[Question #11947] Risk of being stabbed by the coil

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11 months ago

This is my friend's situation. He is a medical professional at the emergency room. He had examined a patient who had been in an accident. While performing a physical examination of his pelvic area, he felt a prick from the tip of the coil the patient used to tie his pants. He was wearing gloves and there was no blood on his hands. But he felt that something sharp was poking him. The patient had a large bleeding wound around his head. It is not certain whether the blood came into the hip area or not. It was later discovered that the patient was infected with HIV. How likely is the risk of contracting HIV from these cases?

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H. Hunter Handsfield, MD
11 months ago
Welcome back to the forum. However, you describe a peculiar situation. Why are you asking this on behalf of your friend? If your "medical professional" friend sustained what he believes was an injury that might risk HIV infection, s/he should discuss next steps with his supervisor and/or the facility's infection control personnel.

That said, I do not see how this could be a risk for HIV infection. I don't know what you mean by a "coil" used to tie clothing -- maybe a safety pin or something similar? In any case, even if the patient had HIV, there would be no risk from a sharp instrument on his clothing.

This doesn't seem to be your business, and certainly it doesn't imply you are at risk -- even if you and your "friend" are sex partners.

HHH, MD
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H. Hunter Handsfield, MD
10 months ago
In a new thread, you asked "I tested negative 2 weeks post pep (18 days post PEP), 7 weeks post exposure(50 days post exposure) with CMIA - non reactive conclusion negative. Is this negative test accurate? Is there a need to retest at 3 months?" By answering it here, the new one has been deleted and your account will be credited.

It isn't clear whether these HIV tests were on account of the non-exposure event described above, or in a previous exposure, perhaps the one described in question 11747. As discussed there, that also was a zero risk event in regard to HIV. Whatever exposure you are concerned about, the tests described now are absolutely conclusive. No more testing is required, at 3 months or any other time. However, some HIV providers still advise later testing following PEP. If you are in the care of a doctor or clinic for this event, who prescribed PEP, you should follow their advice. But if you have an additional test with negative results, please do not return to the forum just to tell us the result or ask about it.


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10 months ago
The latest question is related to question 11747. My question is slightly missing. 2 weeks post pep (18 days post PEP) means  from the date of last pep dose completed.
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H. Hunter Handsfield, MD
10 months ago
I understood the timing and it does not change my advice above. That exposure did not require PEP; I am surprised you found a doctor or clinic willing to prescribe it, assuming you accurately described the event.

That completes the two follow-up comments and replies included with each question and so ends this thread. It is your fourth question about exposures that obviously are little or no risk, or that repeat previously answered questions. You should not have to seek our advice about every new event that might concern you, especially when there is no unprotected sex or needle sharing for drug use. Repeated anxiety driven questions are subject to being deleted without reply and without refund of the posting fee. We're not keen on collecting fees for questions with obvious answers; repeated replies often prolong anxiety rather than relieving it (there's so often a "yes but" or "could I be the exception" sort of thinking); and such questions have reduced education value for other users, one of the forum's goals. Thank you for your understanding.

I do hope this discussion has been helpful. Best wishes and stay safe.

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