Infection Risks from Injections: Subcutaneous vs. Intramuscular - Internal Medicine

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Infection issues?


When receiving an injection, if I did not pay attention to whether the needle was new, and considering that I am not in Taiwan where the equipment is reusable, the injection was administered subcutaneously or intramuscularly.
1.
What is the risk of infection for subcutaneous or intramuscular injections? Thank you, doctor.
I am really worried.

Danxin de ren, 20~29 year old female. Ask Date: 2022/02/23

Dr. Liao Zhongxin reply Internal Medicine


1.
According to data from the Centers for Disease Control, there are three main routes of HIV transmission: A.
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.
B.
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-infected and use injectable drugs.
(3) Receiving an organ transplant from an HIV-infected donor.
C.
Vertical transmission from mother to child: Infants can acquire HIV from their infected mothers during pregnancy, childbirth, or breastfeeding.
2.
Using non-sterilized needles can not only transmit HIV but also potentially lead to syphilis and hepatitis B/C.
If there are concerns, individuals can visit nearby medical facilities that offer testing and consultation for these diseases.

Reply Date: 2022/02/23

More Info


When it comes to understanding the infection risks associated with injections, whether subcutaneous or intramuscular, it is essential to consider several factors, including the type of injection, the sterility of the equipment used, and the overall health status of the patient.

1. Infection Risks from Subcutaneous and Intramuscular Injections: Both subcutaneous (under the skin) and intramuscular (into the muscle) injections carry a risk of infection, but this risk is generally low when proper sterile techniques are followed. The skin acts as a barrier to infection, and when a needle punctures the skin, there is a potential pathway for bacteria to enter the body. However, the risk of developing a serious infection from a single injection is minimal, especially if the injection is performed in a controlled environment, such as a clinic or hospital, where hygiene protocols are strictly adhered to.

2. Use of Sterile Equipment: The use of sterile, single-use needles and syringes is crucial in preventing infections. If you are in a setting where reusable needles are used, there is a higher risk of cross-contamination, especially if the needle has been used on another patient. This is particularly concerning if the previous patient had a bloodborne infection, such as hepatitis B, hepatitis C, or HIV. However, in most medical settings, especially in developed countries, the use of single-use needles is standard practice to minimize these risks.

3. Your Concerns About Injection Safety: If you are worried about whether a new needle was used during your injection, it is important to communicate your concerns with the healthcare provider. They should be able to reassure you about the protocols they follow regarding the use of sterile equipment. If you suspect that a reused needle was used, it is advisable to consult a healthcare professional for further evaluation and possibly testing for bloodborne pathogens, especially if you notice any signs of infection at the injection site, such as redness, swelling, or discharge.

4. Infection Probability: The probability of contracting an infection from a single injection, assuming sterile techniques are followed, is very low. Most studies indicate that the risk of infection from a properly administered injection is less than 1%. However, if there are breaches in protocol, such as using non-sterile equipment or improper handling of the injection site, the risk can increase.

5. Post-Injection Care: After receiving an injection, it is essential to monitor the injection site for any signs of infection. This includes looking for increased redness, swelling, warmth, or pus. If you experience any of these symptoms, seek medical attention promptly. Additionally, maintaining good hygiene, such as washing your hands before and after touching the injection site, can help reduce the risk of infection.

6. Conclusion: While the risk of infection from subcutaneous or intramuscular injections is generally low, it is crucial to ensure that sterile techniques are followed. If you have concerns about the safety of your injection, do not hesitate to reach out to your healthcare provider for clarification and reassurance. They can provide you with the necessary information and support to address your worries effectively. Remember, maintaining open communication with your healthcare team is key to ensuring your safety and well-being during medical procedures.

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