Risk of HIV and STIs from Basketball Injuries: What You Need to Know - Dermatology

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Cut or laceration from playing basketball?


Dear Dr.
Wu,
Today, I played basketball and my right index finger was scratched by the opponent's watch or nail (I'm not sure which).
It resulted in a small bleeding wound (approximately 0.1 cm).
Since I am unaware of the opponent's background and whether they had any bleeding wounds or bodily fluids on their hands, I would like to ask you:
1.
Based on the described scenario, do I have a risk of contracting HIV or STDs (HPV, syphilis)?
2.
Up to now, have there been any reported cases in Taiwan of individuals contracting STDs (HIV, HPV, syphilis) through basketball-related activities?
Thank you for your response.

Danxin, 30~39 year old female. Ask Date: 2015/05/16

Dr. Wu Yuxin reply Dermatology


1.
It should not happen.
2.
I have not heard of it.

Reply Date: 2015/05/16

More Info


When it comes to the risk of HIV and other sexually transmitted infections (STIs) from injuries sustained while playing basketball, it is important to understand the transmission routes of these viruses and the specific circumstances surrounding your injury.

1. Risk of Infection from the Injury: The primary mode of HIV transmission is through direct contact with infected bodily fluids, such as blood, semen, vaginal fluids, and breast milk. For HIV to be transmitted, several conditions must be met: the virus must be present in sufficient quantities, there must be a direct route into the bloodstream (such as through an open wound), and the virus must remain viable outside the body.
In your case, you mentioned that you sustained a small cut (approximately 0.1 cm) on your finger during a basketball game. If the injury was caused by contact with another player's skin or a non-sharp object (like a watch or fingernail), the risk of HIV transmission is extremely low. The likelihood of contracting HIV from a small cut that has not come into direct contact with another person's blood is minimal. Moreover, HIV does not survive long outside the human body; it typically becomes inactive within minutes once exposed to air. Therefore, unless you had direct blood-to-blood contact with an infected individual, the risk remains very low.

As for other STIs such as HPV (human papillomavirus) and syphilis, these are primarily transmitted through sexual contact rather than through casual contact or injuries. While there are rare cases where STIs can be transmitted through blood, the scenarios usually involve significant exposure to infected blood, which is not typical in sports injuries.

2. Historical Cases in Taiwan: Regarding your second question about whether there have been documented cases of HIV or STIs being transmitted through basketball injuries in Taiwan, there is no substantial evidence or documented cases in the medical literature that support this. Most cases of HIV transmission are associated with high-risk behaviors such as unprotected sexual intercourse, sharing needles, or from mother to child during childbirth or breastfeeding. Sports-related injuries, while they can lead to bleeding, do not typically result in the transmission of HIV or STIs.

In summary, while it is natural to feel concerned after sustaining an injury, the risk of contracting HIV or STIs from a basketball injury is very low, particularly if there was no direct blood contact with an infected individual. If you continue to feel anxious about your risk, it may be beneficial to consult with a healthcare professional who can provide further reassurance and, if necessary, conduct testing for peace of mind. Regular health check-ups and practicing safe behaviors are key to maintaining your overall health and well-being.

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