Gaps in Hypertension Management in a Middle-Income Community of Quito-Ecuador: A Population-Based Study.

Optimal hypertension care and control at population level significantly reduces cardiovascular morbidity and mortality. The study objective was to measure the gaps in the diagnosis, care, and control of hypertension in residents of an urban community in Quito, Ecuador. A cross-sectional population-based study with a sample of 2160 persons was performed using a survey and direct blood pressure measurement. Logistical regression models were used for analyzing factors associated with the gaps, expressed as percentages. The prevalence of hypertension was 17.6% [CI 95% 17.3-17.9%]. The diagnosis gap was 6.1% [CI 95% 5.9-6.2%] among the entire population and 34.5% [CI 95% 33.7-35.3%] among persons with hypertension. No access gaps were detected; whereas the follow-up gap was 22.7% [CI 95% 21.8-23.6%] and control gap reached 43.5% [CI 95% 42.6-44.2%]. Results indicated that being male, older than 64 years, an employee, without health insurance, and not perceiving a need for healthcare, increased the risk of experiencing these gaps. Data showed appropriate access to health services and high coverage in the diagnosis was due to the application of a community and family healthcare model. Notwithstanding, we found significant gaps in the follow-up and control of hypertensive patients, especially among older males, which should warrant the attention of the Ministry of Health.

Tejido Adenoideo: un oculto reservorio bacteriano? / Adenoid Weave: hidden reservorio bacterial

Durante el periodo comprendido ente enero de 1995, a diciembre de 1996, se estudiaron 88 pacientes con hipertrofia adenoidea que fueron atendidos en los hospitales Baca Ortíz y Vozandes. Los pacientes tenían edades comprendidas entre 1 y 12 años, 44,31 por ciento pertenecían al sexo femenino y 55,58 por ciento al masculino. Los niños que presentaron sintomatología compatible con hipertrofia adenoidea y verificada la sospecha diagnóstica por RX, entraron al estudio. El tejido adenoideo fue enviado en suero fisiológico y procesado de acuerdo con normas estandar, identificación y antibiograma establecidas bajo normas microbiológicas. Dentro de los patógenos aislados, el stafilococus aureus, fue el más frecuente, segido por Haemaphilus influenzae. De acuerdo con la edad, los microorganismos varían así: en menores de 2 años el más frecuente Haemaphilus influenzae; entre 3 y 8 años el Stafilococus aureus...