Concerns About HIV Infection After Accidental Needle Stick - Internal Medicine

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Concerns about HIV infection?


Hello Dr.
Hong: On December 23, 2020, at 9:30 AM, I bought sushi from a breakfast shop near my home (the sushi is sourced from an external supplier by this shop).
When I opened the sushi box, I accidentally pricked my finger on a staple, causing a small wound that bled (I did not notice if there were any blood traces from others on the staple before it pricked me).
At that moment, I directly sucked the blood from my wound.
Although the bleeding stopped quickly, I would like to ask the following questions (for your reference: I have sexual relations with a fixed partner, and we always use condoms): (1) Is there a risk of HIV infection from this incident? (2) Do I need to get tested for HIV? (3) After being pricked by the staple and bleeding, is there any concern for my family's health while living and eating together? Thank you.

Youren de ren, 30~39 year old female. Ask Date: 2020/12/24

Dr. Hong Yuanbin reply Internal Medicine


Hello, based on your description, the risk of contracting HIV from a stapler puncture injury is very low.
If you are not experiencing any discomfort, it is not necessary to get tested unless you have other symptoms unrelated to the wound.
As for your daily life, it will not be affected, nor will it impact the health or well-being of your family.
Thank you for your question.

Reply Date: 2020/12/24

More Info


In response to your concerns about potential HIV infection after an accidental needle stick, let's break down your questions and provide a comprehensive understanding of the situation.

1. Risk of HIV Infection: The risk of HIV transmission through a needle stick injury depends on several factors. In your case, the injury was caused by a staple from a sushi box, which is not a typical source of HIV transmission. HIV is primarily transmitted through specific bodily fluids such as blood, semen, vaginal fluids, and breast milk from an infected person. For transmission to occur, the virus must be present in sufficient quantities and enter the bloodstream through an open wound. Since you are unsure if the staple had any blood on it prior to the injury, the risk remains low, especially if it was not visibly contaminated. Furthermore, HIV does not survive long outside the human body; it typically becomes inactive within minutes when exposed to air, especially in dried blood.

2. Need for HIV Testing: Given the low risk associated with your incident, routine testing may not be necessary unless you have other risk factors or concerns. However, if you feel anxious or uncertain, it is always a good idea to consult with a healthcare provider about your specific situation. They can provide personalized advice and may recommend testing based on your overall risk profile. If you decide to get tested, the HIV test can provide peace of mind, and it is advisable to wait at least 2-4 weeks after potential exposure for accurate results, as this is when most tests can reliably detect the virus.

3. Living with Family After the Incident: After sustaining a needle stick injury, it is understandable to be concerned about the health of those around you. However, HIV is not transmitted through casual contact, such as living together, sharing meals, or engaging in everyday activities. The virus requires specific conditions to be transmitted, and your situation does not meet those criteria. Therefore, there is no need for concern regarding your family's health in this context.

In summary, while the incident you described may have caused some anxiety, the actual risk of HIV transmission from a staple injury is very low, especially if there was no visible blood contamination. If you have ongoing concerns or experience any symptoms, it is advisable to consult with a healthcare professional who can provide further guidance and support. Regular testing is a good practice for sexually active individuals, especially if there are any changes in sexual behavior or new partners. Always prioritize open communication with your healthcare provider about any risks or concerns you may have regarding HIV or other sexually transmitted infections.

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