{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T17:37:57Z","timestamp":1786556277186,"version":"build-2736575974"},"reference-count":38,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T00:00:00Z","timestamp":1783900800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Needlestick and sharp injuries (NSIs) are a significant occupational hazard for dental practitioners, carrying a substantial risk of bloodborne pathogen transmission. This study aimed to determine the prevalence, characteristics, and factors associated with NSI exposures among dental practitioners in Sana'a, Yemen.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods<\/jats:title>\n                    <jats:p>An online survey was conducted among dental practitioners at university dental hospitals, public health centers, and private clinics in Sana'a, Yemen. The self-administered questionnaire collected information on demographic background, history of NSIs, post-exposure practices, infection control compliance, and perceptions. Multivariable logistic regression was used to identify factors independently associated with lifetime NSI.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The lifetime prevalence of NSI was 88.18% (373\/423). Among those with NSI, 36.19% reported one injury in the past 12 months, and 24.66% reported four or more injuries. The most common device was the syringe needle (61.66%), and the most frequent procedure was local anesthesia administration (39.14%). Only 11.26% of injured participants underwent post-exposure testing for bloodborne viruses, and only 9.38% received post-exposure prophylaxis. In multivariable analysis, treating more than 12 patients per day was independently associated with increased odds of NSI (adjusted odds ratio 3.50; 95% CI 1.45\u20138.46;\n                      <jats:italic>p<\/jats:italic>\n                      = 0.005). No other demographic, infection control practice, or resource variable remained significant after adjustment.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The extremely high prevalence of NSI among dental practitioners in Sana'a, Yemen, together with very low uptake of post-exposure measures, represents a critical occupational safety failure. High patient volume emerged as a potentially modifiable associated factor. Interventions should be evaluated to prioritize workload management, universal access to safety-engineered devices, and systematic post-exposure protocols, alongside educational efforts to counter the perception that NSIs are inevitable.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1876433","type":"journal-article","created":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T05:33:35Z","timestamp":1783920815000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Needlestick and sharps Injuries among dental practitioners: a cross-sectional study of prevalence, risk factors, and postexposure management"],"prefix":"10.3389","volume":"14","author":[{"given":"Basem H.","family":"AL-Huthaifi","sequence":"first","affiliation":[{"name":"Faculty of Dentistry, Ibn Al-Nafis University for Medical Sciences","place":["Sana'a, Yemen"]},{"name":"Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Sana'a University","place":["Sana'a, Yemen"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ehab M.","family":"Abdu","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry, Ibn Al-Nafis University for Medical Sciences","place":["Sana'a, Yemen"]},{"name":"Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Sana'a University","place":["Sana'a, Yemen"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abdullmalik N.","family":"Al-Hamati","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry, University of Sciences and Technology","place":["Sana'a, Yemen"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Baker M.","family":"Abdullah","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Sana'a University","place":["Sana'a, Yemen"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khalid","family":"Aldhorae","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry, Ibn Al-Nafis University for Medical Sciences","place":["Sana'a, Yemen"]},{"name":"Orthodontic Department, Faculty of Dentistry, Thamar University","place":["Thamar, Yemen"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taghreed A.","family":"Al-kibsi","sequence":"additional","affiliation":[{"name":"Department of Oral and Maxillofacial Surgery, Faculty of Dentistry, Sana'a University","place":["Sana'a, Yemen"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed A.","family":"Al-labani","sequence":"additional","affiliation":[{"name":"Orthodontic Department, College of Dentistry, University of Sciences and Technology","place":["Sana'a, Yemen"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed M.","family":"Al Moaleem","sequence":"additional","affiliation":[{"name":"Department of Prosthetic Dental Science, College of Dentistry, Jazan University","place":["Jazan, Saudi Arabia"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emad M.","family":"Shaamala","sequence":"additional","affiliation":[{"name":"Health Informatics Program, Department of Computer Science, Metropolitan College, Boston University","place":["Boston, MA, United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alia M.","family":"Alshatter","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry, Ibn Al-Nafis University for Medical Sciences","place":["Sana'a, Yemen"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Doa'a W.","family":"Alguneed","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry, Ibn Al-Nafis University for Medical Sciences","place":["Sana'a, Yemen"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shahad M.","family":"Almatari","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry, Ibn Al-Nafis University for Medical Sciences","place":["Sana'a, Yemen"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maram N.","family":"Al-Sanfi","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry, Ibn Al-Nafis University for Medical Sciences","place":["Sana'a, Yemen"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fatima A.","family":"Al-Dheeb","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry, Ibn Al-Nafis University for Medical Sciences","place":["Sana'a, Yemen"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maram A.","family":"Al-Hajri","sequence":"additional","affiliation":[{"name":"Faculty of Dentistry, Ibn Al-Nafis University for Medical Sciences","place":["Sana'a, Yemen"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,7,13]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"2281","DOI":"10.2147\/RMHP.S434315","article-title":"Needlestick and sharps injuries among healthcare workers at a tertiary care hospital: a retrospective single-center study","volume":"16","author":"Mohamud","year":"2023","journal-title":"Risk Manag Healthc Policy"},{"key":"B2","doi-asserted-by":"publisher","first-page":"e58880","DOI":"10.7759\/cureus.58880","article-title":"The epidemiology of needlestick and sharp injuries among healthcare workers in a secondary care hospital in saudi arabia: a retrospective study","volume":"16","author":"Rashidov","year":"2024","journal-title":"Cureus"},{"key":"B3","doi-asserted-by":"publisher","first-page":"827","DOI":"10.1186\/s12889-017-4844-0","article-title":"Occupational blood exposures in health care workers: incidence, characteristics, and transmission of bloodborne pathogens in South Korea","volume":"17","author":"Lee","year":"2017","journal-title":"BMC Public Health"},{"key":"B4","doi-asserted-by":"publisher","first-page":"1014004","DOI":"10.3389\/froh.2022.1014004","article-title":"Primary care dental professionals' experiences of sharp injuries in Qatar: a cross-sectional study","volume":"3","author":"Marji","year":"2022","journal-title":"Front Oral Health"},{"key":"B5","doi-asserted-by":"publisher","first-page":"35","DOI":"10.5334\/aogh.2698","article-title":"Global prevalence and device related causes of needle stick injuries among health care workers: a systematic review and meta-analysis","volume":"86","author":"Bouya","year":"2020","journal-title":"Ann Glob Health"},{"key":"B6","doi-asserted-by":"publisher","first-page":"89","DOI":"10.1016\/j.jhin.2022.06.015","article-title":"Global prevalence, risk factors, and reporting practice of needlestick and sharps injuries among dental students: a systematic review and meta-analysis","volume":"129","author":"Huang","year":"2022","journal-title":"J Hosp Infect"},{"key":"B7","doi-asserted-by":"publisher","first-page":"04030","DOI":"10.7189\/jogh.15.04030","article-title":"Prevalence of needlestick injuries in dental assistants: a systematic review and meta-analysis","volume":"15","author":"Zeng","year":"2025","journal-title":"J Glob Health"},{"key":"B8","doi-asserted-by":"publisher","first-page":"194","DOI":"10.1186\/s12903-023-02892-5","article-title":"Prevalence and characteristics of needlestick injuries among dental interns during their first-year clinical training: an observational study","volume":"23","author":"Huang","year":"2023","journal-title":"BMC Oral Health"},{"key":"B9","first-page":"206","article-title":"Occupational exposure of shiraz dental students to patients' blood and body fluid","volume":"16","author":"Shaghaghian","year":"2015","journal-title":"J Dent"},{"key":"B10","doi-asserted-by":"publisher","first-page":"100498","DOI":"10.1016\/j.infpip.2025.100498","article-title":"Blood exposure accidents and associated risk factors among dental students in Rabat, Morocco: a cross-sectional study","volume":"8","author":"Amminou","year":"2025","journal-title":"Infect Prev Pract"},{"key":"B11","doi-asserted-by":"publisher","first-page":"863","DOI":"10.1017\/ice.2025.10254","article-title":"2025 US Public Health Service Guidelines for the Management of Occupational Exposures to Human Immunodeficiency Virus and Recommendations for Post-exposure Prophylaxis in Healthcare Settings","volume":"46","author":"Kofman","year":"2025","journal-title":"Infect Control Hosp Epidemiol"},{"key":"B12","doi-asserted-by":"publisher","first-page":"1618","DOI":"10.1186\/s12903-025-07020-z","article-title":"Sharps injuries in a dental specialty hospital: retrospective analysis of occupational risks, 2020-2024","volume":"25","author":"Zhang","year":"2025","journal-title":"BMC Oral Health"},{"key":"B13","doi-asserted-by":"publisher","first-page":"e52843","DOI":"10.7759\/cureus.52843","article-title":"Awareness and reporting of sharps injuries: a study involving dental students, trainees, and assistants in a dental teaching hospital in Saudi Arabia","volume":"16","author":"Azab","year":"2024","journal-title":"Cureus"},{"key":"B14","first-page":"17571774251394873","article-title":"Sharp\/Needlestick injuries among clinical students at a tertiary hospital in Eastern Uganda","volume-title":"medRxiv","author":"Elisa","year":"2025"},{"key":"B15","doi-asserted-by":"publisher","first-page":"1026","DOI":"10.1186\/s12909-025-07581-1","article-title":"The potential benefit of an educational intervention on needle stick injury prevention among dental students at the university of Ha'il, Saudi Arabia: a prospective study","volume":"25","author":"Alshammari","year":"2025","journal-title":"BMC Med Educ"},{"key":"B16","doi-asserted-by":"publisher","first-page":"60","DOI":"10.1186\/s12199-019-0815-7","article-title":"Prevalence and associated factors for needlestick and sharp injuries (NSIs) among dental assistants in Jeddah, Saudi Arabia","volume":"24","author":"AlDakhil","year":"2019","journal-title":"Environ Health Prev Med"},{"key":"B17","first-page":"15","article-title":"Knowledge, Attitudes, and Practice of Infection Control among Dental Students at Sana'a University, Yemen","volume":"7","author":"Halboub","year":"2015","journal-title":"J Int Oral Health"},{"key":"B18","doi-asserted-by":"publisher","first-page":"783","DOI":"10.1016\/j.adaj.2023.06.004","article-title":"Needlestick injuries in dentistry: time to revisit","volume":"154","author":"Ravi","year":"2023","journal-title":"J Am Dent Assoc"},{"key":"B19","doi-asserted-by":"publisher","first-page":"e947428","DOI":"10.12659\/MSM.947428","article-title":"Editorial: The 2024 revision of the declaration of helsinki and its continued role as a code of ethics to guide medical research","volume":"30","author":"Parums","year":"2024","journal-title":"Med Sci Monit"},{"key":"B20","article-title":"Biostatistics: A Foundation for Analysis in the Health Sciences","author":"Daniel","year":"2019"},{"key":"B21","doi-asserted-by":"publisher","DOI":"10.4103\/2231-0762.165932","article-title":"Knowledge, attitude, and practice of needle stick and sharps injuries among dental professionals of Bangalore, India","author":"Pavithran","year":"2015","journal-title":"J Int Soc Prev Community Dent"},{"key":"B22","doi-asserted-by":"publisher","first-page":"1031","DOI":"10.1038\/sj.bdj.2018.1031","article-title":"Cross-sectional survey of a sample of UK primary care dental professionals' experiences of sharps injuries and perception of access to occupational health support","volume":"225","author":"Trayner","year":"2018","journal-title":"Br Dent J"},{"key":"B23","doi-asserted-by":"publisher","first-page":"181","DOI":"10.51985\/JBUMDC2019003","article-title":"Needlestick injuries among dental professionals in dental colleges of Rawalpindi, Pakistan","volume":"10","author":"Zara","year":"2020","journal-title":"J Bahria Univ Med Dent Coll"},{"key":"B24","first-page":"11","article-title":"Evaluating the knowledge and practice of Yazd general dentists toward needle stick injuries (NSI) in 2022","author":"Hakimi-Meibodi","year":"2023","journal-title":"J Health Field"},{"key":"B25","doi-asserted-by":"publisher","first-page":"1729","DOI":"10.1002\/jdd.12731","article-title":"Occupational percutaneous injuries and exposures in a dental teaching environment: a 10-year report","volume":"85","author":"Dukka","year":"2021","journal-title":"J Dent Educ"},{"key":"B26","doi-asserted-by":"publisher","DOI":"10.61872\/sdj-2025-01-07","article-title":"Needlestick injuries and related occupational accidents with sharp objects in a dental school","author":"Kulik","year":"2025","journal-title":"Swiss Dent J"},{"key":"B27","doi-asserted-by":"publisher","first-page":"43","DOI":"10.1186\/s12199-021-00965-x","article-title":"Epidemiology and risk factors of needlestick injuries among healthcare workers in Iran: a systematic reviews and meta-analysis","volume":"26","author":"Hassanipour","year":"2021","journal-title":"Environ Health Prev Med"},{"key":"B28","doi-asserted-by":"publisher","first-page":"1074","DOI":"10.1186\/s12913-021-07110-y","article-title":"Factors associated with needlestick injuries among healthcare workers: implications for prevention","volume":"21","author":"Alfulayw","year":"2021","journal-title":"BMC Health Serv Res"},{"key":"B29","doi-asserted-by":"publisher","DOI":"10.4103\/ijnmr.IJNMR_74_17","article-title":"Needlestick Injuries among Healthcare Workers: Why They Do Not Report their Incidence?","author":"Joukar","year":"2018","journal-title":"Iran J Nurs Midwifery Res"},{"key":"B30","doi-asserted-by":"publisher","first-page":"8721","DOI":"10.3390\/ijerph17238721","article-title":"Causes of needlestick and sharps injuries when using devices with and without safety features","volume":"17","author":"Dulon","year":"2020","journal-title":"Int J Environ Res Public Health"},{"key":"B31","doi-asserted-by":"publisher","first-page":"17","DOI":"10.3390\/hygiene6010017","article-title":"Healthcare workers' perspectives on factors influencing compliance with infection prevention and control practices at Katavi Regional Referral Hospital, Tanzania","volume":"6","author":"Charles","year":"2026","journal-title":"Hygiene"},{"key":"B32","doi-asserted-by":"publisher","first-page":"491","DOI":"10.1017\/ice.2023.248","article-title":"Identifying individual and organizational predictors of accidental exposure to blood (AEB) among hospital healthcare workers: A longitudinal study","volume":"45","author":"Bun","year":"2024","journal-title":"Infect Control Hosp Epidemiol"},{"key":"B33","doi-asserted-by":"publisher","first-page":"e26341","DOI":"10.1002\/jia2.26341","article-title":"Occupational post-exposure prophylaxis among healthcare workers: a scoping review of factors affecting optimal utilization","volume":"27","author":"Auerbach","year":"2024","journal-title":"J Int AIDS Soc"},{"key":"B34","doi-asserted-by":"publisher","first-page":"82","DOI":"10.52442\/jrcd.v6i03.136","article-title":"Evaluating dental students' knowledge, attitude and practice of needle stick injuries","volume":"6","author":"Arif","year":"2025","journal-title":"J Rehman Coll Dent"},{"key":"B35","year":"2015"},{"key":"B36","doi-asserted-by":"publisher","first-page":"288","DOI":"10.1111\/eje.12701","article-title":"Percutaneous exposure injuries amongst dental staff and students at a university dental clinic in Australia: a 6-year retrospective study","volume":"26","author":"Zachar","year":"2022","journal-title":"Eur J Dent Educ"},{"key":"B37","doi-asserted-by":"publisher","first-page":"w13523","DOI":"10.4414\/smw.2012.13523","article-title":"Underreporting of needlestick and sharps injuries among healthcare workers in a Swiss University Hospital","volume":"142","author":"Voide","year":"2012","journal-title":"Swiss Med Wkly"},{"key":"B38","doi-asserted-by":"publisher","first-page":"9609038","DOI":"10.1155\/2018\/9609038","article-title":"The prevalence and underreporting of needlestick injuries among dental healthcare workers in Pakistan: a systematic review","volume":"2018","author":"Pervaiz","year":"2018","journal-title":"Int J Dent"}],"container-title":["Frontiers in Public Health"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1876433\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,12]],"date-time":"2026-08-12T17:07:28Z","timestamp":1786554448000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fpubh.2026.1876433\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,13]]},"references-count":38,"alternative-id":["10.3389\/fpubh.2026.1876433"],"URL":"https:\/\/doi.org\/10.3389\/fpubh.2026.1876433","relation":{},"ISSN":["2296-2565"],"issn-type":[{"value":"2296-2565","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,13]]},"article-number":"1876433"}}