[Question #10973] Is there any risk at all in this scenario?

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18 months ago
Hi, thank you for helping me. My question honestly may seem a little stupid but I really just need some answers. I do believe I am overreacting, however, I would just like to explore this topic with a medical professional. I'm female and 30 years old. 

Please excuse my ignorance also, but I was at a concert with my friends in a predominantly LGBTQ+ venue and without sounding ignorant, it is my understanding that the HIV virus is higher in the LGBTQ+ community and a man approached us and shook our hands. I noticed a cut on his hand afterwards and I had recently used lancets to prick my fingers (within the last week for a blood test and it is still like a little red bloody spot on my fingers. I am not sure whether his cut was a healing cut or a recent cut but when he shook my hand, which wasn't for very long, assuming he could carry the virus, am I at risk of acquiring it due to my recent lancet finger prick cuts having contact with his cut? 

I'm sorry if I seem uneducated about this topic but I am worried. If needed, when should I test? I thank you in advance. 
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Edward W. Hook M.D.
18 months ago
Welcome to our forum. Thank you for your confidence in our service. I’ll be glad to answer. Your questions are not silly and they are common.

You are correct that HIV infections are more common amongst the LGBTQ+ community.   Interactions with infected persons during your activities of daily living however, do not put you at risk for acquisition of infection. HIV is harder to transmit than is commonly believed. HIV is transmitted only through penetrative, sexual contact or injection of infected material deep into tissue. Even then, less than one percent of direct contacts of the sort I mentioned lead to acquisition of infection, and most typically the risk for infection is lower than one in 1000. The virus becomes non-infectious almost immediately upon contact with the air/environment. For that reason if you happen to contact an inanimate surface such as a countertop or toilet seat where HIV infected blood or secretions have been present, there is no risk of infection. Similarly, while on the list of theoretical ways in which the virus can be transmitted, there are no instances in which shaking hands with someone with a cut on their hands  or your hands as led to transmission of HIV.  That’s day-to-day interactions with persons who have HIV do not represent any danger to you whatsoever. Normal interactions do not require concern nor testing.

I hope this information is helpful. I might suggest that you look at other questions and our responses on the forum. We leave them there, so that clients can review the information we provide. If you have additional questions, we provide a total of up to three responses to each client’s questions. If any part of my responses are unclear or there further questions, you have two follow-ups remaining. EWH.
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18 months ago
Thank you so much for your reply. So I do not need to get tested? I was just concerned because he had a noticeable cut on his hand and had shook the hand which I used to finger prick my fingers very recently which hasn't fully healed yet either. But as I now understand, this wasn't a risk at all? I don't need to get any testing? 
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Edward W. Hook M.D.
18 months ago
There is absolutely no medical or scientific reason to test based on what you describe above.  You are not going to be infected by shaking the hand with a cut on it.

Please don’t worry.  EWH
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