Assessing Infection Risks from Vending Machine Injuries in Healthcare - Internal Medicine

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Reagent vending machine


I would like to inquire about the risk of infection after accidentally cutting my hand on the sliding drawer of a vending machine while purchasing reagents.
I have a small abrasion and immediately disinfected it, but there is no obvious wound.
Is there a risk of infection? I am particularly concerned about the possibility of HIV infection if someone with HIV had a bleeding hand that touched the drawer.
Additionally, I would like to know the survival rate of HIV in blood exposed to objects (in the air).
Thank you, doctor.

1123, 20~29 year old female. Ask Date: 2021/12/12

Dr. Liao Zhongxin reply Internal Medicine


According to the data from the Centers for Disease Control: A.
There are three main routes of transmission for the Human Immunodeficiency Virus (HIV): 1.
Sexual transmission: Engaging in oral, anal, or vaginal intercourse or any other exchange of bodily fluids with an HIV-infected individual carries a risk of infection.
2.
Blood transmission: (1) Receiving or coming into contact with blood or blood products contaminated with HIV.
(2) Sharing needles, syringes, or diluents with individuals who are HIV-positive and use injectable drugs.
(3) Receiving an organ transplant from an HIV-infected donor.
3.
Vertical transmission from mother to child: An infant can acquire HIV from an infected mother during pregnancy, childbirth, or through breastfeeding.
B.
Furthermore, HIV dies immediately after leaving the human body, typically within ten minutes, and therefore cannot be transmitted in that state.

Reply Date: 2021/12/12

More Info


In assessing the infection risks associated with injuries from vending machines, it is essential to consider several factors, including the nature of the injury, the environment, and the potential for exposure to infectious agents.

Firstly, regarding your injury from the vending machine, if you sustained a minor abrasion or scratch that was immediately disinfected, the risk of infection is generally low. The skin acts as a barrier to pathogens, and if the injury was superficial and properly cleaned, the likelihood of developing an infection is significantly reduced. However, it is crucial to monitor the wound for any signs of infection, such as increased redness, swelling, warmth, or discharge. If any of these symptoms occur, it would be advisable to seek medical attention.

Concerning your concern about HIV transmission, it is important to note that HIV is primarily transmitted through specific bodily fluids, including blood, semen, vaginal fluids, rectal fluids, and breast milk. The virus does not survive long outside the human body, and it is highly unlikely to be transmitted through casual contact with surfaces or objects, such as a vending machine drawer. If an HIV-positive individual had a bleeding wound and their blood came into contact with the surface of the vending machine, the risk of transmission would be minimal, especially if the blood had dried or been exposed to air for any length of time. HIV is not stable in the environment and typically cannot survive for more than a few hours outside the body.

Regarding the survival of HIV in the environment, studies have shown that the virus can remain viable in dried blood for a limited time, usually up to several hours, but this can vary based on environmental conditions such as temperature and humidity. Once exposed to air, the virus begins to lose its infectious capacity rapidly. Therefore, the risk of infection from touching a surface that may have been contaminated with dried blood is extremely low.

In summary, while there is always a theoretical risk of infection with any injury, the actual risk from a minor abrasion caused by a vending machine, especially after proper disinfection, is quite low. The concern about HIV transmission in this context is also minimal, given the nature of the virus and its survival outside the body. If you have any further concerns or if the injury worsens, it is always best to consult a healthcare professional for personalized advice and treatment.

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