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I got a needle stick at work while i was giving a patient a…

Customer Question
I got a needle...

I got a needle stick at work while i was giving a patient a prevnar 13 vaccine in the arm intramuscular i pricked my thumb closing it. i had a glove on i rubbed the area and took a dose of atripla. his viral load in undetectable should i be worried?

Doctor's Assistant: What medications do you take daily? Are you allergic to any medications?

None

Doctor's Assistant: Anything else in your medical history you think the doctor should know?

None

Submitted: 2 months ago.Category: Medical
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Answered in 3 minutes by:
12/22/2017
Doctor: Dr. David, Board Certified Physician replied 2 months ago
Dr. David
Dr. David, Board Certified Physician
Category: Medical
Satisfied Customers: 48,378
Experience: Experienced Physician trained in New York City. I'm ready to help.
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Hello, this is Dr. David. I am reviewing your question now and will be with you momentarily.

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Doctor: Dr. David, Board Certified Physician replied 2 months ago

did you report this to your supervisor?

the patient you were vaccinating has HIV?

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Customer reply replied 2 months ago
no i didnt. im afraid if i do i will loose my job
yes he has hiv
Customer reply replied 2 months ago
hes very good always takes his meds his viral load is undected
Doctor: Dr. David, Board Certified Physician replied 2 months ago

you should report it to your supervisor

you should be on a longer course of PEP therapy.

PEP should be started within 72 hours after a recent possible exposure to HIV, but the sooner you start PEP, the better. Every hour counts. If you’re prescribed PEP, you’ll need to take it once or twice daily for 28 days. PEP is effective in preventing HIV when administered correctly

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Customer reply replied 2 months ago
will i get hiv from this?
Customer reply replied 2 months ago
im on atripla ? is this fine
Doctor: Dr. David, Board Certified Physician replied 2 months ago

atripla is fine

but you need 2 drugs for occupational exposure which is more effective

you should read this article

https://www.aafp.org/afp/2010/0715/p161.html

Occupational exposures

Preferred basic two-drug regimens

Zidovudine (Retrovir) plus lamivudine (Epivir); combination drug available as Combivir Zidovudine: 300 mg twice daily with food

Lamivudine: 150 mg twice daily

Zidovudine/lamivudine: 300/150-mg tablet twice daily

Zidovudine plus emtricitabine (Emtriva) Zidovudine: 300 mg twice daily with food

Emtricitabine: 200 mg once daily

Tenofovir (Viread) plus lamivudine Tenofovir: 300 mg once daily†

Lamivudine: 150 mg twice daily

Tenofovir plus emtricitabine; combination drug available as Truvada Tenofovir: 300 mg once daily†

Emtricitabine: 200 mg once daily

Tenofovir/emtricitabine: 300/200-mg tablet once daily

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