Risks of Infection After Injections: What You Need to Know - Family Medicine

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Infection issues?


Hello Doctor: A few days ago, I received an injection at a dermatology clinic, but the doctor did not disinfect the area before administering the injection.
I had also touched the injection site with my hand prior to the injection.
Is there a risk of infection with hepatitis B or C? Are there risks of contracting other viruses or bacteria? Do I need to undergo continuous monitoring?

Niming, 20~29 year old female. Ask Date: 2018/10/27

Dr. Cai Dongqi reply Family Medicine


Hello, you should continuously monitor your body for any discomfort.
If you experience any symptoms, it is advisable to seek medical attention immediately.

Reply Date: 2018/10/27

More Info


When it comes to the risks of infection following injections, particularly in a clinical setting, there are several important factors to consider. Your concern about potential infections, such as Hepatitis B (HBV) and Hepatitis C (HCV), as well as other viral and bacterial infections, is valid and warrants a thorough understanding.

Firstly, it is crucial to recognize that the primary mode of transmission for Hepatitis B and C is through blood-to-blood contact. This means that for you to be at risk of contracting these viruses from an injection, there would need to be a direct transfer of infected blood into your bloodstream. In a clinical environment, healthcare providers are trained to follow strict protocols to minimize the risk of such transmission, including the use of sterile equipment and proper hand hygiene.

If the needle used for your injection was new and sterile, and if the healthcare provider followed standard infection control practices, the risk of contracting HBV or HCV is extremely low. However, if the needle was reused or if the injection site was contaminated with infected blood, there could be a risk. It is also important to note that touching the injection site with your hands prior to the injection could introduce bacteria, but this is typically mitigated by the use of antiseptics before the injection.

In terms of other potential infections, there is a risk of bacterial infections if the injection site is not properly cleaned. Bacteria can enter through the skin and cause localized infections, which may lead to complications such as abscesses or cellulitis. Signs of infection include redness, swelling, warmth, and pus at the injection site, as well as systemic symptoms like fever.

Regarding your question about follow-up, if you experience any unusual symptoms after the injection, such as persistent pain, swelling, or signs of infection, it is advisable to seek medical attention promptly. Additionally, if you are particularly concerned about exposure to HBV or HCV, you may want to discuss with your healthcare provider the possibility of getting tested, especially if you have risk factors or if the injection was performed under questionable circumstances.

In summary, while the risk of contracting Hepatitis B or C from a single injection in a clinical setting is generally low, it is essential to ensure that proper protocols are followed. If you have any concerns about the injection you received, monitoring the injection site for signs of infection and consulting with a healthcare professional for further evaluation and testing is a prudent course of action. Always prioritize your health and safety by advocating for proper infection control measures during medical procedures.

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