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Table 1.

ICD-9 Study Codes Utilized for TSS Case Ascertainment.

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Table 2.

Surveillance Case Definition of TSS [28].

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Figure 1.

Flow diagram of TSS case ascertainment.

From 2000–2003 TSS cases were identified from multiple data sources including ICD-9 hospital discharge codes, cases reported to the Minnesota Unexplained Critical Illness and Death of Possible Infectious Etiology project (UNEX), and death certificate data using ICD-10 code A48.3. From 2004–2006 TSS cases were identified from only the TSS-specific ICD-9 hospital discharge code.

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Table 3.

Description of Toxic Shock Syndrome Cases.

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Table 4.

Comparison of Susceptibility Patterns and Superantigens among Isolates Associated with Menstrual and Non-menstrual Toxic Shock Syndrome Cases.

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Table 5.

Average Annual Toxic Shock Syndrome Incidence by Age and Gender Groups During the Period of Most Complete Case Ascertainment, 2000–2003.

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Figure 2.

Annual incidence of menstrual and non-menstrual TSS across years 2000–2006.

Annual incidence of TSS across years 2000–2006 of menstrual (A) and non-menstrual (B) TSS stratified by age ≤24 and >24 years using only cases receiving the TSS specific ICD-9 code. Error bars represent 95% confidence limits. Frequentist Poisson regressions were used to calculate P-values for test of trend. Over years 2000–2006 among menstrual TSS aged ≤24 years test of trend was not significant (p = 0.22) as was non-menstrual age ≤24 years (p = 0.69) and >24 years (p = 0.40) There was a significant decreasing annual incidence over 2000–2006 in menstrual TSS aged >24 years (test of trend p = 0.02).

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