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solid needdlestick
May 9, 2011

Hi Doc I got pricked with a suture needle six weeks ago while performing a C/S on a HIV positive woman,I commenced PEP about 50min after and did the 6wks test which came negative.I've been reassured by my colleagues but I'm still worried. What chances do I have?

Response from Dr. Frascino

Hi,

The HIV-acquisition risk from an occupational needle-stick exposure with a solid suture needle is extremely low. The actual degree of risk would depend on several variables, including how severe the stick was, the patient's HIV viral load, whether the source patient was on effective antiretroviral therapy, etc. That you took PEP beginning 50 minutes after the exposure further significantly reduces your HIV-acquisition risk. I agree with your colleagues. As you are a health care worker, I'd suggest you review the current guidelines regarding health care occupational risk assessment and recommendations for PEP treatment. See link below.

Good luck. I'm here if you need me. But I doubt you will!

Dr. Bob

http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5409a1.htm



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