[Question #8573] HIV from razor cut

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42 months ago
Thank you very much, I didn't quite see a question on here that came close to my situation. Unfortunately, I'm one of those poor sods that has a deathly fear of HIV. Logic tells me that this is a pretty unlikely scenario, but my anxiety is a loud voice.

I was asked to retrieve something from a friend's purse. I nicked two of my fingers on a razor that happened to be in the bag. It appeared to be only superficial cuts as there was no visible blood. They looked and felt like a painless paper cut. I do not know my friends HIV status but I do know she demands STD testing from potential liaisons (including myself). After the accident, I very quickly (Within a minute) washed it with soap and water and then I splashed some hydrogen peroxide on the cuts. I'm not sure when the last time was the razor was used, but it hadn't been used in at least the time period that she and I were hanging out, at least an hour or two. I asked her when the last time was the razor was used and she said "Months. I touch up my legs occasionally". I might add that she wasn't all that thrilled about me asking her about this. (She was a bit offended that I was implying that she might have something transmissible like that)

I realize that it is statistically unlikely for her to have HIV in the first place,. (American female) but I'm just curious what the transmission risk would be here, if any, assuming she has HIV (or Hepatitis for that matter) and the like.

Thank you very much.
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Edward W. Hook M.D.
42 months ago
Welcome to our form. Thanks for your questions. I’ll be glad to comment. The likelihood that you were infected when your fingers were nicked by the razor you describe are vanishing low. Let me preface my listing the reasons why I am confident you did not acquire HIV from the event you describe by telling you that I have never heard or seen a person who acquired HIV following being nicked with a razor. While such exposures are of theoretical concern, I am on aware of anyone who has ever gotten infected in this way.  By way of background, the reasons why I am also confident you are not affected by this exposure include:

1.  HIV infections are very, very uncommon and women.  Your partner sounds to be low risk. 
2.  For HIV be transmitted through a cut or exposure of the sort you describe, infected blood must be injected deep into tissue. The minor scratch and neck that you describe is not a concern.

All that I see above, also pertains to any risk for acquisition of hepatitis B as well.

Bottom line, this was a very low risk event. It is not something I would worry about in the least. If any part of my response is unclear or there are additional questions, please don’t hesitate to use your update to follow ups for clarification. Take care. EWH 
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42 months ago
Thank you very much for your response. I figured that was the case, but like I said, anxiety disorders are a rotten thing. (I wouldn't wish them on my worst enemy)

I'm not sure how much bearing this would have, but I think I should also point out as I should have before that my friend apparently did dabble in injection drug use in the past but was insistent with me that she never shared needles. She told me that it's foolish to do so especially since needles are cheap. (I concur)

I'll ask this if I may, would your analysis also have anything to do with what they say about HIV apparently not lasting all that long outside of the human body unless it's in a syringe or some other special circumstance such as a lab setting?
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Edward W. Hook M.D.
42 months ago
Thanks for the additional information.  It does not change my opinion or advice.

You are correct that HIV does not remain infectious when exposed to the environment outside the body, particularly when on a a solid, unprotected surface such as a razor blade.  

You did not mention how long ago this occurred but if you wish to test for the reassurance it would provide (and ONLY for that reason, I have no concern about the event you describe), then feel free to do so six weeks after the event.  Should you opt to do this, I am confident the test will show that you were not infected by the event you described.

Please don't worry, EWH
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42 months ago
Thank you very much for the information. I do feel a lot better. 

Your (and Dr Hansfield's) replies to various questions on various sites have been a great help over the years with my anxiety issues regarding HIV and Hepatitis. This was merely the first time to my knowledge that my particular situation hasn't been asked about by someone else. 

A quick scan with the CDC informs me that the risk from a needle stick in a healthcare setting is 1 out of 300 ish. (Lower risk than I thought it would be). I'm guessing it would be logical to assume that my situation would be even less risk? 

That'll be my final question. Thank you so much.


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Edward W. Hook M.D.
42 months ago
You correct, your risk is far lower than the risk from a needle stick.  The razor is not hollow like a needle which would contain residual blood making it far less likely to transfer infectious material.  Further, as you describe, the razor did not draw blood.  I really would not worry.

This completes this thread.  Take care. EWH 
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42 months ago
Thank you sir. Cheers! 
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Edward W. Hook M.D.
42 months ago
I hope my comments have been helpful.  Take care. EWH ---