IESS hospitals in Quito adapt to treat COVID-19 and other diseases; in some, telemedicine is privileged

At the Carlos Andrade Marín Hospital, 80% of the demand for external consultation is made by phone call and 20% in person.

The 80% occupancy in hospitalization to treat COVID-19 has the Hospital IESS Quito South and 100% in the intensive care unit (ICU). It is the IESS hospital, which is in the south of the city, where those affected by the pandemic, in Quito.

In hospitalization there are 170 beds, of which 137 are occupied, while in the ICU, the 18 beds are with patients.

Stuart Salgado, deputy medical director of critical areas from the IESS Quito Sur hospital, mentioned that approximately 20 people a day, but there is the same number of expenditures, so there is a stabilization, while in ICU, 100% occupancy It has been in place for three weeks, although there is no waiting list for this specialty. If necessary, a referral to private clinics is applied.

Regarding respiratory triage, Salgado commented that the Monday there were about 800 people, of which 160 required respiratory care, as they presented mild symptoms. in pediatrics there are about 150 patients a day and one or two are admitted to the hospital. There are 30 minors in that health home.

For Salgado, there is a tendency to decrease cases, but slightly. “We are in the last days, except yesterday, attending 600 cases of the 1,000 that we attended eight, nine days ago. There is a slight decrease… He said.

care for emergencies continues, but those scheduled cases no longer.

In fifteen days, the Government expects that the infections of COVID-19 will be as at the beginning of December 202

At San Francisco General Hospital of the IESS, which is located in the north, there are 10 beds for hospitalization, which can be expanded to 20 and do not have an ICU. Its occupation -in general- is 9 of the 10 beds.

In respiratory triage there are some 250 patients per day, 95% of which have mild cases.

The demand has remained since the beginning of the year and, obviously, at times it does overwhelm the installed capacity of the hospital,” said Iván Ayabaca, medical director of the IESS San Francisco General Hospital.

When a capacity overflow, He added, there is referral to the IESS Quito Sur, to the Carlos Andrade Marín hospital, also from the IESS, or to an external provider.

Of the hospitalized, Ayabaca commented that they are over 40 years old and present comorbidities such as diabetes, bronchitis, high blood pressure, obesity, which are risk factors.

Ayabaca added that continue to care for patients who do not have COVID-19.

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In the north center of the city is the Carlos Andrade Marín hospital. According Mauricio Gaibor, technical director, the respiratory triage area was enabled again for care. In the last days of December 2021 there were 10 services per day, but in January they have increased to between 40 and 50.

In that nursing home there eleven hospitalized patients with COVID-19 and four in ICU.

about care for other diseases, this continues but it was decided that 80% of the demand for external consultation be through telemedicine and 20% in person. This to avoid risks of contagion.

Telemedicine care is applied to patients with long term treatment, while the second case is for catastrophic illnesses and for surgical pathologies.

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