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risk of transmission?

Question: 

hi
I just got tested for HIV in a HIV specific lab. now im worry if there is a risk of transmission since only HIV+ people get tested there. should I start PEP?
she used new syringe and latex cloves, but she touched and tied the armband (while latex was worn) before wiping my skin with a piece of cotton and alcohol (possibly)
thank you

Answer: 

Hello and thank you for your inquiry.

We gather that you are wondering if you are at risk of acquiring HIV while being tested for HIV, and you confirm that a sterile needle was used for your test. This scenario is determined to carry No Risk for transmission of HIV, meaning that HIV transmission is not possible in the given scenario.

In order for an HIV transmission to occur, the following three conditions must be met:

  1. There must be HIV present in a bodily fluid. (1) In this scenario where a fresh needle and syringe were used, and the nurse wore latex gloves, there is no evidence of the presence of a foreign bodily fluid.

  2. The bodily fluid containing HIV must have direct access to the bloodstream. (1)

  3. Transmission occurs through a risky activity in which the first two conditions are met. (1) Sharing hypodermic needles for intravenous drug use and having unprotected sex are examples of high risk activities. Being tested for HIV is clearly not a high risk activity.

PEP is not indicated in this scenario. PEP is reserved for instances of high risk exposure, usually involving a source who is known to be HIV positive, or who is known to engage in high risk activities. Just for your information, in high risk instances where PEP is indicated, the first step before initiating PEP is actually to receive a baseline HIV test.

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

Regards, AIDS Vancouver Helpline Volunteer, Dyson