I did a wound dressing of a person who got bitten by a dog.. First i applied isopropyl alcohol 70 percent for 10 seconds and wiped it with cotton and again i applied isopropyl alcohol 70 percent and wiped it with cotton after 2 seconds. Then I applied povidone iodine and wiped it with cotton after 2 seconds. A little bit of iodine and fresh blood from that cotton touched my index finger where i have not cut but i have a cut on my thumb that was caused 15 hours ago then i applied isopropyl alcohol 70 percent on my whole hand and left it for 20 seconds then i washed my hand with soap for 20 seconds. I'll share the photo of the thumb.
Today at night 12 am it got cut from a bone of a chicken while eating and this incident happen today at 3.30 pm.
Today from 6 AM till this incident (3:30 PM) it didn't bleed.
Can this transmit hiv?
That person is hiv positive
First place when you have dressing to a dog bite case why are you thinking of HIV transmission. If you know the patient, ask him to get his HIV status.
Secondly cotton swab containing blood and iodine touched your index finger which is not having any open wound.
Thirdly your wound is small which is on other side, that too on thumb which was 15hours old. It's unlikely that swab would have touched wound on your thumb. You used isopropyl alcohol and washed with soap as well.
I'm sure you must have used gloves when you have wound dressing. These all factors will definitely protect you from being affected.
Next Steps
make sure you wear gloves for all procedures.
be cautious while doing procedures
seek your hospital infectious diseases department or occupational injury related services if you have any further queries.
This is a potential HIV occupational exposure that requires urgent hospital evaluation â please do not delay. Even though the wound on your thumb was old (9â10 hours) and not actively bleeding, and even though you cleaned thoroughly with alcohol and soap, the fact that fresh blood from a confirmed HIV-positive person came into contact with broken skin on your hand means this exposure needs to be assessed for HIV Post-Exposure Prophylaxis (PEP). PEP is a 28-day course of antiretroviral medication that dramatically reduces the risk of HIV infection â but it MUST be started within 72 hours of exposure to be effective. The sooner it is started, the better. Go to the nearest government hospital (ART centre) or emergency department right now and explain what happened. Your decontamination steps (alcohol + soap) were correct and reduce risk, but they do not eliminate it.
Next Steps
Go to a government hospital / ART centre IMMEDIATELY for PEP evaluation â time is critical (must start within 72 hours of exposure). Do not wait. Please consult me directly on Practo for a detailed evaluation.
No.
Proper evaluation and personalised advice are needed for your concern. A detailed consultation would be best to provide accurate guidance.
Feel free to consult me for further assistance.
1. Don't worry
2. Check the latest CD4 count & Viral Load of the patient for getting an idea how infective the person is.
3. Get your HIV serology checker after 3 months if you are still very suspicious or to confirm.
4. If you are still not very convinced you can contact me or any medicine specialist.
Health Tips
1. Use a gloves for unknown pts
2. Ask their serology history (though they might hide it from social stigma concerns even before a doctor).
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
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