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Hiv transmission
I'm mbbs intern , yesterday while on duty in casualty there was a trauma patient in active bleeding ,he asked me for help to make him lie down,I helped him with my hands .But now I'm worried about what if the patient was hiv positive ,what if I got infected with hiv. As I was not able to see the hiv status of the patient as he was discharged from the casualty itself and referred to another hospital.Im worried.
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Please you will Quit the MBBS first you not able to do internship
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Aap bilkul zyada tension mat lijiye. Sirf haath se kisi patient ko litaane ya touch karne se HIV transmit nahi hota. HIV tab spread hota hai jab infected blood direct body ke andar jaye — jaise needle stick injury, ya koi khula zakhm ho jahan se blood enter kare, ya eyes/mouth me splash ho.
Agar aapke haath par koi cut, fresh wound ya bleeding area nahi tha, to practically risk nahi ke barabar hai. Aise situation me generally PEP ki bhi zarurat nahi padti.
Phir bhi agar aapko mental peace ke liye check karwana ho, to ek baseline HIV test kara sakte hain aur 6 weeks aur 3 months par repeat kar sakte hain.
Aage ke liye bas ek cheez dhyan rakhein — casualty me hamesha gloves use karne ki habit bana lein, ye sabse safe practice hai.
Overall, aapka risk negligible hai, isliye unnecessary tension lene ki zarurat nahi hai.
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No need to worry. Hiv can be transmitted only by body fluids of infected person entering inside body of a healthy person.
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Relax, this is not a significant exposure. HIV transmission requires breach in skin or mucosal exposure. Intact skin contact with blood does not transmit HIV.
If you had no cuts or wounds on your hands, there is no risk and no need for PEP.
Standard protocol only applies if Needle stick injury, Blood contact with open wound ,eyes or mouth.
You did the right thing helping the patient don’t worry about this 👍
If still anxious, you can discuss or book a consultation for clarity.
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"As a fellow medical professional, I completely understand the anxiety that follows a trauma call, but I want to reassure you that you have zero risk of HIV transmission from this incident. HIV is not transmitted through intact skin, even if it comes into contact with infected blood. Transmission in a clinical setting requires a 'Significant Exposure,' such as a needle-stick injury, a cut from a sharp instrument contaminated with fresh blood, or blood splashing directly onto a mucous membrane (like the eyes or mouth). Simply helping a patient lie down with your hands does not meet the criteria for exposure."
Next Steps
need some more history so do connect and consult
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Touch is not at all the route of transmission.
So relax, u r intern lot of such situations u have to face. So relax. Don't worry. U r safe.
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Get a test done rather than worry in doubt ..next time try to be gloved in trauma cases especially when working in ER.
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If you have doubt ,then go for HIV test.
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Meher Aravind
General Physician
5 yrs exp
Hyderabad
Need not worry unless you had a prick or direct contact of blood to any exposed skin, mucosa, eyes of yours.
Source code and exposure code are important here.
Next Steps
Get viral markers test done for the trauma patient (Source code)
Health Tips
If Exposure code is 2or 3 go for HIV post exposure prophylaxis with TLD regimen for 28 days
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Do hiv test
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