Evidence map›Paper›PMID 42368945›Full record

ArticleFrontiers in public health2026

Disease burden, influencing factors and trend-based surveillance of needlestick injuries among healthcare workers: a seven-year longitudinal study and intervention evaluation at a tertiary hospital.

Xiaoyu Zhu, Yue Gao, Jinfen Zhu, Fang Wu, Chunmei Shen

Abstract read
In one paragraph

Article in Frontiers in public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Xiaoyu Zhu *Department of Hospital Infection Management, Shanghai Fifth People's Hospital, Fudan University, Shanghai, China.
Yue Gao *Health Economic Research Institute, School of Pharmaceutical Sciences, Sun Yat-Sen University, Guangzhou, China.
Jinfen ZhuDepartment of Hospital Infection Management, Shanghai Fifth People's Hospital, Fudan University, Shanghai, China.
Fang WuDepartment of Hospital Infection Management, Shanghai Fifth People's Hospital, Fudan University, Shanghai, China.
Chunmei ShenDepartment of Hospital Infection Management, Shanghai Fifth People's Hospital, Fudan University, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Needlestick injuries (NSIs) remain a leading occupational hazard among healthcare workers (HCWs), carrying substantial health and economic burdens. High-throughput procedural settings are particularly vulnerable, yet evidence on setting-specific interventions' effects and durability under healthcare system volatility remains limited. Existing surveillance systems for NSIs struggle to distinguish genuine risk escalation from clinical workload fluctuations. This study aims to characterize the epidemiological and economic burden of NSIs among HCWs, evaluate the effectiveness of safety interventions in the Infusion Center during post-pandemic clinical resurgence, and develop a dynamic NSIs surveillance system. Methods: A 7-year retrospective longitudinal study was conducted at a tertiary hospital across three phases: pre-, intra- and post-COVID-19 pandemic phases (P1, P2, and P3). The Infusion Center, which implemented a multi-component safety intervention bundle, served as the intervention group, with 38 other clinical departments as controls. NSIs incidence was modeled using a generalized linear mixed model (GLMM) with Poisson distribution, incorporating a department-level random intercept, a staff-size offset and hospital-wide clinical volume as a time-varying covariate. A dynamic early warning system was constructed using GLMM-derived, volume-adjusted upper control limits. Results: The Infusion Center exhibited a 22.43-fold higher NSIs risk than controls in P1 (IRR = 22.43, Conclusion: Systematic behavior-based interventions combining leadership accountability, competency training and continuous reinforcement are associated with a sustained reduction in NSIs risk that diverged from the post-pandemic rebound observed across control departments. The dynamic early warning system represents a proof-of-concept approach to volume-adjusted occupational safety surveillance, enabling targeted resource allocation to high-risk departments.

Indexed as

Cost of IllnessCOVID-19Health PersonnelNeedlestick InjuriesAdultFemaleHumansIncidenceLongitudinal StudiesMaleRetrospective StudiesTertiary Care Centerscost of illnessCOVID-19health personnelinfusion centerlinear modelneedlestick injuriespublic health surveillancesafety intervention

Identifiers

PMID42368945
PMCPMC13294093

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.