Can HIV spread through mucocutaneous contact with lidocaine?

Question

Hello doctor,

I am a medical resident, and while working in the emergency department, I had potential exposure to Lidocaine during an incision and drainage procedure on the gluteal abscess. While forming a wheel in the dermis, the lidocaine sprayed near my face, and I am unsure if it entered my eye. There was no stinging or burning sensation in my eye. The patient has a history of HIV. Should I be concerned about mucocutaneous contact and potential seroconversion? What steps should I take to address this situation appropriately? Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

Thank you for your query.

Yes, there is a chance of seroconversion, although it is very low through this route. When contaminated fluid comes in contact with the eyes, it can transmit HIV.

I recommend you get a DNA PCR (deoxyribonucleic acid polymerase chain reaction) or qualitative RNA PCR (ribonucleic acid polymerase chain reaction) test for HIV (Human Immunodeficiency Virus) after seven days. Although it can detect the presence of HIV as early as seven days, it is considered conclusive after three to four weeks. Also, go for repeat testing after one month. I hope this helps.

If you have any further questions or concerns, please feel free to ask.

Thank you.