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Is HIV Transmission Possible Through Open Wound?

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Posted on Wed, 19 Aug 2015
Question: Hi doctor, I had a sex intercourse in Phuket massage centre with lady sex worker which is protected sex having male condom put to me, but I hada small rash line in between urinary balls and thigh. She moved her body near the bottom of mine and I feel her vaginal had touched the small wound line which was having cut like thin line to me. Now in worried whether I'm infected with any virus, plz help me whether I need to go for test after 3 months I'm really worried. From now on I decide will not do such mistakes and stick genuine relationship to my wife.
doctor
Answered by Dr. Vivek Chail (1 hour later)
Brief Answer:
You can do rapid 4th generation HIV 1 and 2 antibody and p24 antigen test

Detailed Answer:
Hi XXXXX,
Thanks for writing in to us.

I have read through your query in detail.
Please find my observations below.

1. There is an extremely rare chance of you getting infected with HIV following the incident.

2. The risk is about 1 in 4000 to 10000 cases and you are 99.9 percent safe.

3. For peace of mind please get rapid 4th generation HIV combo test for HIV 1 and 2 antibodies and p24 antigen done. This is highly accurate at 1 months from probable sexual exposure.

Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Vivek Chail (8 hours later)
Thank you Doctor XXXXXXX
My wound was small and it was formed due to itching which is due to beach water and climate humidity.
I agree I need to wait for 1 month of time is there any other fast method to get tested. I'm really worried and unable to take this 1 month of time.
Plz let me know if I can start any medication.
Thanks..
doctor
Answered by Dr. Vivek Chail (32 minutes later)
Brief Answer:
The 4th generation test is accurate only after one month

Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.

1. It is better to wait for a month and then do the test. Doing an earlier test might not be accurate and therefore you will have to do the test again after one month. Latest internationally followed guidelines suggest doing the above test at 1 month.

2. There is exteremely low risk in your case as discussed earlier and therefore please do not panic.

3. I guess you are asking about medicines to take for post exposure prophylaxis of HIV. Any medicine to prevent HIV after getting exposed is to be started within 72 hours and these medicines are given only in high risk cases. People who have sex with condom are usually not required to take this.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Vivek Chail (24 hours later)
Thank you doctor

What will be symptoms I would need to monitor in this 3 months.

I got info that scratch like wound will not transmit HIV and no risk of HIV.
My worry was with the wound may be touched with her vagina.

So can I remove fear of HIV from my episode.

Before this episode 1 month back I have tested for HIV and was non-reactive while giving blood donation.

doctor
Answered by Dr. Vivek Chail (1 hour later)
Brief Answer:
Get tested after a month for peace of mind

Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.

1. There is no sure sign of HIV. Basically if you fall sick too often with loss of weight and cough that is not improving then it might indicate conditions of low immunity. Some people experience rashes while most people do not have symptoms. Please keep a check on your general health condition.

2. It is true that HIV is not transmitted through scratch like wound.

3. You can remove fear of HIV and get tested for peace of mind after a month.

Hope your query is answered.
Do write back if you have any doubts.

Regards,
Dr.Vivek
Note: Consult a Sexual Diseases Specialist online for further follow up- Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Vivek Chail

Radiologist

Practicing since :2002

Answered : 6874 Questions

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Is HIV Transmission Possible Through Open Wound?

Brief Answer: You can do rapid 4th generation HIV 1 and 2 antibody and p24 antigen test Detailed Answer: Hi XXXXX, Thanks for writing in to us. I have read through your query in detail. Please find my observations below. 1. There is an extremely rare chance of you getting infected with HIV following the incident. 2. The risk is about 1 in 4000 to 10000 cases and you are 99.9 percent safe. 3. For peace of mind please get rapid 4th generation HIV combo test for HIV 1 and 2 antibodies and p24 antigen done. This is highly accurate at 1 months from probable sexual exposure. Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements. Hope your query is answered. Do write back if you have any doubts. Regards, Dr.Vivek