Needlestick injuries: a density-equalizing mapping and socioeconomic analysis of the global research

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ORIGINAL ARTICLE

Needlestick injuries: a density‑equalizing mapping and socioeconomic analysis of the global research David A. Groneberg1 · Hannah Braumann1 · Stefan Rolle1 · David Quarcoo1 · Doris Klingelhöfer1   · Axel Fischer2 · Albert Nienhaus3,4 · Dörthe Brüggmann1,5 Received: 11 September 2019 / Accepted: 24 April 2020 © The Author(s) 2020

Abstract Background  Needlestick injuries have caused a deleterious effect on the physical and mental health of millions of health-care workers over the past decades, being responsible for occupational infections with viruses such as HIV or hepatis C. Despite this heavy burden of disease, no concise studies have been published on the global research landscape so far. Methods  We used the New Quality and Quantity Indices in Science platform to analyze global NSI research (n = 2987 articles) over the past 115 years using the Web of Science and parameters such as global versus country-specific research activities, semi-qualitative issues, and socioeconomic figures. Results  Density-equalizing mapping showed that although a total of n = 106 countries participated in NSI research, large parts of Africa and South America were almost invisible regarding global participation in NSI research. Average citation rate (cr) analysis indicated a high rate for Switzerland (cr = 25.1), Italy (cr = 23.5), and Japan (cr = 19.2). Socioeconomic analysis revealed that the UK had the highest quotient QGDP of 0.13 NSI-specific publications per bill. US-$ gross domestic product (GDP), followed by South Africa (QGDP = 0.12). Temporal analysis of HIV versus hepatitis research indicated that NSI-HIV research culminated in the early 1990s, whereas NSI-hepatitis research increased over the observed period from the 1980s until the last decade. Conclusion  Albeit NSI research activity is generally increasing, the growth is asymmetrical from a global viewpoint. International strategies should be followed that put a focus on NSI in non-industrialized areas of the world. Keywords  Sharp injuries · Wounds · Density-equalizing mapping · Socioeconomic analysis · Bibliometrics Electronic supplementary material  The online version of this article (https​://doi.org/10.1007/s0042​0-020-01547​-0) contains supplementary material, which is available to authorized users. * Doris Klingelhöfer [email protected]‑frankfurt.de David A. Groneberg occup‑med@uni‑frankfurt.de Hannah Braumann arbsozmed@uni‑frankfurt.de Stefan Rolle [email protected] David Quarcoo [email protected]‑frankfurt.de

1



Institute of Occupational Medicine, Social Medicine and Environmental Medicine, Goethe-University, Frankfurt, Germany

2



Institute of Occupational Medicine, Charité, Universitätsmedizin Berlin, Free University and Humboldt-University, Berlin, Germany

3



Competence Centre for Epidemiology and Health Services Research for Healthcare Professionals (CVcare), University Medical Centre Hamburg-Eppendorf (UKE), Hamburg, Germany

4



Department of Occupational Medicine, Hazardous Substances and Public Health (AGG), Institut