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Finger prick with 20 gauge needle of HIV negative patient

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I pricked my finger with a 20 gauge IV after I inserted the IV. It was not a deep stick. The patient tested negative for HIV. I was not given PEP. I was told by the physician at the PEPline that no source person has transmitted HIV to a healthcare worker in the window period and that a negative is considered a true negative. Guidelines also state that the exposed person does not need testing if patient tests negative. My hospital tests anyways. I tested 6 weeks(44 days) after needle stick and tested HIV negative. I am breastfeeding my baby and was told by the physician at the PEPline that I could resume breastfeeding because patient tested negative for HIV. How accurate is a 6 week antibody test? Is my test accurate? Was the patient's negative HIV test accurate?

Category: HIV- AIDS Specialist

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Category: HIV- AIDS Specialist
 19 Doctors Online

Hello,

Thank you for asking your query at DoctorSpring.

I assume that you are Healthcare Personnel. So I hope would be aware that no tests are 100% sensitive and test results needs to be interpreted by taking pre test and post test probably into consideration. HIV Elisa test is more than 99% sensitive. That means it is highly unlikely that positivity will be missed. So you can say the test is very accurate. (Same with case of source patient). As per recommendations, since the source patient is tested HIV negative, you will not require treatment of further testing. (Further testing is only required if the sources is unknown or positive).

What you have here is sort of a 'double' confirmation in form of a negative source and your own negative test result. If you put it mathematically ( and in a practical way !) you have near zero risk that HIV transmission has occurred. So there is no need to worry, you can breastfeed as recommend by your Physician.

Hope this helps

Please feel free to ask followp questions.

Thank you


Dr. Jaydeep Tripathy
Category: HIV- AIDS Specialist
Experience: 
MBBS from Sri Ramachandra University in December 2011
M.Med (Family Medicine) - TNMGR University, Chennai
MBA-MPH in Public Health in March 2016, SRM University
Finished AFIH in March 2016, SRM University
MRCP ( UK ), Internal Medicine, Royal College of Physicians, June 2016
Fellowship in Diabetology from Martin Luther University in January 2017

Currently Resident Physician, in MD Radiodiagnosis - Kamakshi Memorial Hospital, Chennai
Dr. Jaydeep Tripathy and 4 other Medical Specialists are ready to help you

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