Can Drinking from a Shared Glass Transmit HIV Risks? - Urology

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Will this lead to an HIV infection?


Hello, doctor.
At the end of September, I went drinking with friends.
One of my friends couldn't finish his drink, so I drank the remaining half cup.
I'm not sure if he had spit some of it back into the cup or if I came into contact with his saliva.
If he did spit back and I came into contact with his saliva, is there a risk of HIV infection if he is positive? I have a tendency for my gums to bleed, and I'm worried about the possibility of infection due to any wounds.
Additionally, last night I suddenly developed an itchy red rash on my calf that felt a bit warm (there were no obvious raised bumps, just a red area with some red spots).
After sleeping, it has improved a bit.
My arm also has a little redness, but it’s not itchy and not very noticeable; I’m not sure if it’s just an allergy.
I'm very concerned that this could be a symptom of HIV infection, but I haven't had any sexual activity since nearly a year ago with my ex-girlfriend, and it was a monogamous relationship with condom use throughout.

Niming, 20~29 year old female. Ask Date: 2019/10/22

Dr. Du Shixi reply Urology


Hello: HIV is not transmitted in this way.
You can refer to the three main transmission routes at https://www.cdc.gov.tw/Category/Page/lehLY2EFku4q7Gqv4bql2w.
Wishing you good health.

Reply Date: 2019/10/22

More Info


When it comes to the transmission of HIV (Human Immunodeficiency Virus), understanding the modes of transmission is crucial for assessing risk. Based on the information provided, it is clear that HIV is primarily transmitted through three main routes: sexual contact, exposure to infected blood, and vertical transmission from mother to child. Drinking from a shared glass, even if it has been in contact with saliva from an HIV-positive individual, poses an extremely low risk for transmission.

To address your specific concerns, let’s break down the situation:
1. HIV Viability Outside the Body: HIV does not survive well outside the human body. Once exposed to air, the virus begins to lose its ability to infect. This means that even if saliva containing HIV were to enter a drink, the likelihood of the virus remaining viable and infectious is very low. Studies have shown that HIV cannot be transmitted through saliva, and the concentration of the virus in saliva is significantly lower than in blood, semen, or vaginal fluids.

2. Drinking from a Shared Glass: If you drank from a glass that had been used by someone who is HIV-positive, the risk of transmission is negligible. Even if there was saliva in the glass, the virus would not be present in sufficient quantities to pose a risk. Additionally, the act of drinking does not create an environment conducive to transmission, as the virus would need to enter the bloodstream through direct contact with mucous membranes or open wounds.

3. Presence of Open Wounds: You mentioned that you have bleeding gums, which can be a concern. However, even with open wounds, the risk of HIV transmission through saliva is still extremely low. The virus is not transmitted through casual contact, and the amount of virus that would need to be present in saliva to cause infection is not typically found in such scenarios.

4. Symptoms and Concerns: The symptoms you described, such as itchy red rashes and concerns about potential HIV infection, are understandably alarming. However, these symptoms are not specific to HIV and can be caused by a variety of factors, including allergies, skin irritations, or other infections. If you are concerned about your health or potential exposure to HIV, it is advisable to consult a healthcare professional for appropriate testing and guidance.

5. Testing and Peace of Mind: If you are still worried about HIV exposure, consider getting tested. Testing is the only way to know your HIV status definitively. Many healthcare providers offer confidential testing, and knowing your status can provide peace of mind.

In summary, the risk of contracting HIV from drinking from a shared glass, even if there was saliva from an HIV-positive person, is extremely low. The virus does not survive well outside the body, and transmission through saliva is not a recognized route. If you have ongoing health concerns or symptoms, seeking medical advice is the best course of action. Remember, practicing safe behaviors and regular health check-ups are key components of maintaining overall health and well-being.

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