Association between tampons and toxic shock syndrome in menstruating women: A systematic review and meta-analysis

IF 1.2 Q3 Medicine Sexologies Pub Date : 2022-12-01 DOI:10.1016/j.sexol.2022.08.001

H.J. Ortiz Rojas , H.A. García-Perdomo

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Abstract

Objective

To determine the association between tampons and toxic shock syndrome (TSS) in menstruating women.

Materials and methods

We found only case and control Studies. We conducted a search strategy on each of the following databases: MEDLINE through Ovid, EMBASE, Cochrane Controlled Trials Register Center (CENTRAL), and LILACS. Then, we extracted data and assessed the risk of bias by the Newcastle-Ottawa Quality Assessment Scale. We also performed a meta-analysis of the included studies.

Results

Of 90 studies evaluated, after debugging the information, six studies were selected, which fulfilled the inclusion criteria. Findings in the meta-analysis show that the global estimate of the OR = 19.60; (95% CI: 8.31–46.24) indicates a conclusive significant effect in using tampons as a risk factor in TSS. The study presented a low level of heterogeneity (I² = 0%). Also, all studies showed a score greater than three, representing a low risk of bias.

Conclusion

Tampons use is considered a risk factor for Toxic Shock Syndrome.

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月经期妇女卫生棉条与中毒性休克综合征的关系:一项系统综述和荟萃分析

目的探讨卫生棉条与经期妇女中毒性休克综合征(TSS)的关系。材料和方法我们只找到病例和对照研究。我们对以下每个数据库进行了检索策略:MEDLINE通过Ovid、EMBASE、Cochrane对照试验注册中心(CENTRAL)和LILACS。然后，我们提取数据并通过纽卡斯尔-渥太华质量评估量表评估偏倚风险。我们还对纳入的研究进行了荟萃分析。结果在评估的90篇研究中，经过信息调试，筛选出6篇符合纳入标准的研究。荟萃分析结果显示，OR的全球估计值= 19.60;(95% CI: 8.31-46.24)表明使用卫生棉条作为TSS的危险因素具有决定性的显著影响。该研究呈现低水平的异质性(I2 = 0%)。此外，所有研究的得分都大于3分，表示偏倚风险较低。结论卫生棉条的使用是中毒性休克综合征的危险因素。

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来源期刊

Sexologies PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

1.80

自引率

16.70%

发文量

期刊介绍： Sexologies offers a large panel of information to all health professionals working in the field of sexuality: anatomophysiological and basic research; psychodynamic, cognitive, behavioural and relational evaluations of sexual difficulties; epidemiological, sociological, forensic data; information on new sexoactive molecules; research on sexual physiology, reports on specialized congresses; press and books reviews; ethical aspects; calendar of major events of sexology around the world.