Can You Contract HIV from Being Scratched by an Infected Person? - Urology

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HIV/AIDS issues


Is it possible to contract HIV from being scratched by an HIV-positive individual?

Shaojun, 30~39 year old female. Ask Date: 2020/09/14

Dr. Cai Zhuorong reply Urology


The probability is significantly lower than engaging in sexual intercourse.

Reply Date: 2020/09/14

More Info


The risk of contracting HIV from being scratched by an infected person is generally considered to be very low. HIV is primarily transmitted through specific bodily fluids such as blood, semen, vaginal secretions, and breast milk. The virus does not survive well outside the human body and is particularly vulnerable to environmental factors, such as exposure to air.
When it comes to scratches, the primary concern would be if the scratch were to come into contact with the infected person's blood. If the scratch is superficial and does not involve significant bleeding, the risk of transmission is minimal. However, if the scratch were deep enough to draw blood and there was direct contact with the infected person's blood, there could be a risk, albeit still low, depending on various factors.

It's important to consider the following points:
1. Viral Load: The amount of HIV present in the infected person's blood is crucial. If the person is on antiretroviral therapy and has achieved an undetectable viral load, the risk of transmission is significantly reduced. This is often summarized by the phrase "Undetectable = Untransmittable" (U=U), meaning that individuals with an undetectable viral load cannot sexually transmit the virus to their partners.

2. Type of Contact: The nature of the contact matters. For instance, if the scratch is minor and does not involve blood, the likelihood of transmission is extremely low. In contrast, if there is a deep wound that comes into direct contact with infected blood, the risk increases.

3. Environmental Factors: HIV does not survive long outside the human body. Once exposed to air, the virus begins to die off rapidly. Therefore, if the infected blood were to dry before contact with an open wound, the risk of transmission would be further diminished.

4. Other Factors: The immune status of the person who is scratched also plays a role. A healthy immune system can often fend off infections more effectively than a compromised one.

In summary, while there is a theoretical risk of contracting HIV from being scratched by an infected person, the actual risk is very low, especially if the scratch is minor and does not involve significant bleeding. If there is any concern about potential exposure to HIV, it is advisable to consult a healthcare professional for further evaluation and, if necessary, testing.
Additionally, if you are in a situation where you might be at risk for HIV exposure, consider discussing preventive measures with your healthcare provider, such as pre-exposure prophylaxis (PrEP), which can significantly reduce the risk of contracting HIV. Regular testing and open communication with partners about HIV status are also essential components of maintaining sexual health.

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