Toxic shock syndrome and other tampon related risks.

Most of the recent cases of toxic shock syndrome (TSS) reported have occurred in menstruating women and adolescents although some cases have been reported in nonmenstruating women, children, and men. The disease is characterized by sudden onset of high fever, vomiting, and diarrhea and can rapidly progress to hypotension and shock. Tampon use has been linked to development of toxic shock syndrome, and Staphylococcus aureus has been cultured from a significant number of cases. The exact roles played by both Staphylococcus aureus and tampons in the pathogenesis of toxic shock syndrome remains unknown. Tampons also have been associated with other health problems in women. Nurses can advise preventive measures to reduce the risks of developing toxic shock syndrome and other tampon-related problems.