[Question #5115] Small cut through gloves while working

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77 months ago
Hi doctors sorry for the complicated story that happened to me.
I was treating a patient  he denies any dissease or risk.
I started a iv got some blood on my pants and gloves.
I changed gloves and wiped my pants with a kleenex .
I tried to open a medication vial but the vial broke and cut my thumb very superficialy
I didnt feel it but i removed my glove and saw 2 tiny drops of blood coming out .
The glove had leftover residue of blood from the kleenex when wiping.
No visible patients blood on my hand.
When i looked later at my finger the cut was almost like a abrasion and smaller then what a lancet would do.
The dr i saw say i need to get tested at 6 weeks 12 weeks and 6 month and that the risk was low.
Thank you for your expertise
And sorry again for the conplex story
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Edward W. Hook M.D.
77 months ago
Welcome to the Forum and thanks for your confidence in our assessments.  The events you describe were low risk- the patient sounds to be unlikely to have HIV or hepatitis, the contamination was superficial and transient and the cut to your finger was also superficial.  Thus not only is it unlikely that the patient was infected but there is little likelihood that the patient's blood was introduced into your bloodstream where it could potentially cause infection.  Thus, I agree with the assessment that this was a low risk event.  several comments:

1. If you can get the patient tested, you can find out whether or not they were infected.  If they are not infected, there is no risk.  If this cannot be done, I understand but if possible, this would be good.
2.  In addition to testing at 6 weeks and perhaps 6 months (in my opinion, the 6 month test is probably not needed in this situation), you should get a test now, to establish a baseline.  The reasoning here is that in the very, very unlikely circumstance that you were positive at 6 weeks, someone might say "How do we know the infection came from this episode?"  Establishing a negative test at baseline would take care of this.
3.  Given the low risk nature of the exposure, I doubt that I would be seeking PEP if I were you.  

I hope these comments are helpful.  EWH
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77 months ago
Thank you for your answer 
I did do a baseline test which was negative.
Throught your personal opinion i should just do a 6 weeks test 
And 3 month for hepatitis .
Since 6 month is outdated.
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Edward W. Hook M.D.
77 months ago
Great, glad you got the baseline.  Yes, I think a 6 week test should suffice. Further, while the official recommendation if for 3 months for hepatitis testing, the vast majority of persons who acquire hepatitis will also have positive tests by the 6 week time point.  EWH---
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77 months ago
I thank you again for sharing your knowledge.
You have answered all my questions.
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Edward W. Hook M.D.
77 months ago
Great, glad to be of service. EWH---
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77 months ago
Last question i was reading some other treads 
Related to cut and it was mentioned that hiv dies rapidly with air contact.
And that it requires usually deep cut .
Would that mean that my risk would fall in the
Theorical category.
Thank you alot again!
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Edward W. Hook M.D.
77 months ago
I would say the risk is very, very low.  It is not something I would worry about.  EWH---