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Rational person.....I think!

Dec 14, 2006

Hi DR Bob

Uk calling!

Am Dr, and a few days ago managed to graze myself on sticky out bit of guerny whilst moving patient who had a huge vomit of blood everywear including end of the bed where I made a superficial scratch of skin thatb bled very minimally. Washed it. But scabbed now so got me thinking it was worse than I thought. The thing is I am not sure if blood was fresh or dried as it was all over the place, I also do not know the status of this man. So wonder in summary, a superficial cut, with minimal bleeding in direct contact with blood, ? dried or fresh....anything to worry about?

Sorry to bother you, you advice is welcome!

Thanks Dr Bob!

Response from Dr. Frascino

Hi Dr. UK!

Why not check the medical record of the patient (Mr. Blood-Vomit Upchucker)? If he's HIV negative, you've most likely got nothing to worry about (unless he's HIV positive and has never been diagnosed). It would, at the very least, decrease the worry level significantly.

Your exposure sounds minimal at best, which places your HIV-risk potential in the extremely remote category. Excessive worry is not warranted. However, as with all potential bloodborne occupational exposures, it's worthwhile documenting the incident and having your medical institution run any routine screening lab work deemed necessary by your policies and procedures. I certainly would not recommend PEP for such a minimal to nonexistent exposure.

Be well.

Dr. Bob

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