{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T14:24:52Z","timestamp":1788531892013,"version":"build-2803163510"},"reference-count":26,"publisher":"MDPI AG","issue":"9","license":[{"start":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T00:00:00Z","timestamp":1788480000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Pathogens"],"abstract":"<jats:p>Occupational exposure to blood and body fluids (OEBBF) continues to represent an important public health problem due to the associated medical, social and economic consequences. Young healthcare workers are at high risk of OEBBF because of their lack of experience, hesitation before performing a task and the nature of the task performed. This study aims to comparatively evaluate the knowledge, attitudes and perceptions on OEBBF among students from the Faculty of Medicine and the Faculty of Dental Medicine at Carol Davila University of Medicine and Pharmacy, Bucharest, Romania, during the 2021\u20132022 academic year in order to facilitate the adaptation of educational materials used in training programs. Out of the 911 students who completed the questionnaire, 55% (502) correctly identified hepatitis B virus (HBV) as having the highest risk of transmission after an OEBBF, with statistically significantly higher percentages among Dental Medicine students (152; 60% vs. 350; 53%; p = 0.003). However, lower percentages of Dental Medicine students recognized the protective concentration of antibodies against HBV (173; 68% vs. 536; 82%; p &lt; 0.001) or reported knowing to be vaccinated against hepatitis B (110; 43% vs. 459; 70%; p &lt; 0.001). Additionally, higher percentages of Dental Medicine students reported not having an antibodies concentration measurement since they started their clinical practice (206; 81% vs. 439; 67%; p &lt; 0.001). If an OEBBF were to occur, 43% (391) reported that they would induce bleeding, either instinctively (210; 23%) or because they considered it necessary (181; 20%). Ninety-three students (10%) reported at least one past OEBBF; 59 (63%) reported it to their supervisors. Statistically significantly higher percentages of Dental Medicine students reported a high perceived risk of exposure compared to Medicine students (117; 46% vs. 202; 31%; p &lt; 0.001), with the finding supported by univariable and multivariable analyses. In conclusion, the reporting frequency of past OEBBF in our study population was low. However, enhanced efforts are required to improve knowledge and awareness regarding OEBBF risk and preventive measures. Additionally, efforts should focus on assessing the level of protection against hepatitis B among Dental Medicine students and on promoting timely reporting to ensure appropriate post-exposure management.<\/jats:p>","DOI":"10.3390\/pathogens15090931","type":"journal-article","created":{"date-parts":[[2026,9,4]],"date-time":"2026-09-04T13:50:44Z","timestamp":1788529844000},"page":"931","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Are Those Who Protect Protected? Occupational Risk Among Medical Students in Romania"],"prefix":"10.3390","volume":"15","author":[{"given":"Andreea Marilena","family":"P\u0103una","sequence":"first","affiliation":[{"name":"Department of Epidemiology I, Carol Davila University of Medicine and Pharmacy, 020021 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"conceptualization","vocabulary":"credit"},{"role":"methodology","vocabulary":"credit"},{"role":"investigation","vocabulary":"credit"},{"role":"writing-review-editing","vocabulary":"credit"},{"role":"writing-original-draft","vocabulary":"credit"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0376-8088","authenticated-orcid":false,"given":"Bianca Georgiana","family":"Enciu","sequence":"additional","affiliation":[{"name":"Department of Epidemiology II, Carol Davila University of Medicine and Pharmacy, 020021 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"conceptualization","vocabulary":"credit"},{"role":"formal-analysis","vocabulary":"credit"},{"role":"writing-original-draft","vocabulary":"credit"},{"role":"writing-review-editing","vocabulary":"credit"},{"role":"investigation","vocabulary":"credit"},{"role":"methodology","vocabulary":"credit"},{"role":"software","vocabulary":"credit"},{"role":"validation","vocabulary":"credit"},{"role":"visualization","vocabulary":"credit"}]},{"given":"Carmen Daniela","family":"Chivu","sequence":"additional","affiliation":[{"name":"Department of Epidemiology I, Carol Davila University of Medicine and Pharmacy, 020021 Bucharest, Romania"},{"name":"Department for Infection Prevention and Control, Emergency Clinical Hospital for Children \u201cGrigore Alexandrescu\u201d, 011743 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"},{"role":"conceptualization","vocabulary":"credit"},{"role":"methodology","vocabulary":"credit"},{"role":"investigation","vocabulary":"credit"},{"role":"writing-review-editing","vocabulary":"credit"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2586-4070","authenticated-orcid":false,"given":"Oana","family":"S\u0103ndulescu","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases I, Carol Davila University of Medicine and Pharmacy, 020021 Bucharest, Romania"},{"name":"National Institute for Infectious Diseases \u201cProf. Dr. Matei Bal\u0219\u201d, 021105 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1052-7730","authenticated-orcid":false,"given":"Maria-Dorina","family":"Cr\u0103ciun","sequence":"additional","affiliation":[{"name":"Department of Epidemiology I, Carol Davila University of Medicine and Pharmacy, 020021 Bucharest, Romania"},{"name":"Department for Infection Prevention and Control, Emergency Clinical Hospital for Children \u201cGrigore Alexandrescu\u201d, 011743 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4118-8268","authenticated-orcid":false,"given":"Daniela","family":"Pi\u021bigoi","sequence":"additional","affiliation":[{"name":"Department of Epidemiology I, Carol Davila University of Medicine and Pharmacy, 020021 Bucharest, Romania"},{"name":"National Institute for Infectious Diseases \u201cProf. Dr. Matei Bal\u0219\u201d, 021105 Bucharest, Romania"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2026,9,4]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"5732046","DOI":"10.1155\/2022\/5732046","article-title":"Global Occupational Exposure to Blood and Body Fluids among Healthcare Workers: Systematic Review and Meta-Analysis","volume":"2022","author":"Mengistu","year":"2022","journal-title":"Can. J. Infect. Dis. Med. Microbiol."},{"key":"ref_2","unstructured":"Centers for Disease Prevention and Control (2026, May 20). Infection Control. Workbook for Designing, Implementing & Evaluating a Sharps Injury Prevention Program, Available online: https:\/\/www.cdc.gov\/infection-control\/hcp\/sharps-safety\/program-workbook.html."},{"key":"ref_3","unstructured":"King, K.C., and Strony, R. (2023). Needlestick. StatPearls [Internet], StatPearls Publishing. Available online: https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK493147\/."},{"key":"ref_4","first-page":"2336","article-title":"Occupational ex-posure to blood and body fluids among nursing studentshv in clinical internship","volume":"14","author":"Toujami","year":"2023","journal-title":"J. Public Health Afr."},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Ippoliti, L., Coppeta, L., Buonomo, E., Somma, G., Bizzarro, G., Ferrari, C., Mazza, A., Paolino, A., Salvi, C., and Caputi, V. (2025). A Survey of the Knowledge, Attitudes and Practices of a Sample of Albanian Medical Students in Relation to Occupational Exposure to Biological Agents. Diseases, 13.","DOI":"10.3390\/diseases13010011"},{"key":"ref_6","unstructured":"WHO Regional Office for Europe, and European Centre for Disease Prevention and Control (2024). HIV\/AIDS Surveillance in Europe 2024\u20142023 Data, WHO Regional Office for Europe."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"888","DOI":"10.3390\/idr16050070","article-title":"HEV Infection in the Context of Prior HBV-Related Liver Injury: Case Series","volume":"16","author":"Olariu","year":"2024","journal-title":"Infect. Dis. Rep."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1016\/j.jhin.2025.03.009","article-title":"Risk factors for blood exposure accidents and their reporting in dentistry in The Netherlands","volume":"160","author":"Persoon","year":"2025","journal-title":"J. Hosp. Infect."},{"key":"ref_9","unstructured":"(2026, May 20). Ministry of Health Order no 1101\/2016 Approving the Rules on the Surveillance, Prevention and Limitation of Healthcare-Associated Infections in Healthcare Facilities. Available online: https:\/\/monitoruloficial.ro\/."},{"key":"ref_10","unstructured":"Pi\u021bigoi, D. (2021). Epidemiologie\u2014Curs \u0218i Lucr\u0103ri Practice Pentru Studen\u021bi \u0218i Medici Reziden\u021bi, Carol Davila University Press."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"8012","DOI":"10.2807\/ese.13.02.08012-en","article-title":"Trends in hepatitis B incidence in Romania, 1989\u20132005","volume":"13","author":"Pitigoi","year":"2008","journal-title":"Eurosurveillance"},{"key":"ref_12","unstructured":"Institutul Na\u021bional de S\u0103n\u0103tate Public\u0103 (2026, May 20). Analiz\u0103 Date Supraveghere\u2014Accidente de Expunere la Produse Biologice, Available online: https:\/\/insp.gov.ro\/centrul-national-de-supraveghere-si-control-al-bolilor-transmisibile-cnscbt\/analiza-date-supraveghere\/."},{"key":"ref_13","doi-asserted-by":"crossref","unstructured":"Enciu, B.G., P\u0103una, A.M., Chivu, C.D., S\u0103ndulescu, O., Crispo, A., Diaconescu, L.V., Dr\u0103g\u0103nescu, A.C., Cr\u0103ciun, M.D., Pi\u021bigoi, D., and Aram\u0103, V. (2024). Influenza Vaccination of Romanian Medical Students during COVID-19 Times: From Knowledge to Behavior. Vaccines, 12.","DOI":"10.3390\/vaccines12060594"},{"key":"ref_14","unstructured":"(2026, May 20). Ministry of Health Order no 916\/2006 Aprrroving the Rules on Surveillance, Prevention and Control of Nosocomial Infections in Healthcare Facilities. Available online: https:\/\/monitoruloficial.ro\/."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"1254","DOI":"10.1183\/09031936.02.01942001","article-title":"Factors associated with unknown aetiology in patients with community-acquired pneumonia","volume":"20","author":"Ewig","year":"2002","journal-title":"Eur. Respir. J."},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Chivu, C.-D., Cr\u0103ciun, M.-D., Pi\u021bigoi, D., Aram\u0103, V., Luminos, M.L., Jugulete, G., Apostolescu, C.G., and Streinu Cercel, A. (2023). Vaccination and Factors Related to the Clinical Outcome of COVID-19 in Healthcare Workers\u2014A Romanian Front-Line Hospital\u2019s Experience. Vaccines, 11.","DOI":"10.3390\/vaccines11050899"},{"key":"ref_17","doi-asserted-by":"crossref","unstructured":"Cr\u0103ciun, M.-D., Ni\u021bescu, G.V., Golumbeanu, M., T\u0103nase, A.-A., Pi\u021bigoi, D., S\u0103ndulescu, O., Cr\u0103ciun, P., Enciu, B.G., B\u0103l\u0103nescu, R.N., and Ulici, A. (2022). mRNA COVID-19 Vaccine Reactogenicity among Healthcare Workers: Results from an Active Survey in a Pediatric Hospital from Bucharest, January\u2013February 2021. Vaccines, 10.","DOI":"10.3390\/vaccines10060836"},{"key":"ref_18","first-page":"S188","article-title":"Occupational Exposure to Blood \/ Body Fluid and Anxiety Among Final-Year Medical Students: The Result of the Curricular Gaps in Medical Education","volume":"13","author":"Khorasani","year":"2025","journal-title":"Int. J. Med. Stud."},{"key":"ref_19","unstructured":"(2026, May 20). Ministry of Health Order no 3120\/2023 Approving the Populational Groups Who Benefit from the Prescription, Release, and Reimbursement of Immunological Medicines Used for the Prevention of Transmissible Diseases. Available online: https:\/\/monitoruloficial.ro\/."},{"key":"ref_20","unstructured":"Centers for Disease Control and Prevention (2016). Summary of Infection Prevention Practices in Dental Settings: Basic Expectations for Safe Care."},{"key":"ref_21","doi-asserted-by":"crossref","unstructured":"Keicher, F., Zirkel, J., Leutritz, T., and K\u00f6nig, S. (2024). Combatting the occurrence of needle-stick injuries in a medical school: Why is it still an issue?. BMC Med. Educ., 24.","DOI":"10.1186\/s12909-024-05309-1"},{"key":"ref_22","doi-asserted-by":"crossref","first-page":"1193","DOI":"10.2147\/IJGM.S404418","article-title":"National Survey of Sharps Injuries Incidence Amongst Healthcare Workers in the United States","volume":"16","author":"Yun","year":"2023","journal-title":"Int. J. Gen. Med."},{"key":"ref_23","doi-asserted-by":"crossref","first-page":"398","DOI":"10.5694\/j.1326-5377.1994.tb138262.x","article-title":"Needlestick injury in medical students","volume":"160","author":"DeVries","year":"1994","journal-title":"Med. J. Aust."},{"key":"ref_24","doi-asserted-by":"crossref","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":"ref_25","doi-asserted-by":"crossref","unstructured":"S\u0103ndulescu, M., Nicolescu, M.I., Funieru, C., \u015eahin, G.\u00d6., and S\u0103ndulescu, O. (2023). ESCMID Study Group for Viral Hepatitis (ESGVH). Exposure to Biological Fluids in Dental Practice-Narrative Review on Appropriate Risk Assessment to Guide Post-Exposure Management. Pathogens, 12.","DOI":"10.3390\/pathogens12070968"},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"1815","DOI":"10.1097\/ACM.0b013e3181bf9e5f","article-title":"Needlestick injuries among medical students: Incidence and implications","volume":"84","author":"Sharma","year":"2009","journal-title":"Acad. 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