Infection Risks in Daily Life: A Guide for Family Medicine - Family Medicine

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Infection issues


1.
If I have a wound on my hand and the other person also has a bleeding wound, and their blood comes into contact with coins or paper bills, can I get infected if my wound touches the wet blood or if I directly touch their bleeding wound?
2.
If I haven't washed my hands or if my nails are too long and there are viruses present, and then I rub my eyes, pick my nose, touch the inside of my mouth, squeeze pimples, scratch myself, or touch my private areas and anus, is there a risk of infection?
3.
If I come into contact with wet blood that may contain viruses, can washing my hands with plain water remove the virus? How long should I wash my hands?

Z, 20~29 year old female. Ask Date: 2022/10/15

Dr. Ye Qianyu reply Family Medicine


Hello, the hypothetical situation mentioned has a very low chance of causing infection.
You may consider wearing gloves, and if you have concerns, you can go to a designated facility for anonymous testing.
General contact is unlikely to cause transmission, and regular handwashing is sufficient.

Reply Date: 2022/10/15

More Info


In addressing your concerns about potential infection risks in daily life, particularly regarding HIV and other bloodborne pathogens, it’s crucial to understand the transmission routes and preventive measures.
1. Infection Risk from Blood Exposure: If you have an open wound on your hand and come into contact with another person's blood (especially if they are HIV positive), there is a risk of transmission. HIV is primarily transmitted through direct contact with infected bodily fluids, including blood. If you touch a surface (like coins or paper money) that has been contaminated with blood and then touch your open wound, there is a potential risk of infection. However, the risk of HIV transmission through casual contact, such as touching surfaces, is significantly lower compared to direct blood-to-blood contact. If both you and the other person have bleeding wounds and there is direct contact between those wounds, the risk of transmission increases. It’s essential to clean any wounds immediately and seek medical advice if you suspect exposure to HIV or other pathogens.

2. Risk of Infection through Mucous Membranes: If your hands are not washed and you have long nails, touching your eyes, nose, mouth, or any mucous membranes can potentially lead to infection. This is particularly concerning if there are pathogens present on your hands. The mucous membranes are entry points for viruses and bacteria, including HIV, although HIV is less likely to be transmitted this way compared to direct blood exposure. It’s advisable to maintain good hygiene practices, including regular hand washing, especially before touching your face or any sensitive areas of your body.

3. Washing Off Contaminants: If you come into contact with blood that may contain viruses, washing your hands with soap and water is the best immediate action. Rinse your hands thoroughly under running water for at least 20 seconds, ensuring that you scrub all areas, including between your fingers and under your nails. If soap and water are not available, using an alcohol-based hand sanitizer can be effective, but it’s not a substitute for washing with soap and water when hands are visibly dirty or contaminated with blood.
In summary, while the risk of HIV transmission in everyday situations is relatively low, it is not zero, especially in scenarios involving blood exposure. Practicing good hygiene, such as frequent hand washing and avoiding touching your face with unwashed hands, is crucial in minimizing the risk of infection. If you have concerns about potential exposure to HIV or other infections, consider consulting a healthcare professional for personalized advice and possible testing.

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