Can a Drawer Cut Lead to Skin Infections? Expert Insights - Dermatology

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Laceration on the thigh skin caused by a wooden drawer?


Hello Dr.
Wu: Recently, I was helping a friend move, and while moving a wooden cabinet, I accidentally cut my right thigh on the sharp edge of a drawer.
There is a noticeable red cut mark, and I feel a little bit of bleeding, but not much.
Since I'm unsure about the cleanliness of the cabinet, I would like to ask Dr.
Wu the following questions: 1.
Is there a possibility of bacterial or viral infections (such as HIV, HPV, and syphilis) from this injury? 2.
Is it possible to contract HIV, HPV, or syphilis through this method (cutting my right thigh on the sharp edge of the drawer with slight bleeding)? 3.
Have there been any documented cases of HIV, HPV, or syphilis infections occurring through this type of injury (cutting my right thigh on the sharp edge of the drawer with slight bleeding)? Thank you for your response, Dr.
Wu.

Niming, 20~29 year old female. Ask Date: 2015/05/08

Dr. Wu Yuxin reply Dermatology


Bacterial infections are possible, but HPV, syphilis, and HIV are not.

Reply Date: 2015/05/08

More Info


In response to your question regarding the potential for infections from a cut caused by a drawer, let's break down the concerns about bacterial and viral infections, including HIV, HPV, and syphilis.

1. Risk of Infection from a Cut: When you sustain a cut, especially one that causes bleeding, there is always a risk of bacterial infection. The skin acts as a barrier to pathogens, and any break in this barrier can allow bacteria from the environment to enter the body. Common bacteria that can cause infections include Staphylococcus aureus and Streptococcus species. If the cut is not properly cleaned and cared for, it can lead to an infection characterized by redness, swelling, warmth, and pus.

2. Viral Infections (HIV, HPV, Syphilis): The risk of contracting HIV from a cut caused by an object like a wooden drawer is extremely low. HIV is primarily transmitted through direct contact with infected bodily fluids, such as blood, semen, vaginal fluids, or breast milk. For HIV to be transmitted through a cut, the cut would need to come into contact with a significant amount of infected blood, which is unlikely in this scenario unless the drawer had visible blood from an HIV-positive individual.
- HPV (Human Papillomavirus): HPV is typically transmitted through direct skin-to-skin contact, particularly during sexual activity. While there are many strains of HPV, the likelihood of contracting it through a cut from a non-sexual object like a drawer is very low. HPV does not survive long outside the human body, and transmission usually requires direct contact with infected skin or mucous membranes.

- Syphilis: Similar to HPV, syphilis is transmitted through direct contact with syphilis sores or lesions. The risk of contracting syphilis from a cut caused by a drawer is minimal unless the cut comes into contact with an active syphilis sore, which is highly unlikely in this context.

3. Cases of Infection through Similar Incidents: While there are documented cases of infections resulting from cuts and abrasions, these are typically bacterial infections rather than viral ones like HIV, HPV, or syphilis. The transmission of these viruses through non-sexual means, such as cuts from inanimate objects, is exceedingly rare. Most cases of HIV transmission occur through sexual contact, sharing needles, or from mother to child during childbirth or breastfeeding.

In conclusion, while there is a risk of bacterial infection from a cut, the risk of contracting HIV, HPV, or syphilis from a cut caused by a wooden drawer is extremely low. It is essential to clean the wound properly with soap and water, apply an antiseptic, and cover it with a sterile bandage to prevent bacterial infections. If you notice any signs of infection, such as increased redness, swelling, or pus, or if you have any concerns about potential exposure to viruses, it is advisable to consult a healthcare professional for further evaluation and management.

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