Global Pharma Healthcare, based in the southern city of Chennai, said on Wednesday it had issued a voluntary recall at the consumer level of unexpired lots of the eye drop, which was distributed in the United States by EzriCare LLC and Delsam Pharma.

INDIAN COUGH SYRUP MANUFACTURER LINKED TO DEATHS OF 19 CHILDREN IN UZBEKISTAN HALTS PRODUCTION

Global Pharma Healthcare did not immediately respond to a Reuters request seeking comment on the FDA statement.

EzriCare said in a statement on Wednesday that it had stopped further distribution and sale of the eye drop, and it was not aware of any testing that "definitively links" the bacterial outbreak to the product.

The company has removed the products as requested, a Delsam Pharma spokesperson said, adding that the products had a safety seal top and were not associated with customer cases.

An Indian government source told Reuters on Friday that the federal and state drug regulators have sent a team to a manufacturing plant near Chennai contracted by Global Pharma Healthcare.

"It is a contract manufacturing plant supplying through others to the U.S. market," the source said, adding that this specific drug was not sold in India.

INDIA TESTING COUGH SYRUP LINKED TO CHILD DEATHS IN WEST AFRICA

The incident comes after the deaths of at least 70 children in the Gambia and 19 children in Uzbekistan last year were linked to India-made cough syrups, which has dented the country's image as the "pharmacy of the world".

The FDA said it was collaborating with the Centers for Disease Control and Prevention (CDC) and state and local health departments to investigate a multistate outbreak involving a rare, extensively drug-resistant bacteria.

It said that as of Jan. 31, the CDC had identified 55 patients in 12 states with infections linked to the use of Artificial Tears distributed by EzriCare, it said.

"Associated adverse events include hospitalization, one death with bloodstream infection, and permanent vision loss from eye infections," the FDA said.