Risk of Infection from Contaminated Vaccine Injection: What You Need to Know
Viral infection If the nurse did not follow the standard hand hygiene protocols due to a high number of patients and you noticed blood on their hands during the injection (unknown whose blood it was), the risk of infection depends on several factors, including the presence of vir...
Dr. Hong Yuanbin Reply:
Hello, based on your description, the presence of blood stains on the skin, whether related to Hepatitis B or HIV, typically involves infection through needles entering the bloodstream. In your case, the risk of infection is very low, and no special treatment is necessary. Thank ...[Read More] Risk of Infection from Contaminated Vaccine Injection: What You Need to Know
Understanding Bloodborne Infection Risks During Vaccination
Blood infection If a nurse has blood on their hands during vaccination (unknown whose blood it is), what is the likelihood of me getting infected? Is the risk of infection high just from receiving a vaccine injection? Thank you.
Dr. Liao Zhongxin Reply:
1. Healthcare professionals typically perform hand hygiene and don gloves before carrying out medical procedures; they will repeat these steps before contacting the next patient. 2. If gloves become contaminated with blood or bodily fluids, they should be rinsed with soap and w...[Read More] Understanding Bloodborne Infection Risks During Vaccination
Managing Anemia in Chronic Kidney Disease: Impact on Eye Health
Anemia of Chronic Kidney Disease Hello Doctor: I have severe chronic kidney disease and have not yet started dialysis. I also have anemia; previously, I received erythropoietin injections every two weeks, but for the past two months, I have been receiving them weekly. Recently, d...
Dr. Wu Jiyu Reply:
Based on your description, it seems you have stage 5 chronic kidney disease complicated by anemia, which is why your physician prescribed erythropoietin (a blood-boosting injection) to help stimulate your own red blood cell production. This erythropoietin injection is intended to...[Read More] Managing Anemia in Chronic Kidney Disease: Impact on Eye Health
Understanding Sacroiliitis Levels in Ankylosing Spondylitis Diagnosis
What grade of sacroiliitis does it belong to? Dear Dr. Tseng, My son is 19 years old. A year and a half ago, he started experiencing pain in the sacroiliac joint, and recently, through MRI and other examinations, he has been diagnosed with ankylosing spondylitis. Below is the te...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. I am not Dr. Tseng, so if you are looking for Dr. Tseng, please choose the corresponding hospital and department. The Allergy, Immunology, and Rheumatology Department of Changhua Hospital, Ministry of Health and Welfare, is here to assist you.[Read More] Understanding Sacroiliitis Levels in Ankylosing Spondylitis Diagnosis
Persistent Arm Pain After Injection: What You Need to Know
It has been a long time since the injection, but it still hurts? I received an anti-inflammatory injection in my left arm, and it has been over two months since then. I still experience some pain, although it's not severe, and there are no visible abnormalities. However, I o...
Dr. Lin Wufu Reply:
Hello: It's difficult to determine the exact issue, but I recommend that you first schedule an appointment with the Rheumatology and Immunology Department at our hospital. The physicians there can perform a soft tissue ultrasound in the clinic to check for any issues such as...[Read More] Persistent Arm Pain After Injection: What You Need to Know
Understanding Syphilis Rash: Treatment, Recovery, and Concerns
Syphilis rash-related issues? Hello Doctor: I tested positive for syphilis with an RPR of 1:16 in early October and have been taking Doxycycline for four weeks. Prior to treatment, I had four deep red rashes on my palms. During the second to third week of treatment, I experienced...
Dr. Hong Yuanbin Reply:
Hello, 1. The presence of a rash does not indicate the effectiveness of treatment; in some cases, the rash may become more pronounced during treatment. It is recommended to follow up three months later for a more accurate assessment of the indicators. 2. It is advisable to di...[Read More] Understanding Syphilis Rash: Treatment, Recovery, and Concerns
Understanding HIV Transmission Risks in Barbershops: Key Questions Answered
Inquiry about routes of HIV transmission? Hello, Director. I apologize for asking a few questions. 1) A few days ago, while getting a haircut, I was accidentally scraped on my cheek and neck with a folding razor. The razor had been used by the previous customer about 2 minutes ...
Dr. Lin Wufu Reply:
Hello: 1. Razors can cause small cuts and bleeding, which means there is a risk of transmitting HIV or other bloodborne diseases through sharing razors. It is recommended to avoid sharing razors with others. 2. This cannot be statistically quantified, as individuals infected with...[Read More] Understanding HIV Transmission Risks in Barbershops: Key Questions Answered
Understanding Secondary Syphilis: Treatment and Infectiousness Timeline
Secondary syphilis Hello doctor, I was recently diagnosed with stage 2 syphilis. I received an injection for treatment on October 14 and have not yet returned for blood tests. I would like to ask how long it typically takes in this situation and what specific levels need to be be...
Dr. Hong Yuanbin Reply:
Hello, typically after completing the full treatment, a syphilis test is conducted approximately 3 to 6 months later. If the index shows a fourfold decrease, it indicates a good treatment response and a lower chance of transmission. Ideally, if the RPR (VDRL) index can drop to ze...[Read More] Understanding Secondary Syphilis: Treatment and Infectiousness Timeline
Can COVID-19 Vaccine Be Administered During Syphilis Treatment?
Can a patient with confirmed stage 2 syphilis (under treatment) receive the COVID-19 vaccine? Hello Dr. Hong, I recently tested positive for stage 2 syphilis, with relevant indices showing RPR Test 1:64, RPR(L) 485.4, and TPLA 25565. I have chosen not to receive an injection this...
Dr. Hong Yuanbin Reply:
Hello, the treatment for syphilis does not affect vaccines, so it is safe to receive vaccinations. Thank you for your question.[Read More] Can COVID-19 Vaccine Be Administered During Syphilis Treatment?
Understanding Prolonged Pain After BNT Vaccination: A Patient's Journey
Discomfort after receiving the BNT vaccine? Hello Dr. Hong, I received my first dose of the BNT vaccine on June 20 at 15:58, and I began experiencing pain under my left clavicle at 16:08. Twelve hours after the first dose, I developed a fever and redness and swelling at the injec...
Dr. Hong Yuanbin Reply:
Hello, muscle and joint pain after vaccination is quite common. However, if you have been experiencing pain for two months and it is getting worse, it may be necessary to consider that it might not be solely caused by the vaccine and that other underlying conditions could be invo...[Read More] Understanding Prolonged Pain After BNT Vaccination: A Patient's Journey
Understanding Metformin Dosage and Its Impact on Blood Sugar Control
Effectiveness of Oral Hypoglycemic Agents Hello Dr. Lee, I would like to understand the long-term medication for my retired father, specifically regarding Metformin 500 mg. How does taking one pill compare to the effect of a certain number of units of insulin? It is said that med...
Dr. Li Jian Reply:
Metformin rarely causes hypoglycemia when used alone, and it is advisable to continue its use as long as there are no contraindications.[Read More] Understanding Metformin Dosage and Its Impact on Blood Sugar Control
Understanding Vaccine Side Effects: A Case Study on Moderna
Vaccine side effects On July 8, I received the first dose of the Moderna vaccine. On the third day, I experienced some drowsiness but had no other discomfort. However, on August 3, after taking a shower and combing my hair, I suddenly found it difficult to raise both arms, my hea...
Dr. Hong Yuanbin Reply:
Hello, after taking a shower, vasodilation combined with raising both arms can lead to a decrease in the blood return to the heart, causing an increase in heart rate. This is a normal physiological phenomenon and should not be directly related to the vaccine. As for the soreness ...[Read More] Understanding Vaccine Side Effects: A Case Study on Moderna
Understanding Post-Vaccine Reactions: When to Seek Medical Advice
Post-vaccination issues? Hello Dr. Hong, on July 29th at around 1:40 PM, I received the second dose of the Moderna vaccine. On July 30th at 12:30 AM, my ear temperature was 37.2°C; at 2:20 AM, it was 37.9°C; at 4:30 AM, it was 38.6°C (I took one dose of pain reliever). From 5:00 ...
Dr. Hong Yuanbin Reply:
Hello, starting from July 29 at 1:40 PM, experiencing fever, fatigue, and pain within 48 hours is normal. It is advisable to drink plenty of water and rest. If the pain is severe or if the fever is very uncomfortable, you can take a dose of acetaminophen. Symptoms should improve ...[Read More] Understanding Post-Vaccine Reactions: When to Seek Medical Advice
Understanding HIV Infection Risks from Vaccination Practices
Risk of HIV Infection A few days ago, when I went to get vaccinated, I didn't pay attention to whether the nurse used a new syringe for my injection. If the nurse forgot to change the syringe and administered the injection using an intramuscular method, is there a chance tha...
Dr. Hong Yuanbin Reply:
Hello, vaccine injections must use safe needles, and these needles cannot be reused. Additionally, intramuscular injections are not a route for HIV transmission. Thank you for your question.[Read More] Understanding HIV Infection Risks from Vaccination Practices
Do Steroids Affect Blood Test Results in Rheumatology Patients?
I would like to inquire if steroids can affect the results of blood tests in immunology and rheumatology? Hello Doctor: In recent months, the joints in my fingers have started to swell and hurt gradually, making it difficult to bend or extend them, and I cannot apply force. The b...
Dr. Gao Jiankai Reply:
Hello, thank you for your question. The administration of steroids may only affect certain laboratory results, including white blood cell counts, but it should have minimal impact on the indicators for rheumatic diseases or allergic conditions. I believe your symptoms include bot...[Read More] Do Steroids Affect Blood Test Results in Rheumatology Patients?
COVID-19 Vaccine Injection Concerns: Tetanus and Allergy Considerations
Issues related to COVID-19 vaccination? Hello, doctor. I am inquiring on behalf of a friend regarding COVID-19 vaccination questions. The questions are as follows: 1. If they recently received a tetanus shot (about 2 weeks ago), is it safe to receive the vaccine? 2. They had an a...
Dr. Hong Yuanbin Reply:
Hello, 1. There are currently no relevant international recommendations regarding this matter; however, expert consensus generally suggests that different types of vaccines should be administered at least one month apart for optimal results. 2. It is true that the Moderna vac...[Read More] COVID-19 Vaccine Injection Concerns: Tetanus and Allergy Considerations
Understanding Vaccine Eligibility After Allergy Shots: A Guide for Seniors
Medication Consultation Grandma has recently been notified that she can receive the Moderna vaccine. On June 30, she mentioned that she has an allergy and received an injection at the clinic (Polomin lml). Does this injection count as a vaccine? Does Grandma need to wait 14 days ...
Dr. Hong Yuanbin Reply:
Hello, this medication is an antihistamine and is not a vaccine, nor will it affect the administration of vaccines. Thank you for your inquiry.[Read More] Understanding Vaccine Eligibility After Allergy Shots: A Guide for Seniors
Understanding Armpit Pain After Moderna Vaccine: Is It a Side Effect?
Pain in the armpit after vaccination? Hello Dr. Hong, I received my first dose of the Moderna vaccine on June 23, and around June 28, I started experiencing some pain in my armpit (deep inside, without any visible redness or swelling). It hurts when I tighten my arm, and it also ...
Dr. Hong Yuanbin Reply:
Hello, localized pain caused by a vaccine typically occurs within one day after the injection. Since you mentioned that it started five days later, the likelihood of it being vaccine-related is very low. It is more probable that the pain is due to a local strain or another cause ...[Read More] Understanding Armpit Pain After Moderna Vaccine: Is It a Side Effect?
Understanding Urticarial Vasculitis: Symptoms, Causes, and Treatment Options
Urticarial vasculitis? Hello, doctor. I have a tendency to be allergic and sneeze (which started about nine years ago). I have also experienced mild urticaria intermittently. However, starting in April of this year, I suddenly developed widespread urticaria. I went to a dermatolo...
Dr. Gao Jiankai Reply:
Hello, thank you for your inquiry. Here are my responses: 1. How is anaphylactic shock determined? Although I was experiencing stomach pain, I was still responsive at the time... --> Perhaps "shock" is a bit severe, but you did have swelling of the lips and eyelids,...[Read More] Understanding Urticarial Vasculitis: Symptoms, Causes, and Treatment Options
Understanding Abdominal Pain: Causes and Concerns in Internal Medicine
Abdominal issues? Your question: Hello Doctor, in early January, one night I suddenly experienced pain in my side and back. Since I had been in contact with a chickenpox patient, I suspected it might be due to shingles. However, after receiving a shot in the emergency room, it se...
Dr. Hong Yuanbin Reply:
Based on your description, it is more likely that you have a muscle strain in your lower back. I recommend applying heat therapy and using topical anti-inflammatory ointments, which should help improve your condition. The golf activities you mentioned could be one of the contribu...[Read More] Understanding Abdominal Pain: Causes and Concerns in Internal Medicine