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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can HIV Infection Be Transmitted Through Open Cuts And Wounds?

Greetings! I ve done my best to find and peruse through as many credible and peer-reviewed articles about the transmission risks associated with the HIV virus. Many of these articles assert that HIV is not highly infectious and is - most commonly - transmitted through risky sexual behavior and needle-sharing. From my understanding, blood-to-blood contact, in theory, presents a risk of transmission, but a nominal one at that. A year and a half ago, I was involved in a physical altercation with one of my best friends. I ve known the person for 15-years, but I ve never been 100-percent sure about his HIV status. My friend - who I ve completely severed ties with - punched me directly in the mouth at close range. A brief scuffle ensued; I - instinctively - retaliated by throwing blows of my own while in a headlock by the perpetrator s hip. The fray definitely did not last long after the initial punch (which was the ONLY punch thrown by him), but I was left with a lip laceration - which was sutured not too long after - and two fractured teeth. I was bleeding profusely. Before I left for the hospital, I noticed that the perpetrator had a laceration on one of his fingers that may or may not have been deep enough for sutures. (I never bothered to follow-up with him after that day.) My query is regarding the likelihood of HIV transmission through open cuts and wounds, and exactly how much blood it would take (realistically) to transmit the virus. If my former friend had HIV, what is the likelihood that I could have contracted it from him, given the extent of my injuries and his? Do I have any cause for concern? I m not exactly sure if any of his blood came into contact with my lacerated bottom lip during the brief scuffle, but I m pretty sure his lacerated finger was a product of the blow he delivered. For my own edification, I would appreciate any type of informative feedback. I have really bad anxiety when it comes to the issue of HIV.
Fri, 14 Nov 2014
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General & Family Physician 's  Response
Hello
After reading your query I want to tell you something but in detail and also have some medical terms so that you can get some satisfactory reply of your question.
Your main question is punching , laceration of your lips and inflicted injury by the finger of your friend with which he punched on your mouth.
Transmission of HIV through intact skin has not been documented ( not note down this stance that he punched i.e.before his punch his finger was intact ).
The risk increases for exposures to blood from patients with advanced-stage disease ( perhaps your friend was not on this stage ), probably owing to the higher titer of HIV in the blood as well as other factors , such as presence of more virulent strains of virus.
An increased risk for HIV infection following post exposure to HIV infected blood , if large quantity of blood come in contact but in your case the blood was minimum.
So in my opinion there is no chance of getting HIV by you.
If still you have any query I will reply.
Good luck
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Can HIV Infection Be Transmitted Through Open Cuts And Wounds?

Hello After reading your query I want to tell you something but in detail and also have some medical terms so that you can get some satisfactory reply of your question. Your main question is punching , laceration of your lips and inflicted injury by the finger of your friend with which he punched on your mouth. Transmission of HIV through intact skin has not been documented ( not note down this stance that he punched i.e.before his punch his finger was intact ). The risk increases for exposures to blood from patients with advanced-stage disease ( perhaps your friend was not on this stage ), probably owing to the higher titer of HIV in the blood as well as other factors , such as presence of more virulent strains of virus. An increased risk for HIV infection following post exposure to HIV infected blood , if large quantity of blood come in contact but in your case the blood was minimum. So in my opinion there is no chance of getting HIV by you. If still you have any query I will reply. Good luck