HIV Transmission Risks During Pregnancy and Ultrasound Procedures - Internal Medicine

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HIV transmission risk


Hello, doctor.
Recently, I've entered the later stages of pregnancy, and my belly has been itching easily.
I accidentally scratched my belly, causing a wound.
Today, during my follow-up appointment for an ultrasound of my abdomen, the wound felt a bit painful when it came into contact with the ultrasound probe and gel (which indicates that my wound may not have fully healed yet).
I'm wondering if there is a risk of HIV infection from the contact between the ultrasound probe and gel with my wound (because every time after the ultrasound, the nurse only wipes the probe with a tissue and doesn't seem to use alcohol for disinfection).
I would appreciate your response.
Thank you!

Pinggu, 20~29 year old female. Ask Date: 2021/03/25

Dr. Hong Yuanbin reply Internal Medicine


Hello, the ultrasound procedure you described does not transmit HIV.
Thank you for your question.

Reply Date: 2021/03/25

More Info


When it comes to understanding the risks of HIV transmission during pregnancy, particularly in the context of ultrasound procedures, it is essential to consider several factors regarding how HIV is transmitted and the nature of the ultrasound equipment used.

Firstly, HIV (Human Immunodeficiency Virus) is primarily transmitted through specific bodily fluids, including blood, semen, vaginal fluids, rectal fluids, and breast milk. The most common routes of transmission include unprotected sexual contact, sharing needles, and from mother to child during childbirth or breastfeeding. Importantly, HIV does not survive long outside the human body; it becomes inactive once exposed to air, and its viability is significantly reduced when in contact with disinfectants like alcohol.

In your case, you mentioned that you have a skin wound on your abdomen that was exposed to the ultrasound probe and gel. It is crucial to understand that the risk of HIV transmission through this scenario is extremely low. The ultrasound probe and gel are not typically vectors for HIV transmission, especially if they have not been in contact with infected bodily fluids. The ultrasound gel is generally considered safe, and the probe is designed to be cleaned between uses. However, if the probe was not adequately disinfected, there might be a theoretical risk, but this is still very minimal.

The fact that the probe was wiped with a paper towel after use does raise concerns about proper hygiene practices. Ideally, medical equipment, especially those that come into contact with skin or bodily fluids, should be properly disinfected to prevent any potential infections. However, even in the absence of thorough disinfection, the likelihood of HIV transmission through a non-invasive procedure like an ultrasound is exceedingly low, particularly if there was no direct contact with infected fluids.

Moreover, if your wound was not actively bleeding and the ultrasound gel did not contain any blood or other infectious fluids, the risk remains negligible. It is also important to note that HIV cannot penetrate intact skin, and unless there is direct exposure to infected blood or fluids, the risk of transmission is minimal.

If you have ongoing concerns about your skin condition or the hygiene practices at your healthcare facility, it is advisable to discuss these with your healthcare provider. They can provide reassurance and ensure that proper protocols are followed to maintain a safe environment for all patients.

In summary, while it is always prudent to be cautious about hygiene and potential exposure to infections, the risk of HIV transmission through contact with an ultrasound probe and gel, especially in the context you described, is extremely low. If you have further concerns or if your wound shows signs of infection, please consult your healthcare provider for appropriate evaluation and care.

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