Can You Contract HIV from Shared Bowling Balls and Open Wounds? - Internal Medicine

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HIV can be transmitted through direct contact with the blood of an infected person, especially if there are open wounds?


On June 13, I went bowling with friends, and the balls were shared.
There were many people using the same lane, including strangers, and there were very few balls available, so most of us ended up using the same one.
While bowling, I threw the ball with too much force, causing a large piece of flesh at the edge of my thumbnail to be torn off, resulting in significant bleeding.
Prior to this (less than a minute earlier), two strangers from another group also bled while using the same ball.
At that moment, I didn't think much of it and just wiped my finger with tissue and water before continuing to bowl.
Later, I noticed some bloodstains on the bowling ball, but I wasn't sure whose blood it was.
My finger continued to bleed, and no one had bandaged their injuries at the time.
After returning home, I was worried about the possibility of infection, particularly regarding HIV, due to my open wound bleeding and coming into contact with the blood.

Yunyun, 20~29 year old female. Ask Date: 2023/06/14

Dr. Liao Zhongxin reply Internal Medicine


1.
The HIV virus generally dies outside the human body within ten minutes and no longer poses a risk of transmission.
2.
If you have further questions, you can visit a nearby medical facility for additional consultation and testing.

Reply Date: 2023/06/14

More Info


The concern about contracting HIV from shared bowling balls, especially when there are open wounds involved, is understandable but largely unfounded based on current medical knowledge. HIV (Human Immunodeficiency Virus) is primarily transmitted through specific bodily fluids such as blood, semen, vaginal fluids, and breast milk. The virus requires a certain set of conditions to be transmitted effectively.

Firstly, it is important to note that HIV does not survive long outside the human body. Once exposed to air, the virus begins to die rapidly, typically within minutes. This means that any blood that may have been on the bowling ball from another person would likely not be infectious by the time you came into contact with it, especially if it had been exposed to air for any significant amount of time.

In your scenario, you mentioned that you had an open wound on your thumb that was bleeding, and that you had used the same bowling ball as others who were also bleeding. While it is theoretically possible for HIV to be transmitted through direct blood-to-blood contact, the likelihood of this happening in a bowling alley setting is extremely low. For transmission to occur, several factors must align: the presence of a sufficient quantity of the virus, a fresh source of blood, and direct access to your bloodstream through an open wound.

Moreover, the nature of the injuries you described—minor cuts and scrapes—would not typically provide a sufficient entry point for the virus, especially if the blood you came into contact with was not fresh or abundant. The Centers for Disease Control and Prevention (CDC) states that HIV transmission is most likely to occur through activities such as unprotected sexual intercourse, sharing needles, or from mother to child during childbirth or breastfeeding.

In the context of sports like bowling or basketball, while there may be instances of minor injuries, documented cases of HIV transmission through such activities are exceedingly rare. Most health professionals agree that casual contact, even with minor injuries, does not pose a significant risk for HIV transmission.
If you are still concerned about potential exposure, it is advisable to consult with a healthcare professional. They can provide personalized advice and, if necessary, recommend testing for HIV and other sexually transmitted infections (STIs) based on your specific circumstances. Regular testing and practicing safe behaviors are the best ways to manage your health and reduce anxiety about potential infections.

In conclusion, while your concern about the possibility of contracting HIV from shared bowling balls and open wounds is understandable, the actual risk is very low. HIV does not survive well outside the body, and the conditions necessary for transmission are unlikely to be met in a bowling alley setting. If you have ongoing concerns, seeking medical advice is always a good step for peace of mind and health management.

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