title: Toxic-shock syndrome in Minnesota: results of an active-passive surveillance system.
abstract: In January 1980, the Minnesota Department of Health began a surveillance system for toxic-shock syndrome (TSS) with both epidemiologically defined active and passive components. As of June 30, 1981, 197 confirmed cases of TSS, 15% of all nationally reported cases, have been in Minnesota residents. The onset in 61 of the cases was before 1980; these cases were retrospectively recognized and reported. Of the 136 cases reported between January 1980 and June 1981, 114 (83.8%) cases were tampon-associated. During the 18 months of active surveillance, there was no difference (P greater than 0.2) in the quarterly distribution of total or tampon-associated TSS cases. The onset of illness in 55 tampon-associated cases was during the nine months of surveillance in which Rely tampons (Procter and Gamble, Cincinnati, Ohio) were on the market, whereas the onset in 59 tampon-associated cases was during the nine months following their removal from the market.
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D008598:Menstruation; D008910:Minnesota; D011159:Population Surveillance; D012189:Retrospective Studies; D012306:Risk; D012772:Shock, Septic / Q000453:epidemiology* / Q000209:etiology; D013203:Staphylococcal Infections / Q000150:complications; D013211:Staphylococcus aureus / Q000254:growth & development; D013630:Tampons, Surgical / Q000009:adverse effects