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Pulled Hangnail, Cut, Touching, UTI,

Question: 

Pulled hangnail on my ring finger about 24 hours before incident. At the time, the cut bled enough to require some tissues, but stopped after a few dabs. By the next day I had completely forgotten about the cut. However, that night I visited a strip club, were my thumb, index, and middle finger came in contact with female fluid from stimulation. I did not insert my ring finger fully, but it could have come into contact with some fluid as I know my thumb and pointer finger did (I remember placing my thumb and index finger in the vagina). In addition, the dancer grabbed my penis a couple of times, and briefly rubbed her hand over my urethra. I did not think anything of this, until the next morning when I awoke and noticed that the hangnail cut had re-opened and there was a small stain of blood on my nail. The cut looked relatively fresh as I could see the exposed skin again, and it burned a little when I put some soap in it.

1. Is there is a risk from the hangnail cut?
2. Is there a risk from any vaginal fluids touching my urethra?
3. Would anything change if I had a Urinary Tract Infection at the time?

Answer: 

Hello,

Thank you for your inquiry. From what we gather from the question, you were asking about the risk of acquiring HIV through a hangnail cut coming into contact with a fluid. From the information given, this scenario is determined to be No Risk defined as the transmission of HIV is not possible in the given scenario. The scenario mentioned above does not meet the three components of the transmission equation. The activity component of the transmission equation in question is not considered high risk. High risk activities include: unprotected anal or vaginal intercourse, sharing needles, and mother to child (2). The fluid in question would have exposure to oxygen which would render the virus inactive and it cannot reproduce outside a human host (1).

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

Regards,

AIDS Vancouver Helpline/Online, Danielle