Bloodborne Infection Risks in High School Experiments - Internal Medicine

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Questions about the risk of sexually transmitted infections (STIs)?


If a small wound was made on your finger with a clean, newly opened needle and a few drops of blood were released, there is a potential risk of infection if that wound comes into contact with another person's wound or blood, especially for bloodborne pathogens such as HIV.
However, since the experiment did not involve sharing needles, the risk of transmission is significantly reduced.
It is always advisable to practice proper hygiene and take precautions to avoid any potential exposure to infectious agents.
Thank you.

Xiao Xuan, 10~19 year old female. Ask Date: 2021/12/27

Dr. Liao Zhongxin reply Internal Medicine


1.
You can refer to the Centers for Disease Control website.
2.
There are three main routes of HIV transmission: 1.
Sexual transmission: Engaging in oral, anal, or vaginal intercourse or other exchanges 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 inject drugs.
(3) Receiving an organ transplant from an HIV-infected donor.
3.
Vertical transmission from mother to child: Infants can acquire HIV from their infected mothers during pregnancy, childbirth, or breastfeeding.
3.
From the above, it can be understood that during your experiments, even if you have a wound, as long as the other person is not ill, HIV will not be transmitted.

Reply Date: 2021/12/27

More Info


When it comes to understanding the risks of bloodborne infections in scenarios like high school experiments involving blood sampling, it is essential to consider several factors regarding transmission routes, the nature of the exposure, and the specific pathogens involved.

Firstly, bloodborne pathogens, such as HIV (Human Immunodeficiency Virus), Hepatitis B, and Hepatitis C, are primarily transmitted through direct contact with infected blood. The three main routes of transmission for HIV, for example, include sexual contact, sharing of needles or syringes, and from mother to child during childbirth or breastfeeding. In the context of your question, the concern arises from the potential for your fresh wound to come into contact with another person's blood or an open wound.

In your specific case, since you used a clean, new needle and did not share any equipment during the blood sampling process, the risk of transmitting infections through the equipment is virtually eliminated. The primary concern would be if your wound came into contact with another person's blood that is known to be infected with a bloodborne pathogen. However, if the other individual is not infected, the risk of transmission is negligible.

Moreover, the transmission of pathogens through dried blood is significantly lower than through fresh blood. Most viruses, including HIV, do not survive long outside the human body. For instance, HIV becomes inactive once exposed to air and typically cannot be transmitted through dried blood. Hepatitis B and C can survive longer outside the body but still have a reduced risk of transmission through dried blood compared to fresh blood.

In terms of specific statistics, the risk of HIV transmission through a needlestick injury is approximately 0.3%, while Hepatitis B has a transmission rate of 6-30% and Hepatitis C around 1.8% in similar circumstances. However, these statistics apply primarily to direct exposure through needlesticks or open wounds rather than through casual contact with dried blood or intact skin.

If you were to touch a fresh wound of another person with your own open wound, the risk of transmission would depend on several factors, including the viral load of the infected individual, the size and depth of the wounds, and the time elapsed since the blood was drawn. If the other person is healthy and has no known infections, the risk is minimal.

To summarize, while there is a theoretical risk of infection if your open wound came into contact with another person's blood, the actual risk is low, especially if the other individual is not infected. It is always advisable to practice good hygiene, such as washing hands thoroughly after any potential exposure and using protective equipment when handling blood or bodily fluids. If you have any concerns about potential exposure or symptoms, consulting a healthcare professional for further evaluation and advice is recommended.

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