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Please answer last time , i am literally begging ,

Question: 

i am really sorry for disturbing you again

I went to get tested in a lab , Soon after test I have become overwhelmed with the anxiety of getting infected from contaminated gloves!

The lady who tested , used new gloves cleaned the area from where the blood was to be drawn with a alcohol swab , the blood was drawn everything is fine till here , but she kept the sealed alcohol swabs in the same tray , she had kept for the previous patient, she opened the swabs and used while removing the needle , and rest is under

Here are my assumptions:
* the previous persons small amount of blood (possibly while drawing the sample.) and the blood is infected would be on the tray in which the swabs were kept .
* The blood was wiped off or remained so little to notice, but there were some viruses left over on the gloves (No visible blood or fluid on the gloves, though i did not observe thoroughly)
* she picked a new piece of alcohol swab with those contaminated gloves to wipe and afterwards to block the blood from flowing out after withdrawing the needles)
*
Here are my questions:
* What is the likelihood of getting infected this way? Can you say that the possibility is nil? No test is needed?
* Can viruses in dried and invisible form (I assume)pass on from the gloves onto the brand-new alcohol swab and then to the outlet where my blood was drawn? or Directly to blood
* Is one minute long enough for viruses to die, given invisible state with room temperature?
* Can alcohol swab I dont know what types, immediately kill HIV , hepatitis A,B,C or any other virus upon contact? If not, how long?
* If the viruses were alive, would it be sufficient in terms of quantity to infect me through the wound? Again, I simply just didnt see any visible stain of blood or fluid on the gloves at all.
* Does pressing and holding alcohol swab that carrying some virus on the wound for kill the virus or allow viruses to get into my bloodstream? (The way most doctors here usually do after every blood drawing to block the flowing).
Bec while removing needle there was some blood on the alcohol swab may be 10 to 15 drops of blood
i am worried because gloves touched the blood ,the blood that was coming out once nurse removed the syringe can i get infected this way

I am desperately in need of the answer

Answer: 

Hi there,

Thank you for your inquiry. From what we gather from the question, you are concerned about the risk of HIV transmission from a swab tray that may have had a small amount of (theoretically HIV positive) blood, which would have then come into contact with gloves, and subsequently your needle wound.

From the information given, this scenario is determined to be No Risk (transmission of HIV is not possible in the given scenario). Above you have described a few theoretical scenarios in which HIV cannot be transmitted. Pressing and holding an alcohol swab that is carrying HIV positive fluid on a wound is not considered a method for HIV transmission. The scenario mentioned above does not meet the three requirements of our Transmission Equation. because:

HIV transmission requires direct access to the bloodstream through the vagina, anus, urethra, open cuts and sores, and points of needle injection. For HIV transmission to occur, one or more of these entry points would require direct contact with HIV positive fluids such as blood, semen, vaginal secretions, breast milk, and pre-cum. This would require direct contact with HIV positive fluid from another person without a third party object or exposure to the environment.

In the theoretical scenario presented, there is a theoretical presence of blood on either the gloves, tray, or swab. If, by any chance, any of these items had visible traces of blood on them and these were to come into contact with the point of needle injection on your skin; your risk of HIV acquisition would still be considered to be categorized as No Risk (transmission of HIV is not possible in the given scenario).

As previously stated, this is because of the lack of direct contact from one person to another.

Above you had also asked if "one minute is long enough for viruses to die, given invisible state with room temperature." In this case, please consider the following statement from the CDC:

HIV does not survive long outside the human body (such as on surfaces), and it cannot reproduce outside a human host (1). HIV outside of the body undergoes a rapid decline in concentration, and is quickly rendered inactive on outside surfaces such as medical equipment like trays, swabs, and gloves (2).

There is not much evidence to suggest timing of HIV survival outside of the body as variables involved can vary drastically. However in this case, we would assume that fluid has been exposed to the environment for a lengthly amount of time.

As stated there was no visible stain of blood or fluid on the gloves that were being used to handle your testing procedure. The occurrence of such an incident would be highly unlikely in a professional clinical setting. It is difficult for us to determine the cleanliness of the medical environment that you had received testing, as we were not present. However, the likelihood that a medical professional who is trusted to provide testing would compromise the safety of their patient is extremely low.

Recommendation: No need for HIV test with the scenario provided, refer to a physician for other health related questions.

We hope this provides the answers you were searching for. If you continue to feel anxious about HIV, do not hesitate to seek out a physician for additional HIV screening. Clinical and professional environments where medical tests are performed are among the safest places. Please don't hesitate to ask us if you have any additional questions.

All the best,

AIDS Vancouver Online/Helpline, Cody