|What is risk of Hep C after stick with solid pin
Aug 23, 2001
I am a surgeon who was stuck by a solid pin after it passed through the leg of a man with chronic active disease HCV. The pin went through two gloves and nicked my skin without embedding deeply. I bled a drop, but then I squeezed blood out and washed with betadine and chlorhexidine immediately. What is my risk and your advice? (started HIV prophylaxis and tested him) Thanks
| Response from Dr. Dieterich
The risk is still low with a solid object. It is about .3% or so. I would recommend testing yourself with AST and ALT and HCV PCR at 4 weeks and 8 weeks and add HCV antibody at 12 and 24 weeks. If you do become HCV positive by PCR, I would confirm it with a follow up a week or so later. Then you have to make a decision about treatment. If you treat the acute infection, the cure rate is almost 100%. If you wait and watch, you have about a 15% chance of clearing the virus on your own. It is a low risk exposure, not being a hollow bore needle. Good luck! DTD
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