[Question #12242] Wound care question

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9 months ago
I sustained a substantial friction burn (road rash) that tore off a 2 x 2 inch part of the skin on my palm - there were substantial bleeding and areas that were cut. I decided to seek treatment because my tetanus shot was out of date. I am experiencing some concerns about how the wound was treated at the urgent care:

The doctor held my hand over a sink with running water and then rubbed the cleaner on the wound. I think (and common sense would dictate) that gloves were worn (honestly it was all a blur and I can't be 100% certain), but rubbing or touching the wound even with a gloved hand made me feel very uneasy about the process - given what I've researched on wound irrigation and cleaning best practices. I am also concerned about the sink's proximity to the sharps and biohazard bin. 

I keep replaying this incident in my head and this is causing me greater pain than the wound itself. Is there any risk for HIV or HCV transmission in this scenario?

Thank you for your feedback.
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H. Hunter Handsfield, MD
9 months ago
Welcome to the forum. Thank you for your confidence in our services.

I see no potential at all for risk of HIV, HCV, or any other blood borne infection as a result of the care you received. Nothing you say suggest possible exposure to any other person's blood, including that of the doctor. That the sink is near a sharps/biohazard bin makes no difference:  nobody has ever been at risk simply by being near such bins. And you can safely assume the doctor was gloved -- and even if he wasn't, that would not increase your risk. Health care providers use gloves primarily to protect themselves from exposure to their patients' blood and body fluids, not to protect the patients.

Please do not worry about this. And do not get tested for anything. I hope this reply has been helpful. Let me know if anything isn't clear.

HHH, MD
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9 months ago
Thank you for your prompt reply doctor. I apologize, this will be my last follow-up:

I felt the way I wrote part of my post was a bit unclear. I wanted to just clarify that the cleaner was applied directly from gloved hand to wound by rubbing,  with the sink running and water splashing. Like there was no gauze or tool in between the glove and the wound. 

Would this change your assessment?

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H. Hunter Handsfield, MD
9 months ago
I understood these details and they do not change my assessment. How could a disinfectant cleaner or splashing water carry risk of HIV or HCV?---