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

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

EXPERIENCE EXCHANGE | Updated：2026-05-22

- 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：
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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

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