STD Transmission Risks: Blood Exposure and Safety Measures - Urology

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Please consult Dr. Du?


Hello Dr.
Du: Yesterday evening, my work partner sustained a bleeding scrape on his arm while working.
He pressed it with a wet wipe, and I noticed that blood seemed to seep through, which was quite evident, so it’s likely he got some blood on his hands.
Later, he used tissue paper and tape to cover the wound, and it stopped bleeding.
About 30 minutes later, we took a bus back to the Hsinchu office.
After 100 minutes, when we arrived and were retrieving our tool bags from the overhead rack, I realized that our tool bags were placed closely together.
I would like to ask Dr.
Du: If my work partner is an STD patient.
1) When he placed the tool bag on the bus, his hand, which had residual blood, was resting on the tool bag.
Can you tell me if the blood from an STD patient (such as syphilis, herpes, gonorrhea, HPV, etc.) retains infectious activity after 30 minutes? 2) Can various STD viruses be transmitted indirectly? (His residual blood -> his tool bag -> my tool bag -> my hands)? 3) If the answer to 2) is yes, by the time I retrieve my tool bag, it would have been 130 minutes; would the STD viruses still be infectious on my tool bag? 4) Once I entered the office, I immediately washed my hands with soap; is that sufficient? 5) This morning (12 hours later), I washed the tool bag with laundry detergent and then spun it in the washing machine...
will there still be any STD viruses left in the washing machine at this point? I am a bit worried because all of my family's clothes are washed in this machine.
Thank you, Dr.
Du!

Ray, 30~39 year old female. Ask Date: 2019/01/13

Dr. Du Shixi reply Urology


Hello: 1) Although there is blood contact and pathogens in the blood, the theoretical risk of transmission is very low in clinical practice.
Unless it is through sexual intercourse, transmission would likely require situations similar to blood transfusions or needle stick injuries (which are also very rare) to actually occur.
2) No.
3) There is no transmissibility.
4) It is about cleanliness, preventing all infectious diseases, not just sexually transmitted infections.
5) It is not possible.
Wishing you good health.

Reply Date: 2019/01/13

More Info


When it comes to understanding the risks of sexually transmitted diseases (STDs) through blood exposure, it's essential to clarify several points regarding transmission, the viability of pathogens outside the body, and appropriate safety measures.

1. Viability of Pathogens in Blood: Most sexually transmitted infections (STIs) such as syphilis, herpes, gonorrhea, and HPV are primarily transmitted through sexual contact rather than through blood. However, some STIs can be present in blood, and their viability outside the body varies. For instance, the HIV virus can survive in a blood droplet for a few hours, but its infectiousness diminishes significantly over time and with exposure to air. In your scenario, if your colleague had blood on his hands and then touched the tool bag, the risk of transmission would depend on several factors, including the time elapsed and the environment. Generally, after 30 minutes, the likelihood of any infectious agents remaining viable on surfaces is considerably reduced.

2. Indirect Transmission: STIs are not typically transmitted indirectly through surfaces or objects. While some pathogens can survive on surfaces for a limited time, the transmission of STIs through indirect contact (like touching a tool bag that had been touched by someone with an STI) is highly unlikely. The primary mode of transmission for STIs is through direct contact with infected bodily fluids during sexual activity. Therefore, the risk of contracting an STI through the scenario you described is minimal.

3. Time Factor: After 130 minutes, the chances of any infectious agents remaining viable on the tool bag are extremely low. Most pathogens do not survive well outside the human body, especially in dry environments. The risk of transmission in this case would be negligible.

4. Hand Hygiene: Washing your hands with soap and water immediately after potential exposure is an excellent practice. This significantly reduces the risk of any potential infection. Hand hygiene is one of the most effective ways to prevent the spread of infections.

5. Laundry Concerns: Regarding your concern about the washing machine, most pathogens, including those associated with STIs, are effectively killed during the washing process, especially if you use hot water and detergent. The likelihood of any infectious agents remaining on the tool bag after washing is very low. Additionally, the washing machine itself is designed to clean and sanitize items, so the risk of contaminating other clothes is minimal.

In summary, while it is always wise to be cautious about potential exposure to blood, the specific scenario you described presents a very low risk for STD transmission. Maintaining good hygiene practices, such as washing hands and cleaning potentially contaminated items, is crucial in preventing infections. If you have ongoing concerns or experience any symptoms, it would be advisable to consult a healthcare professional for further evaluation and guidance.

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