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Hello, I am a house surgeon at a Govt Hospital. Around 8 days back I was doing rounds of a surgical ward early in the morning and there was a patient who had an RTA (accident) in the previous night, I had to check the status of his lacerated wound which was there on his forehead. Since I was in hurry I touched the roller bandage (on his head) which was blood stained but dry with my bare hand while undressing his wound, but suddenly I realised and wore the gloves and completed the procedure. After finishing everything I was very anxious since I touched the blood stained bandage with my bare hand and I was examining my fingers for presence of any cuts or peeling of skin around the nails again and again but didn't find any, I went home and took a nap. When I woke up, I again started examining my fingers and shockingly I found a minute amount of blood (dry) on the nail bed of my index finger of the hand from which I touched the roller bandage and then I got more scared, I checked my finger for the presence of any trauma but didn't find any and started wondering whether the blood was of the patient whose roller bandage I touched and that patient's Hiv status was unknown which made me more anxious. Before I could go back to the hospital and send his investigations for Hiv and Hbsag tests he was referred to a higher centre and he left and his Hiv status remained unknown. I am still anxious about that incident, so kindly clarify my concern. Thank you.
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1. Being a dr, you must have been aware about PEP 2. You should have taken PEP with 48 hrs of this episode 3. Chances to get HIV are very low 4. Hep B, Syphilis chances are higher than HIV. 5. Have been vaccinated against Hep B? You can take a Private Consult.
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