STANDARDS FOR THE STERILIZATION OF SURGICAL INSTRUMENTS AND THE CHALLENGES IN REDUCING THE INCIDENCE OFNOSOCOMIAL INFECTIONS

Abstract

Healthcare-associated infections (HAIs) in hospitals are a serious problem that can increase pain, mortality, length of stay, and healthcare costs. To prevent infection, it is important to implement good and consistent standards for sterilizing surgical instruments. The purpose of this paper is to assess instrument sterility standards and identify barriers to their implementation in order to reduce nosocomial infections. This study uses a qualitative approach with a literature analysis covering government regulations, international guidelines, books, and scientific articles on the sterilization of medical instruments and the management of the Central Sterile Supply Department (CSSD). The data were analyzed using the Miles and Huberman model. The results of the study show that the implementation of sterilization standards in accordance with the WHO, CDC, and domestic regulations is important to reduce the risk of infection. However, challenges such as labor shortages, inadequate CSSD facilities, and low compliance with existing procedures still exist. Strengthening CSSD management, improving the skills of health workers, and continuous monitoring are needed to improve patient safety and the quality of health services.