AIDS blood transmission conditions

Written by Xiong Hong Hai
Infectious Disease
Updated on April 15, 2025
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Actually, the transmission of AIDS requires two conditions to be met simultaneously: first, a sufficient number of active HIV viruses are needed. Second, these sufficient and active HIV viruses must enter fresh blood or a fresh wound.

Only when both of these conditions are met, is there a possibility of infection, but it is not a 100% certainty. For example, in the case of needle stick injuries involving needles contaminated with HIV-positive blood, the risk of infecting healthcare workers is about 0.3%.

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Is AIDS a terminal illness?

AIDS is not a terminal disease. AIDS patients undergoing systematic and standardized long-term antiretroviral therapy can suppress the virus to undetectable levels over the long term, preventing damage to the immune system or allowing an already damaged immune system to gradually recover to a state close to normal. Long-term antiviral therapy can maintain the body's indicators at essentially normal levels, making it unlikely to experience opportunistic infections or opportunistic tumors, and it is possible to live a normal lifespan. It is crucial for AIDS patients to receive timely and correct treatment, including long-term antiviral therapy.

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Can you get AIDS from oral sex?

Generally speaking, it is possible to contract HIV through oral sex. If the skin and mucous membranes of the areas involved are intact and there are no wounds, then the chance of infection is relatively small. However, if the skin and mucous membranes of the contact areas are damaged or have wounds, then the risk of infection significantly increases.

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How is AIDS transmitted?

The HIV virus primarily exists in the blood, semen, vaginal secretions, ascitic fluid, and bodily fluids of infected persons. There are three main transmission pathways: sexual contact, blood products, and mother-to-child transmission, which include homosexual, heterosexual, and bisexual contact; sharing needles for intravenous drug use, invasive medical procedures, tattooing, as well as transmission from an HIV-positive mother through placental delivery and breastfeeding. Normal activities such as handshaking, hugging, polite kissing, sharing meals, and living together do not transmit the HIV virus.

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What is the difference between HIV infection and AIDS?

There is a significant difference between HIV infection and AIDS. HIV infection refers to a person being infected with the HIV virus, but not yet reaching the stage of illness. At this time, the body's immune system is generally still normal, there are no other discomforts, and no opportunistic infections have occurred. This refers to HIV infection. AIDS, however, usually denotes the stage of illness onset, commonly featuring some opportunistic infections or opportunistic tumors, with many symptoms appearing. By testing CD4 cells, a diagnosis of AIDS is often made when CD4 cell counts are generally below two hundred.

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What tests are needed for AIDS and syphilis?

If a general person wants to test for HIV and syphilis, there is a quick and easy method, which is to do a blood test called the "pre-transfusion four tests." This specifically includes four components: HIV antibodies, syphilis antibodies, hepatitis B, and hepatitis C. Therefore, by going to the hospital for a blood draw and taking the pre-transfusion four tests, you can early screen for both HIV and syphilis. However, if it is the early stage of infection with these diseases, also known as the window period, it may result in a false negative. You mentioned that you might have HIV or syphilis, but the result could temporarily be negative. Therefore, to be certain, it is recommended to retest after 3-6 months.