I am a nurse. Yesterday, while conducting a normal vaginal delivery i accidentally had a splash of amniotic fluid on mu uncovered arms.i washed it within 10 minutes.though i had no cut on my arm but i am reallyy scared because i had a 1 day old cut on finger of my same hand which was covered with bandaid. But i am scared because of the possiblity that the amniotic fluid might have travelled to my finger cut during washing. The patient is hiv negative as per a 2 month old test. Can u plzzz plzzz tell me my risk of contracting the hiv from this exposure. Should i take post exposure prophylaxis??please help me, i am so much worried that i cannot even sleep.
Thank you for your inquiry. From what we gather from the question, you were asking about acquiring HIV from contact of fluid on an old cut. From the information given, this scenario is determined to be No Risk 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 equation requires body fluid, a high risk activity, and direct access to the blood stream. In this case there was bodily fluid and direct access to the blood stream, but no high risk activity (unprotected anal or vaginal intercourse, sharing needles and mother to child) (1). A quote from CDC states that "HIV does not survive long outside the human body and it cannot reproduce outside a human host" (2). The patient having an HIV negative status would also make the transmission equation incomplete.
Recommendation: No need for HIV test with the scenario provided, refer to a physician for other health related questions
AIDS Vancouver Helpline/Online, Danielle