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What Are The Risks Of Getting HCV Infection After Needle Stick Exposure?

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Posted on Wed, 22 Jun 2016
Question: I am a medical student, I was closing a wound on a patients back using subcuticular stiches with a 3-0 tapered suture needle. While handling the needle I pricked my finger. I was double gloved. Initially, I did not think I had broken skin as i could not see any blood on my glove or a hole. 5 minutes later when the case was over i noticed a little bit of blood on my indicator under glove. I do not believe there was any visible blood on the suture point but it is difficult to recall. I proceeded to wash my hands. there was a very small red dot from the prick but it was still rather superficial The patient tested positive for hepatitis c with a high viral load of 920,000, he was hiv negative. I have an appointment to follow up with my school physician next week. It has been 15 days since the incident. My first appointment is 3 weeks from the incident date. I am wondering how high my risk is? I would like to do PCR testing. Is waiting until 3-4 weeks too late for PCR? If i am fortunate enough to have a negative pcr should that be relatively reassuring? I know I would need follow up testing but the wait is very unnerving. I appreciate any help you may have to offer
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Answered by Dr. Dr. Klerida Shehu (17 hours later)
Brief Answer:
Please follow the suggestion below...

Detailed Answer:
Dear colleague,

I read carefully all your history and I can say as follows:
- the average risk of HCV infection after needle stick exposure is 1.5-1.8 %. IT IS A LOW RISK.So please don't worry.
- You are reporting to have been exposed two weeks ago than I can say that HVC-RNA( viral replication)by PCR can be measured in blood even one week after exposure.
Anti- HCV can be measured in blood after 6-8 weeks of exposure.
So you can ask your physician to do HCV-RNA and it will show if you have been infected or not.
If it is negative ( I hope and believe) than you can put your mind on easy.
Please write me if you have other questions?
Hope it was helpful to you.
Dr.Klerida
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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Dr. Klerida Shehu

Gastroenterologist

Practicing since :2006

Answered : 2266 Questions

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What Are The Risks Of Getting HCV Infection After Needle Stick Exposure?

Brief Answer: Please follow the suggestion below... Detailed Answer: Dear colleague, I read carefully all your history and I can say as follows: - the average risk of HCV infection after needle stick exposure is 1.5-1.8 %. IT IS A LOW RISK.So please don't worry. - You are reporting to have been exposed two weeks ago than I can say that HVC-RNA( viral replication)by PCR can be measured in blood even one week after exposure. Anti- HCV can be measured in blood after 6-8 weeks of exposure. So you can ask your physician to do HCV-RNA and it will show if you have been infected or not. If it is negative ( I hope and believe) than you can put your mind on easy. Please write me if you have other questions? Hope it was helpful to you. Dr.Klerida