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Background: The central sterile supply department (CSSD) ensures the quality of medical care and controls infection. CSSD stands for Central Sterile Supply Department.There has been increased interest in planning sterilizations during the past few years. Sterile processing is the cleaning and sterilization of devices used in medical procedures. Learn more at the STERIS Knowledge Center. CSSD, also known as Central Sterile services, central supply department is an integration place in health care facilities. Here surgical instruments are readied for reuse after being decontaminated or sterilized (depending on usage and risk level). CSSD process reusable instrument or medical device from all areas such as the operating theatre, wards, critical care, outpatient, endoscopy, etc. Dirty instruments should never get entry into the clean area). All open trays should be wrapped in double layer linen. 9.