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Journal of Clinical Microbiology logoLink to Journal of Clinical Microbiology
. 1987 Aug;25(8):1370–1372. doi: 10.1128/jcm.25.8.1370-1372.1987

Nonproduction of toxic shock syndrome toxin 1 by coagulase-negative staphylococci.

J Parsonnet, A E Harrison, S E Spencer, A Reading, K C Parsonnet, E H Kass
PMCID: PMC269226  PMID: 3624436

Abstract

We tested 187 strains of coagulase-negative staphylococci (CNS) for the production of toxic shock syndrome toxin 1 (TSST-1). A total of 111 CNS strains were isolated from the tampons of menstruating women and 74 were isolated from unused tampons. Two strains were isolated from the genital tract of a patient with toxic shock syndrome. Strains were cultivated by the membrane-over-agar method to enhance production of TSST-1, and culture supernatants were tested by two exquisitely sensitive enzyme-linked immunosorbent assays. None of the 187 CNS strains produced TSST-1. We conclude that CNS colonizing the genital tracts of menstruating women and unused tampons produce TSST-1 infrequently, if ever, and are unlikely to play a role in toxic shock syndrome.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Crass B. A., Bergdoll M. S. Involvement of coagulase-negative staphylococci in toxic shock syndrome. J Clin Microbiol. 1986 Jan;23(1):43–45. doi: 10.1128/jcm.23.1.43-45.1986. [DOI] [PMC free article] [PubMed] [Google Scholar]
  2. Crass B. A., Bergdoll M. S. Involvement of staphylococcal enterotoxins in nonmenstrual toxic shock syndrome. J Clin Microbiol. 1986 Jun;23(6):1138–1139. doi: 10.1128/jcm.23.6.1138-1139.1986. [DOI] [PMC free article] [PubMed] [Google Scholar]
  3. Crass B. A., Bergdoll M. S. Toxin involvement in toxic shock syndrome. J Infect Dis. 1986 May;153(5):918–926. doi: 10.1093/infdis/153.5.918. [DOI] [PubMed] [Google Scholar]
  4. Garbe P. L., Arko R. J., Reingold A. L., Graves L. M., Hayes P. S., Hightower A. W., Chandler F. W., Broome C. V. Staphylococcus aureus isolates from patients with nonmenstrual toxic shock syndrome. Evidence for additional toxins. JAMA. 1985 May 3;253(17):2538–2542. [PubMed] [Google Scholar]
  5. HALLANDER H. O. PRODUCTION OF LARGE QUANTITIES OF ENTEROTOXIN B AND OTHER STAPHYLOCOCCAL TOXINS ON SOLID MEDIA. Acta Pathol Microbiol Scand. 1965;63:299–305. doi: 10.1111/apm.1965.63.2.299. [DOI] [PubMed] [Google Scholar]
  6. Kahler R. C., Boyce J. M., Bergdoll M. S., Lockwood W. R., Taylor M. R. Toxic shock syndrome associated with TSST-1 producing coagulase-negative staphylococci. Am J Med Sci. 1986 Nov;292(5):310–312. doi: 10.1097/00000441-198611000-00011. [DOI] [PubMed] [Google Scholar]
  7. Larsen B., Galask R. P. Vaginal microbial flora: composition and influences of host physiology. Ann Intern Med. 1982 Jun;96(6 Pt 2):926–930. doi: 10.7326/0003-4819-96-6-926. [DOI] [PubMed] [Google Scholar]
  8. Lowy F. D., Hammer S. M. Staphylococcus epidermidis infections. Ann Intern Med. 1983 Dec;99(6):834–839. doi: 10.7326/0003-4819-99-6-834. [DOI] [PubMed] [Google Scholar]
  9. Pannelli F., Ripa S., Mignini F., Prenna M. Produzione di coagulasi e termonucleasi in 366 ceppi di stafilococchi appartenenti a diversi liogruppi. Boll Ist Sieroter Milan. 1985;64(2):115–118. [PubMed] [Google Scholar]
  10. Parsonnet J., Gillis Z. A., Pier G. B. Induction of interleukin-1 by strains of Staphylococcus aureus from patients with nonmenstrual toxic shock syndrome. J Infect Dis. 1986 Jul;154(1):55–63. doi: 10.1093/infdis/154.1.55. [DOI] [PubMed] [Google Scholar]
  11. Parsonnet J., Mills J. T., Gillis Z. A., Pier G. B. Competitive, enzyme-linked immunosorbent assay for toxic shock syndrome toxin 1. J Clin Microbiol. 1985 Jul;22(1):26–31. doi: 10.1128/jcm.22.1.26-31.1985. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Ponce de Leon S., Wenzel R. P. Hospital-acquired bloodstream infections with Staphylococcus epidermidis. Review of 100 cases. Am J Med. 1984 Oct;77(4):639–644. doi: 10.1016/0002-9343(84)90354-1. [DOI] [PubMed] [Google Scholar]
  13. Schlievert P. M. Staphylococcal enterotoxin B and toxic-shock syndrome toxin-1 are significantly associated with non-menstrual TSS. Lancet. 1986 May 17;1(8490):1149–1150. doi: 10.1016/s0140-6736(86)91859-3. [DOI] [PubMed] [Google Scholar]
  14. Shands K. N., Schmid G. P., Dan B. B., Blum D., Guidotti R. J., Hargrett N. T., Anderson R. L., Hill D. L., Broome C. V., Band J. D. Toxic-shock syndrome in menstruating women: association with tampon use and Staphylococcus aureus and clinical features in 52 cases. N Engl J Med. 1980 Dec 18;303(25):1436–1442. doi: 10.1056/NEJM198012183032502. [DOI] [PubMed] [Google Scholar]
  15. Stengren S. R., Starzyk M. J. A modified medium for the recovery of Staphylococcus from water. Microbios. 1984;41(165-166):191–203. [PubMed] [Google Scholar]

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