Assessing Infection Risks from Acupuncture: What You Need to Know
Infection risk Hello, Doctor. During my previous visit to an acupuncture clinic, I noticed that there was blood left on the acupuncture table from the previous patient. I thoroughly cleaned the entire table with a 75% alcohol wipe, but I forgot to wash my hands before lying down ...
Dr. Lin Wufu Reply:
Hello, the vast majority of viruses die shortly after leaving the human body, and they will also die immediately upon contact with alcohol. Therefore, it is highly unlikely to contract any diseases from blood stains left by a previous patient. Additionally, touching small acupunc...[Read More] Assessing Infection Risks from Acupuncture: What You Need to Know
Understanding Hepatitis B Test Results: Window Period and Vaccination Advice
Regarding the test values related to hepatitis B..? Due to engaging in risky behavior and concerns about infection, I had blood tests for Hepatitis B and C. The HBsAg value was 0.11 (Negative) and the HBsAb value was 11.3 mIU/mL. I was tested approximately 5 weeks after the incid...
Dr. Xie Rongyuan Reply:
Hello: According to the test results, since antibodies are already present, there is no need for vaccination. An HBsAb level of <10 IU/L is considered negative, while >=10 IU/L is considered positive. Thank you for your message![Read More] Understanding Hepatitis B Test Results: Window Period and Vaccination Advice
Assessing Hepatitis B and C Risks for Dental Assistants: Key Insights
Dental assistant needle stick At the end of May 2024, the patient reported a history of hepatitis B or C but is unsure of the stage. The health check report from July 2022 showed positive Anti-HBs and negative HBs Ag. What is the likelihood of hepatitis B infection? Is it necessa...
Dr. Liao Zhongxin Reply:
1. If HBsAb is positive and the titer is sufficiently high (>100 IU), there should be no concern about hepatitis B infection. 2. As a healthcare worker who has experienced a needlestick injury, you can seek consultation and follow-up testing at any medical facility, which wi...[Read More] Assessing Hepatitis B and C Risks for Dental Assistants: Key Insights
Can You Drink Alcohol While Taking BikTarVy for PEP Treatment?
Post-Exposure Prophylaxis (PEP) Hello doctor, today I went to Mackay Memorial Hospital for PEP treatment, and the doctor prescribed me BikTarVy (bictegravir/emtricitabine/tenofovir alafenamide). Can I drink alcohol while taking this medication? If so, how long should I wait after...
Dr. Liao Zhongxin Reply:
1. First, regarding the precautions for using Loxone (Tadalafil): When using Loxone film-coated tablets, please adhere to the following precautions and medication recommendations: - Follow the physician's prescription: Before using Loxone film-coated tablets, obtain an ...[Read More] Can You Drink Alcohol While Taking BikTarVy for PEP Treatment?
Understanding RA Factor Changes and Related Health Concerns
Rheumatoid Arthritis - Inquiry about Rheumatoid Factor and Other Related Data? Hello, Doctor Gao. I apologize for the lengthy message. Here are my health examination data from three tests conducted at the same laboratory: - Date: 2023/11/11, 2024/6/15, (2024/4/30) - ALT/SGPT (L...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1. I underwent tests related to immune system diseases at a regional hospital in December 2023, and my rheumatoid arthritis (RA) factor was less than 5 at that time. Additionally, the measurement taken on April 30, 2024,...[Read More] Understanding RA Factor Changes and Related Health Concerns
Risk of Bloodborne Infection During Routine Blood Draws in Pregnancy
Blood infection During a prenatal check-up, blood was drawn, and immediately after the previous pregnant woman had her blood drawn, I was called to sit down. As I sat down, I noticed an alcohol swab on the table that was contaminated with blood from the previous patient. The nurs...
Dr. Liao Zhongxin Reply:
1. The HIV virus dies within ten minutes after leaving the human body, and its survival rate is even lower in the presence of alcohol-based disinfectants. 2. The primary viruses that can be transmitted through needles are Hepatitis B, Hepatitis C, and HIV; however, transmission...[Read More] Risk of Bloodborne Infection During Routine Blood Draws in Pregnancy
Concerns About HIV and Hepatitis Risks from Blood Draw Practices
Concerns about HIV infection? Hello Dr. Lin, this week when I went to a small clinic for the adult health check organized by the National Health Administration, the nurse used a brand new, unopened needle for the blood draw, but it seemed that the syringe was not brand new and un...
Dr. Lin Wufu Reply:
Hello, what you are seeing is likely not a syringe, but rather the casing used for a fixed needle. During blood draw, the blood is directly drawn into a vacuum blood collection tube, so a syringe is not needed. Additionally, the casing for the fixed needle does not come into cont...[Read More] Concerns About HIV and Hepatitis Risks from Blood Draw Practices
Understanding Infection Risks After a Haircut: HIV and Other Concerns
Infection issues Hello, I apologize for the previous question. I would like to ask again: on March 24, I got a haircut and was accidentally cut on the neck, causing a small piece of skin to bleed. There is dried black blood around it. Am I at risk of contracting HIV? If the perso...
Dr. Liao Zhongxin Reply:
It can be said yes, but it can also be said no; to transmit bloodborne diseases (including HIV and hepatitis B/C), aside from direct contact like sharing needles among drug users, the risk of transmission through other wound exposure is relatively low. If you are concerned, you m...[Read More] Understanding Infection Risks After a Haircut: HIV and Other Concerns
Can You Get Infected from Contact with Family Member's Blood?
Regarding contact with another person's blood? Hello Dr. Lin, my family member needs to check their blood sugar, but they cannot operate the device and cannot see, so I assist them. Today, my family member bled more than usual, and when I was about to discard the test strip,...
Dr. Lin Wufu Reply:
Hello, there are many diseases that can be transmitted through exposure to blood and bodily fluids. The ones that are usually of particular concern are HIV, syphilis, hepatitis B, and hepatitis C. It would be advisable to first check if any of your family members have a history o...[Read More] Can You Get Infected from Contact with Family Member's Blood?
Blood Draw Infection Risks: Understanding Safety Protocols in Clinics
Blood draw infection issues? Hello, doctor: (1) Last month, I went to a private laboratory for a blood test. Normally, the procedure is to draw blood first and then pay, but that day I paid first before the blood draw. The technician counted out change for me using seven one-hund...
Dr. Liao Zhongxin Reply:
First, it is important to note that the HIV virus can only survive outside the human body for about 10 minutes. Therefore, unless the other person is covered in fresh blood and is in direct contact with your open wound, the risk of infection is very low. If you still have concern...[Read More] Blood Draw Infection Risks: Understanding Safety Protocols in Clinics
Understanding Blood Test Results: Interpreting Anti-HBc and HCV Ab Findings
Blood Test Report Doctor, I have a question. Because a family member has herpes zoster and needs to get an injection, I had blood drawn at National Cheng Kung University. Is it normal for the blood test report to show the following results? Anti-HBc test result: Repeatedly reacti...
Dr. Zhang Shixin Reply:
Hello: A negative HBsAg combined with a positive Anti-HBc may indicate a past infection with the hepatitis B virus; a positive HCV Ab indicates a hepatitis C infection. This preliminary interpretation of the blood test results regarding hepatitis B and C is suggested to be discus...[Read More] Understanding Blood Test Results: Interpreting Anti-HBc and HCV Ab Findings
Understanding Hepatitis B and C: Symptoms, Risks, and Diagnosis
Report issues? If someone has never had hepatitis B, does that mean they have definitely not been infected? What are the symptoms of hepatitis C, how can one contract it, and how can it be confirmed as hepatitis C? What should one pay attention to? Thank you.
Dr. Zhang Shixin Reply:
Hello: For issues related to hepatitis, please consult the outpatient clinic that ordered the tests or the gastroenterology and hepatology department. Thank you![Read More] Understanding Hepatitis B and C: Symptoms, Risks, and Diagnosis
Post-Exposure Prophylaxis for STIs: Key Questions and Dietary Guidelines
Post-Exposure Prophylaxis (PEP) for Sexually Transmitted Infections (STIs) Hello Doctor, I would like to ask about my situation. I had unprotected vaginal intercourse with an unfamiliar woman (without a condom and with ejaculation) and took PEP medication 25 hours later. I also h...
Dr. Liao Zhongxin Reply:
1. There are no dietary restrictions while using the guitar vein; it can be used at any time or not used at all. 2. The protective effect of the hepatitis B vaccine diminishes over time; if you are required to work in a healthcare facility, it is recommended that you get tested...[Read More] Post-Exposure Prophylaxis for STIs: Key Questions and Dietary Guidelines
Can I Use Biologics for Psoriatic Arthritis with Reactive HBc IgG?
Hello, doctor. I would like to inquire about the use of biologics for psoriatic arthritis? Hello, doctor. I have psoriatic arthritis, and one out of three doctors has applied for a biologic agent for me (currently under review). However, one of my blood test results shows HBc IgG...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. A positive HBc-IgG indicates that you have had a past infection and may still have latent hepatitis B virus. You can still use biologics, but it is important to regularly monitor the hepatitis B virus load to check for any reactivation during tr...[Read More] Can I Use Biologics for Psoriatic Arthritis with Reactive HBc IgG?
Persistent Positive COVID-19 Test: What You Need to Know
Persistent positivity after COVID-19 diagnosis? Hello Doctor: I tested positive on November 9 and started taking molnupiravir, completing a five-day course. After that, the second line on the test strip became faint, but the next day it started to darken again. As of today, Novem...
Dr. Cai Mingsong Reply:
Patients with complications from COVID-19 require isolation. It is recommended to wear a mask and monitor for any worsening symptoms. You may discuss with your original physician, and if you experience any discomfort or have questions, please consult the infectious disease outpat...[Read More] Persistent Positive COVID-19 Test: What You Need to Know
Managing Ascites: Navigating Kidney and Liver Issues in Advanced Disease
It is unclear whether the ascites is caused by kidney issues or liver problems. How can this be addressed? I have hepatitis B, cirrhosis, and liver cancer. Targeted therapy was interrupted due to side effects, and the hospital suddenly informed us that I am now in the late stage ...
Dr. Yan Qitai Reply:
Considering your condition, it is recommended to continue follow-up visits and treatment with the Gastroenterology and Hepatology Department as well as the Nephrology Department. The physician will provide appropriate medical advice based on your condition during each visit. Depa...[Read More] Managing Ascites: Navigating Kidney and Liver Issues in Advanced Disease
Assessing Infection Risks from Accidental Blood Exposure in Healthcare
Infection risk Hello, doctor. Recently, during my internship at the hospital, someone left an alcohol swab contaminated with a patient's blood on the table. While I was reaching for gloves, my finger accidentally touched it. I have a habit of picking at my thumb, so I'm...
Dr. Liao Zhongxin Reply:
According to the data from the Centers for Disease Control (CDC), there are three main routes of transmission for the Human Immunodeficiency Virus (HIV): A. Sexual transmission: Engaging in oral, anal, or vaginal intercourse or other exchanges of bodily fluids with an HIV-infecte...[Read More] Assessing Infection Risks from Accidental Blood Exposure in Healthcare
Needle Injury Concerns: Risk of Infection and What to Do Next
Needle stick injury and infection concerns? Hello, doctor. I would like to inquire about something. Today, I went to buy a sewing needle for leather shoes (it's a bit thicker than a regular needle, and the tip is sharpened into a triangular shape). The male shop owner, who l...
Dr. Lin Wufu Reply:
Hello, needle stick injuries typically occur shortly after blood is drawn, as the needle may still harbor viable viruses that pose a potential risk of transmission. If the injury occurs two hours later, the likelihood of viable viruses remaining is quite low, and the risk of tran...[Read More] Needle Injury Concerns: Risk of Infection and What to Do Next
Understanding BC Hepatitis and HPV Screening After Risky Behavior
Hepatitis B and HPV screening issues? Hello Doctor: Recently, I engaged in high-risk behavior (unprotected oral sex with a female) and would like to get tested for hepatitis B and C. I found online that the window period for hepatitis B and C testing is between 3 to 6 months, but...
Dr. Liao Zhongxin Reply:
1. If the window period has passed and there is an infection, it will definitely be detectable. 2. If necessary, you can conduct self-testing or anonymous testing. 3. For information regarding HPV, you can refer to the following resource: https://health.esdlife.com/shop/hk/co...[Read More] Understanding BC Hepatitis and HPV Screening After Risky Behavior
Assessing Infection Risks from Accidental Blood Exposure in Clinical Settings
Infection issues Hello, doctor. I am currently interning, and someone placed an alcohol swab contaminated with a patient's blood on the table. While I was reaching for gloves, my finger accidentally touched it. I have a habit of picking at my thumb, and I'm not sure if ...
Dr. Lin Wufu Reply:
Hello, viruses die quickly outside the human body, so the risk of indirect contact (where the virus transfers from blood to an alcohol swab and then enters your wound) is quite low. Furthermore, alcohol has a strong virucidal effect, so in the case of a single incident, I believe...[Read More] Assessing Infection Risks from Accidental Blood Exposure in Clinical Settings