HIV Infection Risks in Shared Blood Glucose Testing - Family Medicine

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HIV infection


On January 5th, I went to buy a blood glucose meter.
The pharmacist tested it first using his own hand and said there was no needle inside.
He used it without drawing blood! When it was my turn to test, I pressed the button and ended up drawing blood; I was shocked to find there was a needle.
I tested again using his hand, and it did draw blood.
Does this count as sharing a blood glucose meter with a used lancet? The two of us used it within 15 seconds.
Am I at risk? 1.
Is there a risk? 2.
How should I approach my family? If I have itchy skin and scratch it, causing a small break in the skin, could I infect my family? 3.
If my skin is dry and cracked, is there a risk of infection?

Wei, 30~39 year old female. Ask Date: 2022/01/10

Dr. Liao Yaopan reply Family Medicine


Hello, regarding your questions:
1.
Is there a risk? --> Regardless, avoid sharing needles.
Theoretically, used needles must be disposed of properly; however, I am not entirely clear about the situation you described.

2.
How do I protect my family? If I have itchy skin and scratch it, causing a little break in the skin, will I infect my family? --> There should be no risk of infection as long as there is no direct contact with bodily fluids or blood.

3.
Will dry, cracked skin lead to infection? --> This is similar to the second point.
Online consultations are not equivalent to in-person medical visits, so I cannot provide a diagnosis or treatment recommendations.
Changhua Hospital cares about you.

Reply Date: 2022/01/10

More Info


When it comes to understanding the risks associated with HIV infection in the context of shared blood glucose testing, it's important to clarify a few key points regarding HIV transmission and the use of medical devices.

1. Risk of HIV Transmission through Shared Blood Glucose Meters: The scenario you described involves the potential sharing of a blood glucose meter and its components. However, the risk of HIV transmission in this context is extremely low. HIV is primarily transmitted through specific routes: unprotected sexual contact with an infected person, sharing needles or syringes, and from mother to child during childbirth or breastfeeding. The virus does not survive long outside the human body, and it is highly sensitive to environmental conditions. When blood is exposed to air, the virus rapidly loses its ability to infect. Therefore, even if there was a minute amount of blood on the device, the likelihood of transmission through a shared blood glucose meter is negligible, especially if the device was not directly contaminated with fresh blood from an HIV-positive individual.

2. Immediate Use of the Device: In your case, since the two tests were conducted within a short time frame (less than 15 seconds), and assuming the pharmacist did not have any visible blood on their hands or the device, the risk remains very low. If the device was used properly and cleaned according to standard protocols, the chance of infection is minimal.
3. Concerns about Skin Breaks: Regarding your concerns about having itchy skin or minor abrasions, it is important to note that while open wounds can theoretically provide a route for infection, the risk of transmitting HIV through casual contact or minor skin injuries is extremely low. HIV is not transmitted through casual contact, and the virus does not survive well outside the body. If you have a small cut or abrasion, it is always advisable to keep it clean and covered to prevent any infections, but the risk of transmitting HIV to family members through such means is very low.

4. General Precautions: To minimize any risk of infection, it is crucial to follow proper hygiene practices when using medical devices. This includes ensuring that any lancets or needles used for blood sampling are single-use and disposed of properly. Blood glucose meters should be cleaned according to the manufacturer's instructions, especially if they have been used by multiple people.

5. Addressing Anxiety and Health Concerns: If you are experiencing anxiety about potential HIV exposure or if you have any health concerns, it is advisable to consult with a healthcare professional. They can provide you with accurate information, conduct necessary tests if needed, and help address any psychological concerns you may have regarding HIV transmission.

In summary, while it is natural to feel concerned about potential exposure to HIV, the specific scenario you described presents a very low risk of infection. Understanding the modes of transmission and following proper hygiene practices can help alleviate concerns and ensure safety in medical testing situations. If you have further questions or health concerns, seeking advice from a healthcare provider is always a good step.

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