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Home / Answered Questions / My mom works at a non-profit woman’s support housing and many of the residence there use drugs, as well as are positive for STDs like HIV. While at work, she got sticked by a needle that wasn’t properly disposed of. She did blood work as well as tested the needle and contents within it regarding whether or not she or the needle has the virus. Her blood work came back and it said she was negative for hepatitis B and C and HIV but the contents in the syringe of the needle hand blood contents and it tested positive for HIV. Our family doctor said the chances of her having the virus are very slim, but believes she should go on the anti viral medication just to make sure. What is your opinion on the matter ? He had said that the side effects of the anti viral medication can make her very ill and potentially harm internal organs especially if she doesn’t have the virus but takes it for precautionary reasons. He said the window period hasn’t passed yet for her either to be a hundred percent sure that she doesn’t have the virus either being that just being sticked by the needle doesn’t mean she has it because once the tip has been exposed out, it can transfer the virus like that or the changes are slim. Could you give me your expert opinion on this please? It would be very much appreciated.

My mom works at a non-profit woman’s support housing and many of the residence there use drugs, as well as are positive for STDs like HIV. While at work, she got sticked by a needle that wasn’t properly disposed of. She did blood work as well as tested the needle and contents within it regarding whether or not she or the needle has the virus. Her blood work came back and it said she was negative for hepatitis B and C and HIV but the contents in the syringe of the needle hand blood contents and it tested positive for HIV. Our family doctor said the chances of her having the virus are very slim, but believes she should go on the anti viral medication just to make sure. What is your opinion on the matter ? He had said that the side effects of the anti viral medication can make her very ill and potentially harm internal organs especially if she doesn’t have the virus but takes it for precautionary reasons. He said the window period hasn’t passed yet for her either to be a hundred percent sure that she doesn’t have the virus either being that just being sticked by the needle doesn’t mean she has it because once the tip has been exposed out, it can transfer the virus like that or the changes are slim. Could you give me your expert opinion on this please? It would be very much appreciated.

Hi, thanks for writing in with your concerns. Your mom did the right thing by reporting the needlestick and going to the hospital for the recommended testing and immunizations. Transmission of HIV is rare with needlestick injuries. This is because that HIV dies quickly when the blood in the needle is cold and dry. Hepatitis B and C are more likely to remain making it possible to transmit them this way. Now that time has passed ( best right away or within 72 hours)  to take the 28 days of antiviral drugs, it is recommended that she do the routine follow up testing. So that would mean testing now to know her own current HIV status ( as you said this was done at the hospital along with hepatitis A, B and C screening) then testing at a month ( the new 4th generation HIV test will cover this) and then at 3 months to be sure. In the unlikely event of  HIV being transmitted and the HIV test is positive, then the first steps are redoing the testing to be sure there is not a lab error, checking HIV viral load and immune system markers, connecting with a doctor who is an expert in HIV care and starting on HIV medications right away, and also connecting with support like peer navigators. Usually this would happen within a week of finding out HIV positive result. If your mom lives in British Columbia and has health care coverage, then her testing, visits to doctor and if needed, HIV medications are free. Because of early connection to care and medications, people with HIV can now live normal healthy long lives. As you already probably know, HIV is not transmitted by kissing or hugging or sharing food or clothes.  

Let us know if this does not answer your question or if you have any more questions or concerns.
Health Nurse