acute illness (oral thrush, ulcers, tuberculosis.). However, in situations of living with HIV-infected people, this behavior should be considered because long-term, continuous exposure can increase the risk, especially when HIV-infected patients have certain symptoms. In fact, there are no reported cases of infection through these contacts. Saliva contacts such as sharing trays, sharing dishes, drinking water from the same glass are considered normal contact. This is why deep kissing is considered in HIV transmission routes even though the risk is lower than other sexual contacts, especially for negative partners living with HIV positive people. As for the deep kiss with saliva exchange, the contact secretions are mainly saliva, and your concern is that this secretion may be diluted with blood due to gingivitis causing bleeding. The act of penetrative oral sex is considered a risk behavior for HIV transmission, this is not controversial. Other saliva contacts included kissing on the cheeks and lips, sharing cups and chopsticks, and drinking from the same glass of water. Common oral sexual contacts include penetrative oral sex, deep kissing (with exchange of saliva, tongue contact). However, this ability will change and increase significantly if diluted in it is blood (from wounds, periodontitis, ulcers). Therefore, if saliva is alone, the possibility of HIV transmission is almost impossible. Other secretions are considered safe if not mixed with the above secretions. In HIV infection, potentially infectious secretions are blood, genital secretions, and breast milk. When breastfeeding: HIV can be transmitted through milk or through cracks in the mother's nipples, especially when the baby has lesions in the oral mucosa. At birth, HIV can also get from the mother's blood through sores in the mother's genitals that stick to the baby's body (mucosa). At birth: HIV from the amniotic fluid, uterine fluid, and vaginal fluid of the mother enters the baby at birth (through the mucous membranes of the eyes, nose, anus, or the baby's skin during childbirth). Transmission of HIV from mother to child During pregnancy: HIV passes from the blood of an HIV-infected mother through the placenta to the fetus. Recipients of semen have a higher risk of HIV infection. However, the degree of risk is different, with the highest risk being anal, then vaginal, and finally oral. All forms of sex (penis-anal penis-vaginal penis-oral) with a person with HIV carries a risk of HIV transmission. Sexual transmission of HIV Sexual transmission of HIV occurs when body fluids (blood, genital secretions) infected with HIV (of an HIV-infected person) enter the body of a non-HIV-infected partner. or through blood transfusion, blood collection equipment, etc. Transmitted through transfusion of blood and blood products or transplantation of HIV-infected tissues, organs, etc. Transmission through direct contact with other blood, such as being contaminated with the blood of an HIV-infected person in the place of open wounds or scratched skin and mucous membranes. Transmission is through objects that can be contaminated with another person's blood in situations such as sharing a toothbrush. Shared or used without proper sterilization of surgical instruments, examination instruments cure. Sharing tattoo needles, acupuncture needles, eyelash tattoo tools, eyebrow tattooing tools, razor blades, etc. Transmission of HIV from one person to another through injecting equipment through the skin as in the following cases: Sharing needles, especially with people who inject drugs. Therefore, HIV can be transmitted through HIV-infected blood and blood products. HIV transmission by blood HIV is found in whole blood as well as in blood components such as red blood cells, platelets, plasma, and clotting factors.
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