Dr. Shubadeep Debabrata Sinha
Infectious Diseases
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Patient's Query
Hello doctor,
Two weeks ago, I conducted a rapid self-test for HIV, and the result came back negative. However, I accidentally touched the strip with my pricked finger when the cassette fell and broke. The test was mine, and no one else touched it. I have OCD and depression, and upon reading the instructions mentioning that the membrane is pre-coated with recombinant HIV antigens and antibodies, I became concerned about the possibility of HIV transmission through the test when I touched the strip with my pricked finger. Despite reassurances from multiple doctors that this is not possible and that these are only proteins, not the virus itself, I am struggling to calm my mind.
I understand logically that even if the test were to contain the HIV virus, it cannot survive outside the human body. However, my anxiety persists. Please help.
Thank you.
Hello,
Welcome to icliniq.com.
I can understand your concern.
Human immunodeficiency virus (HIV) is a blood-borne virus transmitted through sexual intercourse, shared intravenous drug paraphernalia, and during the birth process or via human milk (vertical transmission). HIV disease is caused by infection with HIV-1 or HIV-2, which are retroviruses.
The risk factors for possible exposure to HIV include:
Considering the above, your supposed 'exposure' does not pose any risk of HIV infection in the future. However, if you feel the need for further assurance and believe you might have had potential exposure as listed above, then I would suggest you should get tested for HIV p24 antigen, HIV-1 and 2 antibody testing, and CD4/CD8 counts after about four to six weeks.
There is no need to panic at this time. Please follow safe sex practices such as using condoms and mechanical contraception, avoid any intravenous drug abuse, and ensure that you do not have any unsafe intravenous exposures.
I hope this information helps you.
Thank you.
Patient's Query
Hello doctor,
Thank you for your reply.
I do not have any exposure to the mentioned risk factors. I took the test because I had a low-risk exposure about six months ago. Do you believe it is necessary for me to undergo testing just because I touched these antigens from the test? Are these antigens contagious?
Thank you.
Hi,
Welcome back to icliniq.com.
As already stated, at this time, there does not appear to be any such need for retesting.
Thank you.
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