HIV transmission (doorknob)
If an HIV-positive individual opened a door and there was HIV-contaminated blood on the doorknob, and then I subsequently touched the doorknob with my hand that has an open wound, there is a potential risk of HIV transmission.
However, the risk of transmission in this scenario is considered to be very low.
HIV does not survive long outside the human body, and the likelihood of infection through casual contact with contaminated surfaces is minimal.
It is important to clean the wound and seek medical advice for further evaluation and potential post-exposure prophylaxis (PEP) if there is a significant concern.
Luo Yishun, 20~29 year old female. Ask Date: 2023/08/16
Dr. Liao Zhongxin reply Internal Medicine
According to the data from the Centers for Disease Control (CDC), 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 the risk of infection.
B.
Blood transmission: (1) Receiving or coming into contact with HIV-contaminated blood or blood products.
(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.
There are two perspectives on the latency period after HIV infection: A.
It is suggested that symptoms resembling a cold may appear approximately 2-6 weeks after infection.
B.
The period from HIV infection to the onset of clinical symptoms is generally 5-10 years (currently referred to as the asymptomatic phase or subclinical phase).
However, as mentioned earlier, the progression of HIV infection can vary significantly.
During the window period or latency period, many patients may be asymptomatic, which can lead to continued engagement in high-risk behaviors, thus creating gaps in HIV prevention and control efforts.
Reply Date: 2023/08/16
More Info
The concern about the transmission of HIV through contact with blood on a door handle is understandable, especially given the stigma and fear surrounding HIV. However, based on current medical knowledge and guidelines from health authorities such as the Centers for Disease Control and Prevention (CDC), the risk of contracting HIV in the scenario you described is extremely low.
HIV is primarily transmitted through three main routes: sexual contact, exposure to infected blood, and from mother to child during childbirth or breastfeeding. For transmission to occur through blood, certain conditions must be met:
1. Presence of Infectious Blood: The blood must come from a person who is HIV positive and has a viral load that is high enough to transmit the virus. Many individuals living with HIV who are on effective antiretroviral therapy (ART) can achieve an undetectable viral load, meaning they cannot transmit the virus to others.
2. Route of Exposure: HIV is not easily transmitted through casual contact. The virus is sensitive to environmental conditions and does not survive long outside the human body. Once exposed to air, HIV in blood quickly becomes inactive. Studies show that HIV cannot survive for more than a few minutes outside the body, and it is unlikely to remain infectious on surfaces like door handles.
3. Open Wounds: While having an open wound does increase the risk of infection from bloodborne pathogens, the likelihood of contracting HIV from a brief contact with blood on a surface is very low. For HIV to be transmitted through a wound, the blood would need to be fresh and in sufficient quantity, and the exposure would need to be direct and prolonged.
In your scenario, even if the door handle had blood from an HIV-positive individual, the risk of transmission through a brief contact with a wound is minimal. The CDC states that casual contact, such as touching surfaces or objects that may have been contaminated with blood, does not pose a risk for HIV transmission.
Additionally, it is important to consider the time factor. If the blood had been on the door handle for any significant amount of time, the likelihood of the virus remaining viable decreases further.
If you are still concerned about potential exposure to HIV or any other bloodborne pathogens, it is advisable to consult a healthcare professional. They can provide guidance on testing and any necessary precautions you should take. Regular testing for HIV and other sexually transmitted infections (STIs) is a good practice, especially if you have concerns about exposure.
In summary, while it is always wise to be cautious about potential exposure to blood, the specific scenario you described does not present a significant risk for HIV transmission. Maintaining good hygiene practices, such as washing your hands after touching potentially contaminated surfaces, is always recommended.
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