Hepatitis C Community
Hepatitus C spit in eyes?
About This Community:

This forum is for questions about medical issues and research aspects of Hepatitis C such as, questions about being newly diagnosed, questions about current treatments, information and participation in discussions about research studies and clinical trials related to Hepatitis. If you would like to communicate with other people who have been touched by Hepatitis, please visit our new Hepatitis Social/Living with Hepatitis forum

Font Size:
Blank Blank

Hepatitus C spit in eyes?

I posted this question on  the occupational hazard board 5-6hrs ago and haven't received a reply yet, so I thought I would try here.

I am a Law enforcement officer, and had a suspect spit in my eyes on 1/3/08.  I was treated at the local ER within 3 hours, and placed on Combivir (1 tab twice a day).  The local health dept. took samples of the suspects blood.  His Hepititus C test was positive, (STILL HAVEN'T GOTTEN THE HIV OR HEPITITUS B TESTS BACK FROM THE STATE'S LAB).

Since taking the Combivir, I have been nausea and fatigued.  Then on 1/12/08 I am hopistalized for dehydration, due to vomiting(Kept overnight then released / did have a fever 100-102).  They believe I had a stomach virus, and took me off the Combivir for two days.

My question is do you think I should restart the combivir, being I have been off of it for two and a half days? What are my risks to any of the hazardous viruses with this type of exposure.  Note:  They never flushed my eyes, but I did clean my face with a bacterialcide directly after the incident.  And lastly I do have a small spot on the white part of my left eye, that I was told came from sun exposure, and it is usually seen on individuals around the equator (can't remember the name).

Thanks for your Time!

Tags: Combivir
Related Discussions
2 Comments Post a Comment
Avatar m tn
First, sorry about what you had to go through doing your job protecting us. You should also be aware that most of us here are Hepatitis C patients and not doctors.

That said, I believe Combivir is to help prevent HIV (AIDS) in the event that you were exposed. I do not think it has any effect on Hepatitis C.

Your exposure to Hepatitis C is very low risk but testing is prudent.

Given the suspect's Hep C status, the best person to advise you on further testing (and what to do re the Combivir) would be a liver specialist (hepatologist) and ideally one who works with HIV patients. Hepatologists can usually be found at your larger, teaching hospitals. Of course you will have more information when the HIV tests come in, and I assume they also tested for Hepatitis B?

Again, I don't think you have too much to worry about, but further testing and consultation with a medical expert seems like the right thing to do.

All the best,

-- Jim
Avatar dr m tn
Very low chance of transmitting HCV in this fashion, a bit higher for HIV and still higher yet for HBV.

For all these viruses it depends dramatically on the viral load that is present in the inoculum.
For HBV for example, it can be from a a few thousands to 10 billion per ml of plasma. It is obvious therefore that the chance that a transmission occurs in a particular case in itself  varies by an incredible factor of  one million for HBV.

Thus it would be prudent to obtain not just a simple serological answer re the serological status of the assailants blood, but also, if serologically positive for any of these viruses, but particularly HBV, to determine the viral load present. It is feasable, also,  to determine a viral load from the suspects sputum, to give an even better idea for risk estimation.

I assume that you are not vaccinated against Hepatitis B. If so this might be a good time to catch up with that, since violent contacts with infected persons are always a real possibility.

A protective shot with Hepatitis B immunglobulin ( HBIG) would also have been iin order, that would have best protected you against the HBV risk, if not vaccinated.

The combivir contains as one component  Lamuvidine, that is both effective against HIV and HBV, but full protection is not assured, since these antivirals only work once the virus has entered the host cell and begins its replicative cycle.They do not protect against primary infection/cell entry as HBIG, a neutralizing antibody does. Nevertheless, it should provide a very substantial reduction of risk.

Not to scare you, but many HIV infected individuals carry the lamivudine resistant strain. A better protective antiviral would have been Tenofovir ( Viread), that also provides potent double protection against both HIV and HBV and carries a very small risk of preexisting resistance against HIV and literally none against HBV.

Post a Comment
Recent Activity
707563 tn?1455827280
Emily_MHModerator Survey link - https://goo.g... Comment
4 hrs ago
3197167 tn?1348972206
clean_in_ks commented on No Cirrhosis of the L...
5 hrs ago
874521 tn?1424120397
opus88 commented on No Cirrhosis of the L...
6 hrs ago
Weight Tracker
Track your weight over time
Start Tracking Now
Top Hepatitis Answerers
163305 tn?1333672171
Rural Mural, CA
1815939 tn?1377995399
446474 tn?1446351282
San Francisco, CA
Avatar universal
317787 tn?1465993311
1747881 tn?1358189534
Greeley, CO
Hepatitis C Community Resources