reasons of foot ulcer
TRANSCRIPT
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 115
Table 2
Clinical Classification of Diabetic Foot Infection
CLINICAL MANIFESTATIONS OF INFECTION
INFECTION
SEVERITY
Wound lacking purulence or any manifestations of inflammation(ie erythema pain tenderness warmth or induration)
Notinfected
Presence of purulence andor two or more manifestations ofinflammation but any cellulitis or erythema etends 2 cm orless around the ulcer infection is limited to the skin orsuperficial subcutaneous tissues no other local complicationsor systemic illness
ild
$nfection (purulence andor two or more manifestations ofinflammation) in a patient who is systemically well andmetabolically stable but who has at least one of the followingcharacteristics cellulitis etending more than 2 cm around theulcer lymphangitic streaking spread beneath the superficialfascia deep tissue abscess gangrene inampolampement of muscletendon oint or bone
oderate
$nfection (purulence andor two or more manifestations of
inflammation) in a patient with systemic toicity or metabolicinstability (eg feamper chills tachycardia hypotensionconfusion ampomiting leukocytosis acidosis seamperehyperglycemia aotemia)
eampere
Adapted from Lipsky BA Berendt A Deery G et al for the Infectious Diseases Society of America Diagnosis
and treatment of diabetic foot infections lin $nfect +is 2$amp()$
Table Empiric Antibiotic Regimens for Treatment of Diabetic Foot Infection
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 215
SEVERITY OR
EXTENT OF
INFECTION RECOMMENDED THERAPY COMMENTS
oft tissue infection
ild (durationof treatmentis one to twoweeks)
+icloacillin -- mg orally fourtimes per day
ral agent of choicefor
ephalein (0efle) -- mgorally four times per day
1or penicillinallergicpatients eceptthose with immediatehypersensitiampityreactions
moicillinclaampulanate(ugmentin) 3452 mg orallytwice per day
6ood option forpolymicrobialinfection
lindamycin (leocin) 7-- to8- mg orally three times perday
Potential crossresistance andemergence ofresistance in
erythromycinresistantStaphylococ cus aureus inducibleresistance in 9
+oycycline (ibramycin) 5--mg orally twice perdayor ulfamethoaoletrimethoprim (actrim) 5lt-3-- mgorally twice per day
=ffectiampe for 9
oderate(duration oftreatment istwo to fourweeksdepending on
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 315
SEVERITY OR
EXTENT OF
INFECTION RECOMMENDED THERAPY COMMENTS
responseadministerorally orparenterallyfollowed byorally)
9iskfactors forpolymicrob
ialinfectionabsentgt
Nafcillin 5 to 2 g $ eampery fourhours
Parenteral drug ofchoice for
efaolin 5 to 2 g $ eampery eighthours
1or penicillinallergicpatients
ancomycin 7- mg per kg $twice per day
Parenteral drug ofchoice for 9
9iskfactors forpolymicrob
ialinfectionpresentgt
mpicillinsulbactam (nasyn) 7g $ four times per day
eftriaone (9ocephin) 5 to 2 g$ once per day plusclindamycin lt-- to A-- mg $ or orally three times per day ormetronidaole (1lagyl) -- mg$ or orally three times per day
or
Beampofloacin (BeampaCuin) -- mg$ or orally once per day plusclindamycin lt-- to A-- mg $ or orally three times per day
oifloacin (ampelo) 8-- mg $
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 415
SEVERITY OR
EXTENT OF
INFECTION RECOMMENDED THERAPY COMMENTS
or orally once per day
=rtapenem ($nampan) 5 g $ onceper day
eampere(duration oftreatment istwo to fourweeksdepending onresponseadministerparenterallythen switch toorally)
iprofloacin (ipro) 8-- mg $twice per day plus clindamycinlt-- to A-- mg $ three timesper day
Piperacillintaobactam (Dosyn)774 to 8-- g $ eampery si toeight hours
$mipenemcilastatin (Primain)-- mg $ four times per day
ancomycin 7- mg per kg $
twice per day plus ciprofloacin8-- mg $ twice per day plusmetronidaole -- mg $ ororally three times per day
ancomycin is the
parenteral drug ofchoice for 9lineolid (Dyampo) lt--mg $ or orally twiceper day ordaptomycin (ubicin)8 mg per kg $ onceper day can also beused for 9seampancomycin forpenicillinallergic
patients
Tigecycline (Tygacil) 5-- mg $loading dose then - mg $twice per day
hould be usedwhen suspectedpolymicrobialinfection including9
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 515
SEVERITY OR
EXTENT OF
INFECTION RECOMMENDED THERAPY COMMENTS
one or oint infection
No residualinfectedtissue
se the aboampe parenteral or oralantibiotic regimens for two tofiampe days
9esidualinfectedtissue only
se the aboampe parenteral or oralantibiotic regimens for two tofour weeks
9esidualinfectedampiable bone
$nitially use the aboampeparenteral antibiotics followedby oral antibiotics for four to siweeks
9esidualinfected deadbone
$nitially use the aboampeparenteral antibiotics followedby oral antibiotics for eight to 52weeks
I + intraenously -SA + methicillinresistant taphylococcus aureus -SSA +methicillinsusceptible aureusgt isk factors for polymicrobial infection include chronic ulcers recent antibioticuse and foot ischemia or gangreneInformation from references and 2 through
WOUND MANAGEMENT
The wound should be dressed to allow for careful inspection for eampidence of healing and
early identification of new necrotic tissue Necrotic or unhealthy tissue should be
debrided preferably surgically or with topical debriding agents 9emoamping pressure from
the foot wound is crucial for healing7 and can be achieamped through total contact casting
remoampable cast walkers and amparious ambulatory braces splints modified halfshoes
and sandals7lt =dema of the legs can delay wound healing controlling edema with leg
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 615
eleampation compression stockings or a pneumatic pedal compression deampice enhances
the healing process74 =ampidence of resolution of infection includes formation of
granulation tissue absence of necrotic tissue and closing of the wound $f osteomyelitis
is present signs of healing include a drop in =9 and loss of increased uptake on
nuclear scan
Topical debriding agents
Topical debriding agents are chemicals that are used locally to clean an open wound by
removing foreign material and dead tissue so that the wound heals without increased
risk of infection This makes the healing faster
See the following link
httpcidoxfordjournalsorgcontent41101373full
BrandDrug
FormPacking
Trade
Price
RPrice
(Rs)
LEFLOX [Levofloxacin5mgml] Inf 100ml 16575 19500
LEFLOX [Levofloxacin75mgml] Inf 150ml 21505 25300
LEFLOX [Levofloxacin250mg] a 10 1013 1190
LEFLOX [Levofloxacin500mg] a 10 17765 20900
LEFLOX [Levofloxacin750mg] a 10 2$60 2950
amplic on )an+ ame -o vie i- l-ena-e )an+ an+ In+ica-ionIndications eia-o -ac- infec-ion4 ini-i4
221 Alternate Brands Found
AlternateBrands
ManuactrerMnReresentatie
PackingR Price
(Rs)
EO) )E amp8EI 8 1x10lt $1600
=OLOX =O 8ampEgtIampL
L 10 20000
LI EO 8 10 1000
LIXI
LI ampO)IE
8ampEgtIampL
L
1x10 27000
LOIampLLIampE8ampEgtIampL
L
10 $0000
O AI8 8ampEgtIampL 10 2$$00
ILIX I EampIE 10 $1600
ampOFLOX ampO L)OOIE
LIIE 10 1000
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 715
BX gtB 8ampEgtIampL 10 20500
XOLE CI 8ampEgtIampL
IgtIE 1x10 25000
XOLOX DI 8ampgtIampL 10 26000
)ELEO EO 8 10 1790
)ELOX )EO 8ampEgtIampL 10 25000
)EXgt8I8ampEgtIampL
L
10 1500
)OI BEIamp=
8ampEgtIampL 10 19500
ampLE ampLEX 8ampEgtIampL
L 10 29000
ampELO ampI 8ampEgtIampL 10 $1600
ampIDgtI ampIFIamp 8ampEgtIampL
L 10 17200
ampI 8ILO 8
LIIE 10 700
ampOampgt CE8 8Eamp
L 10 21900
ampgt)amp amp8COO C= 10 1000
ampgtIF )OI
8ampEgtIampL 10 25000
ampOXI 8CL
8ampEgtIampL 10lt $1600
ELOampI 8 8EL8 =I
L 10 2000
DgtI )E 8OO
=I L 10 17000
EFFIFLOX I 8ampEgtIampL
L 10 20000
EFFIDgtI BBOOB =I
L 10 1500
EIOampI EO 8ampEgtIampL 10lt $1600
ELLE EL L)OOIE
L 10 1500
EOEL EOamp8 8ampEgtIampL 1x10 $0000
EXOgtE EIgtE L)OOIE=I L
10 22500
EXIamp 8ampE
L)OOIE L 10 20000
F OXampI )IO L) L 10 2000
FLEO E8 8 10 1500
FEELIX AEE8ampEgtIampL
10 30000
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 815
L
FILIE )IO 8 10 21000
FLOXE EFOCE amp8EIampL
IgtIE L 10 1500
FLOXOLE
LIgt
8ampEgtIampL L
10 17500
FOEL =I 8ampEgtIampL
Ogtamp L 1x10lt 39000
FLOE B FIEL
8ampEgtIampL 10 $1529
ELEO )OO=E 8ampEgtIampL
L)OOIE = L 10 17000
8EampO =C 8EX L 10 $1600
8EO LIE 8 1x10lt $1600
8E )IOE 8 10lt $1600
IFEampgtE amp8 8ampEgtIampL
O8 L 1x10lt $1600
IFLOX gtLE 8ampEgtIampL 10 27000
IOIamp gtB 8
L 10 25000
AEELEXI
AB
8ampEgtIampL
L
10 $1600
=FLOX X EEE 8ampEgtIampL 10 30000
=OFLOX
=O8I
8ampEgtIampL
L
1x10 32000
=EOX )LOO 8ampEgtIampL
L 10 $2000
=IampI 8OI 8ampEgtIampL
L)OOIE 10 $1600
=Lgt Oamp= 8ampEgtIampL 1x10lt $0000
=O)EXI =O)Eamp 8ampL 10 32000
LIFLOX CampO=
8ampEgtIampL 10lt $1600
LILOX 8OOD 8ampEgtIampL 10 19000
LCE EIC L) L 10 1000Lamp 8I8 D IEIOL 10 26000
LE$ B FIEL
8ampEgtIampL 10 $1600
LEampI LO 8ampEgtIampL 10 16000
LEEX OO 8 10 $1600
LEE) FEOC IEIOL8ampEgtIampL
10 $1600
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 915
L
LEFEX 8OOD 8ampEgtIampL 10 1000
LEFLOampI OLFIE amp8E8
L 10 32000
LEFLOEamp 8Eamp =I
L 10 19500
LEFIL BELL BELL 8
L 10lt 17500
LEFOXI EgtO 8 L 10 $1600
LEE )IOEIamp =I
L 10 17000
LEO =I 8ampEgtIampL 1x10 $1600
LEOampI E 8ampEgtIampL
L 10 25000
LEOFLOX )O 8ampEgtIampL
L 10 20000
LEO EIgtE L)OOIE
=I L 10 $1600
LEOE BELL)OE 8amp8E
)IOLOIampL 10 27000
LEOI EI= LIIE 10 12000
LEOX ampE
8ampEgtIampL 2x5 23000
LEIamp LO)L 8ampEgtIampL 10 $1600
LEDgtI )E 8OO
=I L 10 67100
LE I 8ampEgtIampL 10lt $0000LEI
EE 8ampEgtIampL
L 10lt $0000
LECE EL 8 L 10 $2000
LEEE IOE=
8ampEgtIampL 10 15000
LEE E8 EIampIE ampO 10 27000
LEILOX EXgt 8 L 10 $1600
LEIE 8 IE
LIIE 10 2$000
LELO ELI8 8ampEgtIampL
IgtIE 10 $1600
LEO FEOCO L)OOIE
L 10 23000
LEO F OL L)OOIE
L 10 19000
LEO) )IOEX 8ampEgtIampL 1x10lt $1600
LEOampI 8EL 8ampgtEgtIampL
L 10 17000
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1015
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1115
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1215
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1315
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1415
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1515
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 215
SEVERITY OR
EXTENT OF
INFECTION RECOMMENDED THERAPY COMMENTS
oft tissue infection
ild (durationof treatmentis one to twoweeks)
+icloacillin -- mg orally fourtimes per day
ral agent of choicefor
ephalein (0efle) -- mgorally four times per day
1or penicillinallergicpatients eceptthose with immediatehypersensitiampityreactions
moicillinclaampulanate(ugmentin) 3452 mg orallytwice per day
6ood option forpolymicrobialinfection
lindamycin (leocin) 7-- to8- mg orally three times perday
Potential crossresistance andemergence ofresistance in
erythromycinresistantStaphylococ cus aureus inducibleresistance in 9
+oycycline (ibramycin) 5--mg orally twice perdayor ulfamethoaoletrimethoprim (actrim) 5lt-3-- mgorally twice per day
=ffectiampe for 9
oderate(duration oftreatment istwo to fourweeksdepending on
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 315
SEVERITY OR
EXTENT OF
INFECTION RECOMMENDED THERAPY COMMENTS
responseadministerorally orparenterallyfollowed byorally)
9iskfactors forpolymicrob
ialinfectionabsentgt
Nafcillin 5 to 2 g $ eampery fourhours
Parenteral drug ofchoice for
efaolin 5 to 2 g $ eampery eighthours
1or penicillinallergicpatients
ancomycin 7- mg per kg $twice per day
Parenteral drug ofchoice for 9
9iskfactors forpolymicrob
ialinfectionpresentgt
mpicillinsulbactam (nasyn) 7g $ four times per day
eftriaone (9ocephin) 5 to 2 g$ once per day plusclindamycin lt-- to A-- mg $ or orally three times per day ormetronidaole (1lagyl) -- mg$ or orally three times per day
or
Beampofloacin (BeampaCuin) -- mg$ or orally once per day plusclindamycin lt-- to A-- mg $ or orally three times per day
oifloacin (ampelo) 8-- mg $
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 415
SEVERITY OR
EXTENT OF
INFECTION RECOMMENDED THERAPY COMMENTS
or orally once per day
=rtapenem ($nampan) 5 g $ onceper day
eampere(duration oftreatment istwo to fourweeksdepending onresponseadministerparenterallythen switch toorally)
iprofloacin (ipro) 8-- mg $twice per day plus clindamycinlt-- to A-- mg $ three timesper day
Piperacillintaobactam (Dosyn)774 to 8-- g $ eampery si toeight hours
$mipenemcilastatin (Primain)-- mg $ four times per day
ancomycin 7- mg per kg $
twice per day plus ciprofloacin8-- mg $ twice per day plusmetronidaole -- mg $ ororally three times per day
ancomycin is the
parenteral drug ofchoice for 9lineolid (Dyampo) lt--mg $ or orally twiceper day ordaptomycin (ubicin)8 mg per kg $ onceper day can also beused for 9seampancomycin forpenicillinallergic
patients
Tigecycline (Tygacil) 5-- mg $loading dose then - mg $twice per day
hould be usedwhen suspectedpolymicrobialinfection including9
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 515
SEVERITY OR
EXTENT OF
INFECTION RECOMMENDED THERAPY COMMENTS
one or oint infection
No residualinfectedtissue
se the aboampe parenteral or oralantibiotic regimens for two tofiampe days
9esidualinfectedtissue only
se the aboampe parenteral or oralantibiotic regimens for two tofour weeks
9esidualinfectedampiable bone
$nitially use the aboampeparenteral antibiotics followedby oral antibiotics for four to siweeks
9esidualinfected deadbone
$nitially use the aboampeparenteral antibiotics followedby oral antibiotics for eight to 52weeks
I + intraenously -SA + methicillinresistant taphylococcus aureus -SSA +methicillinsusceptible aureusgt isk factors for polymicrobial infection include chronic ulcers recent antibioticuse and foot ischemia or gangreneInformation from references and 2 through
WOUND MANAGEMENT
The wound should be dressed to allow for careful inspection for eampidence of healing and
early identification of new necrotic tissue Necrotic or unhealthy tissue should be
debrided preferably surgically or with topical debriding agents 9emoamping pressure from
the foot wound is crucial for healing7 and can be achieamped through total contact casting
remoampable cast walkers and amparious ambulatory braces splints modified halfshoes
and sandals7lt =dema of the legs can delay wound healing controlling edema with leg
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 615
eleampation compression stockings or a pneumatic pedal compression deampice enhances
the healing process74 =ampidence of resolution of infection includes formation of
granulation tissue absence of necrotic tissue and closing of the wound $f osteomyelitis
is present signs of healing include a drop in =9 and loss of increased uptake on
nuclear scan
Topical debriding agents
Topical debriding agents are chemicals that are used locally to clean an open wound by
removing foreign material and dead tissue so that the wound heals without increased
risk of infection This makes the healing faster
See the following link
httpcidoxfordjournalsorgcontent41101373full
BrandDrug
FormPacking
Trade
Price
RPrice
(Rs)
LEFLOX [Levofloxacin5mgml] Inf 100ml 16575 19500
LEFLOX [Levofloxacin75mgml] Inf 150ml 21505 25300
LEFLOX [Levofloxacin250mg] a 10 1013 1190
LEFLOX [Levofloxacin500mg] a 10 17765 20900
LEFLOX [Levofloxacin750mg] a 10 2$60 2950
amplic on )an+ ame -o vie i- l-ena-e )an+ an+ In+ica-ionIndications eia-o -ac- infec-ion4 ini-i4
221 Alternate Brands Found
AlternateBrands
ManuactrerMnReresentatie
PackingR Price
(Rs)
EO) )E amp8EI 8 1x10lt $1600
=OLOX =O 8ampEgtIampL
L 10 20000
LI EO 8 10 1000
LIXI
LI ampO)IE
8ampEgtIampL
L
1x10 27000
LOIampLLIampE8ampEgtIampL
L
10 $0000
O AI8 8ampEgtIampL 10 2$$00
ILIX I EampIE 10 $1600
ampOFLOX ampO L)OOIE
LIIE 10 1000
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 715
BX gtB 8ampEgtIampL 10 20500
XOLE CI 8ampEgtIampL
IgtIE 1x10 25000
XOLOX DI 8ampgtIampL 10 26000
)ELEO EO 8 10 1790
)ELOX )EO 8ampEgtIampL 10 25000
)EXgt8I8ampEgtIampL
L
10 1500
)OI BEIamp=
8ampEgtIampL 10 19500
ampLE ampLEX 8ampEgtIampL
L 10 29000
ampELO ampI 8ampEgtIampL 10 $1600
ampIDgtI ampIFIamp 8ampEgtIampL
L 10 17200
ampI 8ILO 8
LIIE 10 700
ampOampgt CE8 8Eamp
L 10 21900
ampgt)amp amp8COO C= 10 1000
ampgtIF )OI
8ampEgtIampL 10 25000
ampOXI 8CL
8ampEgtIampL 10lt $1600
ELOampI 8 8EL8 =I
L 10 2000
DgtI )E 8OO
=I L 10 17000
EFFIFLOX I 8ampEgtIampL
L 10 20000
EFFIDgtI BBOOB =I
L 10 1500
EIOampI EO 8ampEgtIampL 10lt $1600
ELLE EL L)OOIE
L 10 1500
EOEL EOamp8 8ampEgtIampL 1x10 $0000
EXOgtE EIgtE L)OOIE=I L
10 22500
EXIamp 8ampE
L)OOIE L 10 20000
F OXampI )IO L) L 10 2000
FLEO E8 8 10 1500
FEELIX AEE8ampEgtIampL
10 30000
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 815
L
FILIE )IO 8 10 21000
FLOXE EFOCE amp8EIampL
IgtIE L 10 1500
FLOXOLE
LIgt
8ampEgtIampL L
10 17500
FOEL =I 8ampEgtIampL
Ogtamp L 1x10lt 39000
FLOE B FIEL
8ampEgtIampL 10 $1529
ELEO )OO=E 8ampEgtIampL
L)OOIE = L 10 17000
8EampO =C 8EX L 10 $1600
8EO LIE 8 1x10lt $1600
8E )IOE 8 10lt $1600
IFEampgtE amp8 8ampEgtIampL
O8 L 1x10lt $1600
IFLOX gtLE 8ampEgtIampL 10 27000
IOIamp gtB 8
L 10 25000
AEELEXI
AB
8ampEgtIampL
L
10 $1600
=FLOX X EEE 8ampEgtIampL 10 30000
=OFLOX
=O8I
8ampEgtIampL
L
1x10 32000
=EOX )LOO 8ampEgtIampL
L 10 $2000
=IampI 8OI 8ampEgtIampL
L)OOIE 10 $1600
=Lgt Oamp= 8ampEgtIampL 1x10lt $0000
=O)EXI =O)Eamp 8ampL 10 32000
LIFLOX CampO=
8ampEgtIampL 10lt $1600
LILOX 8OOD 8ampEgtIampL 10 19000
LCE EIC L) L 10 1000Lamp 8I8 D IEIOL 10 26000
LE$ B FIEL
8ampEgtIampL 10 $1600
LEampI LO 8ampEgtIampL 10 16000
LEEX OO 8 10 $1600
LEE) FEOC IEIOL8ampEgtIampL
10 $1600
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 915
L
LEFEX 8OOD 8ampEgtIampL 10 1000
LEFLOampI OLFIE amp8E8
L 10 32000
LEFLOEamp 8Eamp =I
L 10 19500
LEFIL BELL BELL 8
L 10lt 17500
LEFOXI EgtO 8 L 10 $1600
LEE )IOEIamp =I
L 10 17000
LEO =I 8ampEgtIampL 1x10 $1600
LEOampI E 8ampEgtIampL
L 10 25000
LEOFLOX )O 8ampEgtIampL
L 10 20000
LEO EIgtE L)OOIE
=I L 10 $1600
LEOE BELL)OE 8amp8E
)IOLOIampL 10 27000
LEOI EI= LIIE 10 12000
LEOX ampE
8ampEgtIampL 2x5 23000
LEIamp LO)L 8ampEgtIampL 10 $1600
LEDgtI )E 8OO
=I L 10 67100
LE I 8ampEgtIampL 10lt $0000LEI
EE 8ampEgtIampL
L 10lt $0000
LECE EL 8 L 10 $2000
LEEE IOE=
8ampEgtIampL 10 15000
LEE E8 EIampIE ampO 10 27000
LEILOX EXgt 8 L 10 $1600
LEIE 8 IE
LIIE 10 2$000
LELO ELI8 8ampEgtIampL
IgtIE 10 $1600
LEO FEOCO L)OOIE
L 10 23000
LEO F OL L)OOIE
L 10 19000
LEO) )IOEX 8ampEgtIampL 1x10lt $1600
LEOampI 8EL 8ampgtEgtIampL
L 10 17000
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1015
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1115
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1215
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1315
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1415
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1515
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 315
SEVERITY OR
EXTENT OF
INFECTION RECOMMENDED THERAPY COMMENTS
responseadministerorally orparenterallyfollowed byorally)
9iskfactors forpolymicrob
ialinfectionabsentgt
Nafcillin 5 to 2 g $ eampery fourhours
Parenteral drug ofchoice for
efaolin 5 to 2 g $ eampery eighthours
1or penicillinallergicpatients
ancomycin 7- mg per kg $twice per day
Parenteral drug ofchoice for 9
9iskfactors forpolymicrob
ialinfectionpresentgt
mpicillinsulbactam (nasyn) 7g $ four times per day
eftriaone (9ocephin) 5 to 2 g$ once per day plusclindamycin lt-- to A-- mg $ or orally three times per day ormetronidaole (1lagyl) -- mg$ or orally three times per day
or
Beampofloacin (BeampaCuin) -- mg$ or orally once per day plusclindamycin lt-- to A-- mg $ or orally three times per day
oifloacin (ampelo) 8-- mg $
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 415
SEVERITY OR
EXTENT OF
INFECTION RECOMMENDED THERAPY COMMENTS
or orally once per day
=rtapenem ($nampan) 5 g $ onceper day
eampere(duration oftreatment istwo to fourweeksdepending onresponseadministerparenterallythen switch toorally)
iprofloacin (ipro) 8-- mg $twice per day plus clindamycinlt-- to A-- mg $ three timesper day
Piperacillintaobactam (Dosyn)774 to 8-- g $ eampery si toeight hours
$mipenemcilastatin (Primain)-- mg $ four times per day
ancomycin 7- mg per kg $
twice per day plus ciprofloacin8-- mg $ twice per day plusmetronidaole -- mg $ ororally three times per day
ancomycin is the
parenteral drug ofchoice for 9lineolid (Dyampo) lt--mg $ or orally twiceper day ordaptomycin (ubicin)8 mg per kg $ onceper day can also beused for 9seampancomycin forpenicillinallergic
patients
Tigecycline (Tygacil) 5-- mg $loading dose then - mg $twice per day
hould be usedwhen suspectedpolymicrobialinfection including9
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 515
SEVERITY OR
EXTENT OF
INFECTION RECOMMENDED THERAPY COMMENTS
one or oint infection
No residualinfectedtissue
se the aboampe parenteral or oralantibiotic regimens for two tofiampe days
9esidualinfectedtissue only
se the aboampe parenteral or oralantibiotic regimens for two tofour weeks
9esidualinfectedampiable bone
$nitially use the aboampeparenteral antibiotics followedby oral antibiotics for four to siweeks
9esidualinfected deadbone
$nitially use the aboampeparenteral antibiotics followedby oral antibiotics for eight to 52weeks
I + intraenously -SA + methicillinresistant taphylococcus aureus -SSA +methicillinsusceptible aureusgt isk factors for polymicrobial infection include chronic ulcers recent antibioticuse and foot ischemia or gangreneInformation from references and 2 through
WOUND MANAGEMENT
The wound should be dressed to allow for careful inspection for eampidence of healing and
early identification of new necrotic tissue Necrotic or unhealthy tissue should be
debrided preferably surgically or with topical debriding agents 9emoamping pressure from
the foot wound is crucial for healing7 and can be achieamped through total contact casting
remoampable cast walkers and amparious ambulatory braces splints modified halfshoes
and sandals7lt =dema of the legs can delay wound healing controlling edema with leg
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 615
eleampation compression stockings or a pneumatic pedal compression deampice enhances
the healing process74 =ampidence of resolution of infection includes formation of
granulation tissue absence of necrotic tissue and closing of the wound $f osteomyelitis
is present signs of healing include a drop in =9 and loss of increased uptake on
nuclear scan
Topical debriding agents
Topical debriding agents are chemicals that are used locally to clean an open wound by
removing foreign material and dead tissue so that the wound heals without increased
risk of infection This makes the healing faster
See the following link
httpcidoxfordjournalsorgcontent41101373full
BrandDrug
FormPacking
Trade
Price
RPrice
(Rs)
LEFLOX [Levofloxacin5mgml] Inf 100ml 16575 19500
LEFLOX [Levofloxacin75mgml] Inf 150ml 21505 25300
LEFLOX [Levofloxacin250mg] a 10 1013 1190
LEFLOX [Levofloxacin500mg] a 10 17765 20900
LEFLOX [Levofloxacin750mg] a 10 2$60 2950
amplic on )an+ ame -o vie i- l-ena-e )an+ an+ In+ica-ionIndications eia-o -ac- infec-ion4 ini-i4
221 Alternate Brands Found
AlternateBrands
ManuactrerMnReresentatie
PackingR Price
(Rs)
EO) )E amp8EI 8 1x10lt $1600
=OLOX =O 8ampEgtIampL
L 10 20000
LI EO 8 10 1000
LIXI
LI ampO)IE
8ampEgtIampL
L
1x10 27000
LOIampLLIampE8ampEgtIampL
L
10 $0000
O AI8 8ampEgtIampL 10 2$$00
ILIX I EampIE 10 $1600
ampOFLOX ampO L)OOIE
LIIE 10 1000
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 715
BX gtB 8ampEgtIampL 10 20500
XOLE CI 8ampEgtIampL
IgtIE 1x10 25000
XOLOX DI 8ampgtIampL 10 26000
)ELEO EO 8 10 1790
)ELOX )EO 8ampEgtIampL 10 25000
)EXgt8I8ampEgtIampL
L
10 1500
)OI BEIamp=
8ampEgtIampL 10 19500
ampLE ampLEX 8ampEgtIampL
L 10 29000
ampELO ampI 8ampEgtIampL 10 $1600
ampIDgtI ampIFIamp 8ampEgtIampL
L 10 17200
ampI 8ILO 8
LIIE 10 700
ampOampgt CE8 8Eamp
L 10 21900
ampgt)amp amp8COO C= 10 1000
ampgtIF )OI
8ampEgtIampL 10 25000
ampOXI 8CL
8ampEgtIampL 10lt $1600
ELOampI 8 8EL8 =I
L 10 2000
DgtI )E 8OO
=I L 10 17000
EFFIFLOX I 8ampEgtIampL
L 10 20000
EFFIDgtI BBOOB =I
L 10 1500
EIOampI EO 8ampEgtIampL 10lt $1600
ELLE EL L)OOIE
L 10 1500
EOEL EOamp8 8ampEgtIampL 1x10 $0000
EXOgtE EIgtE L)OOIE=I L
10 22500
EXIamp 8ampE
L)OOIE L 10 20000
F OXampI )IO L) L 10 2000
FLEO E8 8 10 1500
FEELIX AEE8ampEgtIampL
10 30000
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 815
L
FILIE )IO 8 10 21000
FLOXE EFOCE amp8EIampL
IgtIE L 10 1500
FLOXOLE
LIgt
8ampEgtIampL L
10 17500
FOEL =I 8ampEgtIampL
Ogtamp L 1x10lt 39000
FLOE B FIEL
8ampEgtIampL 10 $1529
ELEO )OO=E 8ampEgtIampL
L)OOIE = L 10 17000
8EampO =C 8EX L 10 $1600
8EO LIE 8 1x10lt $1600
8E )IOE 8 10lt $1600
IFEampgtE amp8 8ampEgtIampL
O8 L 1x10lt $1600
IFLOX gtLE 8ampEgtIampL 10 27000
IOIamp gtB 8
L 10 25000
AEELEXI
AB
8ampEgtIampL
L
10 $1600
=FLOX X EEE 8ampEgtIampL 10 30000
=OFLOX
=O8I
8ampEgtIampL
L
1x10 32000
=EOX )LOO 8ampEgtIampL
L 10 $2000
=IampI 8OI 8ampEgtIampL
L)OOIE 10 $1600
=Lgt Oamp= 8ampEgtIampL 1x10lt $0000
=O)EXI =O)Eamp 8ampL 10 32000
LIFLOX CampO=
8ampEgtIampL 10lt $1600
LILOX 8OOD 8ampEgtIampL 10 19000
LCE EIC L) L 10 1000Lamp 8I8 D IEIOL 10 26000
LE$ B FIEL
8ampEgtIampL 10 $1600
LEampI LO 8ampEgtIampL 10 16000
LEEX OO 8 10 $1600
LEE) FEOC IEIOL8ampEgtIampL
10 $1600
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 915
L
LEFEX 8OOD 8ampEgtIampL 10 1000
LEFLOampI OLFIE amp8E8
L 10 32000
LEFLOEamp 8Eamp =I
L 10 19500
LEFIL BELL BELL 8
L 10lt 17500
LEFOXI EgtO 8 L 10 $1600
LEE )IOEIamp =I
L 10 17000
LEO =I 8ampEgtIampL 1x10 $1600
LEOampI E 8ampEgtIampL
L 10 25000
LEOFLOX )O 8ampEgtIampL
L 10 20000
LEO EIgtE L)OOIE
=I L 10 $1600
LEOE BELL)OE 8amp8E
)IOLOIampL 10 27000
LEOI EI= LIIE 10 12000
LEOX ampE
8ampEgtIampL 2x5 23000
LEIamp LO)L 8ampEgtIampL 10 $1600
LEDgtI )E 8OO
=I L 10 67100
LE I 8ampEgtIampL 10lt $0000LEI
EE 8ampEgtIampL
L 10lt $0000
LECE EL 8 L 10 $2000
LEEE IOE=
8ampEgtIampL 10 15000
LEE E8 EIampIE ampO 10 27000
LEILOX EXgt 8 L 10 $1600
LEIE 8 IE
LIIE 10 2$000
LELO ELI8 8ampEgtIampL
IgtIE 10 $1600
LEO FEOCO L)OOIE
L 10 23000
LEO F OL L)OOIE
L 10 19000
LEO) )IOEX 8ampEgtIampL 1x10lt $1600
LEOampI 8EL 8ampgtEgtIampL
L 10 17000
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1015
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1115
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1215
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1315
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1415
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1515
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 415
SEVERITY OR
EXTENT OF
INFECTION RECOMMENDED THERAPY COMMENTS
or orally once per day
=rtapenem ($nampan) 5 g $ onceper day
eampere(duration oftreatment istwo to fourweeksdepending onresponseadministerparenterallythen switch toorally)
iprofloacin (ipro) 8-- mg $twice per day plus clindamycinlt-- to A-- mg $ three timesper day
Piperacillintaobactam (Dosyn)774 to 8-- g $ eampery si toeight hours
$mipenemcilastatin (Primain)-- mg $ four times per day
ancomycin 7- mg per kg $
twice per day plus ciprofloacin8-- mg $ twice per day plusmetronidaole -- mg $ ororally three times per day
ancomycin is the
parenteral drug ofchoice for 9lineolid (Dyampo) lt--mg $ or orally twiceper day ordaptomycin (ubicin)8 mg per kg $ onceper day can also beused for 9seampancomycin forpenicillinallergic
patients
Tigecycline (Tygacil) 5-- mg $loading dose then - mg $twice per day
hould be usedwhen suspectedpolymicrobialinfection including9
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 515
SEVERITY OR
EXTENT OF
INFECTION RECOMMENDED THERAPY COMMENTS
one or oint infection
No residualinfectedtissue
se the aboampe parenteral or oralantibiotic regimens for two tofiampe days
9esidualinfectedtissue only
se the aboampe parenteral or oralantibiotic regimens for two tofour weeks
9esidualinfectedampiable bone
$nitially use the aboampeparenteral antibiotics followedby oral antibiotics for four to siweeks
9esidualinfected deadbone
$nitially use the aboampeparenteral antibiotics followedby oral antibiotics for eight to 52weeks
I + intraenously -SA + methicillinresistant taphylococcus aureus -SSA +methicillinsusceptible aureusgt isk factors for polymicrobial infection include chronic ulcers recent antibioticuse and foot ischemia or gangreneInformation from references and 2 through
WOUND MANAGEMENT
The wound should be dressed to allow for careful inspection for eampidence of healing and
early identification of new necrotic tissue Necrotic or unhealthy tissue should be
debrided preferably surgically or with topical debriding agents 9emoamping pressure from
the foot wound is crucial for healing7 and can be achieamped through total contact casting
remoampable cast walkers and amparious ambulatory braces splints modified halfshoes
and sandals7lt =dema of the legs can delay wound healing controlling edema with leg
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 615
eleampation compression stockings or a pneumatic pedal compression deampice enhances
the healing process74 =ampidence of resolution of infection includes formation of
granulation tissue absence of necrotic tissue and closing of the wound $f osteomyelitis
is present signs of healing include a drop in =9 and loss of increased uptake on
nuclear scan
Topical debriding agents
Topical debriding agents are chemicals that are used locally to clean an open wound by
removing foreign material and dead tissue so that the wound heals without increased
risk of infection This makes the healing faster
See the following link
httpcidoxfordjournalsorgcontent41101373full
BrandDrug
FormPacking
Trade
Price
RPrice
(Rs)
LEFLOX [Levofloxacin5mgml] Inf 100ml 16575 19500
LEFLOX [Levofloxacin75mgml] Inf 150ml 21505 25300
LEFLOX [Levofloxacin250mg] a 10 1013 1190
LEFLOX [Levofloxacin500mg] a 10 17765 20900
LEFLOX [Levofloxacin750mg] a 10 2$60 2950
amplic on )an+ ame -o vie i- l-ena-e )an+ an+ In+ica-ionIndications eia-o -ac- infec-ion4 ini-i4
221 Alternate Brands Found
AlternateBrands
ManuactrerMnReresentatie
PackingR Price
(Rs)
EO) )E amp8EI 8 1x10lt $1600
=OLOX =O 8ampEgtIampL
L 10 20000
LI EO 8 10 1000
LIXI
LI ampO)IE
8ampEgtIampL
L
1x10 27000
LOIampLLIampE8ampEgtIampL
L
10 $0000
O AI8 8ampEgtIampL 10 2$$00
ILIX I EampIE 10 $1600
ampOFLOX ampO L)OOIE
LIIE 10 1000
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 715
BX gtB 8ampEgtIampL 10 20500
XOLE CI 8ampEgtIampL
IgtIE 1x10 25000
XOLOX DI 8ampgtIampL 10 26000
)ELEO EO 8 10 1790
)ELOX )EO 8ampEgtIampL 10 25000
)EXgt8I8ampEgtIampL
L
10 1500
)OI BEIamp=
8ampEgtIampL 10 19500
ampLE ampLEX 8ampEgtIampL
L 10 29000
ampELO ampI 8ampEgtIampL 10 $1600
ampIDgtI ampIFIamp 8ampEgtIampL
L 10 17200
ampI 8ILO 8
LIIE 10 700
ampOampgt CE8 8Eamp
L 10 21900
ampgt)amp amp8COO C= 10 1000
ampgtIF )OI
8ampEgtIampL 10 25000
ampOXI 8CL
8ampEgtIampL 10lt $1600
ELOampI 8 8EL8 =I
L 10 2000
DgtI )E 8OO
=I L 10 17000
EFFIFLOX I 8ampEgtIampL
L 10 20000
EFFIDgtI BBOOB =I
L 10 1500
EIOampI EO 8ampEgtIampL 10lt $1600
ELLE EL L)OOIE
L 10 1500
EOEL EOamp8 8ampEgtIampL 1x10 $0000
EXOgtE EIgtE L)OOIE=I L
10 22500
EXIamp 8ampE
L)OOIE L 10 20000
F OXampI )IO L) L 10 2000
FLEO E8 8 10 1500
FEELIX AEE8ampEgtIampL
10 30000
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 815
L
FILIE )IO 8 10 21000
FLOXE EFOCE amp8EIampL
IgtIE L 10 1500
FLOXOLE
LIgt
8ampEgtIampL L
10 17500
FOEL =I 8ampEgtIampL
Ogtamp L 1x10lt 39000
FLOE B FIEL
8ampEgtIampL 10 $1529
ELEO )OO=E 8ampEgtIampL
L)OOIE = L 10 17000
8EampO =C 8EX L 10 $1600
8EO LIE 8 1x10lt $1600
8E )IOE 8 10lt $1600
IFEampgtE amp8 8ampEgtIampL
O8 L 1x10lt $1600
IFLOX gtLE 8ampEgtIampL 10 27000
IOIamp gtB 8
L 10 25000
AEELEXI
AB
8ampEgtIampL
L
10 $1600
=FLOX X EEE 8ampEgtIampL 10 30000
=OFLOX
=O8I
8ampEgtIampL
L
1x10 32000
=EOX )LOO 8ampEgtIampL
L 10 $2000
=IampI 8OI 8ampEgtIampL
L)OOIE 10 $1600
=Lgt Oamp= 8ampEgtIampL 1x10lt $0000
=O)EXI =O)Eamp 8ampL 10 32000
LIFLOX CampO=
8ampEgtIampL 10lt $1600
LILOX 8OOD 8ampEgtIampL 10 19000
LCE EIC L) L 10 1000Lamp 8I8 D IEIOL 10 26000
LE$ B FIEL
8ampEgtIampL 10 $1600
LEampI LO 8ampEgtIampL 10 16000
LEEX OO 8 10 $1600
LEE) FEOC IEIOL8ampEgtIampL
10 $1600
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 915
L
LEFEX 8OOD 8ampEgtIampL 10 1000
LEFLOampI OLFIE amp8E8
L 10 32000
LEFLOEamp 8Eamp =I
L 10 19500
LEFIL BELL BELL 8
L 10lt 17500
LEFOXI EgtO 8 L 10 $1600
LEE )IOEIamp =I
L 10 17000
LEO =I 8ampEgtIampL 1x10 $1600
LEOampI E 8ampEgtIampL
L 10 25000
LEOFLOX )O 8ampEgtIampL
L 10 20000
LEO EIgtE L)OOIE
=I L 10 $1600
LEOE BELL)OE 8amp8E
)IOLOIampL 10 27000
LEOI EI= LIIE 10 12000
LEOX ampE
8ampEgtIampL 2x5 23000
LEIamp LO)L 8ampEgtIampL 10 $1600
LEDgtI )E 8OO
=I L 10 67100
LE I 8ampEgtIampL 10lt $0000LEI
EE 8ampEgtIampL
L 10lt $0000
LECE EL 8 L 10 $2000
LEEE IOE=
8ampEgtIampL 10 15000
LEE E8 EIampIE ampO 10 27000
LEILOX EXgt 8 L 10 $1600
LEIE 8 IE
LIIE 10 2$000
LELO ELI8 8ampEgtIampL
IgtIE 10 $1600
LEO FEOCO L)OOIE
L 10 23000
LEO F OL L)OOIE
L 10 19000
LEO) )IOEX 8ampEgtIampL 1x10lt $1600
LEOampI 8EL 8ampgtEgtIampL
L 10 17000
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1015
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1115
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1215
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1315
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1415
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1515
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 515
SEVERITY OR
EXTENT OF
INFECTION RECOMMENDED THERAPY COMMENTS
one or oint infection
No residualinfectedtissue
se the aboampe parenteral or oralantibiotic regimens for two tofiampe days
9esidualinfectedtissue only
se the aboampe parenteral or oralantibiotic regimens for two tofour weeks
9esidualinfectedampiable bone
$nitially use the aboampeparenteral antibiotics followedby oral antibiotics for four to siweeks
9esidualinfected deadbone
$nitially use the aboampeparenteral antibiotics followedby oral antibiotics for eight to 52weeks
I + intraenously -SA + methicillinresistant taphylococcus aureus -SSA +methicillinsusceptible aureusgt isk factors for polymicrobial infection include chronic ulcers recent antibioticuse and foot ischemia or gangreneInformation from references and 2 through
WOUND MANAGEMENT
The wound should be dressed to allow for careful inspection for eampidence of healing and
early identification of new necrotic tissue Necrotic or unhealthy tissue should be
debrided preferably surgically or with topical debriding agents 9emoamping pressure from
the foot wound is crucial for healing7 and can be achieamped through total contact casting
remoampable cast walkers and amparious ambulatory braces splints modified halfshoes
and sandals7lt =dema of the legs can delay wound healing controlling edema with leg
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 615
eleampation compression stockings or a pneumatic pedal compression deampice enhances
the healing process74 =ampidence of resolution of infection includes formation of
granulation tissue absence of necrotic tissue and closing of the wound $f osteomyelitis
is present signs of healing include a drop in =9 and loss of increased uptake on
nuclear scan
Topical debriding agents
Topical debriding agents are chemicals that are used locally to clean an open wound by
removing foreign material and dead tissue so that the wound heals without increased
risk of infection This makes the healing faster
See the following link
httpcidoxfordjournalsorgcontent41101373full
BrandDrug
FormPacking
Trade
Price
RPrice
(Rs)
LEFLOX [Levofloxacin5mgml] Inf 100ml 16575 19500
LEFLOX [Levofloxacin75mgml] Inf 150ml 21505 25300
LEFLOX [Levofloxacin250mg] a 10 1013 1190
LEFLOX [Levofloxacin500mg] a 10 17765 20900
LEFLOX [Levofloxacin750mg] a 10 2$60 2950
amplic on )an+ ame -o vie i- l-ena-e )an+ an+ In+ica-ionIndications eia-o -ac- infec-ion4 ini-i4
221 Alternate Brands Found
AlternateBrands
ManuactrerMnReresentatie
PackingR Price
(Rs)
EO) )E amp8EI 8 1x10lt $1600
=OLOX =O 8ampEgtIampL
L 10 20000
LI EO 8 10 1000
LIXI
LI ampO)IE
8ampEgtIampL
L
1x10 27000
LOIampLLIampE8ampEgtIampL
L
10 $0000
O AI8 8ampEgtIampL 10 2$$00
ILIX I EampIE 10 $1600
ampOFLOX ampO L)OOIE
LIIE 10 1000
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 715
BX gtB 8ampEgtIampL 10 20500
XOLE CI 8ampEgtIampL
IgtIE 1x10 25000
XOLOX DI 8ampgtIampL 10 26000
)ELEO EO 8 10 1790
)ELOX )EO 8ampEgtIampL 10 25000
)EXgt8I8ampEgtIampL
L
10 1500
)OI BEIamp=
8ampEgtIampL 10 19500
ampLE ampLEX 8ampEgtIampL
L 10 29000
ampELO ampI 8ampEgtIampL 10 $1600
ampIDgtI ampIFIamp 8ampEgtIampL
L 10 17200
ampI 8ILO 8
LIIE 10 700
ampOampgt CE8 8Eamp
L 10 21900
ampgt)amp amp8COO C= 10 1000
ampgtIF )OI
8ampEgtIampL 10 25000
ampOXI 8CL
8ampEgtIampL 10lt $1600
ELOampI 8 8EL8 =I
L 10 2000
DgtI )E 8OO
=I L 10 17000
EFFIFLOX I 8ampEgtIampL
L 10 20000
EFFIDgtI BBOOB =I
L 10 1500
EIOampI EO 8ampEgtIampL 10lt $1600
ELLE EL L)OOIE
L 10 1500
EOEL EOamp8 8ampEgtIampL 1x10 $0000
EXOgtE EIgtE L)OOIE=I L
10 22500
EXIamp 8ampE
L)OOIE L 10 20000
F OXampI )IO L) L 10 2000
FLEO E8 8 10 1500
FEELIX AEE8ampEgtIampL
10 30000
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 815
L
FILIE )IO 8 10 21000
FLOXE EFOCE amp8EIampL
IgtIE L 10 1500
FLOXOLE
LIgt
8ampEgtIampL L
10 17500
FOEL =I 8ampEgtIampL
Ogtamp L 1x10lt 39000
FLOE B FIEL
8ampEgtIampL 10 $1529
ELEO )OO=E 8ampEgtIampL
L)OOIE = L 10 17000
8EampO =C 8EX L 10 $1600
8EO LIE 8 1x10lt $1600
8E )IOE 8 10lt $1600
IFEampgtE amp8 8ampEgtIampL
O8 L 1x10lt $1600
IFLOX gtLE 8ampEgtIampL 10 27000
IOIamp gtB 8
L 10 25000
AEELEXI
AB
8ampEgtIampL
L
10 $1600
=FLOX X EEE 8ampEgtIampL 10 30000
=OFLOX
=O8I
8ampEgtIampL
L
1x10 32000
=EOX )LOO 8ampEgtIampL
L 10 $2000
=IampI 8OI 8ampEgtIampL
L)OOIE 10 $1600
=Lgt Oamp= 8ampEgtIampL 1x10lt $0000
=O)EXI =O)Eamp 8ampL 10 32000
LIFLOX CampO=
8ampEgtIampL 10lt $1600
LILOX 8OOD 8ampEgtIampL 10 19000
LCE EIC L) L 10 1000Lamp 8I8 D IEIOL 10 26000
LE$ B FIEL
8ampEgtIampL 10 $1600
LEampI LO 8ampEgtIampL 10 16000
LEEX OO 8 10 $1600
LEE) FEOC IEIOL8ampEgtIampL
10 $1600
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 915
L
LEFEX 8OOD 8ampEgtIampL 10 1000
LEFLOampI OLFIE amp8E8
L 10 32000
LEFLOEamp 8Eamp =I
L 10 19500
LEFIL BELL BELL 8
L 10lt 17500
LEFOXI EgtO 8 L 10 $1600
LEE )IOEIamp =I
L 10 17000
LEO =I 8ampEgtIampL 1x10 $1600
LEOampI E 8ampEgtIampL
L 10 25000
LEOFLOX )O 8ampEgtIampL
L 10 20000
LEO EIgtE L)OOIE
=I L 10 $1600
LEOE BELL)OE 8amp8E
)IOLOIampL 10 27000
LEOI EI= LIIE 10 12000
LEOX ampE
8ampEgtIampL 2x5 23000
LEIamp LO)L 8ampEgtIampL 10 $1600
LEDgtI )E 8OO
=I L 10 67100
LE I 8ampEgtIampL 10lt $0000LEI
EE 8ampEgtIampL
L 10lt $0000
LECE EL 8 L 10 $2000
LEEE IOE=
8ampEgtIampL 10 15000
LEE E8 EIampIE ampO 10 27000
LEILOX EXgt 8 L 10 $1600
LEIE 8 IE
LIIE 10 2$000
LELO ELI8 8ampEgtIampL
IgtIE 10 $1600
LEO FEOCO L)OOIE
L 10 23000
LEO F OL L)OOIE
L 10 19000
LEO) )IOEX 8ampEgtIampL 1x10lt $1600
LEOampI 8EL 8ampgtEgtIampL
L 10 17000
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1015
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1115
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1215
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1315
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1415
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1515
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 615
eleampation compression stockings or a pneumatic pedal compression deampice enhances
the healing process74 =ampidence of resolution of infection includes formation of
granulation tissue absence of necrotic tissue and closing of the wound $f osteomyelitis
is present signs of healing include a drop in =9 and loss of increased uptake on
nuclear scan
Topical debriding agents
Topical debriding agents are chemicals that are used locally to clean an open wound by
removing foreign material and dead tissue so that the wound heals without increased
risk of infection This makes the healing faster
See the following link
httpcidoxfordjournalsorgcontent41101373full
BrandDrug
FormPacking
Trade
Price
RPrice
(Rs)
LEFLOX [Levofloxacin5mgml] Inf 100ml 16575 19500
LEFLOX [Levofloxacin75mgml] Inf 150ml 21505 25300
LEFLOX [Levofloxacin250mg] a 10 1013 1190
LEFLOX [Levofloxacin500mg] a 10 17765 20900
LEFLOX [Levofloxacin750mg] a 10 2$60 2950
amplic on )an+ ame -o vie i- l-ena-e )an+ an+ In+ica-ionIndications eia-o -ac- infec-ion4 ini-i4
221 Alternate Brands Found
AlternateBrands
ManuactrerMnReresentatie
PackingR Price
(Rs)
EO) )E amp8EI 8 1x10lt $1600
=OLOX =O 8ampEgtIampL
L 10 20000
LI EO 8 10 1000
LIXI
LI ampO)IE
8ampEgtIampL
L
1x10 27000
LOIampLLIampE8ampEgtIampL
L
10 $0000
O AI8 8ampEgtIampL 10 2$$00
ILIX I EampIE 10 $1600
ampOFLOX ampO L)OOIE
LIIE 10 1000
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 715
BX gtB 8ampEgtIampL 10 20500
XOLE CI 8ampEgtIampL
IgtIE 1x10 25000
XOLOX DI 8ampgtIampL 10 26000
)ELEO EO 8 10 1790
)ELOX )EO 8ampEgtIampL 10 25000
)EXgt8I8ampEgtIampL
L
10 1500
)OI BEIamp=
8ampEgtIampL 10 19500
ampLE ampLEX 8ampEgtIampL
L 10 29000
ampELO ampI 8ampEgtIampL 10 $1600
ampIDgtI ampIFIamp 8ampEgtIampL
L 10 17200
ampI 8ILO 8
LIIE 10 700
ampOampgt CE8 8Eamp
L 10 21900
ampgt)amp amp8COO C= 10 1000
ampgtIF )OI
8ampEgtIampL 10 25000
ampOXI 8CL
8ampEgtIampL 10lt $1600
ELOampI 8 8EL8 =I
L 10 2000
DgtI )E 8OO
=I L 10 17000
EFFIFLOX I 8ampEgtIampL
L 10 20000
EFFIDgtI BBOOB =I
L 10 1500
EIOampI EO 8ampEgtIampL 10lt $1600
ELLE EL L)OOIE
L 10 1500
EOEL EOamp8 8ampEgtIampL 1x10 $0000
EXOgtE EIgtE L)OOIE=I L
10 22500
EXIamp 8ampE
L)OOIE L 10 20000
F OXampI )IO L) L 10 2000
FLEO E8 8 10 1500
FEELIX AEE8ampEgtIampL
10 30000
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 815
L
FILIE )IO 8 10 21000
FLOXE EFOCE amp8EIampL
IgtIE L 10 1500
FLOXOLE
LIgt
8ampEgtIampL L
10 17500
FOEL =I 8ampEgtIampL
Ogtamp L 1x10lt 39000
FLOE B FIEL
8ampEgtIampL 10 $1529
ELEO )OO=E 8ampEgtIampL
L)OOIE = L 10 17000
8EampO =C 8EX L 10 $1600
8EO LIE 8 1x10lt $1600
8E )IOE 8 10lt $1600
IFEampgtE amp8 8ampEgtIampL
O8 L 1x10lt $1600
IFLOX gtLE 8ampEgtIampL 10 27000
IOIamp gtB 8
L 10 25000
AEELEXI
AB
8ampEgtIampL
L
10 $1600
=FLOX X EEE 8ampEgtIampL 10 30000
=OFLOX
=O8I
8ampEgtIampL
L
1x10 32000
=EOX )LOO 8ampEgtIampL
L 10 $2000
=IampI 8OI 8ampEgtIampL
L)OOIE 10 $1600
=Lgt Oamp= 8ampEgtIampL 1x10lt $0000
=O)EXI =O)Eamp 8ampL 10 32000
LIFLOX CampO=
8ampEgtIampL 10lt $1600
LILOX 8OOD 8ampEgtIampL 10 19000
LCE EIC L) L 10 1000Lamp 8I8 D IEIOL 10 26000
LE$ B FIEL
8ampEgtIampL 10 $1600
LEampI LO 8ampEgtIampL 10 16000
LEEX OO 8 10 $1600
LEE) FEOC IEIOL8ampEgtIampL
10 $1600
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 915
L
LEFEX 8OOD 8ampEgtIampL 10 1000
LEFLOampI OLFIE amp8E8
L 10 32000
LEFLOEamp 8Eamp =I
L 10 19500
LEFIL BELL BELL 8
L 10lt 17500
LEFOXI EgtO 8 L 10 $1600
LEE )IOEIamp =I
L 10 17000
LEO =I 8ampEgtIampL 1x10 $1600
LEOampI E 8ampEgtIampL
L 10 25000
LEOFLOX )O 8ampEgtIampL
L 10 20000
LEO EIgtE L)OOIE
=I L 10 $1600
LEOE BELL)OE 8amp8E
)IOLOIampL 10 27000
LEOI EI= LIIE 10 12000
LEOX ampE
8ampEgtIampL 2x5 23000
LEIamp LO)L 8ampEgtIampL 10 $1600
LEDgtI )E 8OO
=I L 10 67100
LE I 8ampEgtIampL 10lt $0000LEI
EE 8ampEgtIampL
L 10lt $0000
LECE EL 8 L 10 $2000
LEEE IOE=
8ampEgtIampL 10 15000
LEE E8 EIampIE ampO 10 27000
LEILOX EXgt 8 L 10 $1600
LEIE 8 IE
LIIE 10 2$000
LELO ELI8 8ampEgtIampL
IgtIE 10 $1600
LEO FEOCO L)OOIE
L 10 23000
LEO F OL L)OOIE
L 10 19000
LEO) )IOEX 8ampEgtIampL 1x10lt $1600
LEOampI 8EL 8ampgtEgtIampL
L 10 17000
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1015
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1115
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1215
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1315
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1415
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1515
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 715
BX gtB 8ampEgtIampL 10 20500
XOLE CI 8ampEgtIampL
IgtIE 1x10 25000
XOLOX DI 8ampgtIampL 10 26000
)ELEO EO 8 10 1790
)ELOX )EO 8ampEgtIampL 10 25000
)EXgt8I8ampEgtIampL
L
10 1500
)OI BEIamp=
8ampEgtIampL 10 19500
ampLE ampLEX 8ampEgtIampL
L 10 29000
ampELO ampI 8ampEgtIampL 10 $1600
ampIDgtI ampIFIamp 8ampEgtIampL
L 10 17200
ampI 8ILO 8
LIIE 10 700
ampOampgt CE8 8Eamp
L 10 21900
ampgt)amp amp8COO C= 10 1000
ampgtIF )OI
8ampEgtIampL 10 25000
ampOXI 8CL
8ampEgtIampL 10lt $1600
ELOampI 8 8EL8 =I
L 10 2000
DgtI )E 8OO
=I L 10 17000
EFFIFLOX I 8ampEgtIampL
L 10 20000
EFFIDgtI BBOOB =I
L 10 1500
EIOampI EO 8ampEgtIampL 10lt $1600
ELLE EL L)OOIE
L 10 1500
EOEL EOamp8 8ampEgtIampL 1x10 $0000
EXOgtE EIgtE L)OOIE=I L
10 22500
EXIamp 8ampE
L)OOIE L 10 20000
F OXampI )IO L) L 10 2000
FLEO E8 8 10 1500
FEELIX AEE8ampEgtIampL
10 30000
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 815
L
FILIE )IO 8 10 21000
FLOXE EFOCE amp8EIampL
IgtIE L 10 1500
FLOXOLE
LIgt
8ampEgtIampL L
10 17500
FOEL =I 8ampEgtIampL
Ogtamp L 1x10lt 39000
FLOE B FIEL
8ampEgtIampL 10 $1529
ELEO )OO=E 8ampEgtIampL
L)OOIE = L 10 17000
8EampO =C 8EX L 10 $1600
8EO LIE 8 1x10lt $1600
8E )IOE 8 10lt $1600
IFEampgtE amp8 8ampEgtIampL
O8 L 1x10lt $1600
IFLOX gtLE 8ampEgtIampL 10 27000
IOIamp gtB 8
L 10 25000
AEELEXI
AB
8ampEgtIampL
L
10 $1600
=FLOX X EEE 8ampEgtIampL 10 30000
=OFLOX
=O8I
8ampEgtIampL
L
1x10 32000
=EOX )LOO 8ampEgtIampL
L 10 $2000
=IampI 8OI 8ampEgtIampL
L)OOIE 10 $1600
=Lgt Oamp= 8ampEgtIampL 1x10lt $0000
=O)EXI =O)Eamp 8ampL 10 32000
LIFLOX CampO=
8ampEgtIampL 10lt $1600
LILOX 8OOD 8ampEgtIampL 10 19000
LCE EIC L) L 10 1000Lamp 8I8 D IEIOL 10 26000
LE$ B FIEL
8ampEgtIampL 10 $1600
LEampI LO 8ampEgtIampL 10 16000
LEEX OO 8 10 $1600
LEE) FEOC IEIOL8ampEgtIampL
10 $1600
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 915
L
LEFEX 8OOD 8ampEgtIampL 10 1000
LEFLOampI OLFIE amp8E8
L 10 32000
LEFLOEamp 8Eamp =I
L 10 19500
LEFIL BELL BELL 8
L 10lt 17500
LEFOXI EgtO 8 L 10 $1600
LEE )IOEIamp =I
L 10 17000
LEO =I 8ampEgtIampL 1x10 $1600
LEOampI E 8ampEgtIampL
L 10 25000
LEOFLOX )O 8ampEgtIampL
L 10 20000
LEO EIgtE L)OOIE
=I L 10 $1600
LEOE BELL)OE 8amp8E
)IOLOIampL 10 27000
LEOI EI= LIIE 10 12000
LEOX ampE
8ampEgtIampL 2x5 23000
LEIamp LO)L 8ampEgtIampL 10 $1600
LEDgtI )E 8OO
=I L 10 67100
LE I 8ampEgtIampL 10lt $0000LEI
EE 8ampEgtIampL
L 10lt $0000
LECE EL 8 L 10 $2000
LEEE IOE=
8ampEgtIampL 10 15000
LEE E8 EIampIE ampO 10 27000
LEILOX EXgt 8 L 10 $1600
LEIE 8 IE
LIIE 10 2$000
LELO ELI8 8ampEgtIampL
IgtIE 10 $1600
LEO FEOCO L)OOIE
L 10 23000
LEO F OL L)OOIE
L 10 19000
LEO) )IOEX 8ampEgtIampL 1x10lt $1600
LEOampI 8EL 8ampgtEgtIampL
L 10 17000
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1015
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1115
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1215
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1315
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1415
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1515
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 815
L
FILIE )IO 8 10 21000
FLOXE EFOCE amp8EIampL
IgtIE L 10 1500
FLOXOLE
LIgt
8ampEgtIampL L
10 17500
FOEL =I 8ampEgtIampL
Ogtamp L 1x10lt 39000
FLOE B FIEL
8ampEgtIampL 10 $1529
ELEO )OO=E 8ampEgtIampL
L)OOIE = L 10 17000
8EampO =C 8EX L 10 $1600
8EO LIE 8 1x10lt $1600
8E )IOE 8 10lt $1600
IFEampgtE amp8 8ampEgtIampL
O8 L 1x10lt $1600
IFLOX gtLE 8ampEgtIampL 10 27000
IOIamp gtB 8
L 10 25000
AEELEXI
AB
8ampEgtIampL
L
10 $1600
=FLOX X EEE 8ampEgtIampL 10 30000
=OFLOX
=O8I
8ampEgtIampL
L
1x10 32000
=EOX )LOO 8ampEgtIampL
L 10 $2000
=IampI 8OI 8ampEgtIampL
L)OOIE 10 $1600
=Lgt Oamp= 8ampEgtIampL 1x10lt $0000
=O)EXI =O)Eamp 8ampL 10 32000
LIFLOX CampO=
8ampEgtIampL 10lt $1600
LILOX 8OOD 8ampEgtIampL 10 19000
LCE EIC L) L 10 1000Lamp 8I8 D IEIOL 10 26000
LE$ B FIEL
8ampEgtIampL 10 $1600
LEampI LO 8ampEgtIampL 10 16000
LEEX OO 8 10 $1600
LEE) FEOC IEIOL8ampEgtIampL
10 $1600
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 915
L
LEFEX 8OOD 8ampEgtIampL 10 1000
LEFLOampI OLFIE amp8E8
L 10 32000
LEFLOEamp 8Eamp =I
L 10 19500
LEFIL BELL BELL 8
L 10lt 17500
LEFOXI EgtO 8 L 10 $1600
LEE )IOEIamp =I
L 10 17000
LEO =I 8ampEgtIampL 1x10 $1600
LEOampI E 8ampEgtIampL
L 10 25000
LEOFLOX )O 8ampEgtIampL
L 10 20000
LEO EIgtE L)OOIE
=I L 10 $1600
LEOE BELL)OE 8amp8E
)IOLOIampL 10 27000
LEOI EI= LIIE 10 12000
LEOX ampE
8ampEgtIampL 2x5 23000
LEIamp LO)L 8ampEgtIampL 10 $1600
LEDgtI )E 8OO
=I L 10 67100
LE I 8ampEgtIampL 10lt $0000LEI
EE 8ampEgtIampL
L 10lt $0000
LECE EL 8 L 10 $2000
LEEE IOE=
8ampEgtIampL 10 15000
LEE E8 EIampIE ampO 10 27000
LEILOX EXgt 8 L 10 $1600
LEIE 8 IE
LIIE 10 2$000
LELO ELI8 8ampEgtIampL
IgtIE 10 $1600
LEO FEOCO L)OOIE
L 10 23000
LEO F OL L)OOIE
L 10 19000
LEO) )IOEX 8ampEgtIampL 1x10lt $1600
LEOampI 8EL 8ampgtEgtIampL
L 10 17000
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1015
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1115
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1215
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1315
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1415
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1515
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 915
L
LEFEX 8OOD 8ampEgtIampL 10 1000
LEFLOampI OLFIE amp8E8
L 10 32000
LEFLOEamp 8Eamp =I
L 10 19500
LEFIL BELL BELL 8
L 10lt 17500
LEFOXI EgtO 8 L 10 $1600
LEE )IOEIamp =I
L 10 17000
LEO =I 8ampEgtIampL 1x10 $1600
LEOampI E 8ampEgtIampL
L 10 25000
LEOFLOX )O 8ampEgtIampL
L 10 20000
LEO EIgtE L)OOIE
=I L 10 $1600
LEOE BELL)OE 8amp8E
)IOLOIampL 10 27000
LEOI EI= LIIE 10 12000
LEOX ampE
8ampEgtIampL 2x5 23000
LEIamp LO)L 8ampEgtIampL 10 $1600
LEDgtI )E 8OO
=I L 10 67100
LE I 8ampEgtIampL 10lt $0000LEI
EE 8ampEgtIampL
L 10lt $0000
LECE EL 8 L 10 $2000
LEEE IOE=
8ampEgtIampL 10 15000
LEE E8 EIampIE ampO 10 27000
LEILOX EXgt 8 L 10 $1600
LEIE 8 IE
LIIE 10 2$000
LELO ELI8 8ampEgtIampL
IgtIE 10 $1600
LEO FEOCO L)OOIE
L 10 23000
LEO F OL L)OOIE
L 10 19000
LEO) )IOEX 8ampEgtIampL 1x10lt $1600
LEOampI 8EL 8ampgtEgtIampL
L 10 17000
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1015
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1115
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1215
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1315
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1415
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1515
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1015
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1115
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1215
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1315
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1415
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1515
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1115
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1215
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1315
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1415
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1515
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1215
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1315
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1415
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1515
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1315
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1415
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1515
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1415
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1515
7232019 Reasons of Foot Ulcer
httpslidepdfcomreaderfullreasons-of-foot-ulcer 1515