CSSD

Fortis Mohali

Nosocomial Infections (HAI)

Infections are considered nosocomial if they first appear 48 hours or more after hospital admission or within 30 days after discharge. This type of infection is also known as a hospital-acquired infection (or, in generic terms, healthcare-associated infection).

The Centres for Disease Control and Prevention estimates that these infections are associated with 99,000 deaths per year in the U.S.

Nosocomial infections cost $4.5 billion and contributed to more than 88,000 deathsone death every 6 minutes.

The effects of nosocomial infection on duration of hospital stay

Increased stay leads to financial loss to the hospital

CSSD

CSSD is the abbreviation of the Central Sterile Supply Department. The objective of establishing a Central Sterile Supply Department is to make reliably sterilized articles available at the required time and place for any agreed purpose in the Hospital as economically as possible, having regard to the need to conserve the time of users

CSSD at Fortis Mohali

There are 3 zones Decontamination zone Steam sterilization zone Sterile area/zone

Decontamination zone

Here the equipment are received . The equipment are washed at the procedure site itself. Equipment from wards Are received here. Registers are maintained to record the entries. Equipment from OT are received through dumbwaiter lift(50 kg capacity) directly

Equipment from OT
Packed in double layered linen Labeled with date, Kit name and procedure place .

Cleaning

Ultra sonic cleaning-clear out dust(3M rapid enzyme) Manual washing deg/15 l capacity area-80

Heat sterilization
The kits are labeled with chemical indicator stickers that have lot number , date and date of expiry written on it.

These kits are stacked on trolleys in a vertical position

The trolley is placed in side the autoclave.

Autoclaving
Temp-134 deg Pressure- 2.3 kg(30 psi) Sterilization time-4 mins Dry time-20-30 mins All the procedures are operated digitally by the use of computer. External steam supply is provided.

Indicators used

After the sterilization the chemical indicator strip is checked if it shows the positive result that means the cycle is successful.

ETO-ethylene oxide sterilisation

The properties that make EO such a good ethylating agent also makes it extremely dangerous at ambient oxygen levels
Used for plastic equipment that cannot be autoclaved. The equipment are packed in medi pack sterilization reel.

Negetive pressure room 12 hrs cycle

3M 300 g EO cylinder(100 ml 1 time use) 750 mm pressure. Two ETO machines

Sterile room
The sterilized equipment from both heat sterile zone and ETO zone are sent to sterile zone.
From there they are issued according to there expiry date.

Double window issuing is done in order to ensure the infection control.

Comparative analysis table

Parameters

Cleaning
Sterilisation Storage Quality indicator

In accordance with WHO guidelines

In accordance with ISO guidelines

Recommendations
Computerised data warehousing. UV lights installation in the sterile area where the kits are stored.

THANK YOU