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slipped changing an AIDS patient's urinary catheter

Hi: Mi syster works at a hospital. She was changing an AIDS patient's urinary catheter when it slipped her hands and some of the patient's pee was throun into my syster's eye. She tried to rinse it right away but the first eyes reaction is to close and open and when you do that some of the pee can get into your eye. She rinse it as fast as she could but she probably got some in. Since pee has microscopic drops of blood, i'm afraid she could have been contaiged. She went with a doctor and the doctor told her not to worry but since she was really worried, he prescribed her (I live in mexico so I'll tell you the name of the medicine in spanish and the substances it contains in english) COMBIVIR which contains 150mg of Lamivudine and 300 mg of zidovudine. The doctor also gave her KALETRA which contains lopinavir and ritonavir according to the internet page. The doctor prescribed her to take 2 of one of them in the morning and 12 hrs later to take other 2 and of the other medicine just to take 1 a day.
The doctor told her that in case she had gotten infected, this woukdn't allow the virus to spread over her body and that in 2 months the virus would be dead.

Is that true?
Is there anything else she can do so that she can kill the virus in case she is infected or something?

Thanks a lot.
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replied October 6th, 2011
Especially eHealthy

The following information is taken from the website for the US CENTER FOR DISEASE CONTROL.

The transmission of HIV is not as easy as most people believe. Not all blood exposures results in infection. It usually takes a blood to blood contact for infection to occur.

These body fluids have been shown to contain high concentrations of HIV:
- blood
- semen
- vaginal fluid
- breast milk
- other body fluids containing significant amounts of blood (e.g. post-op wound drainage)

The following are additional body fluids that may transmit the virus that health care workers may come into contact with:
- fluid surrounding the brain and the spinal cord
- fluid surrounding bone joints
- fluid surrounding an unborn baby

Situations where healthcare workers are at risk:

The risk of health care workers being exposed to HIV on the job is very low, especially if they carefully follow universal precautions (i.e., using protective practices and personal protective equipment to prevent HIV and other blood-borne infections). It is important to remember that casual, everyday contact with an HIV-infected person does not expose health care workers or anyone else to HIV.

For health care workers on the job, the main risk of HIV transmission is through accidental injuries from needles and other sharp instruments that may be contaminated with the virus; however, even this risk is small. Scientists estimate that the risk of infection from a needle-stick is less than 1 percent, a figure based on the findings of several studies of health care workers who received punctures from HIV-contaminated needles or were otherwise exposed to HIV-contaminated blood.

The chances of a healthcare worker being infected from fluids other than those listed as containing high concentrations is essentially zero. Though the worker should be periodically tested, it is not recommended that the worker be treated prophylactically. Although the most important strategy for reducing the risk of occupational HIV transmission is to prevent occupational exposures, plans for postexposure management of health care personnel should be in place. For guidelines on management of occupational exposure, refer to the June 29, 2001, Morbidity and Mortality Weekly Report, “Updated U.S. Public Health Service Guidelines for the Management of Occupational Exposures to HBV, HCV, and HIV and Recommendations for Postexposure Prophylaxis”.

For more information on preventing occupational exposure to HIV, refer to the CDC fact sheet, “Preventing Occupational HIV Transmission to Healthcare Personnel”.

For more information on HIV and health care workers, visit the health care workers section of the CDC National Prevention Information Network (NPIN) Website, or call NPIN at 1-800-458-5231.

Hope that helps some. Good luck.
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