[Question #13091] Risk of exposure to blood

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2 months ago

I am a medical assistant. Yesterday I was helping the doctor in the process of pulling out a chest tube. While pulling it out, a small drop of blood splattered on my sleeve. I used a cotton swab soaked in alcohol to wipe it immediately, but the cotton swab must have been too wet and it seeped through my sleeve, causing a burning sensation. Which I found there was an abrasion under that area. This abrasion happened the day before from my son's scratch. This patient is HIV positive. His HIV viral load as of April is not detectable. What is my risk of contracting HIV? Because I feel a burning sensation after alcohol exposure, I am concerned that this could be a source of infection.

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Edward W. Hook M.D.
2 months ago
Welcome to our Forum.  Thanks for your questions.  I’ll be glad to comment.

First and foremost, you should report this event to your institution’s infection control office- immediately.  They manage such exposures and have protocols for doing this.

Over all, this is a low risk event.  Persons on HIV treatment with undetectable viral loads rarely if ever transmit their infection.  That the drop landed on your sleeve further reduces any risk.  That there was a scratch in the area does not meaningfully change this assessment.

Please contact the infection control team ASAP.  EWH
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2 months ago

Thank you very much doctor. I have already informed the infection control office. The infectious disease doctor agrees with you that it is not necessary to take PEP. The chance of infection is low especially for patients with undetectable viral load. Thank you again for your reply.

 


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Edward W. Hook M.D.
2 months ago
Great.  I'm glad you contacted them and am pleased that I could help.  EWH---