the Risk of HPV Infection Through Skin Abrasions - Internal Medicine

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Infection issues


Hello doctor, last time I mentioned that I have a small abrasion on my penis and I'm worried about the possibility of contracting HPV (human papillomavirus) after touching the faucet or doorknob at work.
I would like to ask if the HPV virus is present on the faucet or doorknob, and then I touch it and subsequently touch the area with the abrasion on my penis, is it certain that I will get infected with HPV? Is it true that open wounds are very susceptible to infection? I am still very anxious and worried...
I constantly fear that I might get infected indirectly.
Is the risk of such transmission really very low? How long should I wait to rule out the possibility of HPV infection?

Niming, 20~29 year old female. Ask Date: 2019/05/14

Dr. Hong Yuanbin reply Internal Medicine


Hello, based on your description, brief contact with a small abrasion is unlikely to result in infection.
Typically, a longer duration of contact increases the risk.
It is advisable to focus on avoiding unsafe sexual practices and not sharing towels or clothing.
Thank you for your inquiry.

Reply Date: 2019/05/14

More Info


Understanding the risk of HPV (Human Papillomavirus) infection through skin abrasions is a common concern, especially for individuals who may have small cuts or abrasions on their skin. Let’s break down the key points regarding HPV transmission, particularly in the context of your question about potential indirect contact through surfaces like doorknobs or faucets.

Transmission of HPV:
HPV is primarily transmitted through direct skin-to-skin contact, particularly during sexual activity. The virus can infect the epithelial cells of the skin or mucous membranes, which are more susceptible to infection when there are abrasions or breaks in the skin. In general, intact skin serves as a barrier against many pathogens, including HPV. However, when there is a cut, scrape, or any form of skin disruption, the risk of infection increases significantly.

Indirect Transmission Concerns:
Your concern about touching a doorknob or faucet that may have been contaminated with HPV and then touching an area of broken skin is understandable. However, the likelihood of HPV being transmitted in this manner is considered low. HPV does not survive long outside the human body, and it is not typically transmitted through inanimate objects. Most studies suggest that the virus requires direct contact with infected skin or mucous membranes to establish an infection.

Risk Assessment:
1. Skin Abrasions: If you have a small cut or abrasion on your penis, it is indeed more vulnerable to infection. However, the risk of contracting HPV from touching a contaminated surface and then touching your cut is minimal. The virus would need to be present in sufficient quantities and remain viable on the surface, which is unlikely.


2. Environmental Stability: HPV is not known for its ability to survive long periods outside the host. While some viruses can remain infectious on surfaces for extended periods, HPV typically does not. This further reduces the likelihood of transmission through indirect contact.

3. Time Frame for Risk Assessment: If you are concerned about potential exposure, it is generally advised to monitor for any symptoms associated with HPV, such as warts or changes in the skin. If no symptoms develop over several weeks to months, the likelihood of having contracted the virus through the described scenario is very low.

Preventive Measures:
To minimize the risk of HPV and other sexually transmitted infections (STIs), consider the following:
- Vaccination: The HPV vaccine is highly effective in preventing the most common types of HPV that cause genital warts and cervical cancer. It is recommended for preteens and young adults.

- Safe Practices: Engaging in safe sexual practices, including the use of condoms, can significantly reduce the risk of HPV transmission, although it does not eliminate it entirely.

- Regular Check-ups: Regular medical check-ups and screenings can help in early detection and management of any potential infections.

In conclusion, while the presence of a skin abrasion does increase the risk of infection, the specific scenario you described—touching a contaminated surface and then your cut—presents a low risk for HPV transmission. If you continue to have concerns or develop any symptoms, it is advisable to consult with a healthcare provider for further evaluation and guidance.

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