[Question #11401] Broken

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14 months ago
Good day,
I tried finding information from your other posts here but nothing this specific I have came across. 
Long story short, I went to a persons home to close a deal for work. This home was definitely a Meth house because of the multiple red containers they had to discard used needles, the environment was dark and the look of one of the people living there that would fit the script of a meth user. 

I stood up the whole time to gather what was needed for work. I had to lean over on the kitchen table to sign off on a paper and noticed that the side of my hand, on top of the table, landed on something “crunchy” if that makes sense. Didn’t think much of it and just brushed it off. Then right after my mind started wondering. 

Could it have been broken glass from a used syringe? Could it have been a broken needle from a used syringe? (Meaning a tip of the syringe needle)

I did check the side of my hand. Noticed no blood. No puncture wound(which I assume would be obvious?). 

My questions:
1) would a broken tip of a syringe, be considered a risk for HIV if it did poke or puncture my hand alittle?

2) I have read that once blood is in the environment (air), the infectious HIV part starts weakening or dying immediately. So if the syringe is no longer in tact, would that be the case as well?

Mind you, I’m not talking about an intact syringe. I’m talking about the broken piece of a syringe. 

I just don’t want to put anyone in risk here. Thank you for your time. 


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H. Hunter Handsfield, MD
14 months ago
Welcome back to the forum. I looked at your recent previous thread. There are parallels with this question. Like those events, these too were entirely free of risk of HIV, other blood borne infections, and any STI.

As Dr. Hook implied, you apparently are misunderstanding statements you have found bout HIV/STI risks and transmission routes. Probably nobody in the world ever has acquired any such infection on account of just being in the environment of infected (or potentially infected) persons.

Could the "crunchy stuff" have been broken glass or syringe? Of course I have no way of judging, but it wouldn't matter anyway even if the pieces were contaminated with blood. To your specific questions:

1) No this would not be a risk, even if your skin had been punctured.

2) All we really know is that nobody ever has been known to acquire HIV by exposure to blood or body fluids in the environment, even when there have been injuries with potentially contaminated sharp objects. Since it never happens, the biological reasons for absence of risk don't matter. Indeed, HIV rapidly dies with drying or on air exposure, but it doesn't matter one way or the other.

In summary, you're not at risk and cannot possibly put anyone else at risk of any infection on account of these events. You should not be tested for anything. And for the future, please educate yourself about HIV/STI transmission risks. You can safely assume that if you do not have unprotected sex and do not share drug injection equipment with other persons, you will never get HIV. Disregard all other possibilities that may come to mind. And do not read risks like "blood exposure" and assume they mean any and all blood exposures:  they do not. For HIV to transmit requires LOTS of virus having access to certain cells that generally are deep in the body. No sex and no injected blood means no risk.

I hope these comments are helpful. Let me know if anything isn't clear.

HHH, MD
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14 months ago
Thank you Dr. Handsfield for your response. Yes the last interaction with Dr. Hook definitely was a good one. I truly believe what you both have to say due to years of experience. It’s greatly appreciated and that’s what placed my last question at ease, now that I know how things happen. 

As for this question, I understood just about everything you said as a No Risk Event. I seem to have only one clarification question, more on my part. I’d like to clarify that your answer to one of my questions:

“1) No this would not be a risk, even if your skin had been punctured.”

(This statement about punctured would include broken glass from the syringe and also broken needle tip of the syringe, correct?)

As I said before, I don’t know if it even was a syringe but I can’t help the probability in my head. I just want to make sure that my explanation was clear. What the my mind thinks and fingers type can be opposite. 

Thank you again Dr. Handsfield. 




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H. Hunter Handsfield, MD
14 months ago
I don't know how I can say it more clearly than I did above:  "Could the 'crunchy stuff' have been broken glass or syringe? Of course I have no way of judging, but it wouldn't matter anyway even if the pieces were contaminated with blood." And I find it difficult to believe a needle was among this stuff and you didn't notice; but even if it was, I see no significant risk.---
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14 months ago
Yes, I guess it was there. I didn’t look at the word syringe and think about the needle part. I guess I wanted to read needle. Also, you are right. If it were the broken needle, I’m sure I would’ve felt a sharp pinch on my hand, seen a wound and some blood, which I didn’t. 

I apologize Dr about my anxiety on this. Having these thoughts is so very tiring and wouldn’t wish this feeling on anyone. 

Thank you sir for your time and patience. 
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H. Hunter Handsfield, MD
14 months ago
Thanks for the thanks. I'm glad to have helped. Best wishes and stay safe.---