Reusable Medical Device Processing in Central Sterile Supply Departments: A Survey of Secondary and Tertiary Hospitals in Xiangtan City, China

Wenfang Zhou; Juan Liu; Lingyun Zhang; Guijin Zhang; Huan Tan

doi:10.11910/j.issn.2791-2043.2025.4.08

Your Location：

Home >

Browse articles >

Reusable Medical Device Processing in Central Sterile Supply Departments: A Survey of Secondary and Tertiary Hospitals in Xiangtan City, China

EXPERIENCE EXCHANGE | Updated：2026-04-21

- Reusable Medical Device Processing in Central Sterile Supply Departments: A Survey of Secondary and Tertiary Hospitals in Xiangtan City, China
- Sterile Supply Vol. 4, Issue 4, (2025)
- Affiliations：
  
  Xiangtan Central Hospital, Xiangtan, Hunan 411000, China
- Author bio：
  
  Wenfang Zhou
  Huan Tan at 18873222525@163.com
- Funds：
- DOI：10.11910/j.issn.2791-2043.2025.4.08
  CLC：
- Published：15 December 2025
- Accepted：
Scan QR Code
Zhou Wenfang,Liu Juan,Zhang Lingyun,et al.Reusable Medical Device Processing in Central Sterile Supply Departments: A Survey of Secondary and Tertiary Hospitals in Xiangtan City, China[J].Sterile Supply,2025,04(04):296-301.
DOI：

Zhou Wenfang,Liu Juan,Zhang Lingyun,et al.Reusable Medical Device Processing in Central Sterile Supply Departments: A Survey of Secondary and Tertiary Hospitals in Xiangtan City, China[J].Sterile Supply,2025,04(04):296-301. DOI： 10.11910/j.issn.2791-2043.2025.4.08.

摘要

Abstract

Objective

This study conducted a cross-sectional survey to evaluate the cleaning

disinfection

and sterilization practices for reusable medical devices in the Central Sterile Supply Departments (CSSDs) of secondary and tertiary healthcare institutions in Xiangtan City

China.

Methods

An electronic questionnaire was distributed to the CSSDs of 46 secondary and tertiary hospitals in Xiangtan City

China. The questionnaire assessed key areas including basic institutional characteristics

equipment configuration

management and training

and operational model.

Results

Among the 46 surveyed CSSDs

high-temperature sterilizers and ultrasonic cleaners were universally available (100%)

whereas low-temperature sterilizers were only present in 32.61% of facilities. CSSDs in tertiary hospitals demonstrated significantly higher proportions for low-temperature sterilizers

biological indicator incubators/readers

and automatic washer-disinfectors compared to secondary hospitals (

² values: 13.278

4.128

and 5.911

respectively; all

0.05). Specialized training at the municipal level or above was reported by 54.35% of institutions

with all untrained staff located in private secondary hospitals. Only one quality management traceability system was implemented in two public hospitals (4.35%). Centralized in-house sterile supply was practiced by 29 hospitals (63.04%)

while 17 (36.96%) utilized third-party providers. Of those with in-house supply

five (17.24%) planned to outsource within two years.

Conclusion

These findings suggest a significant gap in processing standards between hospital levels. To address this

informed policies should promote regional coordination and resource sharing to establish an efficient

standardized sterile supply model that ensures uniform quality across all institutions.

关键词

Keywords

references

National Health and Family Planning Commission . Central Sterile Supply Department (CSSD) – Part 1: Management Standard : WS 310.1-2016 [S ] .

ZHOU J , HONG L , DAI H H , et al . Investigation on actuality and discussion on feasible methods of treatment of reusable medical devices in secondary and lower medical institutions in Hunan Province [J ] . Chinese Journal of Disinfection , 2021 , 38 ( 1 ): 50 - 53 .

LUO J , LI Y Y , LI J , et al . Analysis of the status-quo of service in primary health care institutions in Tianjin—Based on the perspective of regular health costs [J ] . Health Economics Research , 2019 , 36 ( 8 ): 48 - 51 .

WANG M C , TANG G L , HUANG A Q . Investigation on the current situation of sterile supply in 471 primary medical institutions in Changsha [J ] . Chinese Journal of Disinfection , 2021 , 38 ( 9 ): 696 - 698 .

LIANG H Y , DONG L , MA N . Survey on the current status of the Central Sterile Supply Department in a healthcare alliance unit of a Beijing hospital [J ] . Today Nurse (Early Issue) , 2021 , 28 ( 16 ): 43 - 46 .

ZHANG X G , HUANG H . Introduction to Medical Sterile Supply [M ] . The People’s Health Press Co. , Ltd , 2021 : 77 - 80 .

SCHNOCK K O , BIGGS B , FLADGER A , et al . Evaluating the impact of radio frequency identification retained surgical instruments tracking on patient safety: Literature review [J ] . Journal of Patient Safety , 2021 , 17 ( 5 ): e462 - e468 .

JIN M Z , CHE F L , JI K W , et al . Application of the whole-process quality traceability information management for rental medical devices [J ] . Chinese Nursing Management , 2021 , 21 ( 10 ): 1457 - 1459 .

ZALOGA V , DYADYURA K , RYBALKA I , et al . Implementation of integrated management system in order to enhance equipment efficiency [J ] . Management Systems in Production Engineering , 2019 , 27 ( 4 ): 221 - 226 .

SCHENK L , FEYCHTING K , ANNAS A , et al . Calls made to the Poisons Information Centre reveal need for improved risk management of cleaning agents in the workplace [J ] . International Journal of Occupational Safety and Ergonomics , 2020 , 26 ( 1 ): 140 - 148 .

YANG H L , WANG X , ZHAO N , et al . Development status and prospect of regional disinfection supply center [J ] . Chinese Journal of Nosocomiology , 2024 , 34 ( 16 ): 2556 - 2560 .

SHANG J , CHEN J , PAN Z M , et al . Construction and management mode of region sterilization and supply center [J ] . Journal of Nursing and Rehabilitation , 2020 , 19 ( 2 ): 73 - 75 .

YANG L , LUO B Y , ZHANG Y . Status quo of out-of-hospital disinfection supply service in medical institutions [J ] . Chinese Nursing Management , 2023 , 23 ( 8 ): 1130 - 1133 .

SONG J , ZHANG W H , GU Z J , et al . Research on the construction and operation of regional central sterile supply departments service mode [J ] . Chinese Evidence-based Nursing , 2022 , 8 ( 3 ): 344 - 348 .

XU Y Y . Development status of regional sterile supply centers [J ] . Modern Digestion & Intervention , 2022 , ( S2 ): 43 - 45 .

Views

Downloads

CSCD

Alert me when the article has been cited

Submit

Tools

Publicity Resources

A Novel Swiss Cheese Model-Based Safety Chain Management System for Central Sterile Supply Department

Research and application effect analysis on infection prevention and control quality improvement in central sterile supply department based on HFMEA and SPO methods

A study on prevention and control of infections in the central sterile supply department

Research advances in the application of FMEA in CSSD

Analysis of the Medical Consumables Management Manual of Medical Institutions

Related Author

Min Li

Yunlei Li

Xiuhui Wu

Qiongrong Liu

Jing Che

Meng Wang

Min Wang

Min Shi

Related Institution

Jingmen Central Hospital Affiliated to Jingchu University of Technology

The First Affiliated Hospital of Nanjing Medical University

Central Sterile Supply Department of China-Japan Friendship Hospital

Central Sterile Supply Department, Affiliated Cancer Hospital of University of Electronic Science and Technology of China

Sichuan Cancer Hospital

⁰