Abstract: Objective: To analyze the status of surgical instrument pretreatment in medical institutions of Hainan province. Methods: Using stratified random sampling method, we selected 46 hospitals in February 2020 to investigate the implementation of institutional pretreatment, the establishment of relevant systems and procedures, delivery time of surgical instruments to Central Sterile Supply Department (CSSD) after use, and pretreatment methods. Results: Totally 46 hospitals all implemented surgical instrument pretreatment. There were no significant differences in the time when surgical instruments were centrally processed by CSSD and delivered to CSSD after use (P>0.05). There were statistically significant differences in the establishment of relevant pretreatment and recycling systems among different levels of hospitals (P<0.05). Tertiary hospitals had a higher implementation rate of establishing relevant pretreatment and recovery systems than secondary hospitals. Conclusion: The pretreatment systems and procedures of surgical instruments in Hainan province need to be improved.

Key words: Hainan province; medical institutions; surgical device; pretreatment; cross-sectional survey