Question of the Week # 86

Q86) A patient had a closed fist injury at a bar while trying to punch his friend who he later learnt was HIV positive. The patient tells you that there was only an abrasion on his hand and all he noted on his hand was his friend’s saliva. He is very concerned. What is your next step?

A. Give HIV prophylaxis with HAART
B. Clean and debride the wound and reassure that no need for prophylaxis
C. Call surgical consult
D. Close the wound with sutures
E. Check for HIV antibody

 

8 Thoughts on “Question of the Week # 86

  1. harry on June 3, 2011 at 9:17 am said:

    B
    HIV present in the human saliva but there is not enough study and evidence suggest that HIV is transmitting via saliva so no need to do anything.just give amoxiclav.
    salive,urine,tear,vomitus,nasal secretion,sputum,stool, all these fluids are safe until there is blood in it.

  2. the answer is B because HIV not transmitted through saliva

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