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cuts and stitches

Question: 

Hi guys!
I want to ask you some questions. I was wondering about transmission trought kissing. I know, that it's like a no risk activity, even if there are blood from HIV positive person and just small cuts in mouth of HIV negative person, is that right? Because everywhere you wrote, that HIV needs to be transmited into bloodstream of HIV negative person, so trought some really big cuts, that have HIV negative person and that needs stitches? Or for example after some dentist's surgery, right? Not just trought some small cuts, hardly noticeable? Please, answer to all my questions. Thank you!

Answer: 

Hello,

Thank you for your inquiry. From what we gather from the question, you were asking about acquiring HIV through kissing with the exchange of blood. From the information given, this scenario is determined to be Low Risk (Evidence of transmission occurs through these activities when certain conditions are met).

The scenario mentioned above does meet the three components of the transmission equation. The equation requires an exchange of bodily fluid through a risky activity with direct access to the bloodstream. In this case there was an exchange of blood, the activity was not high risk, but still presented direct access to the bloodstream through a cut in the mouth (1). CDC states that open-mouth kissing if both partners have sores or bleeding gums and blood from the HIV-positive partner gets into the bloodstream of the HIV-negative partner HIV can be can be transmitted in rare cases (2). HIV is not spread through saliva only through the bodily fluids of blood, semen/pre-cum , rectal secretions, vaginal fluids, and breast milk (1).

Recommendation: Refer to Physician for HIV test

Regards,

AIDS Vancouver Helpline/Online, Danielle