Transcript Toxic Shock Sydrome

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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What Causes TSS?
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Staphylococcus
Aureus
 Bacterium
 Clusters
 Spherical
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.
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What are the signs and
Symptoms?
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Usually starts suddenly and develops
quickly.
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Symptoms may include the following….
Signs and Symptoms
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Fever
Confusion
Diarrhea
Dizziness or fainting
Headaches
Pelvic Pain
Sore throat
More Signs and Symptoms
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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
Causes and Risks
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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)
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.
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More Prevention
Wash hands regularly
 Change dressings to wounds at least
every day
 Keep area clean and dry
 Practice aseptic technique
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How is it diagnosed?
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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
Treatment
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Aggressive Therapy
IV Antibiotics
Blood Transfusions
Corticosteroids
Electrolyte
replacements
B/P meds
Ventilator if lungs
are damaged
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
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Survivor
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13 y/o
 Swimmer
 Appeared as a bad
flu or cold
 Still having
problems to this day
STSS (Streptococcal toxic shock
syndrome)
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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)
Thanks and Have a Great Day!
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Sources: Discovery
Health.com
 CDC
 Kotex.com