Aa
A
A
Close
Avatar_universal
needle stick injury
Hello doc, I hope my message finds you in good health. I am a post graduate dentist working at a teaching hospital in UK. 8 weeks ago, I got pricked on my finger with an endodontic instrument. The finger didnt bleed, the endodontic instruement was being used during a root canal treatment and before I got pricked, it was picked from hydrogen peroxide solution.

Just for the sake of it, I requested the patient to get test for HIV and also requested him to do his hepititus profile. He was negative. The tests performed were 4th generation.

Then I got myself tested a month after the needle stick injury. The tests was 4th generation ELISA. It was negative. The cut-off rate was 1.00 and my value was 0.10. I again for myself tested 8 weeks after the incident and the 4th generation ELISA was again negative. My value was 0.20.

My question is ... why my values increased from 0.10 to 0.20 ? Is there anything to worry about ? Are 4th generation ELISA accurate enough ? What do you suggest, Im simply getting worried as I know about the disease itself.

Your opinion will be highly appreciated.

Thanks.
Cancel
3 Answers
Page 1 of 1
Avatar_universal
You posted in the wrong forum for a Doctor's response. Post your question in the Expert forum. You can find the link on the right hand side of the page.
Comment
Cancel
Avatar_universal
Comment
Comment
Submit Comment
480448_tn?1426952138
You have nothing to worry about.  First, the "poke" didn't even result in a break in the skin.  Second of all, superficial needle sticks virtually NEVER EVER result in infection, it is extremely rare.  The type of occupational exposures that would be more likely to lead to transmission would be where there is a significant injury with exposure to a LARGE amount of fresh blood (think of an OR situation with a scalpel injury and a pt hemorrhaging).  At one of my prior jobs, I helped out a lot in the infectionl control dept, and out of a few needle exposures with pt's + for varying illnesses (Hepatitis, one HIV, etc)...there was never a transmission.  These were typical superficial needle pokes.

Secondly, the patient tested negative.  There is your proof if you doubt the exposure.  You cannot be infected if the person has nothing to infect you with!!

I would advise you to continue your education about blood borne pathogens, and TRUE risks, which are usually misunderstood.  Always follow your facility (office) procedure post an "exposure", as every health care facilty DOES have a post-exposure protocol in place.

Good luck in your future career.  Speaking as a HUGE dental sissy....please always be compassionate with your patients...and offer as many MIND numbing (not tooth numbing, lol) drugs as you can for procedures.  Trust me, it is appreciated!  ;0)
Comment
Cancel
480448_tn?1426952138
Comment
Comment
Submit Comment
Avatar_universal
thanks a lot dental sissy :) appreciate your reply. comments are highly appreciated and thanks for the advice.
Comment
Cancel
Avatar_universal
Comment
Comment
Submit Comment
Your Answer
Avatar_universal
Answer
Know how to answer? Tap here to leave your answer...
Answer
needle stick injury
Submit Answer
A
A
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
HIV Prevention Community Resources
RSS Expert Activity
233488_tn?1310696703
Blank
Marathon Running Done Over Many Yea...
May 21 by John C Hagan III, MD, FACS, FAAOBlank
233488_tn?1310696703
Blank
New Article on Multifocal IOL vs &q...
May 21 by John C Hagan III, MD, FACS, FAAOBlank
748543_tn?1443740527
Blank
TMJ/TMJ The Connection Between Teet...
01/15 by Hamidreza Nassery , DMD, FICOI, FAGD, FICCMOBlank
Top HIV Answerers
Avatar_m_tn
Blank
paranoidstd
Philippines
1508374_tn?1380812110
Blank
BeStrong_
Athens, Greece
Avatar_m_tn
Blank
Vance2335
Buffalo, NY
Avatar_m_tn
Blank
JamesD1991
NC
366749_tn?1370585676
Blank
diver58
Karachi, Pakistan
Avatar_m_tn
Blank
B23121