|Needle scratch. Please answer Dr. Bob
Apr 18, 2009
While suturing a wound on a pt the needle went through my glove and scratched my thumb. I did not bleed even though I squeezed the hell outta my thumb. The pts mother insisted that the pt was HIV negative and refused to have him tested (he was 14). The ID doc said that because the needle only scratched my thumb and did not draw blood PEP was not warranted. What do you think Dr. Bob?
| Response from Dr. Frascino
I agree with the I.D. doc. PEP is not warranted for several reasons:
1. Suture needles are solid and less likely to transmit bloodborne pathogens than hollow-bore needles/syringes.
2. Your scratch was very slight. It did not bleed, even with pressure. The suture needle also had to pass through your glove before it came in contact with your thumb, which would further decrease the risk.
3. The source patient was extremely low risk (14-year-old boy).
To put any residual fears to rest you could get HIV-antibody tests per protocol for occupational exposures (baseline, three months, six months). However, I'm very confident you did not contract HIV from this incident.
If you would like to learn more about occupational exposures and indications for PEP, download a copy of the updated guidelines at http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5409a1.htm.
Be well. Stay well.
Get Email Notifications When This Forum Updates or Subscribe With RSS
- Fever After Getting Fingered Worried I Have HIV
- Groin Pain After Oral Sex With No Protection Does It Mean I Have HIV
- Headache After Vaginal Sex With Condom Does It Mean I Have HIV
- Hpv After French Kissing Sign Of HIV AIDS
- Itchy Rash After Touching Dried Semen Sign Of HIV AIDS
- Tingling In Feet After Insertive Anal Sex With Condom Does It Mean I Have HIV
This forum is designed for educational purposes only, and experts are not rendering medical, mental health, legal or other professional advice or services. If you have or suspect you may have a medical, mental health, legal or other problem that requires advice, consult your own caregiver, attorney or other qualified professional.
Experts appearing on this page are independent and are solely responsible for editing and fact-checking their material. Neither TheBody.com nor any advertiser is the publisher or speaker of posted visitors' questions or the experts' material.