Cost Analysis of Re-Sterilization Procedure of Re-Usable Devices in a Hospital

Aim: To analyse the costs and recommend rectification in functioning of CSSD for qualitative delivery of patient care. Objectives: Assess the effectiveness of sterilization procedures and calculate the cost of re-sterilization of the batch which failed quality indicators tests. Method: It was observational prospective study done by random sampling technique for selecting sterilization cycles. In the present study, 1451 cycles of steam sterilization, 780 cycles of plasma sterilization and 312 cycles of ethylene oxide sterilization was observed. Results: The study revealed that 66 cycles of steam sterilization and 21 cycles of plasma sterilization failed the parameters of quality indicators. The total cost incurred on the hospital for re-sterilization was found to be Rs. 4,18,800/. Conclusion: The study emphasized the need of training of the CSSD technician for implementing the appropriate use of quality indicators for efficient sterilization. The study also focussed on the need of in-house bank of frequently replenished spare parts and a planned maintenance program for sterilization equipment.