Please answer the following
Do you have at least one infected foot ulcer - located on or below the ankle:
*
Is a rash, redness or inflammation present:
*
Are you taking any topical or oral antibiotics for the treatment of your foot ulcer:
*
Will you consider to cease with this treatment for a period of 7 days in order to be able to participate in this study:
*
Have you, within the past 5 days, taken any topical or oral antibiotics for any other reason:
*
Do you have a hypersensitivity or allergy to Gentamicin or any other antibiotics:
*
Do you live live within a 30 mile radius of a participating centre:
*
Your details
Date of birth:
***
*
Type of diabetes:
*