Can You Contract HIV from Blood or Saliva Contact Without Open Wounds? - Internal Medicine

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HIV infection


Hello doctor, I have bruising on my hand but no external injury.
If I come into contact with a cup containing the blood of an HIV-positive patient or saliva, can I contract HIV?

KOKO, 30~39 year old female. Ask Date: 2022/10/22

Dr. Hong Yuanbin reply Internal Medicine


Hello, the situation you mentioned does not lead to contracting HIV.
Thank you for your question.

Reply Date: 2022/10/22

More Info


To address your question about the risk of contracting HIV from contact with blood or saliva without open wounds, it's essential to understand how HIV is transmitted and the conditions under which it can infect a person.

HIV (Human Immunodeficiency Virus) is primarily transmitted through specific bodily fluids, including blood, semen, vaginal fluids, rectal fluids, and breast milk. The virus is not transmitted through saliva, sweat, urine, or tears, which is a crucial point to note. This means that casual contact, such as touching or sharing utensils, does not pose a risk of HIV transmission.

When it comes to blood, the situation is different. HIV is a fragile virus that cannot survive long outside the human body. Once exposed to air, the virus begins to lose its infectivity within minutes. Therefore, for transmission to occur, there typically needs to be a direct exchange of blood or other high-risk fluids in a manner that allows the virus to enter the bloodstream. This usually happens through activities such as unprotected sexual intercourse, sharing needles, or through transfusions with contaminated blood.

In your specific scenario, if you have bruising on your hand but no open wounds, the risk of contracting HIV from touching a cup that has been in contact with the blood of an HIV-positive person is extremely low. The bruising itself does not constitute an open wound that would allow the virus to enter your bloodstream. Moreover, if the blood has been exposed to air, the likelihood of the virus being viable is significantly reduced.

However, if there were an open wound on your hand, the risk assessment would change. Open wounds can provide a direct entry point for the virus if they come into contact with fresh, HIV-infected blood. In such cases, the risk of transmission would depend on several factors, including the amount of blood, the viral load of the HIV-positive individual, and the nature of the contact.

It's also important to consider the context of the exposure. For example, if you were to have a significant amount of fresh blood from an HIV-positive person enter an open wound, the risk would be higher compared to incidental contact with dried blood or blood that has been exposed to the environment for some time.

In summary, while the risk of contracting HIV from contact with blood or saliva without open wounds is very low, it is not entirely zero, especially if there are open wounds involved. If you ever find yourself in a situation where you are concerned about potential exposure to HIV, it is advisable to consult a healthcare professional for personalized advice and, if necessary, testing. Regular testing and awareness of your own and your partner's HIV status are key components of prevention and maintaining sexual health.

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