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Toxic Shock Syndrome and the Vaginal Contraceptive Sponge
Gerald Faich, MD, MPH;
Kay Pearson, RPh;
David Fleming, MD;
Solomon Sobel, MD;
Charles Anello, ScD
JAMA. 1986;255(2):216-218.
Abstract
Thirteen confirmed cases of toxic shock syndrome temporally related to use of the vaginal contraceptive sponge have been reported. The observed risk of toxic shock syndrome in sponge users may be elevated above estimated background rates, but this risk remains very low. Traumatic manipulation of the sponge, use during menstruation or the puerperium, and prolonged retention of the sponge may additionally increase toxic shock syndrome risk. As with all contraceptives, risks must be balanced against benefits.
(JAMA 1986;255:216-218)
Author Affiliations
From the Center for Drugs and Biologics, Food and Drug Administration, Rockville, Md (Drs Faich, Sobel, and Anello and Ms Pearson), and the Respiratory and Special Pathogens Epidemiology Branch, Centers for Disease Control, Atlanta (Dr Fleming).
Footnotes
Use of trade names is for identification only and does not imply endorsement by the Public Health Service.
Reprint requests to Center for Drugs and Biologics, Food and Drug Administration, Room 15B39 (HFN-700), Rockville, MD 20857 (Dr Faich).
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