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Copyright (c) 2024 Hadeel Khunayfir Alrashidi, Miad Obaidallah Almutairi, Sultan Daaj Alotaibi, Mohammed Yahya Ahmed Asiri, Khaled Eid Abdul Rahman Al-Otaibi, Norah Obaid Almutairi, Faisal Tareheb Alotebe, Osama Saeed Alyami, Meshal Ayedh Alotaibi, Abdullah Mohammed Hassan Mindil

This work is licensed under a Creative Commons Attribution 4.0 International License.
Infection Prevention and Control in Community and Primary Healthcare Settings: An Interprofessional Review
Corresponding Author(s) : Hadeel Khunayfir Alrashidi
Saudi Journal of Medicine and Public Health,
Vol. 1 No. 2 (2024)
Abstract
Background: The shift from hospital-centric to community-based care has expanded the scope and complexity of infection prevention and control (IPC), demanding seamless interprofessional collaboration across diverse, often resource-limited settings. Aim: This narrative review synthesizes recent evidence on IPC practices in community and primary healthcare environments, focusing on the interconnected roles of nursing, dentistry, medicine, pharmacy, public health, and allied health professions. Methods: A structured literature review was conducted, analyzing peer-reviewed articles, clinical guidelines, and epidemiological reports published between 2015 and 2024. Databases including PubMed, CINAHL, Scopus, and Web of Science were searched using keywords related to standard precautions, community-acquired infections, oral healthcare IPC, epidemiological surveillance, and interprofessional practice. Results: Findings highlight persistent gaps in adherence to standard precautions, significant variability in sterilization protocols in dental settings, and weak epidemiological surveillance systems linking community clusters to primary care. The review identifies educational silos and infrastructural deficits as primary barriers to effective IPC. Conclusion: Achieving sustainable IPC in community settings requires a transformative shift from profession-specific compliance to a shared, interprofessional culture of safety. Integrated education, standardized cross-disciplinary protocols, and robust community-based surveillance networks are essential to protect both patients and the healthcare workforce.
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- Allegranzi, B., Gayet-Ageron, A., Damani, N., Bengaly, L., McLaws, M. L., Moro, M. L., ... & Pittet, D. (2013). Global implementation of WHO's multimodal strategy for improvement of hand hygiene: a quasi-experimental study. The Lancet infectious diseases, 13(10), 843-851.
- Anderson, D. C., Grey, T., Kennelly, S., & O'Neill, D. (2020). Nursing home design and COVID-19: balancing infection control, quality of life, and resilience. Journal of the American Medical Directors Association, 21(11), 1519-1524.
- Baratta, F., Visentin, G. M., Ravetto Enri, L., Parente, M., Pignata, I., Venuti, F., ... & Brusa, P. (2021). Community pharmacy practice in Italy during the COVID-19 (SARS-CoV-2) pandemic: regulatory changes and a cross-sectional analysis of seroprevalence. International Journal of Environmental Research and Public Health, 18(5), 2302.
- Barr, H., Ford, J., Gray, R., Helme, M., Hutchings, M., Low, H., ... & Reeves, S. C. A. I. P. E. (2017). Interprofessional education guidelines. London: CAIPE.
- Benzian, H., Beltrán-Aguilar, E., Mathur, M. R., & Niederman, R. (2021). Pandemic considerations on essential oral health care. Journal of dental research, 100(3), 221-225.
- Coleman, D. C., O’Donnell, M. J., Shore, A. C., Swan, J., & Russell, R. J. (2007). The role of manufacturers in reducing biofilms in dental chair waterlines. Journal of dentistry, 35(9), 701-711.
- Cristina, M. L., Spagnolo, A. M., Giribone, L., Demartini, A., & Sartini, M. (2021). Epidemiology and prevention of healthcare-associated infections in geriatric patients: a narrative review. International journal of environmental research and public health, 18(10), 5333.
- Dowding, D., Russell, D., Trifilio, M., McDonald, M. V., & Shang, J. (2020). Home care nurses’ identification of patients at risk of infection and their risk mitigation strategies: a qualitative interview study. International journal of nursing studies, 107, 103617.
- Evans, S. M., Ward, C., & Reeves, S. (2019). Online interprofessional education facilitation: A scoping review. Medical teacher, 41(2), 215-222.
- Fasugba, O., McInnes, E., Baye, J., Cheng, H., Gordon, R., & Middleton, S. (2021). Barriers and enablers to implementinghospital-acquired urinary tract infection prevention strategies: a qualitative study using the theoretical domains framework. Journal of Hospital Infection, 113, 172-179.
- Geraedts, M., Krause, S., Schneider, M., Ortwein, A., Leinert, J., & de Cruppé, W. (2020). Patient safety in ambulatory care from the patient's perspective: a retrospective, representative telephone survey. BMJ open, 10(2), e034617.
- Gould, D., Moralejo, D., Drey, N., Chudleigh, J., & Taljaard, M. (2018). Interventions to improve hand hygiene compliance in patient care: Reflections on three systematic reviews for the Cochrane Collaboration 2007–2017. Journal of infection prevention, 19(3), 108-113.
- Green, B. N., Johnson, C. D., & Adams, A. (2006). Writing narrative literature reviews for peer-reviewed journals: secrets of the trade. Journal of chiropractic medicine, 5(3), 101-117.
- Grosser, J., Bientzle, M., & Kimmerle, J. (2020). A literature review on the foundations and potentials of digital teaching scenarios for interprofessional health care education. International Journal of Environmental Research and Public Health, 17(10), 3410.
- Gubbins, P. O., Klepser, M. E., Adams, A. J., Jacobs, D. M., Percival, K. M., & Tallman, G. B. (2017). Potential for pharmacy–public health collaborations using pharmacy-based point-of-care testing services for infectious diseases. Journal of Public Health Management and Practice, 23(6), 593-600.
- Harun, M. G. D., Anwar, M. M. U., Sumon, S. A., Hassan, M. Z., Mohona, T. M., Rahman, A., ... & Styczynski, A. R. (2022). Rationale and guidance for strengthening infection prevention and control measures and antimicrobial stewardship programs in Bangladesh: a study protocol. BMC health services research, 22(1), 1239.
- Hoogenkamp, M. A., Mazurel, D., Deutekom-Mulder, E., & de Soet, J. J. (2023). The consistent application of hydrogen peroxide controls biofilm growth and removes Vermamoeba vermiformis from multi-kingdom in-vitro dental unit water biofilms. Biofilm, 5, 100132.
- Houghton, C., Meskell, P., Delaney, H., Smalle, M., Glenton, C., Booth, A., ... & Biesty, L. M. (2021). Barriers and facilitators to healthcare workers' adherence with infection prevention and control guidelines for respiratory infectious diseases: a rapid qualitative evidence synthesis. Emergencias: revista de la Sociedad Espanola de Medicina de Emergencias, 33(1), 62-64.
- Laneve, E., Raddato, B., Dioguardi, M., Di Gioia, G., Troiano, G., & Lo Muzio, L. (2019). Sterilisation in dentistry: a review of the literature. International journal of dentistry, 2019(1), 6507286.
- Lee, M. H., Lee, G. A., Lee, S. H., & Park, Y. H. (2019). Effectiveness and core components of infection prevention and control programmes in long-term care facilities: a systematic review. Journal of Hospital Infection, 102(4), 377-393.
- Ling, M. L., Ching, P., Cheng, J., Lang, L., Liberali, S., Poon, P., ... & Sim, C. (2023). APSIC dental infection prevention and control (IPC) guidelines. Antimicrobial Resistance & Infection Control, 12(1), 53.
- Mahasneh, A. M., Alakhras, M., Khabour, O. F., Al-Sa’di, A. G., & Al-Mousa, D. S. (2020). Practices of infection control among dental care providers: a cross sectional study. Clinical, Cosmetic and Investigational Dentistry, 281-289.
- Madi, M., Kumar, M., Singh, A., Vineetha, R., Smriti, K., & Gadicherla, S. (2022). Necrotizing ulcerative periodontitis: a diagnostic indicator of immunosuppression. HIV & AIDS Review. International Journal of HIV-Related Problems, 21(2), 175-178.
- McCabe, C., Patel, K. D., Fletcher, S., Winters, N., Sheaf, G., Varley, J., & McCann, M. (2021). Online interprofessional education related to chronic illness for health professionals: a scoping review. Journal of Interprofessional Care, 35(3), 444-453.
- McGowan, C. R., Takahashi, E., Romig, L., Bertram, K., Kadir, A., Cummings, R., & Cardinal, L. J. (2022). Community-based surveillance of infectious diseases: a systematic review of drivers of success. BMJ Global Health, 7(8).
- Mremi, I. R., George, J., Rumisha, S. F., Sindato, C., Kimera, S. I., & Mboera, L. E. (2021). Twenty years of integrated disease surveillance and response in Sub-Saharan Africa: challenges and opportunities for effective management of infectious disease epidemics. One Health Outlook, 3(1), 22.
- Oliveira, M. C., Maia, J. P. C., Bernardo, W. L. C., Da Silva, J. J., & Bassi, R. C. (2022). Hands as a potential vector for transmission of multidrug-resistant Staphylococcus aureus polyclonal strains in dental clinical environments. Infectious Diseases Diagnosis & Treatment, 6(2).
- Reeves, S., Fletcher, S., McLoughlin, C., Yim, A., & Patel, K. D. (2017). Interprofessional online learning for primary healthcare: findings from a scoping review. BMJ open, 7(8), e016872.
- Resende, K. K. M., Neves, L. F., de Rezende Costa Nagib, L., Martins, L. J. O., & Costa, C. R. R. (2019). Educator and student hand hygiene adherence in dental schools: a systematic review and meta‐analysis. Journal of dental education, 83(5), 575-584.
- Rosa, D. E., & Setiadhi, R. (2023). Necrotizing ulcerative gingivitis as a complication of febrile neutropenia in acute myeloid leukemia patient. Dentino: Jurnal Kedokteran Gigi, 8(2), 204-210.
- Sammer, C. E., Lykens, K., Singh, K. P., Mains, D. A., & Lackan, N. A. (2010). What is patient safety culture? A review of the literature. Journal of Nursing Scholarship, *42*(2), 156-165.
- Shang, J., Wang, J., Adams, V., & Ma, C. (2020). Risk factors for infection in home health care: analysis of national outcome and assessment information set data. Research in nursing & health, 43(4), 373-386.
- Siegel, J. D., Rhinehart, E., Jackson, M., Chiarello, L., & Healthcare Infection Control Practices Advisory Committee. (2019, May). 2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Health Care Settings.
- Taib, H., Berahim, Z., Ibrahim, M. A. M., & Mohd, N. W. (2021). Necrotizing Gingivitis as an Oral Manifestation of Hematopoietic Malignancies: A Case Report. Health Sciences, 10(4), 105-112.
- Tan, C., Kallon, I. I., Colvin, C. J., & Grant, A. D. (2020). Barriers and facilitators of tuberculosis infection prevention and control in low-and middle-income countries from the perspective of healthcare workers: a systematic review. PloS one, 15(10), e0241039.
- Tropea, J., Peters, S., Francis, J. J., Bennett, N., Fetherstonhaugh, D., Buising, K., ... & Lim, W. K. (2023). IMpleMenting Effective infection prevention and control in ReSidential aged carE (IMMERSE): protocol for a multi-level mixed methods implementation study. BMC geriatrics, 23(1), 109.
- Volgenant, C. M. C., & De Soet, J. J. (2018). Cross-transmission in the dental office: does this make you ill?. Current oral health reports, 5(4), 221-228.
- World Health Organization. (2020). Guidelines on core components of infection prevention and control programmes at the national and acute health care facility level. World Health Organization. Country Office for Thailand.
- Zaildo, T., Santino, T. A., Chaves, G., da Silva, B. A. K., Alchieri, J. C., Patino, C. M., ... & de Mendonca, K. M. P. P. (2023). Barriers to and facilitators of populational adherence to prevention and control measures of COVID-19 and other respiratory infectious diseases: a qualitative evidence synthesis. European Respiratory Review, 32(168).
- Zwama, G., Diaconu, K., Voce, A. S., O'May, F., Grant, A. D., & Kielmann, K. (2021). Health system influences on the implementation of tuberculosis infection prevention and control at health facilities in low-income and middle-income countries: a scoping review. BMJ Global Health, 6(5).
References
Allegranzi, B., Gayet-Ageron, A., Damani, N., Bengaly, L., McLaws, M. L., Moro, M. L., ... & Pittet, D. (2013). Global implementation of WHO's multimodal strategy for improvement of hand hygiene: a quasi-experimental study. The Lancet infectious diseases, 13(10), 843-851.
Anderson, D. C., Grey, T., Kennelly, S., & O'Neill, D. (2020). Nursing home design and COVID-19: balancing infection control, quality of life, and resilience. Journal of the American Medical Directors Association, 21(11), 1519-1524.
Baratta, F., Visentin, G. M., Ravetto Enri, L., Parente, M., Pignata, I., Venuti, F., ... & Brusa, P. (2021). Community pharmacy practice in Italy during the COVID-19 (SARS-CoV-2) pandemic: regulatory changes and a cross-sectional analysis of seroprevalence. International Journal of Environmental Research and Public Health, 18(5), 2302.
Barr, H., Ford, J., Gray, R., Helme, M., Hutchings, M., Low, H., ... & Reeves, S. C. A. I. P. E. (2017). Interprofessional education guidelines. London: CAIPE.
Benzian, H., Beltrán-Aguilar, E., Mathur, M. R., & Niederman, R. (2021). Pandemic considerations on essential oral health care. Journal of dental research, 100(3), 221-225.
Coleman, D. C., O’Donnell, M. J., Shore, A. C., Swan, J., & Russell, R. J. (2007). The role of manufacturers in reducing biofilms in dental chair waterlines. Journal of dentistry, 35(9), 701-711.
Cristina, M. L., Spagnolo, A. M., Giribone, L., Demartini, A., & Sartini, M. (2021). Epidemiology and prevention of healthcare-associated infections in geriatric patients: a narrative review. International journal of environmental research and public health, 18(10), 5333.
Dowding, D., Russell, D., Trifilio, M., McDonald, M. V., & Shang, J. (2020). Home care nurses’ identification of patients at risk of infection and their risk mitigation strategies: a qualitative interview study. International journal of nursing studies, 107, 103617.
Evans, S. M., Ward, C., & Reeves, S. (2019). Online interprofessional education facilitation: A scoping review. Medical teacher, 41(2), 215-222.
Fasugba, O., McInnes, E., Baye, J., Cheng, H., Gordon, R., & Middleton, S. (2021). Barriers and enablers to implementinghospital-acquired urinary tract infection prevention strategies: a qualitative study using the theoretical domains framework. Journal of Hospital Infection, 113, 172-179.
Geraedts, M., Krause, S., Schneider, M., Ortwein, A., Leinert, J., & de Cruppé, W. (2020). Patient safety in ambulatory care from the patient's perspective: a retrospective, representative telephone survey. BMJ open, 10(2), e034617.
Gould, D., Moralejo, D., Drey, N., Chudleigh, J., & Taljaard, M. (2018). Interventions to improve hand hygiene compliance in patient care: Reflections on three systematic reviews for the Cochrane Collaboration 2007–2017. Journal of infection prevention, 19(3), 108-113.
Green, B. N., Johnson, C. D., & Adams, A. (2006). Writing narrative literature reviews for peer-reviewed journals: secrets of the trade. Journal of chiropractic medicine, 5(3), 101-117.
Grosser, J., Bientzle, M., & Kimmerle, J. (2020). A literature review on the foundations and potentials of digital teaching scenarios for interprofessional health care education. International Journal of Environmental Research and Public Health, 17(10), 3410.
Gubbins, P. O., Klepser, M. E., Adams, A. J., Jacobs, D. M., Percival, K. M., & Tallman, G. B. (2017). Potential for pharmacy–public health collaborations using pharmacy-based point-of-care testing services for infectious diseases. Journal of Public Health Management and Practice, 23(6), 593-600.
Harun, M. G. D., Anwar, M. M. U., Sumon, S. A., Hassan, M. Z., Mohona, T. M., Rahman, A., ... & Styczynski, A. R. (2022). Rationale and guidance for strengthening infection prevention and control measures and antimicrobial stewardship programs in Bangladesh: a study protocol. BMC health services research, 22(1), 1239.
Hoogenkamp, M. A., Mazurel, D., Deutekom-Mulder, E., & de Soet, J. J. (2023). The consistent application of hydrogen peroxide controls biofilm growth and removes Vermamoeba vermiformis from multi-kingdom in-vitro dental unit water biofilms. Biofilm, 5, 100132.
Houghton, C., Meskell, P., Delaney, H., Smalle, M., Glenton, C., Booth, A., ... & Biesty, L. M. (2021). Barriers and facilitators to healthcare workers' adherence with infection prevention and control guidelines for respiratory infectious diseases: a rapid qualitative evidence synthesis. Emergencias: revista de la Sociedad Espanola de Medicina de Emergencias, 33(1), 62-64.
Laneve, E., Raddato, B., Dioguardi, M., Di Gioia, G., Troiano, G., & Lo Muzio, L. (2019). Sterilisation in dentistry: a review of the literature. International journal of dentistry, 2019(1), 6507286.
Lee, M. H., Lee, G. A., Lee, S. H., & Park, Y. H. (2019). Effectiveness and core components of infection prevention and control programmes in long-term care facilities: a systematic review. Journal of Hospital Infection, 102(4), 377-393.
Ling, M. L., Ching, P., Cheng, J., Lang, L., Liberali, S., Poon, P., ... & Sim, C. (2023). APSIC dental infection prevention and control (IPC) guidelines. Antimicrobial Resistance & Infection Control, 12(1), 53.
Mahasneh, A. M., Alakhras, M., Khabour, O. F., Al-Sa’di, A. G., & Al-Mousa, D. S. (2020). Practices of infection control among dental care providers: a cross sectional study. Clinical, Cosmetic and Investigational Dentistry, 281-289.
Madi, M., Kumar, M., Singh, A., Vineetha, R., Smriti, K., & Gadicherla, S. (2022). Necrotizing ulcerative periodontitis: a diagnostic indicator of immunosuppression. HIV & AIDS Review. International Journal of HIV-Related Problems, 21(2), 175-178.
McCabe, C., Patel, K. D., Fletcher, S., Winters, N., Sheaf, G., Varley, J., & McCann, M. (2021). Online interprofessional education related to chronic illness for health professionals: a scoping review. Journal of Interprofessional Care, 35(3), 444-453.
McGowan, C. R., Takahashi, E., Romig, L., Bertram, K., Kadir, A., Cummings, R., & Cardinal, L. J. (2022). Community-based surveillance of infectious diseases: a systematic review of drivers of success. BMJ Global Health, 7(8).
Mremi, I. R., George, J., Rumisha, S. F., Sindato, C., Kimera, S. I., & Mboera, L. E. (2021). Twenty years of integrated disease surveillance and response in Sub-Saharan Africa: challenges and opportunities for effective management of infectious disease epidemics. One Health Outlook, 3(1), 22.
Oliveira, M. C., Maia, J. P. C., Bernardo, W. L. C., Da Silva, J. J., & Bassi, R. C. (2022). Hands as a potential vector for transmission of multidrug-resistant Staphylococcus aureus polyclonal strains in dental clinical environments. Infectious Diseases Diagnosis & Treatment, 6(2).
Reeves, S., Fletcher, S., McLoughlin, C., Yim, A., & Patel, K. D. (2017). Interprofessional online learning for primary healthcare: findings from a scoping review. BMJ open, 7(8), e016872.
Resende, K. K. M., Neves, L. F., de Rezende Costa Nagib, L., Martins, L. J. O., & Costa, C. R. R. (2019). Educator and student hand hygiene adherence in dental schools: a systematic review and meta‐analysis. Journal of dental education, 83(5), 575-584.
Rosa, D. E., & Setiadhi, R. (2023). Necrotizing ulcerative gingivitis as a complication of febrile neutropenia in acute myeloid leukemia patient. Dentino: Jurnal Kedokteran Gigi, 8(2), 204-210.
Sammer, C. E., Lykens, K., Singh, K. P., Mains, D. A., & Lackan, N. A. (2010). What is patient safety culture? A review of the literature. Journal of Nursing Scholarship, *42*(2), 156-165.
Shang, J., Wang, J., Adams, V., & Ma, C. (2020). Risk factors for infection in home health care: analysis of national outcome and assessment information set data. Research in nursing & health, 43(4), 373-386.
Siegel, J. D., Rhinehart, E., Jackson, M., Chiarello, L., & Healthcare Infection Control Practices Advisory Committee. (2019, May). 2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Health Care Settings.
Taib, H., Berahim, Z., Ibrahim, M. A. M., & Mohd, N. W. (2021). Necrotizing Gingivitis as an Oral Manifestation of Hematopoietic Malignancies: A Case Report. Health Sciences, 10(4), 105-112.
Tan, C., Kallon, I. I., Colvin, C. J., & Grant, A. D. (2020). Barriers and facilitators of tuberculosis infection prevention and control in low-and middle-income countries from the perspective of healthcare workers: a systematic review. PloS one, 15(10), e0241039.
Tropea, J., Peters, S., Francis, J. J., Bennett, N., Fetherstonhaugh, D., Buising, K., ... & Lim, W. K. (2023). IMpleMenting Effective infection prevention and control in ReSidential aged carE (IMMERSE): protocol for a multi-level mixed methods implementation study. BMC geriatrics, 23(1), 109.
Volgenant, C. M. C., & De Soet, J. J. (2018). Cross-transmission in the dental office: does this make you ill?. Current oral health reports, 5(4), 221-228.
World Health Organization. (2020). Guidelines on core components of infection prevention and control programmes at the national and acute health care facility level. World Health Organization. Country Office for Thailand.
Zaildo, T., Santino, T. A., Chaves, G., da Silva, B. A. K., Alchieri, J. C., Patino, C. M., ... & de Mendonca, K. M. P. P. (2023). Barriers to and facilitators of populational adherence to prevention and control measures of COVID-19 and other respiratory infectious diseases: a qualitative evidence synthesis. European Respiratory Review, 32(168).
Zwama, G., Diaconu, K., Voce, A. S., O'May, F., Grant, A. D., & Kielmann, K. (2021). Health system influences on the implementation of tuberculosis infection prevention and control at health facilities in low-income and middle-income countries: a scoping review. BMJ Global Health, 6(5).