被咬了，救救我！

Xp609pX

你算是找对人了，我这儿正好有一个专家贴的链接。
http://www.medhelp.org/posts/HIV ... ction=show&id=#

lmh

Xp609pX 发表于 2011-10-29 20:43
你算是找对人了，我这儿正好有一个专家贴的链接。
http://www.medhelp.org/posts/HIV-Prevention/I-Bit-an ...

Welcome to the HIV prevention forum.

You received accurate advice on the community forum.  Although biting is often listed as a possible risk for HIV transmission, because of a theoretical risk from tissue injury and blood exposure, to my knowledge no HIV infections have ever been attributed to either biting or being bitten.  If it has ever happened, it is extraordinarily rare.

Further, your fighting partner doesn't necessarily have HIV.  (It doesn't even seem certain he has TB, but we will assume he does.)  Although it is true that TB is more common in people with HIV than without it, in most countries around the world, the large majority of people with TB do not have HIV.   

There are no data on transmission of other STDs by biting, but undoubtedly this is just as rare as for HIV.  I can imagine small risks for HSV-1 (which isn't considered an STD when it involves the mouth) and syphilis, but in 30+ years in a busy STD clinic, I have never seen an STD that was acquired either by biting or being bitten.

So there are no STD/HIV risks.  For peace of mind, perhaps you should be tested in a few weeks for HIV and syphilis.  You can expect negative results.  In the meantime, be on the lookout for signs of infection involving your bite wounds -- i.e. pus, redness, soreness, a red streak running up the arm, a swollen/tender lymph node in the armpit, and fever.  Such infections are due to standard bacteria on the skin or in the biter's mouth, not due to STDs -- but they can be quite serious and you need to see a health care provider immediately if any of these symptoms show up.

Let's not get into a string of follow-up comments or questions as on the community forum -- where you had to be warned about excessive anxiety-driven questions.  There is no information you can provide that is likely to change my opinion or advice.

I hope this helps.  Best wishes-- HHH, MD
这个吗？我不懂英语啊，你能帮我翻译吗？谢谢

Xp609pX

只挑最关键的三句话：
There are no data on transmission of other STDs by biting, but undoubtedly this is just as rare as for HIV.  
尚无记录在案的病例表明通过咬能传播其他性病，毫无疑问传播hiv肯定也是极其罕见的。
I have never seen an STD that was acquired either by biting or being bitten.
没见到过有性病（包括hiv）通过咬或者被咬传染的。（DR HHH工作了30多年自己没见到过一例）
So there are no STD/HIV risks.
没有性病和hiv风险（忽略不计）。

lmh

Xp609pX 发表于 2011-10-29 21:15
只挑最关键的三句话：
There are no data on transmission of other STDs by biting, but undoubtedly thi ...

谢谢你！
没见到过有性病（包括hiv）通过咬或者被咬传染的。（DR HHH工作了30多年自己没见到过一例）
那你对外国儿子咬了母亲而传染的个案怎么看？那个个案证据可靠吗？

Xp609pX

那个案例是teak说的，我认为可靠，但是并不适合你。因为她是被重度咬伤，而你根本就没有被咬出血，更不要说大量出血了（就像刀子插进去那样）。

Xp609pX

哦，案例是不是teak说的我记不太清楚了，但是我很清楚地记得teak有说过“hiv is not transmit through bite”了的。

Xp609pX

不好意思，有点儿不着道了。。。。。。。。。。。看来我果然还是不适合当志愿者，能清楚明了地给大家解决问题。

lmh

Xp609pX 发表于 2011-10-29 21:46
不好意思，有点儿不着道了。。。。。。。。。。。看来我果然还是不适合当志愿者，能清楚明了地给大家解决问 ...

不，你很适合当志愿者，因为你很热情，很敬业！谢谢你！
这边有个在艾滋在线上看到的2008年的咨询，我觉得当时这个医生简直是在制造恐怖气氛，要不就是水货，你看看

lmh

lmh 发表于 2011-10-29 23:38
不，你很适合当志愿者，因为你很热情，很敬业！谢谢你！
这边有个在艾滋在线上看到的2008年的咨询，我觉 ...

咨询标题 脖子被性服务小姐咬了一口！有口水无明显齿痕
正文内容 正文内容 昨晚被小姐咬了一口，脖子无明显损伤也未出血只是有点口水，我很担心万一皮肤软组织有细微肉眼看不到的毛孔被小姐的口水里的艾滋病毒传染，现在很紧张，会不会感染艾滋病和梅毒啊？谢谢医生帮我解答一下，我现在很恐惧 2010-08-09
回复内容 事后没有消毒处理，又不知对方健康情况，有可能会感染。


老师您好！看了您的回复很困惑，该咨询者都说了“脖子无明显损伤也未出血只是有点口水”，这都可能传染吗？

我的情况和他基本相同，也是被小姐咬了一口脖子后面(该小姐专门提供性服务的，不过我什么服务都没做，就摸了摸她的手和腿），我发现她咬我时立即制止，当时没有感觉到什么疼痛，我用手随便抹了抹脖子后面，感觉有点口水。

半小时后回家，照镜子看脖子后面无肉眼可见齿痕，确定无破皮。然后我抹肥皂冲洗洗澡，请问这样算不算消毒处理啊，我没有用酒精擦。

老师我现在想想又很惶恐了，请问我需要检测吗？还有我对上个网友的咨询困惑可以解答下吗？祝工作顺利，谢谢。 2010-08-28
回复内容 是“咬”，我无法判断轻重，从慎重来说，最好请你去检测。

Xp609pX

汗。。。。。