CHOOSING TO CARE... fostering or adopting children with h.i.v.

Accidental exposure

One fear that foster or adoptive parents might have while considering caring for an HIV-positive child is the possibility of accidental exposure to HIV for themselves or their other children.  The first thing you will want to do before panicking is to call your doctor to ask whether or not you were actually 'exposed' to HIV.  At that point, your doctor will give you recommendations as to what steps should be taken next.

An accidental exposure to HIV is specifically defined as:

An event where blood or other potentially infectious body fluid inadvertently comes into contact with non-intact skin, mucous membranes, or subcutaneous tissue (via percutaneous injury).

The good news is that most cases of accidental exposure to HIV do not actually lead to HIV infection.  For instance, in a study of 1000 people who were stuck with a needle containing blood from an HIV+ person, only 3 of those individuals ended up testing positive for the disease (that's 0.3%).  The longer that HIV is exposed to air, the less likely it is to cause infection to someone. 

In some cases, after an exposure a person will be placed on an HIV antiretroviral medication (such as AZT) for a period of time.  The decision to place an exposed person on AIDS medication is made after doctors evaluate the person's risk of infection.  Otherwise, in most cases accidental exposure leads to a very low risk of infection and no treatment is necessary.

Should a child who has recently been sexually abused be placed into your care, and the child was recently abused by someone who is at risk for HIV infection, the child may be treated with HIV medication for several weeks to try to prevent infection.  Keep in mind that just because a child is on an AIDS medication does not necessarily mean the child will have the disease.  It just means they may have recently been exposed.  

The following are sites of interest in regards to exposure to HIV through sexual abuse:

HIV Post-Exposure Prophylaxis

Preventing HIV after Rape



© 2003 Sarah P. All rights reserved.

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