Toxic Shock Syndrome

Prevention

You can significantly lower your risk of toxic shock syndrome (TSS) by taking a few simple precautions.

  • Avoid using tampons and barrier contraceptives (such as a diaphragm, cervical caps, or sponges) during the first 12 weeks after childbirth, when the risk for TSS is higher.
  • If you have had menstrual TSS, do not use tampons, barrier contraceptives, or an intrauterine device (IUD).

Careful tampon, diaphragm, and contraceptive sponge use

  • Follow the directions on package inserts when using tampons, diaphragms, or contraceptive sponges.
  • Wash your hands with soap before inserting or removing a tampon, diaphragm, or contraceptive sponge.
  • Change your tampon at least every 8 hours, or use tampons for only part of the day. Do not leave your diaphragm or contraceptive sponge in for more than 12 to 18 hours.
  • Alternate wearing tampons and sanitary pads. For example, use pads at night and tampons during the day.
  • Use tampons with the lowest absorbency that you need. The risk of TSS is higher with superabsorbent tampons.

Caring for skin wounds to prevent skin infection

If signs of infection appear, seek medical evaluation immediately. These signs include:

  • Increased pain, swelling, redness, or warmth around the affected area.
  • Red streaks extending from the affected area.
  • Drainage of pus from the area.
  • Swollen lymph nodes in the neck, armpit, or groin.
  • Fever.

Preventing strep infection during pregnancy or after giving birth

A woman who is pregnant or has recently given birth has a greater risk of developing strep TSS, especially if one of her children has strep throat. Any pregnant woman or new mother with a child who shows signs of strep throat should talk to her gynecologist or obstetrician.


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Author: Maria G. Essig, MS, ELS Last Updated: March 3, 2008
Medical Review: Anne C. Poinier, MD - Internal Medicine
Dennis L. Stevens, MD, PhD - Internal Medicine, Infectious Diseases

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