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Toxic Shock Syndrome

Toxic Shock Syndrome. Staphyloccocal & Streptococcal Origins. What is TSS?. Toxic shock syndrome (commonly referred to as TSS). Rare, potentially life threatening disorder. Occurs when toxins made by certain types of bacteria (S.aureus) are released into the bloodstream.

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Toxic Shock Syndrome

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  1. Toxic Shock Syndrome Staphyloccocal & Streptococcal Origins

  2. What is TSS? • Toxic shock syndrome (commonly referred to as TSS). • Rare, potentially life threatening disorder. • Occurs when toxins made by certain types of bacteria (S.aureus) are released into the bloodstream.

  3. What Causes TSS? • Staphylococcus Aureus • Bacterium • Clusters • Spherical

  4. What is going on in the body? • First described in children in 1978 • Experts quickly realized that TSS happened more often among women who used super absorbent tampons during their period. • The moist, humid environment of the vagina allows the bacteria to grow and produce high levels of toxins.

  5. What are the signs and Symptoms? • Usually starts suddenly and develops quickly. • Symptoms may include the following….

  6. Signs and Symptoms • Fever • Confusion • Diarrhea • Dizziness or fainting • Headaches • Pelvic Pain • Sore throat

  7. More Signs and Symptoms • Sunburn like rash anywhere on the body, but usually on the soles of the hands and feet. • Vomiting • Photophobia-discomfort looking @ light. • Myalgia-aching muscles • Low blood pressure

  8. Causes and Risks • Having recently delivered a baby. • Recently had surgery • Leaving a diaphragm or cervical cap in for 36 hrs. Or longer. • Wearing the same tampon for longer than 8 hours. • Also been reported in those following nasal surgery or use of nasal packing for a nose bleed. (Rare)

  9. Prevention • Alternate tampons with pads every other day during the heaviest flow. • Avoid or minimize use of superabsorbant tampons. • Change tampons every 6-8 hrs. • Use pads while sleeping.

  10. More Prevention • Wash hands regularly • Change dressings to wounds at least every day • Keep area clean and dry • Practice aseptic technique

  11. How is it diagnosed? • History and Physical exam • Blood C/X (cultures) • CBC (complete blood count) • Kidney Function tests • Liver Function tests • Spinal Tap • Throat cultures • U/A (urinalysis) • Vaginal C/X (cultures) for S. aureus

  12. Treatment • Aggressive Therapy • IV Antibiotics • Blood Transfusions • Corticosteroids • Electrolyte replacements • B/P meds • Ventilator if lungs are damaged

  13. Long Term Effects or those that increase mortality rate. • Disseminated intravascular coagulation or DIC (uncontrollable bleeding) • About 30% get it again within 3 months of the first diagnoses. • Irreversible shock • Severe lung damage

  14. Survivor • 13 y/o • Swimmer • Appeared as a bad flu or cold • Still having problems to this day

  15. STSS (Streptococcal toxic shock syndrome) • Same thing as TSS it’s just an infection of a surgical wound. • Tissue may become necrotic and Dr.’s may need to perform debridement (removal of dead tissue)

  16. Thanks and Have a Great Day! • Sources: Discovery Health.com • CDC • Kotex.com

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