Can You Get HIV from a Needle Stick? the Risks - Internal Medicine

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Thank you, doctor?


A few years ago, I was accidentally pricked in the foot by an unknown syringe.
Is there a risk of contracting HIV? What happens if the needle didn't penetrate deeply?

Mr. Lin, 10~19 year old female. Ask Date: 2016/01/03

Dr. Liao Zhongxin reply Internal Medicine


Dear readers, regarding the needle stick injury, the following recommendations are suggested: 1.
First, visit a nearby medical facility to assess the risk and receive health education.
2.
If the risk level is higher, you should regularly return to the medical facility for blood tests and follow-up.
3.
Another inquiry option is the 1922 hotline.
Thank you!

Reply Date: 2016/01/03

More Info


When it comes to the risk of HIV transmission from a needle stick injury, it's important to understand several factors that influence the likelihood of infection. In your case, being pricked by a needle that was not inserted deeply into the skin does reduce the risk, but there are still some considerations to keep in mind.

1. Source of the Needle: The most critical factor in assessing the risk of HIV transmission is whether the needle was contaminated with HIV-positive blood. If the needle was used by someone who is HIV-positive, the risk of transmission increases significantly. However, if the needle was not used or was used by someone who is HIV-negative, the risk is negligible.

2. Depth of the Injury: You mentioned that the needle did not penetrate deeply. Generally, shallow punctures are less likely to result in significant exposure to blood. The deeper the puncture, the more likely it is that blood could enter the bloodstream. However, even shallow punctures can pose a risk if they are contaminated with infected blood.

3. Time Since Exposure: HIV does not survive long outside the human body. The virus is most viable in fresh blood, and its ability to infect decreases significantly as time passes. If the needle was exposed to air for a period before it pricked you, the risk of HIV transmission would be further reduced.

4. Immediate Care: If you were pricked by a needle, it is advisable to wash the area with soap and water immediately. This can help reduce the risk of infection. If you have concerns about potential exposure to HIV or other bloodborne pathogens, seeking medical advice promptly is crucial. Healthcare providers can offer post-exposure prophylaxis (PEP) if the exposure is deemed significant.

5. Testing and Monitoring: If you are concerned about the possibility of HIV infection, it is recommended to get tested. The standard testing window for HIV is typically around 4 to 12 weeks after potential exposure, depending on the type of test used. Rapid tests and HIV RNA tests (like RT-PCR) can detect the virus sooner, usually within 10 to 14 days after exposure.

In summary, while the risk of contracting HIV from a needle stick injury is generally low, especially if the needle was not deeply inserted and if the source is unknown, it is always best to err on the side of caution. If you have any lingering concerns or symptoms, consulting with a healthcare professional for testing and further advice is the best course of action. They can provide you with the most accurate information based on your specific circumstances and help alleviate any anxiety you may have regarding this incident.

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