Needle Recapping in Healthcare Settings, Occupational Risks and Implications for Biosafety: A Narrative Review

Autores

  • Marconi Queiroga Sarmento Universidade Federal da Paraíba
  • Etiene Pereira Duarte Lins Universidade Federal da Paraíba
  • Maria Cláudia Oliveira da Silva Universidade Federal da Paraíba
  • Thiago Miguel De Medeiros Coatti
  • Carlos Eraldo Gadelha de Oliveira Universidade Federal da Paraíba
  • Herlon Alberto Clementino Universidade Federal da Paraíba
  • Ilan Hudson Gomes de Santana Universidade Federal da Paraíba
  • Cacilda Chaves Morais de Lima Universidade Federal da Paraíba
  • Monique Danyelle Emiliano Batista Paiva Universidade Federal da Paraíba
  • Maria de Oliveira Alves Cavalcanti Universidade Federal da Paraíba

DOI:

https://doi.org/10.36557/2674-8169.2026v8n3p686-705

Palavras-chave:

Occupational exposure, Needle, Health Personnel, Containment of Biohazards, Needlestick injuries

Resumo

Sharps injuries represent an important occupational hazard among healthcare professionals. Among these devices, hypodermic needles are frequently associated with percutaneous injuries, particularly during unsafe handling practices such as needle recapping. This study aimed to analyze the scientific evidence related to needle recapping practices and sharps injuries among healthcare workers. A narrative review of the literature was conducted using the PubMed/MEDLINE, Scopus, Web of Science, LILACS, and SciELO databases. Studies addressing occupational exposure to sharps instruments, associated risk factors, and preventive strategies in healthcare settings were included. After the screening process, 15 studies were selected for analysis. The findings indicate that needle recapping constitutes a significant risk factor for occupational injuries and is often associated with inadequate biosafety practices, heavy workload, and insufficient training of healthcare personnel. Furthermore, evidence suggests that institutional interventions, continuous biosafety education, and the adoption of safety-engineered devices can significantly reduce the incidence of sharps injuries. In conclusion, needlestick injuries remain a relevant occupational health problem in healthcare settings, highlighting the importance of strengthening preventive strategies and promoting a culture of safety within healthcare institutions.

Downloads

Não há dados estatísticos.

Referências

unihastuti E, Ratih DM, Aisyah MR, Hidayah AJ, Widhani A, Sulaiman AS, et al. Needlestick and sharps injuries in an Indonesian tertiary teaching hospital from 2014 to 2017: a cohort study. BMJ Open. 2020;10(12):e041494. doi:10.1136/bmjopen-2020-041494.

Lin J, Gao X, Cui Y, Sun W, Shen Y, Shi Q, et al. A survey of sharps injuries and occupational infections among healthcare workers in Shanghai. Ann Transl Med. 2019;7(22):678. doi:10.21037/atm.2019.10.42.

Alshehri S, Kayal M, Almshhad HA, Dirar Q, AlKattan W, Shibl A, et al. The incidence of needlestick and sharps injuries among healthcare workers in a tertiary care hospital: a cross-sectional study. Cureus. 2023;15(4):e38097. doi:10.7759/cureus.38097.

Garus-Pakowska A, Górajski M, Sakowski P. Non-safety and safety device sharp injuries—risk of incidents, SEDs availability, attitudes and perceptions of nurses according to cross-sectional survey in Poland. Int J Environ Res Public Health. 2022;19(18):11315. doi:10.3390/ijerph191811315.

Kaur M, Mohr S, Andersen G, Kuhnigk O. Needlestick and sharps injuries at a German university hospital: epidemiology, causes and preventive potential—a descriptive analysis. Int J Occup Med Environ Health. 2022;35(4):497–507. doi:10.13075/ijomeh.1896.01854.

Alsabaani A, Alqahtani NSS, Alqahtani SSS, Al-Lugbi JHJ, Asiri MAS, Salem SEE, et al. Incidence, knowledge, attitude and practice toward needle stick injury among health care workers in Abha City, Saudi Arabia. Front Public Health. 2022;10:771190. doi:10.3389/fpubh.2022.771190.

Balouchi A, Shahdadi H, Ahmadidarrehsima S, Rafiemanesh H. The frequency, causes and prevention of needlestick injuries in nurses of Kerman: a cross-sectional study. J Clin Diagn Res. 2015;9(12):DC13–DC15. doi:10.7860/JCDR/2015/16729.6965.

Belgacem A, Neffati A, Atfi S, Hammemi N, Soussi S, Ghali H. Descriptive correlational study of knowledge, attitudes and practices related to blood exposure accidents among operating room nurses in two university hospitals of Sousse. Tunis Med. 2023;101(12):891–898.

Aliyo A, Gemechu T. Prevalence and risk factors of needlesticks and sharp injuries among healthcare workers of hospital in Bule Hora, West Guji Zone, Ethiopia. Environ Health Insights. 2024;18:11786302241272392. doi:10.1177/11786302241272392.

AlShamlan NA, Al Shammari MA. Hepatitis B, hepatitis C and human immunodeficiency virus: seroprevalence and associated factors among health students in Saudi Arabia. Hosp Pract (1995). 2021;49(3):221–228. doi:10.1080/21548331.2021.1899690.

Anandadurai D, Praisie R, Venkateshvaran S, Nelson SB, Thulasiram M. Awareness, perception, and practice regarding needle-stick injury and its prevention among healthcare workers in a tertiary care hospital in southern India. Cureus. 2024;16(3):e55820. doi:10.7759/cureus.55820.

Scapaticci M, Bartolini A, Da Rin G. The role of laboratory medicine in managing biological risk: proposal for a simple and easy-to-follow protocol for occupational accidents at risk of bloodborne infection. Infez Med. 2020;28(4):516–524.

Zachar JJ, Reher P. Percutaneous exposure injuries amongst dental staff and students at a university dental clinic in Australia: a 6-year retrospective study. Eur J Dent Educ. 2022;26(2):288–295. doi:10.1111/eje.12701.

Ochmann U, Wicker S. Needlestick injuries of healthcare workers. Med Klin Intensivmed Notfmed. 2020;115(1):67–78. doi:10.1007/s00063-019-00651-5.

Henriot P, El-Kassas M, Anwar W, Girgis SA, El Gaafary M, Jean K, et al. An agent-based model to simulate the transmission dynamics of bloodborne pathogens within hospitals. PLoS Comput Biol. 2025;21(2):e1012850. doi:10.1371/journal.pcbi.1012850.

Speth J. Guidelines in practice: sharps safety. AORN J. 2025;122(2):93–101. doi:10.1002/aorn.14383.

Hussain A, Shah Y, Raval P, Deroeck N. Awareness about sharps disposal leads to significant improvement in healthcare safety: an audit of compliance in the National Health Service during the COVID-19 pandemic. SN Compr Clin Med. 2020;2(12):2550–2553. doi:10.1007/s42399-020-00624-2.

Smith DR, Choe MA, Jeong JS, Jeon MY, Chae YR, An GJ. Epidemiology of needlestick and sharps injuries among professional Korean nurses. J Prof Nurs. 2006;22(6):359–366. doi:10.1016/j.profnurs.2006.10.003.

Prüss-Ustün A, Rapiti E, Hutin Y. Estimation of the global burden of disease attributable to contaminated sharps injuries among health-care workers. Am J Ind Med. 2005;48(6):482–490. doi:10.1002/ajim.20230.

Wilburn SQ. Needlestick and sharps injury prevention. Online J Issues Nurs. 2004;9(3):5.

Abdelmalik MA, Alhowaymel FM, Fadlalmola H, Mohammaed MO, Abbakr I, Alenezi A, Mohammed AM, Abaoud AF. Global prevalence of needle stick injuries among nurses: a comprehensive systematic review and meta-analysis. J Clin Nurs. 2023;32(17–18):5619–5631. doi:10.1111/jocn.16661.

Mohamud RYH, Mohamed NA, Doğan A, Hilowle FM, Isse SA, Hassan MY, Hilowle IA. Needlestick and sharps injuries among healthcare workers at a tertiary care hospital: a retrospective single-center study. Risk Manag Healthc Policy. 2023;16:2281–2289. doi:10.2147/RMHP.S434315.

Black Thomas LM. Nursing faculty experiences with students' needlestick injuries. Nurse Educ. 2020;45(6):307–311. doi:10.1097/NNE.0000000000000810.

Kaweti G, Feleke T. Prevalence and associated factors of needlestick and sharp object injuries among healthcare workers in Ethiopia: a systematic review and meta-analysis. Front Epidemiol. 2024;4:1385417. doi:10.3389/fepid.2024.1385417.

Sabaa MA, Hassan AM, Abd-Alla AK, Hegazy EE, Amer WH. Needle-stick and sharps injuries: awareness, prevalence and risk factors of a global problem in healthcare workers at Tanta University Hospitals, Egypt. Int J Occup Saf Ergon. 2022;28(3):1419–1429. doi:10.1080/10803548.2021.1901445.

Saadeh R, Khairallah K, Abozeid H, Al Rashdan L, Alfaqih M, Alkhatatbeh O. Needle stick and sharp injuries among healthcare workers: a retrospective six-year study. Sultan Qaboos Univ Med J. 2020;20(1):e54–e62. doi:10.18295/squmj.2020.20.01.008.

Rashidov A, Katib H, Alem SK, Al Harbi F, Noor A, Luna R. The epidemiology of needlestick and sharp injuries among healthcare workers in a secondary care hospital in Saudi Arabia: a retrospective study. Cureus. 2024;16(4):e58880. doi:10.7759/cureus.58880.

Butcher K, Sallis JF, Mayer JA, Woodruff S. Correlates of physical activity guideline compliance for adolescents in 100 U.S. cities. J Adolesc Health. 2008;42(4):360–368. doi:10.1016/j.jadohealth.2007.09.025.

Bahat H, Hasidov-Gafni A, Youngster I, Goldman M, Levtzion-Korach O. The prevalence and underreporting of needlestick injuries among hospital workers: a cross-sectional study. Int J Qual Health Care. 2021;33(1):mzab009. doi:10.1093/intqhc/mzab009.

Naidu RT, Toal P, Mishra SC, Nair B, Shejul YK. Incidence of needlestick injury among healthcare workers in western India. Indian J Med Res. 2023;158(5–6):552–558. doi:10.4103/ijmr.ijmr_892_23.

Alfulayw KH, Al-Otaibi ST, Alqahtani HA. Factors associated with needlestick injuries among healthcare workers: implications for prevention. BMC Health Serv Res. 2021;21(1):1074. doi:10.1186/s12913-021-07110-y.

Tarigan LH, Cifuentes M, Quinn M, Kriebel D. Prevention of needle-stick injuries in healthcare facilities: a meta-analysis. Infect Control Hosp Epidemiol. 2015;36(7):823–829. doi:10.1017/ice.2015.50.

Downloads

Publicado

2026-03-12

Como Citar

Sarmento, M. Q., Lins, E. P. D., Oliveira da Silva, M. C., Coatti, T. M. D. M., Gadelha de Oliveira, C. E., Clementino, H. A., Santana, I. H. G. de, Morais de Lima, C. C., Batista Paiva, M. D. E., & Cavalcanti, M. de O. A. (2026). Needle Recapping in Healthcare Settings, Occupational Risks and Implications for Biosafety: A Narrative Review. Brazilian Journal of Implantology and Health Sciences, 8(3), 686–705. https://doi.org/10.36557/2674-8169.2026v8n3p686-705