Anonymous
Hi,

I had protected relations with a sex worker. Nevertheless, I touched the condom while removing it with a cut on my finger (I remove the condom just few seconds after the sex). This cut was done 4 hours before the relation( the classic cooking knife cut of about 5mm long). It bleeded for 10-15 minutes, I just put a tissue till the bleeding stopped.

My questions are:
1) Can this cut be a risk for the hiv?
2) Which is the accuracy of a 4th gen rapid test negative at 4 weeks?

Really appreciate your help on this issue, you guys are helping to a lot of people.

Many thanks
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Anonymous
Hello and thanks for reaching out to the AIDS Vancouver Helpline.

It sounds like you have some questions concerning HIV.

1) From what you have told me, this cut was quite small and done approximately 4 hours before the sexual relation took place. This is definitely enough time for the blood cells around the wound to clot, which protects the wound and stops further bleeding. For a cut to put one at risk of acquiring HIV, it needs to be extremely deep to the point where you would need immediate emergency attention. Thus, from what you have described, you would be at No Risk of acquiring HIV.

Below is an HIV Transmission Equation chart, which goes into further detail on the necessary factors that are required for there to be a risk of HIV transmission.

HIV TRANSMISSION EQUATION


BODY FLUID
+
ACTIVITY
+
DIRECT ACCESS TO BLOODSTREAM
---------- -------- ----------------------------
• blood (including menstrual) • unprotected anal or vaginal intercourse • vagina
• semen • sharing needles • anus
• pre-cum • mother to child (in specific cases) • urethra in the penis
• rectal secretions • open cuts and sores (in theory)
• vaginal fluids • other mucosal membranes
• breast milk • points of needle injection
2) The 4th Generation test is one of the best HIV tests you can currently take, because it looks for both antibodies and P24 protein antigens. Most HIV specialists consider this "DUO" test conclusive at 6 weeks. While a negative test at 4 weeks is not concrete, but a good indicator of your current HIV status. Official HIV testing guidelines still recommend re-testing at 12 weeks for completely conclusive results.

For more information on HIV you can visit [HIV Basics](http://catie.ca/en/basics/hiv-and-aids#how).

Regards,

Chris, Volunteer

AIDS Vancouver Helpline/Online

helpline.aidsvancouver.org

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