Followup detail

[nssn]

I forgot to mention one thing in my last post but would be grateful for an answer.

I had a two day old burn on my leg. It appeared to have puss but i was using soframycin. Now the CSW I was with was lactating and pressed her breast so the milk came out of it. I am not sure if the droplets fell on the wound - assuming they did, would that be a HIV transmission risk? If not, then why?

[nssn]

I want to take the opportunity to also thank you for offering me perspective on this question of mine and before.

[nssn]

Thank you very much for this.

[nursegirl6572]

I think you're reading too much into it.  He says all the time that getting a partner's secretions on any part of the skin, even with the presence of cuts, etc, poses no risk.

[nssn]

I quoted this to say that my interpretation of what dr hhh is saying is that if u have an open lesion, then its a problem. Presumably my burn was an open lesion.

Nursegirl - I m comforted and assured by ur earlier answers - but I wanted to share with u what I had read which was making me so paranoid.

[Vance2335]

And he said no risk

[nssn]

Hello there, thank u for your reassurance. My trigger was this post by Dr HHH:

I went to a high end strip bar in Guatemala about two months ago. A little over than a week before I burned my finger on a hot log. I assume a second degree burn. A little more than a day before I went to the strip club the blister(kind of like a wart) from the burn fell off leaving a pinkish kind of skin, defintetely not the final layer. I did not wear a band aid. At the strip club I received a private nude dance. During the dance I stupidly(drunk) slightly inserted my healing burnt finger into the woman's vagina. It was not full penetration but just enough to feel moistness, wetness. I soon realized the stupid thing I did and withdrew it. After the dance I washed it with soap and water. I did not notice any blood. Could I have gotten hiv trough that burn after inserting my finger into the woman's vagina? Over six weeks after the event I had a stiff neck and felt that my glands on my neck might be swollen. I also had what seemed to be intense body heat but apparently no fever(although maybe a low grade one). I got tested two months after the event in Guatemala(still was there) and it came back negative but had doubts about the results because I requested them the  same day and they gave them to me but only 2 and half hours after they took my blood. I was having a lot of other tests done that same day so wonder if they just wanted to please me. Kind of hard to believe I guess -hopefully. I assume the test was an elisa. I also don't know if your shorter time frame applies to tests in other countries. Anyway, What was my risk and should I get tested again?  






H. Hunter Handsfield, M.D.

Feb 12, 2007
..


As others responded before me (below), there was no significant risk. I cannot imagine that a burn (on a hot dog??) could increase the risk. You didn't have an open lesion, i.e. no break in the skin.  In any case, the negative test 2 months after the event proves you weren't infected.  Enough said. You don't need additional testing.

HHH, MD

[nursegirl6572]

Dr. HHH says all the time that there is no risk of getting any kinds of fluids into a cut, sore, lesion, wound, etc.  I'm not sure what you're reading, but your scenario is not a risk.

[nssn]

Any reply to the open lesion bit would be appreciated nursegirl. i promise to rest all my fears following that.

[nssn]

I accept that nursegirl. But I wanted to share this additional detail only to have a complete answer to the complete situation.

Teak's reply says that it does not constitute an exposure. Even you have maintained that. I guess my trouble was coming from the fact that Dr HHH has talked about Open lesions (breakage in the skin) which made me immediately look at my burn and relate it as an open lesion.

[nursegirl6572]

You are stuck in the anxious cycle of "what if" thinking.  You never had an exposure.  I strongly recommend you seeking professional help if you can't accept that.

[Teak]

HIV is unable to reproduce outside its living host (unlike many bacteria or fungi, which may do so under suitable conditions), except under laboratory conditions; therefore, it does not spread or maintain infectiousness outside its host.

[nssn]

Teak I am grateful to you for your reply. I am only for the peace of my mind (which I appear to have lost due to my ongoing divorce) would like to know why this would not constitute an exposure.

[Teak]

You were already advised that you never had an exposure and any thing you add will not change the fact you never had an exposure.