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January 10, 1986

Toxic Shock Syndrome and the Vaginal Contraceptive Sponge

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).

JAMA. 1986;255(2):216-218. doi:10.1001/jama.1986.03370020062028

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)