Can You Get HIV from a Cut Exposed to Infected Blood? - Internal Medicine

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Injury caused by HIV exposure?


If your hand, which has been cut and is bleeding, comes into contact with HIV-infected blood or bodily fluids, there is a potential risk of HIV transmission.
However, the risk of infection through a cut or open wound is generally considered to be lower compared to other routes of exposure, such as unprotected sexual contact or sharing needles.
It is important to seek medical advice and consider post-exposure prophylaxis (PEP) if there is a significant risk of exposure.

cc, 20~29 year old female. Ask Date: 2023/08/03

Dr. Liao Zhongxin reply Internal Medicine


1.
First, it is essential to confirm whether the individual is an infected person.

2.
Infected individuals are often on medication, so it is important to inquire about their adherence to the treatment regimen.

3.
For those on medication, check if their viral load has been reduced to undetectable levels.

4.
If there are still concerns, it is advisable to consult a healthcare facility for further evaluation and testing.

Reply Date: 2023/08/03

More Info


The question of whether you can contract HIV from a cut that has been exposed to infected blood is a significant concern for many individuals. Understanding the transmission dynamics of HIV is crucial for assessing risk in such scenarios.

HIV (Human Immunodeficiency Virus) is primarily transmitted through specific bodily fluids, including blood, semen, vaginal fluids, rectal fluids, and breast milk. The virus is particularly fragile outside the human body and does not survive long once exposed to air. When blood containing HIV dries, the virus becomes inactive and is no longer capable of causing infection. Therefore, if the blood has dried before coming into contact with a cut or open wound, the risk of transmission is extremely low.

In the case of a fresh cut or open wound that comes into contact with fresh, infected blood, the risk of HIV transmission does exist. The likelihood of infection depends on several factors, including the amount of blood involved, the viral load of the infected individual, and the depth and severity of the cut. A small scratch that has minimal exposure to infected blood poses a significantly lower risk compared to a deep wound that has substantial contact with a larger volume of infected blood.

To elaborate further, the Centers for Disease Control and Prevention (CDC) states that HIV transmission through non-sexual means, such as cuts or abrasions, is rare but possible. For instance, sharing needles or syringes is a well-documented route of transmission because it involves direct exposure to blood. However, casual contact with surfaces or objects that may have been contaminated with blood (like a handrail in a public restroom) is not a recognized risk factor for HIV transmission.

In your specific scenario, if your skin was scratched and came into contact with fresh blood from an HIV-positive individual, there is a theoretical risk of transmission. However, if the blood was dry or if the exposure was minimal, the risk is significantly reduced. It is also important to note that HIV is not transmitted through casual contact, and the virus does not survive long outside the human body.

If you have concerns about potential exposure to HIV, it is advisable to consult a healthcare professional. They may recommend testing for HIV and other sexually transmitted infections (STIs) based on your risk factors and the nature of the exposure. Early testing and intervention can provide peace of mind and ensure that any necessary preventive measures are taken.

In summary, while there is a potential risk of HIV transmission from a cut exposed to infected blood, the actual risk is influenced by several factors, including the state of the blood (fresh vs. dried), the amount of blood, and the nature of the wound. If you are ever in doubt or feel you may have been exposed to HIV, seeking medical advice is the best course of action.

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