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It argues that the specific vulnerability observed among midwifery students and the lack of systematic post-vaccination serological testing represent critical system gaps. Instead of relying solely on historical vaccination records, institutions should adopt guideline-based strategies for assessing hepatitis B immune status before clinical exposure, while fostering non-punitive reporting pathways. Bridging the gap between immunological protection and clinical behaviour is essential to safeguard those at the frontline of care.<\/jats:p>","DOI":"10.5501\/wjv.122794","type":"journal-article","created":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T10:09:15Z","timestamp":1787652555000},"source":"Crossref","is-referenced-by-count":0,"title":["High cost of silence: Needlestick injuries and the persistence of hepatitis B virus risk among healthcare trainees"],"prefix":"10.5501","volume":"15","author":[{"given":"Janaina Luz","family":"Narciso-Schiavon","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2060","published-online":{"date-parts":[[2026,9,25]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","DOI":"10.5501\/wjv.v15.i2.118992"},{"key":"B2","doi-asserted-by":"publisher","DOI":"10.1016\/s0264-410x(00)00457-6"},{"key":"B3","doi-asserted-by":"publisher","DOI":"10.1007\/s00103-021-03484-w"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)31865-8"},{"key":"B5","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)60220-8"},{"key":"B6","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(22)01468-4"},{"key":"B7","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(19)30417-7"},{"key":"B8","doi-asserted-by":"publisher","DOI":"10.1002\/hep.29800"},{"key":"B9","doi-asserted-by":"publisher","DOI":"10.15585\/mmwr.rr6701a1"},{"key":"B10","doi-asserted-by":"publisher","DOI":"10.3390\/vaccines10020267"},{"key":"B11","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2019.12.036"},{"key":"B12","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2024.24490"},{"key":"B13","doi-asserted-by":"publisher","DOI":"10.1016\/j.vaccine.2017.07.046"},{"key":"B14","unstructured":"Wu HM, Nilles E.   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