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Author Topic: Question for Ann:Needle Stick Exposure  (Read 3577 times)

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Offline Incredulous55

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Question for Ann:Needle Stick Exposure
« on: June 23, 2008, 10:46:57 AM »
Hi Ann & other admins,

About two weeks ago, my roommate moved out of our apartment to study abroad. He forgot to clean up some of his junk and throw out his trash. The day he left, I decided to clean up his side of the room. Not paying attention, when I was going through his pile of laundry, I got punctured by a syringe he left behind.

Looking through this and other boards, I found that despite a hollow bore needle providing an airtight environment, the HIV virus still does not stay active long outside the human body and the only reason why people get it when sharing needles is because the simultaneous injections occur within seconds. It had been at least 5 hours since he left so I felt like I was in the clear.Am I right to think so?

One of the Admins, Ann, even wrote numerous times that HIV cannot stay active outside the human body due to small changes in the environment even in a needle. The only concern I have with this logic though is why can the virus stay viable in donated blood transfusions? Wouldn't the testtubes in a blood bank provide a similar airtight environment as a hollow bore needle? Yet, the virus can survive for days, if not weeks, in infected donated blood? What gives? Are there other factors at play here?

Thanks mates!

Offline Ann

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Re: Question for Ann:Needle Stick Exposure
« Reply #1 on: June 23, 2008, 04:35:45 PM »
In,

There's a huge difference between getting an accidental needle stick injury and having a few pints of hiv positive blood pumped directly into your bloodstream.

And you're right, you don't need to worry about hiv infection with your needlestick.

Ann
Condoms are a girl's best friend

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"...health will finally be seen not as a blessing to be wished for, but as a human right to be fought for." Kofi Annan

Nymphomaniac: a woman as obsessed with sex as an average man. Mignon McLaughlin

HIV is certainly character-building. It's made me see all of the shallow things we cling to, like ego and vanity. Of course, I'd rather have a few more T-cells and a little less character. Randy Shilts

Offline Incredulous55

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Re: Question for Ann:Needle Stick Exposure
« Reply #2 on: June 23, 2008, 04:57:29 PM »
But how could the virus still stay active outside the body for that long? Wouldn't the slight changes cause it to break down, even in pints of blood? Or is it because donated blood is stored in a certain environment with different reagents (anticoagulants) that preserve the freshness of the blood?

Also, I had one last concern, but I am afraid it might sound silly, irrational, and unfounded. I have a bad habit of sleeping naked even when I am staying in motels. The thought hadn't really occured to me that some of the sheets might have infected fluids on them and since the places I stay at tuck the beds in very tightly, these fluids (from some previous guest) might not have been exposed to air. Would I be at risk here, since I am not sure how much fluid (could be pints for all I know!) was left in these airtight crevices.

Offline Andy Velez

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Re: Question for Ann:Needle Stick Exposure
« Reply #3 on: June 23, 2008, 05:15:45 PM »
That's a totally, TOTALLY unfounded fear. HIV is a fragile virus and needs a very hospitable environment in which to survive in a viably transmittable fashion, specifically such as a vagina or an anus.

Your hotel sheets could be dripping with fresh semen, blood and other bodily fluids and still not be a risk for HIV transmission. It would be a mess but absolutely no risk for HIV transmission.
Andy Velez

Offline Ann

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Re: Question for Ann:Needle Stick Exposure
« Reply #4 on: June 23, 2008, 05:19:21 PM »
In,

To be totally honest, I've never researched hiv information relating to blood in blood banks, but taking an educated guess, I would say it's to do with the quantity as well as the storage techniques. I'll look into it tomorrow if I have time.

The bottom line in what you've brought to us is that you didn't have a risk.

As for dirty sheets, hiv is NOT transmitted via environmental surfaces. I suggest you read our Welcome Thread and click on the link to the Transmission Lesson.

I also suggest you stay at hotels where they change the sheets between guest. Far as I know, they all do, but maybe you stay in some dumps. You won't catch hiv from someone's dirty sheets, but you can catch things like crabs, lice and scabies. Ew.

Ann
Condoms are a girl's best friend

Condom and Lube Info  



"...health will finally be seen not as a blessing to be wished for, but as a human right to be fought for." Kofi Annan

Nymphomaniac: a woman as obsessed with sex as an average man. Mignon McLaughlin

HIV is certainly character-building. It's made me see all of the shallow things we cling to, like ego and vanity. Of course, I'd rather have a few more T-cells and a little less character. Randy Shilts

Offline Incredulous55

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Re: Question for Ann:Needle Stick Exposure
« Reply #5 on: June 23, 2008, 09:40:59 PM »
That's a totally, TOTALLY unfounded fear. HIV is a fragile virus and needs a very hospitable environment in which to survive in a viably transmittable fashion, specifically such as a vagina or an anus.

Your hotel sheets could be dripping with fresh semen, blood and other bodily fluids and still not be a risk for HIV transmission. It would be a mess but absolutely no risk for HIV transmission.

Thanks Ann and Andy! But Andy you said fresh semen and blood would not be a risk for HIV transmission since you need a hospitable environment, yet what about with blood transfusions? Surely it is already outside of the environment (body-anus and vagina) that would allow for transmission.

Offline Matty the Damned

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Re: Question for Ann:Needle Stick Exposure
« Reply #6 on: June 23, 2008, 09:56:14 PM »
Incredulous,

Have you recently had a blood transfusion or are you intending to have one?

MtD

Offline Incredulous55

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Re: Question for Ann:Needle Stick Exposure
« Reply #7 on: June 23, 2008, 10:02:26 PM »
No Matty, I just felt I have been exposed to fluids in a manner similar to blood transfusions (contact with infectious fluids in mucous membranes via the urethra in airtight spaces)

Offline Matty the Damned

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Re: Question for Ann:Needle Stick Exposure
« Reply #8 on: June 23, 2008, 10:10:09 PM »
Well you haven't been exposed in that manner and what you describe in no way resembles a blood transfusion. In the developed world, blood supplies are strictly regulated and carefully screened to ensure that they are free of HIV so really your concerns about blood transfusion are irrelevant.

It's been explained to you by Ann and Andy that you were not at risk and you should be aware that you won't be permitted to use the forum to post endlessly about non-risk situations. So let us hear no more talk from you about blood transfusions and the like. You should also take the time to read our Welcome Thread and familiarise yourself with our posting guidelines.

Thank you,

MtD


Offline Incredulous55

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Re: Question for Ann:Needle Stick Exposure
« Reply #9 on: June 23, 2008, 10:29:37 PM »
Thank you. I have just one very last question. Before I engage in any activity that will make me more worried.

I read in the lesson plan that by no means is fingering a way for HIV transmission. BUT suppose for anal fingering that the insertive partner has a fresh papercut-still bleeding a little- on his finger. What about the risk for the receptive partner? Wouldn't sticking the finger in anally put the finger in an airtight environment, which means that when new blood is pushed out it could infect?

THAT IS ALL. I WANT TO MOVE ON!!!

Offline Matty the Damned

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Re: Question for Ann:Needle Stick Exposure
« Reply #10 on: June 23, 2008, 10:57:19 PM »
No. Paper cut or not, sticking your finger up somebody's arse is not a risk for HIV transmission.

Seriously, how many times do we have to say it? You were not at risk.

MtD

Offline Incredulous55

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Re: Question for Ann:Needle Stick Exposure
« Reply #11 on: June 23, 2008, 11:52:51 PM »
But Matty how is this different than say the risks of unprotected anal sex for the recipient? Fresh infected fluid in an airtight space

Offline Ann

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Re: Question for Ann:Needle Stick Exposure
« Reply #12 on: June 24, 2008, 03:47:38 AM »
In,

Do you honestly think someone with a recently cut finger is going to shove it up your anus? I know I sure wouldn't - it would hurt like hell and open me to a nasty bacterial infection in the cut.

Theoretical risks are not necessarily the same as what goes on in the real world. Theoretically, you could walk out of your house tomorrow and be struck down by a falling meteorite. But will it happen? Not likely.

As Matty told you, you will not be permitted to go on and on about no-risk incidents. Make sure you read the Welcome thread - all of it.

Ann
Condoms are a girl's best friend

Condom and Lube Info  



"...health will finally be seen not as a blessing to be wished for, but as a human right to be fought for." Kofi Annan

Nymphomaniac: a woman as obsessed with sex as an average man. Mignon McLaughlin

HIV is certainly character-building. It's made me see all of the shallow things we cling to, like ego and vanity. Of course, I'd rather have a few more T-cells and a little less character. Randy Shilts

Offline Incredulous55

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Re: Question for Ann:Needle Stick Exposure
« Reply #13 on: June 24, 2008, 03:25:24 PM »
Thanks everyone!!! My main concern that was lurking for a while was the possibility of transmission from infected fluid on dirty Bed SPREads and comforters/blankets tightly wrapped in an airtight setting. I am not sexually active, at least for now. Thus from this scenario, would you advise me in particular to test for HIV? If not, farewell till we meet again...

Offline Bucko

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Re: Question for Ann:Needle Stick Exposure
« Reply #14 on: June 24, 2008, 03:37:41 PM »
Nothing you've described in this thread sounds even vaguely like a risk for HIV transmission. If you read our replies you'd understand that by now.
Blessed with brains, talent and gorgeous tits.

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Offline Andy Velez

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Re: Question for Ann:Needle Stick Exposure
« Reply #15 on: June 24, 2008, 03:40:30 PM »
"My main concern that was lurking for a while was the possibility of transmission from infected fluid on dirty Bed SPREads and comforters/blankets tightly wrapped in an airtight setting. I am not sexually active, at least for now. Thus from this scenario, would you advise me in particular to test for HIV?"

No, the above is not in any way, shape or form a setting which presents a risk for HIV transmission nor any need for testing. Got that?
Andy Velez

Offline Incredulous55

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Re: Question for Ann:Needle Stick Exposure
« Reply #16 on: June 25, 2008, 08:10:19 AM »
Andy or Ann,

One final question for the future. I know that when a condom breaks during intercourse, it's a big event, like a hula hoop. But is it possible for the condom to already have a small hole/puncture or tear before one puts it on and stay unnoticeable. like something accidently punctures the reservoir tip of the condom before you put it. Wouldn't this be unnoticeable and not burst all apart?

Offline Andy Velez

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Re: Question for Ann:Needle Stick Exposure
« Reply #17 on: June 25, 2008, 09:04:57 AM »
Is that possible? Well yes in the way that almost anything is possible. But in the real world of HIV that only happens in people's fearful thoughts. And it's a common fear by the way.

You are worrying needlessly.
Andy Velez

Offline Incredulous55

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Re: Question for Ann:Needle Stick Exposure
« Reply #18 on: June 26, 2008, 05:22:59 PM »
One testing if you all would be so kind to answer. Yes I know your and the CDC's stance is that a 3 month ab test in conclusive. No arguments here. However I'm going down to visit a friend in LA in the upcoming weeks and was thinking of heading over to the LA Gay Lesbian center to get a NAAT (why not for peace of mind-afterall needle exposures are illogically scary and its free!). Anyway, I was wondering if this NAAT is the same as an RNA PCR. The reason I ask is that an RNA PCR (NOT DNA) can lose effectiveness at 28 days since the body fights back against the virus and decreases viral load. However would the NAAT have the same limitations? Meaning could I take an NAAT at 5-6 weeks and have as realiable a result as an NAAT taken at 2-3 weeks?

Offline Incredulous55

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Re: Question for Ann:Needle Stick Exposure
« Reply #19 on: June 27, 2008, 03:04:26 PM »
Anyone?

Offline Andy Velez

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Re: Question for Ann:Needle Stick Exposure
« Reply #20 on: June 27, 2008, 04:16:05 PM »
I'm not even willing to get into a discussion of various tests. You're just jiving us. You didn't have a risk. There's no need for testing and wasting the resources of sites in LA.

Get on with your life and cut out this fraber jaber and "just one more question."

You're on the verge of earning yourself a time out here.

Andy Velez

 


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