Can You Get Infected with Hepatitis from Shared Utensils? - Gastroenterology and Hepatology

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Is it possible to be infected?


Hello doctor, I went to a buffet with friends one night and accidentally used chopsticks that belonged to someone else (a stranger).
I would like to ask: 1.
If that person has hepatitis B or C, is it possible for my friends and me to get infected? 2.
Can hepatitis be transmitted through saliva? 3.
How long does the hepatitis virus remain infectious outside the human body? My friend and I do not have open bleeding wounds in our mouths, and the chopsticks were dry, but my friend does have cavities.
Thank you, doctor!

Xiao Xiao, 20~29 year old female. Ask Date: 2020/11/08

Dr. Chen Shidian reply Gastroenterology and Hepatology


The transmission of hepatitis B through saliva is very rare, unless there is kissing involved and there are oral wounds present.

Reply Date: 2020/11/08

More Info


When it comes to the transmission of hepatitis B and C viruses, understanding the modes of transmission is crucial for assessing risk in situations like sharing utensils. Here’s a detailed response to your questions:
1. Risk of Infection from Shared Utensils: Hepatitis B and C viruses are primarily transmitted through blood-to-blood contact. This means that the most common routes of transmission include sharing needles, razors, or other items that may have come into contact with infected blood. In the case of using shared utensils, such as chopsticks, the risk of transmission is extremely low. Hepatitis B is not typically transmitted through saliva, and while hepatitis C can be present in saliva, it is not considered a significant route of transmission. Therefore, if you used chopsticks that were previously used by someone with hepatitis B or C, the likelihood of contracting the virus is very minimal, especially if there were no open wounds or blood present in your mouth.

2. Transmission through Saliva: Hepatitis B can be found in saliva, but it is not transmitted through casual contact such as sharing utensils or kissing. Hepatitis C, on the other hand, is primarily transmitted through blood. While there have been rare cases where hepatitis C was transmitted through saliva, these instances typically involve significant blood exposure, such as through deep open wounds or during dental procedures. In your case, since you mentioned that neither you nor your friend had open bleeding wounds in your mouths, the risk of transmission through saliva is negligible.

3. Survival of Hepatitis Viruses Outside the Body: Hepatitis B virus can survive outside the body for at least seven days, and during this time, it can still pose a risk of infection if it enters the body of someone who is not vaccinated or immune. However, the virus does not survive well on dry surfaces, and the risk of transmission through inanimate objects like utensils is very low. Hepatitis C, while it can survive outside the body for varying lengths of time depending on the environment, also does not pose a significant risk through shared utensils unless there is direct blood exposure.

In summary, based on the information provided, the risk of contracting hepatitis B or C from using shared chopsticks is extremely low, especially in the absence of open wounds or blood. It is always a good practice to maintain good hygiene and avoid sharing personal items that may come into contact with blood, but in this scenario, you and your friend are unlikely to be at risk. If you have any further concerns or symptoms, it is advisable to consult a healthcare professional for personalized advice and potential testing.

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