[Question #892] Assesment

51 months ago
Hello doctor, 

Today I went for my regular blood test for lipid profile and glucose fasting. 
The nurse checked my veins from which to draw blood then he applied alcohol swab on the site but he forgot to wear the gloves. Well I watched him really carefully that he does not accidentally poke his finger with the needle before drawing blood. 
Well I did not see any blood on the needle tip as he put the needle in my vein to inject blood?
Doctor my questions are?
1. Am I at risk of any blood borne disease like HIV or hep C?
2. Sir I recently had a HIV scare but my HIV combo test after 75 days was non reactive. Do u think if the nurse had accidentally poked his finger with the needle am I in danger of HIV or other disease?
3. Do I need to test for HIV? 
4. Should I request the nurse to do a HIV test? 
Kindly answer as soon as possible 
With best regards 
Edward W. Hook M.D.
Edward W. Hook M.D.
51 months ago

Welcome to our Forum.  Your concerns are common ones.  I will be pleased to address them.  Before I get to your specific questions, let me point out to you that the reason health care professionals drawing blood wear gloves in NOT to protect the patient but to protect themselves from the patients and keep them from getting the patient's blood on them.

1. Am I at risk of any blood borne disease like HIV or hep C?
No, this was a no risk event.  Health care professionals undergo extensive training to avoid the transfer of infection to patients.

2. Sir I recently had a HIV scare but my HIV combo test after 75 days was non reactive. Do u think if the nurse had accidentally poked his finger with the needle am I in danger of HIV or other disease?
No, the HIV combination antibody/antigen tests are completely accurate at any time more than 28 days after exposure. the results of your 75 day test are definitive. 

3. Do I need to test for HIV? 
No

4. Should I request the nurse to do a HIV test? 
Not needed.  Even if the nurse stuck themselves, statistically they are unlikely to have HIV and as you point out, they did not stick themselves or contaminate the materials used to draw your blood

I hope these comments are helpful.  EWH
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51 months ago
Thank you Dr for your reply. 

So there is nothing to be worried about  the blood drawing episode? 

Dr Hook regarding my previous HIV scare I posted a question ( HIV test) on this forum which was answered by Dr. HHH and he was very helpful and his answers really helped me, but I keep on  think about the previous exposure and test results. As I have  got an opportunity that this time you are answering my queries I would like to know your opinion too, well I know it won't be different from Dr. HHH, but still. 
Sir I had an exposure 11 weeks ago , I hired a sex worker and received an unprotected BJ, did frontage and then I wore a condom and had vaginal sex. After 12 days as I was very anxious I did a PCR RNA test which came detected and my antibody test can non reactive. I went to my doctor and he put me on combo test so I did HIV combo lab based test ( Abbott architect machine CMIA) on 19, 21,23,25,26,27,28,29,31,33,35,37,40,42,49,52,56,57,61,69 and on 75 days all came non reactive. Dr HHH and three other doctors think that my PCR RNA test was false positive. My questions are 
1. Sir what do u think? 
2. Do I need to test after 12 weeks,?
3. Was my PCR false positive and should I erase it from my mind? 

I know I am being repetitive but I need your opinion too. 
Kindly answer
Thank you 
Best wishes and regards
Edward W. Hook M.D.
Edward W. Hook M.D.
51 months ago
I agree with others you have asked.  Your PCR was almost certainly falsely positive.  This is the reason we do not recommend these tests to detect HIV.  They are more often falsely positive than other tests.  There is no need at all for further tests.  You should move forward without concern.  EWH---
50 months ago
Thank you for your reply. 
Sir just need to clarify one point as I am not a native English speak person. Was my PCR RNA  almost false positive or definitely false positive?
Doctor another question is that can a hiv combo test after 74 days change later? Am I conclusively HIV Negative? 
Sorry for bothering you with the same question again. 
With best wishes and regards.
Thanks again. 
Edward W. Hook M.D.
Edward W. Hook M.D.
50 months ago
Based on your test result there is no doubt that your HIV PCR was falsely positive.  You 74 day HIV test will not become positive unless you acquire infection in the future.  Your tests are conclusively negative.  EWH---
Edward W. Hook M.D.
Edward W. Hook M.D.
50 months ago
This thread has received three responses and has been closed.  If you have further questions you will need to start a new thread.  EWH---