American journal of infection control · 2026
Needlestick and sharps injuries among healthcare workers: An 8-year infection control perspective on preventable occupational exposure.
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Çolak Sudem Mahmutoğlu, Özşahi̇n Aybegüm, İlgar Tuba, Yildiz İlknur Esen, Kostakoğlu Uğur, Ertürk Ayşe
Аннотация
BACKGROUND: Needlestick and sharps injuries (NSIs) are a major occupational hazard among healthcare workers, yet data on preventability, recurrent events, and COVID-19-related temporal trends remain limited.
METHODS: This retrospective study analyzed NSI events reported between 2018 and 2025 at a tertiary-care hospital. Injury mechanisms were classified from narrative reports, and preventability was assessed using predefined criteria. Incidence per 100 person-years was calculated. Poisson and multinomial logistic regression models were used for risk and preventability analyses.
RESULTS: A total of 354 NSI events were included. Median age was 25 years, and 72.6% were female. Nurses had higher incidence than physicians (IRR 1.84; 95% CI 1.28-2.64). Hollow-bore needles accounted for 83.6% of injuries, and procedural injuries were most common (48.0%). Overall, 42.4% of injuries were preventable and 48.0% partially preventable based on study-specific predefined criteria. Cleaning staff had higher odds of preventable injuries. NSI incidence declined over time, with higher rates in the pre-pandemic period compared with the post-pandemic period. Recurrent injuries occurred in 4.5%, and only 11.3% adhered to follow-up.
CONCLUSION: Mechanism-based classification identified a substantial proportion of preventable NSIs, suggesting that a considerable fraction of occupational exposures may be reduced through targeted infection control interventions. These findings highlight the importance of focusing on modifiable procedural and waste-management-related factors to improve healthcare worker safety.
METHODS: This retrospective study analyzed NSI events reported between 2018 and 2025 at a tertiary-care hospital. Injury mechanisms were classified from narrative reports, and preventability was assessed using predefined criteria. Incidence per 100 person-years was calculated. Poisson and multinomial logistic regression models were used for risk and preventability analyses.
RESULTS: A total of 354 NSI events were included. Median age was 25 years, and 72.6% were female. Nurses had higher incidence than physicians (IRR 1.84; 95% CI 1.28-2.64). Hollow-bore needles accounted for 83.6% of injuries, and procedural injuries were most common (48.0%). Overall, 42.4% of injuries were preventable and 48.0% partially preventable based on study-specific predefined criteria. Cleaning staff had higher odds of preventable injuries. NSI incidence declined over time, with higher rates in the pre-pandemic period compared with the post-pandemic period. Recurrent injuries occurred in 4.5%, and only 11.3% adhered to follow-up.
CONCLUSION: Mechanism-based classification identified a substantial proportion of preventable NSIs, suggesting that a considerable fraction of occupational exposures may be reduced through targeted infection control interventions. These findings highlight the importance of focusing on modifiable procedural and waste-management-related factors to improve healthcare worker safety.