by formula name)
Elecare infant Alfamino infant (Nestle)

Neocate infant (Nutricia)

Neocate Syneo (NOT for use in kids with short bowel syndrome) (Nutricia)

Puramino DHA & ARA infant (Reckitt Mead Johnson)

Elecare Jr (all flavors and unflavored) Alfamino Jr (Nestle)

Equaquare Jr (Cambrooke)

Essential Care Jr (Cambrooke)

Neocate Jr (Nutricia)

Neocate Splash (Nutricia)

Puramino Jr (Reckitt Mead Johnson)

Similac Alimentum powder Gerber Extensive HA (Gerber)

Nutramigen (Reckitt Mead Johnson)

Pregestimil (Reckitt Mead Johnson)

Similac Alimentum Ready to Feed liquid (Abbott)

Store Brand Hypoallergenic Infant Formula (Perrigo)(Walmart, Target, Kroger, Walgreens, CVS, Meijer, HEB, Safeway, Sam’s Club, Topco and Amazon)

Similac Soy Earth’s Best Organic Soy (Earth’s Best)

Enfamil Prosobee (Reckitt Mead Johnson)

Good Start Soy (Gerber)

Store Brand Soy Infant Formula (Perrigo)(Walmart, Target, Kroger, Walgreens, CVS, Meijer, HEB, Safeway, Sam’s Club, Topco and Amazon)

Similac Sensitive Earth’s Best Organic Sensitivity (Earth’s Best)

Enfamil Gentlease (Reckitt Mead Johnson)

Good Start Soothe Pro (Gerber)

Similac Sensitive Ready to Feed liquid or concentrate liquid (Abbott)

Store Brand Sensitivity Infant Formula (Perrigo)(Walmart, Target, Kroger, Walgreens, CVS, Meijer, HEB, Safeway, Sam’s Club, Topco and Amazon)

Similac Pro Advance Earth’s Best Gentle formula (Earth’s Best)

Enfamil Newborn, Infant or Reguline (Reckitt Mead Johnson)

Good Start Gentle (Gerber)

Store Brand Advantage Infant Formula (Perrigo) (Walmart, Target, Kroger, Walgreens, CVS, Meijer, HEB, Safeway, Sam’s Club, Topco and Amazon)

Similac Spit Up Enfamil AR (Reckitt Mead Johnson)

Similac for Spit Up Ready to Feed liquid (Abbott)

Store Brand Added Rice Infant Formula (Perrigo)(Walmart, Target, Kroger, Walgreens, CVS, Meijer, HEB, Safeway, Sam’s Club, Topco and Amazon)

Similac Total Comfort Good Start Gentle (Gerber)

Good Start GentlePro (Gerber)

Similac Total Comfort Ready to Feed liquid (Abbott)

Store Brand Complete Comfort Infant Formula (Perrigo)(Walmart, Target, Kroger, Walgreens, CVS, Meijer, HEB, Safeway, Sam’s Club, Topco and Amazon)

Background: The FDA announced on February 17, 2022 (FDA advisory), that they are investigating an outbreak of Cronobacter sakazakii and Salmonella Newport infections in 4 infants across 3 states (Texas, Ohio, Minnesota) that have been linked to consumption of Similac, Alimentum, or EleCare powdered formulas produced in Abbott Nutrition’s Sturgis, Michigan facility.

Currently, the FDA is advising consumers not to use Similac, Alimentum, or EleCare powdered formula if it meets all of the following criteria:

  • the first two digits of the product code (located on the bottom of the can, as shown below) are 22 through 37; and 
  • the code on the container contains K8, SH or Z2; and 
  • the expiration date is 4-1-2022 (APR 2022) or later. 

In addition, the Centers for Disease Control and Prevention (CDC) is working with the FDA to investigate Cronobacter sakazakii cases among infants who have consumed powdered infant formula in the 10 days before illness onset.(Onset dates are estimated to range from November 2020 to present date.)  Please email cronobacter@cdc.gov if you have been involved in the care of any formula-fed infants with laboratory confirmed Cronobacter sakazakii infection between November 2020 and the present date.  CDC staff will contact you to request additional information and will notify the appropriate local or state public health jurisdiction.

 

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Partners:

The Association of Pediatric Gastroenterology and Nutrition Nurses
Help & Hope for Children with Digestive Disorders
Journal of Pediatric Gastroenterology and Nutrition
JPGN Reports