HIV/AIDS Infection Risks in Tattooing: Key Questions Answered - Internal Medicine

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HIV infection


Hello, doctor.
I have two questions to ask you.
I work in the field of microblading, and one day I was accidentally pricked by a microblading needle.
I forgot whether there was any bleeding at the time, and later I found out that the client is an AIDS patient, not just HIV positive, but confirmed to have AIDS.
I learned this two months later.

1) Is there a chance that I could be infected? What is the likelihood of infection?
2) Is there a difference in the risk of infection if there was bleeding at the time of the prick compared to if there was no bleeding?

nn, 20~29 year old female. Ask Date: 2021/08/12

Dr. Lin Wufu reply Internal Medicine


Hello: If the client is an HIV-positive patient and the needle used for the tattooing (which is similar to microblading) accidentally pricks them, there is a certain risk of transmission (approximately 1%).
However, if the client is adhering to their medication regimen, the risk of transmission is essentially negligible.
It is advisable for you to visit an infectious disease clinic for follow-up testing after the needle stick (typically, follow-up is done for six months) for peace of mind.
If there was bleeding at the time of the needle stick, the risk of infection would be slightly higher (as the virus is transmitted through blood or bodily fluids).

Reply Date: 2021/08/12

More Info


When it comes to understanding the risks of HIV/AIDS transmission, especially in the context of tattooing or cosmetic procedures, it's essential to clarify several key points based on the information provided and general medical knowledge.

1. Risk of Infection: If you were pricked by a needle used on a confirmed AIDS patient, there is indeed a potential risk of HIV transmission. However, the actual risk of infection from a single needle stick is relatively low, estimated at around 0.3% to 0.5% for HIV. This means that while there is a risk, it is not as high as many might fear. The risk can vary based on several factors, including the viral load of the infected individual and the circumstances surrounding the exposure.

2. Impact of Blood Exposure: The likelihood of infection is significantly influenced by whether there was blood involved during the incident. If the needle did not draw blood, the risk of transmission is considerably lower. In cases where there is visible blood, the risk increases because HIV is primarily transmitted through blood, semen, vaginal fluids, and breast milk. If there was no blood exposure, the risk of contracting HIV is minimal.

3. Environmental Stability of HIV: HIV is a fragile virus that does not survive long outside the human body. Once exposed to air, it begins to lose its ability to infect rapidly. Studies indicate that HIV can become inactive within seconds to minutes when outside the body, depending on environmental conditions. This means that even if there were traces of the virus on the needle, the likelihood of it being infectious at the time of your exposure is low.

4. Precautionary Measures: Given your profession, it is crucial to follow strict hygiene and safety protocols to minimize any risk of infection. This includes using sterile equipment, wearing gloves, and ensuring that any potential exposure to blood is managed appropriately. If you have concerns about potential exposure, it is advisable to consult a healthcare professional for testing and further guidance.

5. Follow-Up Testing: If you are concerned about possible exposure to HIV, it is recommended to undergo testing. The window period for HIV testing can vary, but testing at 6 weeks, 3 months, and 6 months post-exposure is often advised for accurate results. Early detection is key in managing any potential infection.

6. Mental Health Considerations: It's understandable to feel anxious about potential exposure to HIV, especially in a profession where you may come into contact with bodily fluids. However, it is essential to balance this anxiety with factual information about the actual risks involved. Overwhelming fear can lead to unnecessary stress and impact your mental well-being. Engaging in open discussions with healthcare providers can help alleviate these concerns.

In conclusion, while there is a theoretical risk of HIV transmission from a needle stick involving an infected individual, the actual risk is relatively low, especially if there was no blood involved. Maintaining rigorous safety practices in your profession and seeking regular health check-ups can help ensure your safety and peace of mind. If you have further concerns or experience any symptoms, it is always best to consult with a healthcare professional for personalized advice and testing.

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