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Blood splash in nostril

Apr 23, 2010

Dear Dr. Bob. I hope you are doing well. I want to know your opinion regarding exposure of minimum quanity of blood mixed with saline that had splashed and hit my right nostril. I was performing a nail avulsion of an ingrown toenail and when attempting to rinse the nail following my procedure, the high pressure syringe caused a splash that hit my right nostril. I discussed with employee health and they had recommended (source was unknown) no need for PEP and to follow-up in 3 months. Do you agree and what would you access my overall risk for disease transmission. Thank you for your support and I look forward to hearing your response.

Response from Dr. Frascino


I would agree with the assessment you received. HIV antibody testing at baseline, three months and six months is recommended. I agree PEP was not warranted. Sometimes the source patient will agree to rapid HIV testing in situations such as these.

Good luck.

Dr. Bob

eye splash exposure with HIV and hepatitis infected blood
Follow-up to "please assess my risk"

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