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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Are My Chances Of Getting HIV?

hi i worked in a pharmacy and one of the technician is HIV positive and he is on HIV medication. i didn't have a good relation with him. he hand it me a pen and said' hey i got you a present' and he was holding the pen in a way that he wanted me to hold it at a certain place. unconsciously i hold the pen for like 2 minuets and then dropped it on the table. now my question: lets say he intentionally wiped the pen with his contaminated blood and then directly i hold the pen and actually i did have a cracked skin on my finger...what is the chance of me getting the virus passed through my cracked skin?
                                                                 
Wed, 24 Sep 2014
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General & Family Physician,  's  Response
Hello
Since you are doing work in pharmacy so you will understand in better way:
Taken together ,the data from several large studies suggests that the risk of HIV infection following , percutaneous exposure to HIV-contaminated blood is ~0.3% ( in your case since technician was HIV infected and you are assuming that pen was wiped with blood )and after a mucous membrane exposure ,approximately 0.09%.
As you mentioned that there was a crack on the skin of finger ( but you know that immediately after crack there form a scab and this act as a protective barrier ).
If your crack on the skin was 24 hours old ,in my opinion there is NO chance of getting infection by you.
One thing you mentioned that technician is also taking retroviral treatment so his viral load is also very very low . This further prove that HIV infection can't transmitted to you.
At least in my opinion you are not HIV infected .
But you are under stress , so I recommend you get in rapid P 24 nucleic acid amplification test ( pcr rna ).
Hope this will help you.
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What Are My Chances Of Getting HIV?

Hello Since you are doing work in pharmacy so you will understand in better way: Taken together ,the data from several large studies suggests that the risk of HIV infection following , percutaneous exposure to HIV-contaminated blood is ~0.3% ( in your case since technician was HIV infected and you are assuming that pen was wiped with blood )and after a mucous membrane exposure ,approximately 0.09%. As you mentioned that there was a crack on the skin of finger ( but you know that immediately after crack there form a scab and this act as a protective barrier ). If your crack on the skin was 24 hours old ,in my opinion there is NO chance of getting infection by you. One thing you mentioned that technician is also taking retroviral treatment so his viral load is also very very low . This further prove that HIV infection can t transmitted to you. At least in my opinion you are not HIV infected . But you are under stress , so I recommend you get in rapid P 24 nucleic acid amplification test ( pcr rna ). Hope this will help you.