|PLEASE HELP ME, I AM PREGNANT.
Dec 20, 2000
I SUSTAINED A NEEDLESTICK INJURY 3 WEEKS AGO ON AN HIV PATIENT THAT WAS SEVERELY ILL. I STARTED A NEW SALINE LOCK TO GIVE HIM ATIVAN FOR SEDATION. AFTER ACESSING THE VEIN AND SEEING A SMALL BLOOD RETURN, I FLUSHED THE SALINE LOCK WITH 2CC'S OF NORMAL SALINE, I THEN GAVE HIM THE ATIVAN AND FLUSHED THE LINE AGAIN. WHILE PUTTING THE NEDDLES IN THE SHARPS COMNTAINER I WAS STUCK WITH THE ATIVAN NEEDLE. ALTHOUGH I WAS WEARING GLOVES AND THERE WAS NO BLOOD IN THE NEEDLE OR THE NEW SALINE LOCK DEVICE I STARTED I AM STILL TERRIFIED. I BEGAN PROPHYLAXIS THERAPY FOR 3 DAYS BUT I WAS UNABLE TO WORK BECAUSE THE COMBINATION THERAPY WAS SEVERELY DEBILITATING. I AM A WIFE AND MOTHER AND I AM PREGNANT WITH MY SECOND CHILD. I HAVE DECIDED NOT TO TAKE THE MEDICATIONS BECAUSE OF THE SIDE EFFECTS I WAS EXPERIENCING. PLEASE TELL ME WHAT ARE MY CHANCES OF BECOMING SEROPOSITIVE.
ALTHOUGH I HAVE SPOKEN WITH MANY NURSES WHO WERE STUCK WITH COMTAMINATED NEEDLES AND NEVER CONVERTED, ALSO WITH AN INFECTIOUS DISEASE DOCTOR WHO SAID MY CHANCES ARE LOW, I AM STILL TERRIFIED. I DON'T WANT TO DIE AND LEAVE MY FAMILY. PLEASE HELP ME.
| Response from Dr. Dieterich
The chances are exceedingly low approaching zero, and even lower since you took some prophylaxis. There does not sound like there was even a blood exposure just the ativan needle. I can certainly understand your anguish, but I think you should relax and enjoy the holidays, this will soon be behind you! Stay well. DTD
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