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Related Experiment Videos

Toxic shock syndrome and tampons.

A Schuchat1, C V Broome

  • 1Division of Bacterial and Mycotic Diseases, National Center for Infectious Diseases, Centers for Disease Control, Atlanta, GA 30333.

Epidemiologic Reviews
|January 1, 1991
PubMed
Summary

Toxic shock syndrome (TSS) incidence has significantly decreased due to tampon changes. Public health interventions, including product modifications, successfully reduced TSS cases and associated illnesses.

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Area of Science:

  • Public Health
  • Infectious Diseases
  • Epidemiology

Background:

  • Toxic shock syndrome (TSS) is a serious bacterial illness.
  • A link between tampon use and menstrual TSS was established.
  • Concerns over TSS incidence prompted investigations into tampon safety.

Purpose of the Study:

  • To assess the trend in toxic shock syndrome incidence over a decade.
  • To determine the impact of public health interventions on TSS rates.
  • To identify factors contributing to the reduction in menstrual TSS.

Main Methods:

  • Analysis of passive surveillance data for TSS reporting.
  • Evaluation of changes in tampon absorbency and composition over time.
  • Correlation of tampon product modifications with TSS incidence trends.

Main Results:

  • A substantial decrease in TSS incidence observed over 10 years.
  • The reduction in TSS is attributed to product changes, not reporting bias.
  • Withdrawal of high-absorbency tampons and lower absorbency standards correlate with decreased TSS.

Conclusions:

  • Public health interventions effectively reduced toxic shock syndrome morbidity.
  • Changes in tampon absorbency and composition are key factors in preventing menstrual TSS.
  • Continued monitoring and product safety standards are crucial for public health.

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