Infection Risks from Shared Needles: What You Should Know - Internal Medicine

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I borrowed a needle from a friend to sew some clothes.
About six days later, after rinsing the needle with hot water for a few seconds, I used it to prick a pimple on my nose, which caused some bleeding.
Now I'm a bit worried that if there was saliva left on the needle and I pierced my nose deeply, I might be at risk of contracting any diseases (such as hepatitis B, etc.).

Cengci, 20~29 year old female. Ask Date: 2016/04/02

Dr. Liao Zhongxin reply Internal Medicine


Dear readers: Regarding the questions asked, please consider (1) whether your friend has any illnesses and (2) the handling of needles.

(1) Whether your friend has any illnesses: If your friend has bloodborne infections such as syphilis, HIV, hepatitis B, or hepatitis C, then we should be concerned.
However, as long as the needle was not recently used (for example: shared needles for drug use or diluents), the risk is low, with hepatitis C posing the greatest risk.
(2) Handling of needles: Sharp objects or used supplies, such as needles, should be disposed of properly and not reused.
If reuse is necessary, they must undergo high-level disinfection and sterilization procedures before being used again.

Thank you!

Reply Date: 2016/04/02

More Info


When it comes to the risks associated with sharing needles, particularly in the context of your question regarding the use of a sewing needle that may have been contaminated, it is important to understand the potential for transmission of infectious diseases. Sharing needles or any sharp instruments can pose significant health risks, especially if the needle has come into contact with bodily fluids.


Understanding Infection Risks
1. Transmission of Bloodborne Pathogens: Needles can transmit various bloodborne pathogens, including Hepatitis B (HBV), Hepatitis C (HCV), and Human Immunodeficiency Virus (HIV). These viruses can survive outside the body for varying lengths of time, with HBV being particularly resilient. If your friend had any blood or saliva on the needle, there is a potential risk of transmission if you were to use that needle on yourself.

2. Saliva and Infection Risk: While saliva is not a primary vector for the transmission of bloodborne viruses, it can still carry pathogens. If the needle had been contaminated with saliva that contained infectious agents, and you then used it to puncture your skin, there is a risk of introducing those pathogens into your bloodstream. However, the risk of transmission through saliva is generally lower compared to direct blood exposure.

3. Depth of Puncture: The depth of the puncture also plays a role in the risk of infection. A superficial puncture may not introduce pathogens as effectively as a deeper puncture, but any break in the skin can potentially allow for infection.
4. Infection Control Measures: If you are concerned about potential infection, it is advisable to monitor the area for signs of infection, such as redness, swelling, increased pain, or discharge. If any of these symptoms occur, or if you experience systemic symptoms like fever, it is important to seek medical attention promptly.

5. Vaccination and Prevention: For Hepatitis B, vaccination is highly effective and can prevent infection. If you are unsure of your vaccination status or have concerns about potential exposure to Hepatitis B or C, consider discussing this with your healthcare provider. They may recommend testing or vaccination based on your risk factors.


Recommendations
- Avoid Sharing Needles: It is crucial to avoid sharing needles or any sharp instruments, even for seemingly harmless tasks like sewing. This practice can significantly reduce the risk of infection.


- Seek Medical Advice: If you have concerns about potential exposure to infectious diseases, consult with a healthcare professional. They can provide guidance on testing and preventive measures.

- Practice Good Hygiene: Always ensure that any instruments used for puncturing the skin are sterile. If you must use a needle, consider using a new, sterile needle to minimize infection risks.

- Educate Yourself: Understanding the risks associated with needle sharing and the transmission of infectious diseases can help you make informed decisions about your health and safety.

In summary, while the risk of infection from the scenario you described is present, it is essential to assess the situation carefully and seek medical advice if you have any concerns. Taking preventive measures and being aware of the risks associated with sharing needles can help protect your health.

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