{\rtf1\adeflang1025\ansi\ansicpg1252\uc1\adeff0\deff0\stshfdbch0\stshfloch0\stshfhich0\stshfbi0\deflang2057\deflangfe2057{\fonttbl{\f0\froman\fcharset0\fprq2{\*\panose 02020603050405020304}Times New Roman{\*\falt Times New Roman};}{\f1\fswiss\fcharset0\fprq2{\*\panose 020b0604020202020204}Arial{\*\falt helvetica};}
{\f2\fmodern\fcharset0\fprq1{\*\panose 02070309020205020404}Courier New;}{\f3\froman\fcharset2\fprq2{\*\panose 05050102010706020507}Symbol;}{\f10\fnil\fcharset2\fprq2{\*\panose 05000000000000000000}Wingdings{\*\falt Wingdings};}
{\f39\froman\fcharset238\fprq2 Times New Roman CE{\*\falt Times New Roman};}{\f40\froman\fcharset204\fprq2 Times New Roman Cyr{\*\falt Times New Roman};}{\f42\froman\fcharset161\fprq2 Times New Roman Greek{\*\falt Times New Roman};}
{\f43\froman\fcharset162\fprq2 Times New Roman Tur{\*\falt Times New Roman};}{\f44\fbidi \froman\fcharset177\fprq2 Times New Roman (Hebrew){\*\falt Times New Roman};}{\f45\fbidi \froman\fcharset178\fprq2 Times New Roman (Arabic){\*\falt Times New Roman};}
{\f46\froman\fcharset186\fprq2 Times New Roman Baltic{\*\falt Times New Roman};}{\f47\froman\fcharset163\fprq2 Times New Roman (Vietnamese){\*\falt Times New Roman};}{\f49\fswiss\fcharset238\fprq2 Arial CE{\*\falt helvetica};}
{\f50\fswiss\fcharset204\fprq2 Arial Cyr{\*\falt helvetica};}{\f52\fswiss\fcharset161\fprq2 Arial Greek{\*\falt helvetica};}{\f53\fswiss\fcharset162\fprq2 Arial Tur{\*\falt helvetica};}
{\f54\fbidi \fswiss\fcharset177\fprq2 Arial (Hebrew){\*\falt helvetica};}{\f55\fbidi \fswiss\fcharset178\fprq2 Arial (Arabic){\*\falt helvetica};}{\f56\fswiss\fcharset186\fprq2 Arial Baltic{\*\falt helvetica};}
{\f57\fswiss\fcharset163\fprq2 Arial (Vietnamese){\*\falt helvetica};}{\f59\fmodern\fcharset238\fprq1 Courier New CE;}{\f60\fmodern\fcharset204\fprq1 Courier New Cyr;}{\f62\fmodern\fcharset161\fprq1 Courier New Greek;}
{\f63\fmodern\fcharset162\fprq1 Courier New Tur;}{\f64\fbidi \fmodern\fcharset177\fprq1 Courier New (Hebrew);}{\f65\fbidi \fmodern\fcharset178\fprq1 Courier New (Arabic);}{\f66\fmodern\fcharset186\fprq1 Courier New Baltic;}
{\f67\fmodern\fcharset163\fprq1 Courier New (Vietnamese);}}{\colortbl;\red0\green0\blue0;\red0\green0\blue255;\red0\green255\blue255;\red0\green255\blue0;\red255\green0\blue255;\red255\green0\blue0;\red255\green255\blue0;\red255\green255\blue255;
\red0\green0\blue128;\red0\green128\blue128;\red0\green128\blue0;\red128\green0\blue128;\red128\green0\blue0;\red128\green128\blue0;\red128\green128\blue128;\red192\green192\blue192;\red255\green255\blue255;}{\stylesheet{
\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 \snext0 Normal;}{
\s1\qc \li0\ri0\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 \sbasedon0 \snext0 heading 1;}{
\s2\ql \li0\ri0\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 \sbasedon0 \snext0 heading 2;}{
\s3\qc \li0\ri0\sb60\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\fs22\cf9\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 \sbasedon0 \snext0 heading 3;}{
\s4\ql \li0\ri0\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 \sbasedon0 \snext0 heading 4;}{\*\cs10 
\additive \ssemihidden Default Paragraph Font;}{\*\ts11\tsrowd\trftsWidthB3\trpaddl108\trpaddr108\trpaddfl3\trpaddft3\trpaddfb3\trpaddfr3\tblind0\tblindtype3\tscellwidthfts0\tsvertalt\tsbrdrt\tsbrdrl\tsbrdrb\tsbrdrr\tsbrdrdgl\tsbrdrdgr\tsbrdrh\tsbrdrv 
\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\lang1024\langfe1024\cgrid\langnp1024\langfenp1024 \snext11 \ssemihidden Normal Table;}{\*\cs15 \additive \rtlch\fcs1 \af0 
\ltrch\fcs0 \ul\cf2 \sbasedon10 Hyperlink;}{\s16\ql \li0\ri0\widctlpar\tqc\tx4320\tqr\tx8640\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 
\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 \sbasedon0 \snext16 header;}{\s17\ql \li540\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin540\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 
\fs20\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 \sbasedon0 \snext17 Body Text Indent 3;}{\*\cs18 \additive \rtlch\fcs1 \af0 \ltrch\fcs0 \ul\cf12 \sbasedon10 FollowedHyperlink;}{
\s19\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \fs20\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 \sbasedon0 \snext19 Body Text 3;}{
\s20\qc \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\fs24\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 \sbasedon0 \snext20 Title;}{\s21\ql \li0\ri0\widctlpar
\tqc\tx4320\tqr\tx8640\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 \sbasedon0 \snext21 footer;}{\*\cs22 \additive \rtlch\fcs1 
\af0\afs16 \ltrch\fcs0 \fs16 \sbasedon10 \ssemihidden annotation reference;}{\s23\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 
\f1\fs20\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 \sbasedon0 \snext23 \ssemihidden annotation text;}}{\*\latentstyles\lsdstimax156\lsdlockeddef0}{\*\listtable{\list\listtemplateid134807567\listsimple{\listlevel\levelnfc0\levelnfcn0\leveljc0
\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'02\'00.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-360\li360\jclisttab\tx360\lin360 }{\listname ;}\listid52045087}{\list\listtemplateid134807553\listsimple{\listlevel
\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li360\jclisttab\tx360\lin360 }{\listname ;}\listid93748524}{\list\listtemplateid-1151818006
{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li720\jclisttab\tx720\lin720 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0
\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li1440\jclisttab\tx1440\lin1440 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0
{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li2160\jclisttab\tx2160\lin2160 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 
\fi-360\li2880\jclisttab\tx2880\lin2880 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li3600\jclisttab\tx3600\lin3600 }{\listlevel
\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li4320\jclisttab\tx4320\lin4320 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0
\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li5040\jclisttab\tx5040\lin5040 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0
{\leveltext\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li5760\jclisttab\tx5760\lin5760 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 
\fi-360\li6480\jclisttab\tx6480\lin6480 }{\listname ;}\listid144127412}{\list\listtemplateid-1637854072\listhybrid{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext
\leveltemplateid134807553\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li720\jclisttab\tx720\lin720 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext
\leveltemplateid134807555\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li1440\jclisttab\tx1440\lin1440 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext
\leveltemplateid134807557\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li2160\jclisttab\tx2160\lin2160 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext
\leveltemplateid134807553\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li2880\jclisttab\tx2880\lin2880 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext
\leveltemplateid134807555\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li3600\jclisttab\tx3600\lin3600 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext
\leveltemplateid134807557\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li4320\jclisttab\tx4320\lin4320 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext
\leveltemplateid134807553\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li5040\jclisttab\tx5040\lin5040 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext
\leveltemplateid134807555\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li5760\jclisttab\tx5760\lin5760 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext
\leveltemplateid134807557\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li6480\jclisttab\tx6480\lin6480 }{\listname ;}\listid175535631}{\list\listtemplateid-605498256\listhybrid{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0
\levelstartat1\levelspace360\levelindent0{\leveltext\leveltemplateid67698703\'02\'00.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-360\li720\jclisttab\tx720\lin720 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1
\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid67698713\'02\'01.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-360\li1440\jclisttab\tx1440\lin1440 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1
\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid67698715\'02\'02.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-180\li2160\jclisttab\tx2160\lin2160 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1
\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid67698703\'02\'03.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-360\li2880\jclisttab\tx2880\lin2880 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1
\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid67698713\'02\'04.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-360\li3600\jclisttab\tx3600\lin3600 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1
\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid67698715\'02\'05.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-180\li4320\jclisttab\tx4320\lin4320 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1
\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid67698703\'02\'06.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-360\li5040\jclisttab\tx5040\lin5040 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0\levelstartat1
\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid67698713\'02\'07.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-360\li5760\jclisttab\tx5760\lin5760 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0\levelstartat1
\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid67698715\'02\'08.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-180\li6480\jclisttab\tx6480\lin6480 }{\listname ;}\listid253979050}{\list\listtemplateid134807559\listsimple
{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01\u-3983 ?;}{\levelnumbers;}\f10\fs16\fbias0 \fi-360\li360\jclisttab\tx360\lin360 }{\listname ;}\listid273828558}
{\list\listtemplateid-1376211974\listhybrid{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\leveltemplateid67698695\'01\u-3983 ?;}{\levelnumbers;}\f10\fs16\fbias0 \fi-360\li720
\jclisttab\tx720\lin720 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid67698691\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li1440\jclisttab\tx1440\lin1440 }
{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid67698693\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li2160\jclisttab\tx2160\lin2160 }{\listlevel
\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid67698689\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li2880\jclisttab\tx2880\lin2880 }{\listlevel\levelnfc23
\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid67698691\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li3600\jclisttab\tx3600\lin3600 }{\listlevel\levelnfc23\levelnfcn23\leveljc0
\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid67698693\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li4320\jclisttab\tx4320\lin4320 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0
\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid67698689\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li5040\jclisttab\tx5040\lin5040 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0
\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid67698691\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li5760\jclisttab\tx5760\lin5760 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1
\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid67698693\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li6480\jclisttab\tx6480\lin6480 }{\listname ;}\listid468211479}{\list\listtemplateid-1151818006{\listlevel\levelnfc23\levelnfcn23
\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li720\jclisttab\tx720\lin720 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1
\levelspace360\levelindent0{\leveltext\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li1440\jclisttab\tx1440\lin1440 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext
\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li2160\jclisttab\tx2160\lin2160 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 
\fi-360\li2880\jclisttab\tx2880\lin2880 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li3600\jclisttab\tx3600\lin3600 }{\listlevel
\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li4320\jclisttab\tx4320\lin4320 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0
\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li5040\jclisttab\tx5040\lin5040 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0
{\leveltext\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li5760\jclisttab\tx5760\lin5760 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 
\fi-360\li6480\jclisttab\tx6480\lin6480 }{\listname ;}\listid507326829}{\list\listtemplateid-1376211974\listhybrid{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext
\leveltemplateid67698695\'01\u-3983 ?;}{\levelnumbers;}\f10\fs16\fbias0 \fi-360\li720\jclisttab\tx720\lin720 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext
\leveltemplateid67698691\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li1440\jclisttab\tx1440\lin1440 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid67698693
\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li2160\jclisttab\tx2160\lin2160 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid67698689
\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li2880\jclisttab\tx2880\lin2880 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid67698691
\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li3600\jclisttab\tx3600\lin3600 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid67698693
\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li4320\jclisttab\tx4320\lin4320 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid67698689
\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li5040\jclisttab\tx5040\lin5040 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid67698691
\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li5760\jclisttab\tx5760\lin5760 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid67698693
\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li6480\jclisttab\tx6480\lin6480 }{\listname ;}\listid581792385}{\list\listtemplateid134807559\listsimple{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0
\levelindent0{\leveltext\'01\u-3983 ?;}{\levelnumbers;}\f10\fs16\fbias0 \fi-360\li360\jclisttab\tx360\lin360 }{\listname ;}\listid630867792}{\list\listtemplateid-998099984{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1
\levelspace360\levelindent0{\leveltext\'01\u-3983 ?;}{\levelnumbers;}\f10\fs16\fbias0 \fi-360\li720\jclisttab\tx720\lin720 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext
\'02\'01.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \b0\fs16\fbias0 \fi-360\li1440\jclisttab\tx1440\lin1440 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext
\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li2160\jclisttab\tx2160\lin2160 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 
\fi-360\li2880\jclisttab\tx2880\lin2880 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li3600\jclisttab\tx3600\lin3600 }{\listlevel
\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li4320\jclisttab\tx4320\lin4320 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0
\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li5040\jclisttab\tx5040\lin5040 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0
{\leveltext\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li5760\jclisttab\tx5760\lin5760 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 
\fi-360\li6480\jclisttab\tx6480\lin6480 }{\listname ;}\listid802774235}{\list\listtemplateid-998099984{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3983 ?;}{\levelnumbers;}
\f10\fs16\fbias0 \fi-360\li720\jclisttab\tx720\lin720 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'02\'01.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \b0\fs16\fbias0 
\fi-360\li1440\jclisttab\tx1440\lin1440 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li2160\jclisttab\tx2160\lin2160 }{\listlevel
\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li2880\jclisttab\tx2880\lin2880 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0
\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li3600\jclisttab\tx3600\lin3600 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0
{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li4320\jclisttab\tx4320\lin4320 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 
\fi-360\li5040\jclisttab\tx5040\lin5040 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li5760\jclisttab\tx5760\lin5760 }{\listlevel
\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li6480\jclisttab\tx6480\lin6480 }{\listname ;}\listid806321101}{\list\listtemplateid-1151818006
\listhybrid{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\leveltemplateid134807553\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li720\jclisttab\tx720\lin720 }{\listlevel
\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid134807555\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li1440\jclisttab\tx1440\lin1440 }{\listlevel\levelnfc23\levelnfcn23
\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid134807557\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li2160\jclisttab\tx2160\lin2160 }{\listlevel\levelnfc23\levelnfcn23\leveljc0
\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid134807553\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li2880\jclisttab\tx2880\lin2880 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0
\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid134807555\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li3600\jclisttab\tx3600\lin3600 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0
\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid134807557\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li4320\jclisttab\tx4320\lin4320 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1
\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid134807553\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li5040\jclisttab\tx5040\lin5040 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative
\levelspace360\levelindent0{\leveltext\leveltemplateid134807555\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li5760\jclisttab\tx5760\lin5760 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360
\levelindent0{\leveltext\leveltemplateid134807557\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li6480\jclisttab\tx6480\lin6480 }{\listname ;}\listid844707552}{\list\listtemplateid-1376211974\listhybrid{\listlevel\levelnfc23\levelnfcn23\leveljc0
\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\leveltemplateid67698689\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li720\jclisttab\tx720\lin720 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0
\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid67698691\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li1440\jclisttab\tx1440\lin1440 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1
\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid67698693\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li2160\jclisttab\tx2160\lin2160 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative
\levelspace360\levelindent0{\leveltext\leveltemplateid67698689\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li2880\jclisttab\tx2880\lin2880 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360
\levelindent0{\leveltext\leveltemplateid67698691\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li3600\jclisttab\tx3600\lin3600 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext
\leveltemplateid67698693\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li4320\jclisttab\tx4320\lin4320 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext
\leveltemplateid67698689\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li5040\jclisttab\tx5040\lin5040 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext
\leveltemplateid67698691\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li5760\jclisttab\tx5760\lin5760 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid67698693
\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li6480\jclisttab\tx6480\lin6480 }{\listname ;}\listid900483288}{\list\listtemplateid-998099984{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0
{\leveltext\'01\u-3983 ?;}{\levelnumbers;}\f10\fs16\fbias0 \fi-360\li720\jclisttab\tx720\lin720 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'02\'01.;}{\levelnumbers\'01;}
\rtlch\fcs1 \af0 \ltrch\fcs0 \b0\fs16\fbias0 \fi-360\li1440\jclisttab\tx1440\lin1440 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 
\fi-360\li2160\jclisttab\tx2160\lin2160 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li2880\jclisttab\tx2880\lin2880 }{\listlevel
\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li3600\jclisttab\tx3600\lin3600 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0
\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li4320\jclisttab\tx4320\lin4320 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext
\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li5040\jclisttab\tx5040\lin5040 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li5760
\jclisttab\tx5760\lin5760 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li6480\jclisttab\tx6480\lin6480 }{\listname 
;}\listid966661147}{\list\listtemplateid-998099984{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3983 ?;}{\levelnumbers;}\f10\fs16\fbias0 \fi-360\li720\jclisttab\tx720\lin720 }
{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'02\'01.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \b0\fs16\fbias0 \fi-360\li1440\jclisttab\tx1440\lin1440 }{\listlevel\levelnfc23
\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li2160\jclisttab\tx2160\lin2160 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0
\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li2880\jclisttab\tx2880\lin2880 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext
\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li3600\jclisttab\tx3600\lin3600 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li4320
\jclisttab\tx4320\lin4320 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li5040\jclisttab\tx5040\lin5040 }{\listlevel\levelnfc23
\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li5760\jclisttab\tx5760\lin5760 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1
\levelspace360\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li6480\jclisttab\tx6480\lin6480 }{\listname ;}\listid1032418511}{\list\listtemplateid177878816\listhybrid{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0
\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid134807567\'02\'00.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fbias0 \fi-360\li720\jclisttab\tx720\lin720 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0
\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\leveltemplateid134807577\'02\'01.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-360\li1440\jclisttab\tx1440\lin1440 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0
\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid134807579\'02\'02.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-180\li2160\jclisttab\tx2160\lin2160 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0
\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid134807567\'02\'03.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-360\li2880\jclisttab\tx2880\lin2880 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0
\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid134807577\'02\'04.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-360\li3600\jclisttab\tx3600\lin3600 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0
\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid134807579\'02\'05.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-180\li4320\jclisttab\tx4320\lin4320 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0
\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid134807567\'02\'06.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-360\li5040\jclisttab\tx5040\lin5040 }{\listlevel\levelnfc4\levelnfcn4\leveljc0\leveljcn0\levelfollow0
\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid134807577\'02\'07.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-360\li5760\jclisttab\tx5760\lin5760 }{\listlevel\levelnfc2\levelnfcn2\leveljc2\leveljcn2\levelfollow0
\levelstartat1\lvltentative\levelspace0\levelindent0{\leveltext\leveltemplateid134807579\'02\'08.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-180\li6480\jclisttab\tx6480\lin6480 }{\listname ;}\listid1049306129}{\list\listtemplateid-998099984
{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3983 ?;}{\levelnumbers;}\f10\fs16\fbias0 \fi-360\li720\jclisttab\tx720\lin720 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0
\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'02\'01.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \b0\fs16\fbias0 \fi-360\li1440\jclisttab\tx1440\lin1440 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0
\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li2160\jclisttab\tx2160\lin2160 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext
\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li2880\jclisttab\tx2880\lin2880 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li3600
\jclisttab\tx3600\lin3600 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li4320\jclisttab\tx4320\lin4320 }{\listlevel\levelnfc23
\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li5040\jclisttab\tx5040\lin5040 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0
\levelstartat1\levelspace360\levelindent0{\leveltext\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li5760\jclisttab\tx5760\lin5760 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext
\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li6480\jclisttab\tx6480\lin6480 }{\listname ;}\listid1145665362}{\list\listtemplateid134807567\listsimple{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0
\levelindent0{\leveltext\'02\'00.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \fi-360\li360\jclisttab\tx360\lin360 }{\listname ;}\listid1220361599}{\list\listtemplateid-998099984\listhybrid{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0
\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\leveltemplateid67698695\'01\u-3983 ?;}{\levelnumbers;}\f10\fs16\fbias0 \fi-360\li720\jclisttab\tx720\lin720 }{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1
\levelspace360\levelindent0{\leveltext\leveltemplateid-1445582318\'02\'01.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \b0\fs16\fbias0 \fi-360\li1440\jclisttab\tx1440\lin1440 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0
\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid67698693\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li2160\jclisttab\tx2160\lin2160 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1
\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid67698689\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li2880\jclisttab\tx2880\lin2880 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative
\levelspace360\levelindent0{\leveltext\leveltemplateid67698691\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li3600\jclisttab\tx3600\lin3600 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360
\levelindent0{\leveltext\leveltemplateid67698693\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li4320\jclisttab\tx4320\lin4320 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0
{\leveltext\leveltemplateid67698689\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li5040\jclisttab\tx5040\lin5040 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext
\leveltemplateid67698691\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li5760\jclisttab\tx5760\lin5760 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid67698693
\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li6480\jclisttab\tx6480\lin6480 }{\listname ;}\listid1229343206}{\list\listtemplateid457858160\listsimple{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace0
\levelindent0{\leveltext\'02\'00.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \b0\i0 \fi-360\li360\jclisttab\tx360\lin360 }{\listname ;}\listid1263419568}{\list\listtemplateid-1136865220\listhybrid{\listlevel\levelnfc23\levelnfcn23\leveljc0
\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\leveltemplateid67698695\'01\u-3983 ?;}{\levelnumbers;}\f10\fs16\fbias0 \fi-360\li720\jclisttab\tx720\lin720 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0
\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid134807555\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li1440\jclisttab\tx1440\lin1440 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1
\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid134807557\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li2160\jclisttab\tx2160\lin2160 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative
\levelspace360\levelindent0{\leveltext\leveltemplateid134807553\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li2880\jclisttab\tx2880\lin2880 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360
\levelindent0{\leveltext\leveltemplateid134807555\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li3600\jclisttab\tx3600\lin3600 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext
\leveltemplateid134807557\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li4320\jclisttab\tx4320\lin4320 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext
\leveltemplateid134807553\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li5040\jclisttab\tx5040\lin5040 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext
\leveltemplateid134807555\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li5760\jclisttab\tx5760\lin5760 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext
\leveltemplateid134807557\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li6480\jclisttab\tx6480\lin6480 }{\listname ;}\listid1312828227}{\list\listtemplateid1477583914\listhybrid{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0
\levelstartat1\levelspace360\levelindent0{\leveltext\leveltemplateid67698695\'01\u-3983 ?;}{\levelnumbers;}\f10\fs16\fbias0 \fi-360\li720\jclisttab\tx720\lin720 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative
\levelspace360\levelindent0{\leveltext\leveltemplateid67698691\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li1440\jclisttab\tx1440\lin1440 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360
\levelindent0{\leveltext\leveltemplateid67698693\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li2160\jclisttab\tx2160\lin2160 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0
{\leveltext\leveltemplateid67698689\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li2880\jclisttab\tx2880\lin2880 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext
\leveltemplateid67698691\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li3600\jclisttab\tx3600\lin3600 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid67698693
\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li4320\jclisttab\tx4320\lin4320 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid67698689
\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li5040\jclisttab\tx5040\lin5040 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid67698691
\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li5760\jclisttab\tx5760\lin5760 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext\leveltemplateid67698693
\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li6480\jclisttab\tx6480\lin6480 }{\listname ;}\listid1370572148}{\list\listtemplateid63469288\listhybrid{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360
\levelindent0{\leveltext\leveltemplateid134807553\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li720\jclisttab\tx720\lin720 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0
{\leveltext\leveltemplateid134807555\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li1440\jclisttab\tx1440\lin1440 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext
\leveltemplateid134807557\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li2160\jclisttab\tx2160\lin2160 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext
\leveltemplateid134807553\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li2880\jclisttab\tx2880\lin2880 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext
\leveltemplateid134807555\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li3600\jclisttab\tx3600\lin3600 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext
\leveltemplateid134807557\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li4320\jclisttab\tx4320\lin4320 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext
\leveltemplateid134807553\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li5040\jclisttab\tx5040\lin5040 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext
\leveltemplateid134807555\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li5760\jclisttab\tx5760\lin5760 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\lvltentative\levelspace360\levelindent0{\leveltext
\leveltemplateid134807557\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li6480\jclisttab\tx6480\lin6480 }{\listname ;}\listid1422138225}{\list\listtemplateid-1376211974{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1
\levelspace360\levelindent0{\leveltext\'01\u-3983 ?;}{\levelnumbers;}\f10\fs16\fbias0 \fi-360\li720\jclisttab\tx720\lin720 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext
\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li1440\jclisttab\tx1440\lin1440 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li2160
\jclisttab\tx2160\lin2160 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li2880\jclisttab\tx2880\lin2880 }{\listlevel\levelnfc23
\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li3600\jclisttab\tx3600\lin3600 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1
\levelspace360\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li4320\jclisttab\tx4320\lin4320 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext
\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li5040\jclisttab\tx5040\lin5040 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li5760
\jclisttab\tx5760\lin5760 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li6480\jclisttab\tx6480\lin6480 }{\listname 
;}\listid1444422106}{\list\listtemplateid-998099984{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3983 ?;}{\levelnumbers;}\f10\fs16\fbias0 \fi-360\li720\jclisttab\tx720\lin720 }
{\listlevel\levelnfc0\levelnfcn0\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'02\'01.;}{\levelnumbers\'01;}\rtlch\fcs1 \af0 \ltrch\fcs0 \b0\fs16\fbias0 \fi-360\li1440\jclisttab\tx1440\lin1440 }{\listlevel\levelnfc23
\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li2160\jclisttab\tx2160\lin2160 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0
\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li2880\jclisttab\tx2880\lin2880 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext
\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li3600\jclisttab\tx3600\lin3600 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li4320
\jclisttab\tx4320\lin4320 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li5040\jclisttab\tx5040\lin5040 }{\listlevel\levelnfc23
\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li5760\jclisttab\tx5760\lin5760 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1
\levelspace360\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li6480\jclisttab\tx6480\lin6480 }{\listname ;}\listid1603104996}{\list\listtemplateid-1111869528\listsimple{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0
\levelfollow0\levelstartat1\levelspace0\levelindent0{\leveltext\'01\u-3983 ?;}{\levelnumbers;}\f10\fs16\cf1\fbias0 \fi-360\li360\jclisttab\tx360\lin360 }{\listname ;}\listid1657419860}{\list\listtemplateid-1376211974{\listlevel\levelnfc23\levelnfcn23
\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3983 ?;}{\levelnumbers;}\f10\fs16\fbias0 \fi-360\li720\jclisttab\tx720\lin720 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1
\levelspace360\levelindent0{\leveltext\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li1440\jclisttab\tx1440\lin1440 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext
\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li2160\jclisttab\tx2160\lin2160 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 
\fi-360\li2880\jclisttab\tx2880\lin2880 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li3600\jclisttab\tx3600\lin3600 }{\listlevel
\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 \fi-360\li4320\jclisttab\tx4320\lin4320 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0
\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3913 ?;}{\levelnumbers;}\f3\fbias0 \fi-360\li5040\jclisttab\tx5040\lin5040 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0
{\leveltext\'01o;}{\levelnumbers;}\f2\fbias0 \fi-360\li5760\jclisttab\tx5760\lin5760 }{\listlevel\levelnfc23\levelnfcn23\leveljc0\leveljcn0\levelfollow0\levelstartat1\levelspace360\levelindent0{\leveltext\'01\u-3929 ?;}{\levelnumbers;}\f10\fbias0 
\fi-360\li6480\jclisttab\tx6480\lin6480 }{\listname ;}\listid1964119064}}{\*\listoverridetable{\listoverride\listid630867792\listoverridecount0\ls1}{\listoverride\listid273828558\listoverridecount0\ls2}{\listoverride\listid93748524\listoverridecount0\ls3}
{\listoverride\listid1657419860\listoverridecount0\ls4}{\listoverride\listid1263419568\listoverridecount0\ls5}{\listoverride\listid52045087\listoverridecount0\ls6}{\listoverride\listid1220361599\listoverridecount0\ls7}{\listoverride\listid253979050
\listoverridecount0\ls8}{\listoverride\listid900483288\listoverridecount0\ls9}{\listoverride\listid581792385\listoverridecount0\ls10}{\listoverride\listid468211479\listoverridecount0\ls11}{\listoverride\listid1229343206\listoverridecount0\ls12}
{\listoverride\listid1422138225\listoverridecount0\ls13}{\listoverride\listid175535631\listoverridecount0\ls14}{\listoverride\listid844707552\listoverridecount0\ls15}{\listoverride\listid144127412\listoverridecount0\ls16}{\listoverride\listid1964119064
\listoverridecount0\ls17}{\listoverride\listid507326829\listoverridecount0\ls18}{\listoverride\listid1444422106\listoverridecount0\ls19}{\listoverride\listid1370572148\listoverridecount0\ls20}{\listoverride\listid1145665362\listoverridecount0\ls21}
{\listoverride\listid802774235\listoverridecount0\ls22}{\listoverride\listid806321101\listoverridecount0\ls23}{\listoverride\listid966661147\listoverridecount0\ls24}{\listoverride\listid1032418511\listoverridecount0\ls25}{\listoverride\listid1049306129
\listoverridecount0\ls26}{\listoverride\listid1603104996\listoverridecount0\ls27}{\listoverride\listid1312828227\listoverridecount0\ls28}}{\*\rsidtbl \rsid202908}{\*\generator Microsoft Word 11.0.8026;}{\info{\title DRAFT FOR CONSULTATION}
{\author JWhiting}{\operator Anjna.Mistry}{\creatim\yr2006\mo9\dy7\hr13\min50}{\revtim\yr2006\mo9\dy7\hr13\min50}{\printim\yr2006\mo8\dy23\hr10\min52}{\version2}{\edmins3}{\nofpages2}{\nofwords1410}{\nofchars8038}{\*\company PHLS}{\nofcharsws9430}
{\vern24609}{\*\password 00000000}}{\*\xmlnstbl {\xmlns1 urn:schemas-microsoft-com:office:smarttags}}\paperw11909\paperh16834\margl576\margr432\margt720\margb288\gutter0\ltrsect 
\widowctrl\ftnbj\aenddoc\noxlattoyen\expshrtn\noultrlspc\dntblnsbdb\nospaceforul\formshade\horzdoc\dghspace180\dgvspace180\dghorigin1701\dgvorigin1984\dghshow0\dgvshow0
\jexpand\viewkind1\viewscale100\pgbrdrhead\pgbrdrfoot\nolnhtadjtbl\nojkernpunct\rsidroot202908 \fet0{\*\wgrffmtfilter 013f}\ilfomacatclnup0
{\*\docvar {REFMGR.InstantFormat}{<InstantFormat><Enabled>1</Enabled><ScanUnformatted>1</ScanUnformatted><ScanChanges>1</ScanChanges></InstantFormat>}}{\*\ftnsep \ltrpar \pard\plain \ltrpar
\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid202908 \chftnsep 
\par }}{\*\ftnsepc \ltrpar \pard\plain \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 
\ltrch\fcs0 \insrsid202908 \chftnsepc 
\par }}{\*\aftnsep \ltrpar \pard\plain \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 
\ltrch\fcs0 \insrsid202908 \chftnsep 
\par }}{\*\aftnsepc \ltrpar \pard\plain \ltrpar\ql \li0\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 
\ltrch\fcs0 \insrsid202908 \chftnsepc 
\par }}\ltrpar \sectd \ltrsect\psz9\linex0\headery144\footery288\endnhere\pgbrdropt32\sectdefaultcl\sftnbj {\footerr \ltrpar \pard\plain \ltrpar\s21\ql \li0\ri0\widctlpar\tqr\tx10620\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0\itap0 \rtlch\fcs1 
\af0\afs20\alang1025 \ltrch\fcs0 \f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs18\insrsid202908 Produced August 2006\tab For Review August 2007
\par }}{\*\pnseclvl1\pnucrm\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl2\pnucltr\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl3\pndec\pnstart1\pnindent720\pnhang {\pntxta .}}{\*\pnseclvl4\pnlcltr\pnstart1\pnindent720\pnhang {\pntxta )}}
{\*\pnseclvl5\pndec\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl6\pnlcltr\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl7\pnlcrm\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl8
\pnlcltr\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}{\*\pnseclvl9\pnlcrm\pnstart1\pnindent720\pnhang {\pntxtb (}{\pntxta )}}\ltrrow\trowd \ltrrow\ts11\trgaph108\trrh1170\trleft0\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb
\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone 
\clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth10490\clshdrawnil \cellx10490\pard\plain \ltrpar\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 
\f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs34 \ltrch\fcs0 \b\shad\f0\fs34\cf6\insrsid202908 Venous Leg Ulcers: Infection Diagnosis & Microbiology Investigation
\par }\pard\plain \ltrpar\s1\qc \li0\ri0\keepn\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 
\ltrch\fcs0 \shad\f0\fs32\cf6\insrsid202908 Quick Reference Guide for Primary Care
\par }\pard\plain \ltrpar\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs28 \ltrch\fcs0 
\b\shad\f0\fs28\cf6\insrsid202908 For consultation and local adaptation\cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \cf9\insrsid202908 \trowd \ltrrow
\ts11\trgaph108\trrh1170\trleft0\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth10490\clshdrawnil \cellx10490\row 
\ltrrow}\trowd \ltrrow\ts11\trgaph108\trrh1242\trleft0\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10\brdrcf6 \clbrdrr\brdrnone 
\clcbpat8\clshdng2000\cltxlrtb\clftsWidth3\clwWidth426\clcbpatraw8\clshdngraw2000 \cellx426\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10\brdrcf6 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth10064\clshdrawnil \cellx10490
\pard \ltrpar\ql \li0\ri0\sb60\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid202908 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid202908 A
\par 
\par }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f0\insrsid202908 B}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid202908 \cell {\listtext\pard\plain\ltrpar \intbl\rtlch\fcs1 \ab\af0\afs20 \ltrch\fcs0 \f10\fs16\lang2057\langfe1033\langfenp1033 
\loch\af10\dbch\af0\hich\f10 \'71\tab}}\pard \ltrpar\ql \fi-284\li307\ri0\sb60\widctlpar\intbl\jclisttab\tx306\wrapdefault\aspalpha\aspnum\faauto\ls10\adjustright\rin0\lin307 {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\f0\insrsid202908 
Venous leg ulcers affect 1.7% of those \u8805\'3d 65 years.}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\f0\super\insrsid202908 1 }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\f0\insrsid202908 
\par {\listtext\pard\plain\ltrpar \intbl\rtlch\fcs1 \ab\af0\afs20 \ltrch\fcs0 \f10\fs16\lang2057\langfe1033\langfenp1033 \loch\af10\dbch\af0\hich\f10 \'71\tab}}\pard \ltrpar\ql \fi-283\li306\ri0\widctlpar\intbl
\jclisttab\tx306\wrapdefault\aspalpha\aspnum\faauto\ls11\adjustright\rin0\lin306 {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\f0\insrsid202908 Compression bandaging is the recommended treatment to heal uncomplicated venous leg ulcers.}{\rtlch\fcs1 \ab\af0 
\ltrch\fcs0 \b\f0\super\insrsid202908 2-5}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\insrsid202908 
\par {\listtext\pard\plain\ltrpar \intbl\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f10\fs16\lang2057\langfe1033\langfenp1033 \loch\af10\dbch\af0\hich\f10 \'71\tab}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid202908 
All venous leg ulcers contain bacteria; most are colonisers, but some cause clinical infection.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\super\insrsid202908 6}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid202908 
\par {\listtext\pard\plain\ltrpar \intbl\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f10\fs16\lang2057\langfe1033\langfenp1033 \loch\af10\dbch\af0\hich\f10 \'71\tab}}\pard \ltrpar\ql \fi-284\li307\ri0\sa60\widctlpar\intbl
\jclisttab\tx306\wrapdefault\aspalpha\aspnum\faauto\ls11\adjustright\rin0\lin307 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\ul\insrsid202908 Microbiology investigations should only be undertaken when there are clinical signs of infection.}{\rtlch\fcs1 \af0 
\ltrch\fcs0 \b\f0\super\insrsid202908 3}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid202908 \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid202908 \trowd \ltrrow
\ts11\trgaph108\trrh1242\trleft0\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10\brdrcf6 \clbrdrr\brdrnone 
\clcbpat8\clshdng2000\cltxlrtb\clftsWidth3\clwWidth426\clcbpatraw8\clshdngraw2000 \cellx426\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10\brdrcf6 \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth10064\clshdrawnil \cellx10490\row 
\ltrrow}\trowd \ltrrow\ts11\trgaph108\trrh431\trleft0\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10\brdrcf6 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10\brdrcf6 \clbrdrr\brdrnone 
\clcbpat8\clshdng2000\cltxlrtb\clftsWidth3\clwWidth426\clcbpatraw8\clshdngraw2000 \cellx426\clvertalc\clbrdrt\brdrs\brdrw10\brdrcf6 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10\brdrcf6 \clbrdrr\brdrnone 
\clcbpat8\clshdng2000\cltxlrtb\clftsWidth3\clwWidth10064\clcbpatraw8\clshdngraw2000 \cellx10490\pard\plain \ltrpar\s21\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 
\f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid202908 \cell }\pard\plain \ltrpar\s1\qc \li0\ri0\sb60\keepn\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin0 
\rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f0\fs24\insrsid202908 TAKING A MICROBIOLOGICAL SAMPLE\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \cf9\insrsid202908 \trowd \ltrrow
\ts11\trgaph108\trrh431\trleft0\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10\brdrcf6 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10\brdrcf6 \clbrdrr\brdrnone 
\clcbpat8\clshdng2000\cltxlrtb\clftsWidth3\clwWidth426\clcbpatraw8\clshdngraw2000 \cellx426\clvertalc\clbrdrt\brdrs\brdrw10\brdrcf6 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10\brdrcf6 \clbrdrr\brdrnone 
\clcbpat8\clshdng2000\cltxlrtb\clftsWidth3\clwWidth10064\clcbpatraw8\clshdngraw2000 \cellx10490\row \ltrrow}\trowd \ltrrow\ts11\trgaph108\trrh422\trleft0\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10\brdrcf6 \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone 
\clcbpat8\clshdng2000\cltxlrtb\clftsWidth3\clwWidth426\clcbpatraw8\clshdngraw2000 \cellx426\clvertalc\clbrdrt\brdrs\brdrw10\brdrcf6 \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth10064\clshdrawnil \cellx10490
\pard\plain \ltrpar\s21\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 
\f0\insrsid202908 \cell }\pard\plain \ltrpar\s1\ql \li0\ri0\sb60\keepn\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 
\b\f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \ab\af0\afs24 \ltrch\fcs0 \f0\fs24\cf2\insrsid202908 What can a microbiological sample from a venous leg ulcer tell me?\cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid202908 \trowd \ltrrow
\ts11\trgaph108\trrh422\trleft0\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10\brdrcf6 \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone 
\clcbpat8\clshdng2000\cltxlrtb\clftsWidth3\clwWidth426\clcbpatraw8\clshdngraw2000 \cellx426\clvertalc\clbrdrt\brdrs\brdrw10\brdrcf6 \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth10064\clshdrawnil \cellx10490\row 
\ltrrow}\trowd \ltrrow\ts11\trgaph108\trrh422\trleft0\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \clshdng2000\cltxlrtb\clftsWidth3\clwWidth426\clshdngraw2000 \cellx426
\clvertalc\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth10064\clshdrawnil \cellx10490\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 
\af0 \ltrch\fcs0 \f0\insrsid202908 A\cell }\pard\plain \ltrpar\s21\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 
\f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid202908 
The organisms present and their antimicrobial susceptibilities only. Microbiology swab samples cannot be used to determine the presence of infection in a leg ulcer.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\super\insrsid202908 [a]5-7 \cell }\pard\plain \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid202908 \trowd \ltrrow
\ts11\trgaph108\trrh422\trleft0\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \clshdng2000\cltxlrtb\clftsWidth3\clwWidth426\clshdngraw2000 \cellx426
\clvertalc\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth10064\clshdrawnil \cellx10490\row \ltrrow}\trowd \ltrrow\ts11\trgaph108\trrh422\trleft0\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 
\trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb
\brdrnone \clbrdrr\brdrnone \clcbpat8\clshdng2000\cltxlrtb\clftsWidth3\clwWidth426\clcbpatraw8\clshdngraw2000 \cellx426\clvertalc\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth10064\clshdrawnil 
\cellx10490\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid202908 \cell }\pard\plain \ltrpar
\s1\ql \li0\ri0\sb60\keepn\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \ab\af0\afs24 
\ltrch\fcs0 \f0\fs24\cf2\insrsid202908 When should I sample a venous leg ulcer?}{\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \f0\fs24\cf2\insrsid202908 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 
\rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid202908 \trowd \ltrrow\ts11\trgaph108\trrh422\trleft0\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb
\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone 
\clbrdrr\brdrnone \clcbpat8\clshdng2000\cltxlrtb\clftsWidth3\clwWidth426\clcbpatraw8\clshdngraw2000 \cellx426\clvertalc\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth10064\clshdrawnil \cellx10490\row 
\ltrrow}\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \f0\insrsid202908 
\par A
\par A
\par 
\par 
\par }{\rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \f0\insrsid202908 {\field{\*\fldinst SYMBOL 254 \\f "Wingdings" \\s 11}{\fldrslt\f10\fs22}}}{\rtlch\fcs1 \af0\afs22 \ltrch\fcs0 \f0\insrsid202908 
\par 
\par B}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs20\insrsid202908 \cell }\pard\plain \ltrpar\s21\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 
\f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\f0\insrsid202908 When clinical criteria indicate that infection is present:}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\super\insrsid202908 [b]4,7 }{\rtlch\fcs1 \ab\af0 
\ltrch\fcs0 \f0\insrsid202908 
\par {\listtext\pard\plain\ltrpar \s21 \intbl\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f10\fs16\lang2057\langfe1033\langfenp1033 \loch\af10\dbch\af0\hich\f10 \'71\tab}}\pard \ltrpar\s21\ql \fi-360\li720\ri0\widctlpar\intbl
\jclisttab\tx720\wrapdefault\aspalpha\aspnum\faauto\ls12\adjustright\rin0\lin720 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid202908 Increased pain
\par {\listtext\pard\plain\ltrpar \s21 \intbl\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f10\fs16\lang2057\langfe1033\langfenp1033 \loch\af10\dbch\af0\hich\f10 \'71\tab}Enlarging ulcer
\par {\listtext\pard\plain\ltrpar \s21 \intbl\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f10\fs16\lang2057\langfe1033\langfenp1033 \loch\af10\dbch\af0\hich\f10 \'71\tab}Cellulitis
\par {\listtext\pard\plain\ltrpar \s21 \intbl\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \f10\fs16\lang2057\langfe1033\langfenp1033 \loch\af10\dbch\af0\hich\f10 \'71\tab}Pyrexia.
\par }\pard \ltrpar\s21\ql \li0\ri0\widctlpar\intbl\tqc\tx4320\tqr\tx8640\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid202908 A microbiology sample should only be taken when antimicrobials are indicated}{
\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f0\insrsid202908 . 
\par The sample should be taken before antibiotics are started.}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f0\super\insrsid202908 4,8}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f0\insrsid202908  
\par }\pard \ltrpar\s21\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f0\insrsid202908 Routine bacteriology sampling should not be undertaken.}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 
\f0\super\insrsid202908 [c]3,5 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid202908 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 
\f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid202908 \trowd \ltrrow\ts11\trgaph108\trrh422\trleft0\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone 
\clcbpat8\clshdng2000\cltxlrtb\clftsWidth3\clwWidth426\clcbpatraw8\clshdngraw2000 \cellx426\clvertalc\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth10064\clshdrawnil \cellx10490\row \ltrrow
}\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid202908 \cell }\pard\plain \ltrpar
\s3\ql \li0\ri0\sb60\keepn\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\outlinelevel2\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\fs22\cf9\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0\afs24 
\ltrch\fcs0 \fs24\cf2\insrsid202908 How should I sample a venous leg ulcer for microbiology investigation?\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 
\ltrch\fcs0 \f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid202908 \trowd \ltrrow\ts11\trgaph108\trrh422\trleft0\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr
\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone 
\clcbpat8\clshdng2000\cltxlrtb\clftsWidth3\clwWidth426\clcbpatraw8\clshdngraw2000 \cellx426\clvertalc\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth10064\clshdrawnil \cellx10490\row \ltrrow
}\trowd \ltrrow\ts11\trgaph108\trrh1814\trleft0\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone 
\clcbpat8\clshdng2000\cltxlrtb\clftsWidth3\clwWidth426\clcbpatraw8\clshdngraw2000 \cellx426\clvertalc\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth10064\clshdrawnil \cellx10490\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid202908 
\par }\pard \ltrpar\ql \li0\ri0\sb60\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid202908 
\par }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid202908 D
\par D
\par D
\par D
\par }\pard \ltrpar\ql \li0\ri0\sb60\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid202908 {\field{\*\fldinst SYMBOL 254 \\f "Wingdings" \\s 11}{\fldrslt\f10\fs22}}}{\rtlch\fcs1 \af0 
\ltrch\fcs0 \f0\insrsid202908 \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\f0\insrsid202908 Tissue biopsy}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f0\insrsid202908 
 is the gold standard.}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f0\super\insrsid202908 [d]9 }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f0\insrsid202908 
\par }\pard \ltrpar\ql \li0\ri0\sb60\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\f0\insrsid202908 Wound swabs }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f0\insrsid202908 offer ease-of-use and low cost. 

\par {\listtext\pard\plain\ltrpar \intbl\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs16\lang2057\langfe1033\langfenp1033 \hich\af0\dbch\af0\loch\f0 1.\tab}}\pard \ltrpar
\ql \fi-360\li543\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\ls12\ilvl1\adjustright\rin0\lin543 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid202908 Use a swab with }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f0\insrsid202908 
transport medium and charcoal, to aid survival of fastidious organisms.}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f0\super\insrsid202908 8,11}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid202908 
\par {\listtext\pard\plain\ltrpar \intbl\rtlch\fcs1 \ab\af0\afs20 \ltrch\fcs0 \fs16\lang2057\langfe1033\langfenp1033 \hich\af0\dbch\af0\loch\f0 2.\tab}}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f0\insrsid202908 Cleanse the wound with tap water or saline }{\rtlch\fcs1 
\af0 \ltrch\fcs0 \f0\insrsid202908 to}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid202908  remove surface contaminants}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid202908 .}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f0\super\insrsid202908 [e]}{\rtlch\fcs1 \af0 
\ltrch\fcs0 \f0\super\insrsid202908 12 }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid202908 
\par {\*\xmlopen\xmlns1{\factoidname place}}{\listtext\pard\plain\ltrpar \intbl\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs16\lang2057\langfe1033\langfenp1033 \hich\af0\dbch\af0\loch\f0 3.\tab}Slough{\*\xmlclose} and necrotic tissue should also be removed.}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\super\insrsid202908 4,9}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid202908  
\par {\listtext\pard\plain\ltrpar \intbl\rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs16\lang2057\langfe1033\langfenp1033 \hich\af0\dbch\af0\loch\f0 4.\tab}}\pard \ltrpar
\ql \fi-357\li538\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\ls12\ilvl1\adjustright\rin0\lin538 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid202908 Swab}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid202908  }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 
\b\f0\insrsid202908 viable tissue}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f0\insrsid202908  displaying signs of infection }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid202908 whilst }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \b\f0\insrsid202908 rotating the swab}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid202908 .}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\super\insrsid202908 [f]}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid202908  }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f0\insrsid202908 
\par }\pard \ltrpar\ql \li0\ri0\sb60\sa60\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid202908 
With all specimens include all clinical details (about patient, ulcer and current or recent treatment) to enable accurate processing and reporting of the specimen. }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f0\insrsid202908 \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid202908 \trowd \ltrrow\ts11\trgaph108\trrh1814\trleft0\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone 
\clcbpat8\clshdng2000\cltxlrtb\clftsWidth3\clwWidth426\clcbpatraw8\clshdngraw2000 \cellx426\clvertalc\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth10064\clshdrawnil \cellx10490\row \ltrrow
}\trowd \ltrrow\ts11\trgaph108\trrh422\trleft0\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10\brdrcf6 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10\brdrcf6 \clbrdrr\brdrnone 
\clcbpat8\clshdng2000\cltxlrtb\clftsWidth3\clwWidth426\clcbpatraw8\clshdngraw2000 \cellx426\clvertalc\clbrdrt\brdrs\brdrw10\brdrcf6 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10\brdrcf6 \clbrdrr\brdrnone 
\clcbpat8\clshdng2000\cltxlrtb\clftsWidth3\clwWidth10064\clcbpatraw8\clshdngraw2000 \cellx10490\pard \ltrpar\qc \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\cf9\insrsid202908 \cell 
}\pard\plain \ltrpar\s1\qc \li0\ri0\keepn\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\outlinelevel0\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 
\ltrch\fcs0 \f0\fs24\insrsid202908 INTERPRETING THE LABORATORY REPORT\cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 
\f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \cf9\insrsid202908 \trowd \ltrrow\ts11\trgaph108\trrh422\trleft0\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10\brdrcf6 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10\brdrcf6 \clbrdrr
\brdrnone \clcbpat8\clshdng2000\cltxlrtb\clftsWidth3\clwWidth426\clcbpatraw8\clshdngraw2000 \cellx426\clvertalc\clbrdrt\brdrs\brdrw10\brdrcf6 \clbrdrl\brdrnone \clbrdrb\brdrs\brdrw10\brdrcf6 \clbrdrr\brdrnone 
\clcbpat8\clshdng2000\cltxlrtb\clftsWidth3\clwWidth10064\clcbpatraw8\clshdngraw2000 \cellx10490\row \ltrrow}\trowd \ltrrow\ts11\trgaph108\trrh422\trleft0\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10\brdrcf6 \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone 
\clcbpat8\clshdng2000\cltxlrtb\clftsWidth3\clwWidth426\clcbpatraw8\clshdngraw2000 \cellx426\clvertalc\clbrdrt\brdrs\brdrw10\brdrcf6 \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth10064\clshdrawnil \cellx10490
\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid202908 \cell }\pard \ltrpar
\ql \li0\ri0\sb60\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\cf2\insrsid202908 How do I interpret the laboratory report?\cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid202908 \trowd \ltrrow\ts11\trgaph108\trrh422\trleft0\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrs\brdrw10\brdrcf6 \clbrdrl\brdrnone \clbrdrb\brdrnone 
\clbrdrr\brdrnone \clcbpat8\clshdng2000\cltxlrtb\clftsWidth3\clwWidth426\clcbpatraw8\clshdngraw2000 \cellx426\clvertalc\clbrdrt\brdrs\brdrw10\brdrcf6 \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth10064\clshdrawnil 
\cellx10490\row \ltrrow}\trowd \ltrrow\ts11\trgaph108\trrh422\trleft0\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone 
\clcbpat8\clshdng2000\cltxlrtb\clftsWidth3\clwWidth426\clcbpatraw8\clshdngraw2000 \cellx426\clvertalc\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth10064\clshdrawnil \cellx10490\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid202908 
\par 
\par 
\par B
\par }\pard \ltrpar\ql \li0\ri0\sb60\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid202908 {\field{\*\fldinst SYMBOL 254 \\f "Wingdings" \\s 11}{\fldrslt\f10\fs22}}}{\rtlch\fcs1 \af0 
\ltrch\fcs0 \f0\insrsid202908 \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid202908 Organisms isolated }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid202908 
and }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid202908 amount of growth: 
\par {\listtext\pard\plain\ltrpar \intbl\rtlch\fcs1 \ab\af0\afs20 \ltrch\fcs0 \f10\fs16\lang2057\langfe1033\langfenp1033 \loch\af10\dbch\af0\hich\f10 \'71\tab}}\pard \ltrpar\ql \fi-357\li714\ri0\widctlpar\intbl
\jclisttab\tx720\wrapdefault\aspalpha\aspnum\faauto\ls28\adjustright\rin0\lin714 {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f0\insrsid202908 Group A \'df-haemolytic streptococci can be associated with significant infection and delay healing.}{\rtlch\fcs1 \ab\af0 
\ltrch\fcs0 \f0\super\insrsid202908 9,10}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid202908 
\par {\listtext\pard\plain\ltrpar \intbl\rtlch\fcs1 \ab\af0\afs20 \ltrch\fcs0 \f10\fs16\lang2057\langfe1033\langfenp1033 \loch\af10\dbch\af0\hich\f10 \'71\tab}}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f0\insrsid202908 The significance of
 other organisms depends on the presence of the clinical criteria above.
\par {\listtext\pard\plain\ltrpar \intbl\rtlch\fcs1 \ab\af0\afs20 \ltrch\fcs0 \f10\fs16\lang2057\langfe1033\langfenp1033 \loch\af10\dbch\af0\hich\f10 \'71\tab}Bacterial contamination of wounds is not considered to adversely affect healing.}{\rtlch\fcs1 
\ab\af0 \ltrch\fcs0 \f0\super\insrsid202908 3,10}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f0\insrsid202908  }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid202908 
\par }\pard \ltrpar\ql \li0\ri0\sb60\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid202908 Antibiotic susceptibilities:}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f0\insrsid202908 
 The inclusion of antibiotic susceptibilities on the report does not necessarily mean that an organism is significant or that it requires antibiotic treatment. \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid202908 \trowd \ltrrow\ts11\trgaph108\trrh422\trleft0\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone 
\clcbpat8\clshdng2000\cltxlrtb\clftsWidth3\clwWidth426\clcbpatraw8\clshdngraw2000 \cellx426\clvertalc\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth10064\clshdrawnil \cellx10490\row \ltrrow
}\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid202908 \cell }\pard \ltrpar
\ql \li0\ri0\sb60\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0\afs24 \ltrch\fcs0 \b\f0\fs24\cf2\insrsid202908 How do I treat a wound that is clinically infected?\cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid202908 \trowd \ltrrow\ts11\trgaph108\trrh422\trleft0\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone 
\clcbpat8\clshdng2000\cltxlrtb\clftsWidth3\clwWidth426\clcbpatraw8\clshdngraw2000 \cellx426\clvertalc\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth10064\clshdrawnil \cellx10490\row \ltrrow
}\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid202908 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid202908 Systemic antibiotics }{\rtlch\fcs1 \ab\af0 
\ltrch\fcs0 \f0\insrsid202908 are indicated in the }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid202908 presence of cellulitis or clinical infection}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f0\insrsid202908 . 
\par }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid202908 First line treatment}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f0\insrsid202908 : Empirical therapy with }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid202908 oral flucloxacillin }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 
\f0\insrsid202908 (erythromycin if penicillin-hypersensitive) }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid202908 500mg, four times a day, for 7 days}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f0\insrsid202908 
. Review after 3 days in light of the microbiology results.}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f0\super\insrsid202908 4}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f0\insrsid202908 
\par Refer to local microbiology laboratory for MRSA treatment recommendations.
\par Refer to }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid202908 PRODIGY }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f0\insrsid202908 guidelines for treatment protocols: }{\field\flddirty{\*\fldinst {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f0\cf2\insrsid202908 
 HYPERLINK "http://www.prodigy.nhs.uk/qrg/venous_leg_ulcer_infected.pdf" }{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f0\cf2\insrsid202908 {\*\datafield 
00d0c9ea79f9bace118c8200aa004ba90b02000000170000003c00000068007400740070003a002f002f007700770077002e00700072006f0064006900670079002e006e00680073002e0075006b002f007100720067002f00760065006e006f00750073005f006c00650067005f0075006c006300650072005f0069006e00
6600650063007400650064002e007000640066000000e0c9ea79f9bace118c8200aa004ba90b7800000068007400740070003a002f002f007700770077002e00700072006f0064006900670079002e006e00680073002e0075006b002f007100720067002f00760065006e006f00750073005f006c00650067005f0075006c
006300650072005f0069006e006600650063007400650064002e007000640066000000}}}{\fldrslt {\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \cs15\f0\ul\cf2\insrsid202908 http://www.prodigy.nhs.uk/qrg/venous_leg_}{\rtlch\fcs1 \ab\af0\afs22 \ltrch\fcs0 
\cs15\f0\ul\cf2\insrsid202908 ulcer}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \cs15\f0\ul\cf2\insrsid202908 _infected.pdf}}}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f0\insrsid202908  & }{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid202908 
 HYPERLINK "http://www.prodigy.nhs.uk/qrg/cellulitis_acute.pdf" }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid202908 {\*\datafield 
00d0c9ea79f9bace118c8200aa004ba90b0200000003000000e0c9ea79f9bace118c8200aa004ba90b6600000068007400740070003a002f002f007700770077002e00700072006f0064006900670079002e006e00680073002e0075006b002f007100720067002f00630065006c006c0075006c0069007400690073005f00
610063007500740065002e007000640066000000}}}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \cs15\f0\ul\cf2\insrsid202908 www.prodigy.nhs.uk/qrg/cellulitis_acute.pdf}}}{\rtlch\fcs1 \ab\af0 \ltrch\fcs0 \f0\insrsid202908 \cell }\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid202908 \trowd \ltrrow\ts11\trgaph108\trrh422\trleft0\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 
\trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone 
\clcbpat8\clshdng2000\cltxlrtb\clftsWidth3\clwWidth426\clcbpatraw8\clshdngraw2000 \cellx426\clvertalc\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth10064\clshdrawnil \cellx10490\row \ltrrow
}\trowd \ltrrow\ts11\trgaph108\trleft0\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 
\trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone 
\clcbpat8\clshdng2000\cltxlrtb\clftsWidth3\clwWidth426\clcbpatraw8\clshdngraw2000 \cellx426\clvertalc\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth10064\clshdrawnil \cellx10490\pard\plain \ltrpar
\s2\ql \li0\ri0\sb60\keepn\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\outlinelevel1\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 
\f0\fs8\insrsid202908 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 
\af0 \ltrch\fcs0 \f0\fs8\insrsid202908 \cell }\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \fs8\insrsid202908 \trowd \ltrrow\ts11\trgaph108\trleft0\trkeep\trbrdrt
\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind108\tblindtype3 \clvertalt\clbrdrt
\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \clcbpat8\clshdng2000\cltxlrtb\clftsWidth3\clwWidth426\clcbpatraw8\clshdngraw2000 \cellx426\clvertalc\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone 
\cltxlrtb\clftsWidth3\clwWidth10064\clshdrawnil \cellx10490\row \ltrrow}\trowd \ltrrow\ts11\trgaph108\trrh410\trleft0\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv
\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone 
\clcbpat8\clshdng2000\cltxlrtb\clftsWidth3\clwWidth426\clcbpatraw8\clshdngraw2000 \cellx426\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \clcbpat8\clshdng2000\cltxlrtb\clftsWidth3\clwWidth850\clcbpatraw8\clshdngraw2000 
\cellx1276\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \clcbpat8\clshdng2000\cltxlrtb\clftsWidth3\clwWidth638\clcbpatraw8\clshdngraw2000 \cellx1914\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone 
\clbrdrr\brdrnone \clcbpat8\clshdng2000\cltxlrtb\clftsWidth3\clwWidth638\clcbpatraw8\clshdngraw2000 \cellx2552\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone 
\clcbpat8\clshdng2000\cltxlrtb\clftsWidth3\clwWidth638\clcbpatraw8\clshdngraw2000 \cellx3190\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone 
\clcbpat8\clshdng2000\cltxlrtb\clftsWidth3\clwWidth638\clcbpatraw8\clshdngraw2000 \cellx3828\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone 
\clcbpat8\clshdng2000\cltxlrtb\clftsWidth3\clwWidth4252\clcbpatraw8\clshdngraw2000 \cellx8080\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone 
\clcbpat8\clshdng2000\cltxlrtb\clftsWidth3\clwWidth2410\clcbpatraw8\clshdngraw2000 \cellx10490\pard \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid202908 \cell 
}\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \ab\af0\afs22 
\ltrch\fcs0 \b\f0\lang1033\langfe1033\langnp1033\insrsid202908 KEY}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid202908 \cell }\pard \ltrpar\s21\qc \li0\ri0\sb60\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 
\ab\af0\afs22 \ltrch\fcs0 \b\f0\lang1033\langfe1033\langnp1033\insrsid202908 A}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid202908 \cell B\cell C\cell D\cell }\pard \ltrpar
\s21\ql \li0\ri0\sb60\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \ab\af0\afs22 \ltrch\fcs0 \b\f0\lang1033\langfe1033\langnp1033\insrsid202908 indicates grade of recommendation}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\b\f0\insrsid202908 \cell }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid202908 {\field{\*\fldinst SYMBOL 254 \\f "Wingdings" \\s 11}{\fldrslt\f10\fs22}}}{\rtlch\fcs1 \ab\af0\afs22 \ltrch\fcs0 \b\f0\lang1033\langfe1033\langnp1033\insrsid202908 
  good practice point}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid202908 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 
\f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid202908 \trowd \ltrrow\ts11\trgaph108\trrh410\trleft0\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr\brdrs\brdrw10 
\trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone 
\clcbpat8\clshdng2000\cltxlrtb\clftsWidth3\clwWidth426\clcbpatraw8\clshdngraw2000 \cellx426\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \clcbpat8\clshdng2000\cltxlrtb\clftsWidth3\clwWidth850\clcbpatraw8\clshdngraw2000 
\cellx1276\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \clcbpat8\clshdng2000\cltxlrtb\clftsWidth3\clwWidth638\clcbpatraw8\clshdngraw2000 \cellx1914\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone 
\clbrdrr\brdrnone \clcbpat8\clshdng2000\cltxlrtb\clftsWidth3\clwWidth638\clcbpatraw8\clshdngraw2000 \cellx2552\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone 
\clcbpat8\clshdng2000\cltxlrtb\clftsWidth3\clwWidth638\clcbpatraw8\clshdngraw2000 \cellx3190\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone 
\clcbpat8\clshdng2000\cltxlrtb\clftsWidth3\clwWidth638\clcbpatraw8\clshdngraw2000 \cellx3828\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone 
\clcbpat8\clshdng2000\cltxlrtb\clftsWidth3\clwWidth4252\clcbpatraw8\clshdngraw2000 \cellx8080\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone 
\clcbpat8\clshdng2000\cltxlrtb\clftsWidth3\clwWidth2410\clcbpatraw8\clshdngraw2000 \cellx10490\row \ltrrow}\trowd \lastrow \ltrrow\ts11\trgaph108\trrh506\trleft0\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr
\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone 
\cltxlrtb\clftsWidth3\clwWidth426\clshdrawnil \cellx426\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth10064\clshdrawnil \cellx10490\pard \ltrpar
\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid202908 \cell }\pard\plain \ltrpar\s21\ql \li0\ri0\sb60\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 
\rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs20\lang1033\langfe1033\langnp1033\insrsid202908 
This guidance was produced by the South West GP Microbiology Laboratory Use Group in collaboration with GPs and experts in the field and is in line with other UK GP guidance including Prodigy.}{\rtlch\fcs1 \ab\af0\afs22 \ltrch\fcs0 
\b\f0\lang1033\langfe1033\langnp1033\insrsid202908 \cell }\pard\plain \ltrpar\ql \li0\ri0\widctlpar\intbl\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 
\f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid202908 \trowd \lastrow \ltrrow\ts11\trgaph108\trrh506\trleft0\trkeep\trbrdrt\brdrs\brdrw10 \trbrdrl\brdrs\brdrw10 \trbrdrb\brdrs\brdrw10 \trbrdrr
\brdrs\brdrw10 \trbrdrh\brdrs\brdrw10 \trbrdrv\brdrs\brdrw10 \trftsWidth1\trftsWidthB3\trftsWidthA3\trpaddl108\trpaddr108\trpaddfl3\trpaddfr3\tblind108\tblindtype3 \clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone 
\cltxlrtb\clftsWidth3\clwWidth426\clshdrawnil \cellx426\clvertalt\clbrdrt\brdrnone \clbrdrl\brdrnone \clbrdrb\brdrnone \clbrdrr\brdrnone \cltxlrtb\clftsWidth3\clwWidth10064\clshdrawnil \cellx10490\row }\pard \ltrpar\qj \fi-540\li540\ri0\widctlpar
\tqr\tx360\tx540\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin540\itap0 {\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\insrsid202908 
\par \page Notes
\par }\pard \ltrpar\qj \fi-426\li426\ri0\sb60\widctlpar\wrapdefault\aspalpha\aspnum\faauto\adjustright\rin0\lin426\itap0 {\rtlch\fcs1 \af0\afs21 \ltrch\fcs0 \f0\fs21\insrsid202908 [a]:\tab A HTA systematic review}{\rtlch\fcs1 \af0\afs21 \ltrch\fcs0 
\f0\fs21\super\insrsid202908 7}{\rtlch\fcs1 \af0\afs21 \ltrch\fcs0 \f0\fs21\insrsid202908  has been conducted to look at sampling and treating infected diabetic foot ulcers (but also included studies on venous leg ulcers due to the expectatio
n of only a limited number of relevant studies). This review identified one study addressing the diagnostic performance of specimen collection techniques,}{\rtlch\fcs1 \af0\afs21 \ltrch\fcs0 \f0\fs21\super\insrsid202908 13}{\rtlch\fcs1 \af0\afs21 
\ltrch\fcs0 \f0\fs21\insrsid202908  which suggested that wound swabs were not a useful tool for identifying infection in chronic wounds (defined as >10}{\rtlch\fcs1 \af0\afs21 \ltrch\fcs0 \f0\fs21\super\insrsid202908 5}{\rtlch\fcs1 \af0\afs21 \ltrch\fcs0 
\f0\fs21\insrsid202908  colony forming units per gram of tissue). 
\par [b]:\tab The HTA review by Nelson }{\rtlch\fcs1 \af0\afs21 \ltrch\fcs0 \i\f0\fs21\insrsid202908 et al}{\rtlch\fcs1 \af0\afs21 \ltrch\fcs0 \f0\fs21\insrsid202908 .,}{\rtlch\fcs1 \af0\afs21 \ltrch\fcs0 \f0\fs21\super\insrsid202908 7}{\rtlch\fcs1 \af0\afs21 
\ltrch\fcs0 \f0\fs21\insrsid202908  addressed the diagnostic performance of clinical examination in the identification of infection: only one relevant study was identified.}{\rtlch\fcs1 \af0\afs21 \ltrch\fcs0 \f0\fs21\super\insrsid202908 14}{\rtlch\fcs1 
\af0\afs21 \ltrch\fcs0 \f0\fs21\insrsid202908  The validity of c
lassic signs of infection (pain, erythema, oedema, heat and purulent exudate) and signs specific to secondary wounds (serous exudate plus concurrent inflammation, delayed healing, discolouration of granulation tissue, friable granulation tissue, pocketing
 of the wound base, foul odour and wound breakdown) were investigated. Infected ulcers were defined as those with 10}{\rtlch\fcs1 \af0\afs21 \ltrch\fcs0 \f0\fs21\super\insrsid202908 5 }{\rtlch\fcs1 \af0\afs21 \ltrch\fcs0 \f0\fs21\insrsid202908 
or greater organisms per gram of viable tissue or wounds containing }{\rtlch\fcs1 \ab\af0\afs21 \ltrch\fcs0 \f0\fs21\insrsid202908 \'df}{\rtlch\fcs1 \af0\afs21 \ltrch\fcs0 \f0\fs21\insrsid202908 -haemolytic }{\rtlch\fcs1 \af0\afs21 \ltrch\fcs0 
\i\f0\fs21\insrsid202908 Streptococcus}{\rtlch\fcs1 \af0\afs21 \ltrch\fcs0 \f0\fs21\insrsid202908 . Only increasing pain and wound breakdown we
re identified as valid predictors of infection. Purulent exudate was found to be a very poor predictor of infection. This study was based on a small number of patients (n=36) and included a variety of wound types, only 7 of which were venous ulcers and th
erefore the findings should be treated with caution.}{\rtlch\fcs1 \af0\afs21 \ltrch\fcs0 \f0\fs21\super\insrsid202908 7}{\rtlch\fcs1 \af0\afs21 \ltrch\fcs0 \f0\fs21\insrsid202908 
 Cellulitis is an acute spreading infection which extends into the subcutaneous tissue and pyrexia is a recognised characteristic of infection, although it can be due to non-infectious causes.}{\rtlch\fcs1 \af0\afs21 \ltrch\fcs0 
\f0\fs21\super\insrsid202908 15}{\rtlch\fcs1 \af0\afs21 \ltrch\fcs0 \f0\fs21\insrsid202908  
\par [c]:\tab Microbial contamination of leg ulcers is universal but is not thought to adversely affect healing. Routine bacteriology is therefore of no benefit.}{\rtlch\fcs1 \af0\afs21 \ltrch\fcs0 \f0\fs21\super\insrsid202908 3,5 }{\rtlch\fcs1 \af0\afs21 
\ltrch\fcs0 \f0\fs21\insrsid202908 Nelson }{\rtlch\fcs1 \ai\af0\afs21 \ltrch\fcs0 \i\f0\fs21\insrsid202908 et al.}{\rtlch\fcs1 \af0\afs21 \ltrch\fcs0 \f0\fs21\insrsid202908 
, found no trials that compared empirical antibiotic treatment with treatment following diagnostic tests.}{\rtlch\fcs1 \af0\afs21 \ltrch\fcs0 \f0\fs21\super\insrsid202908 7}{\rtlch\fcs1 \ab\af0\afs21 \ltrch\fcs0 \f0\fs21\super\insrsid202908 
\par }{\rtlch\fcs1 \af0\afs21 \ltrch\fcs0 \f0\fs21\insrsid202908 [d]: \tab Quantitative tissue biopsy is considered to be the gold standard for identifying infection and causative pathogens present in the deep tissue of wounds.}{\rtlch\fcs1 \af0\afs21 
\ltrch\fcs0 \f0\fs21\super\insrsid202908 9}{\rtlch\fcs1 \af0\afs21 \ltrch\fcs0 \f0\fs21\insrsid202908  }{\rtlch\fcs1 \ab\af0\afs21 \ltrch\fcs0 \f0\fs21\insrsid202908 However, tissue biopsy is unavailable in many settings and is skill-intensive for bo
th the laboratory and the clinician, and invasive for patients.}{\rtlch\fcs1 \ab\af0\afs21 \ltrch\fcs0 \f0\fs21\super\insrsid202908 16}{\rtlch\fcs1 \ab\af0\afs21 \ltrch\fcs0 \f0\fs21\insrsid202908 
 Wound swabs are suggested here as a practical alternative although there is disagreement in the literature regarding the correlation between swabs and biopsies. There is also concern that sw
abs only identify surface organisms not infecting pathogens, although surface contamination can be reduced by correct wound bed preparation.}{\rtlch\fcs1 \ab\af0\afs21 \ltrch\fcs0 \f0\fs21\super\insrsid202908 9
\par }{\rtlch\fcs1 \af0\afs21 \ltrch\fcs0 \f0\fs21\insrsid202908 [e]: \tab Reference 12 refers to the use of tap water or saline for the routine cleansing of wounds. There is little e
vidence regarding the benefit of wound cleansing prior to sampling. However to minimise the likelihood of obtaining only surface contaminants, wound cleansing prior to sampling is recommended.}{\rtlch\fcs1 \af0\afs21 \ltrch\fcs0 
\f0\fs21\super\insrsid202908 9
\par }{\rtlch\fcs1 \af0\afs21 \ltrch\fcs0 \f0\fs21\insrsid202908 [f]: \tab There is very limited evidence regarding the optimal swa
bbing technique to identify potentially causative pathogens. Other suggested techniques for swabbing include targeting areas of necrotic and moist tissue, taking swabs before debridement, wound exudate and swabbing the whole area of the wound using a z-sh
aped motion.}{\rtlch\fcs1 \af0\afs21 \ltrch\fcs0 \f0\fs21\super\insrsid202908 16}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\insrsid202908  
\par }\pard\plain \ltrpar\s4\qj \fi-567\li567\ri0\sb120\keepn\widctlpar\wrapdefault\aspalpha\aspnum\faauto\outlinelevel3\adjustright\rin0\lin567\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \b\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {
\rtlch\fcs1 \af0 \ltrch\fcs0 \insrsid202908 References
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\lang2057\langfe1033\langfenp1033 \hich\af0\dbch\af0\loch\f0 1.\tab}}\pard\plain \ltrpar
\qj \fi-426\li426\ri0\widctlpar\wrapdefault\aspalpha\aspnum\faauto\ls26\adjustright\rin0\lin426\itap0 \rtlch\fcs1 \af0\afs20\alang1025 \ltrch\fcs0 \f1\fs22\lang2057\langfe1033\cgrid\langnp2057\langfenp1033 {\rtlch\fcs1 \af0 \ltrch\fcs0 
\f0\fs20\insrsid202908 Margolis DJ, Bilker W, Santanna J, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\f0\fs20\insrsid202908 et al}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs20\insrsid202908 . Venous leg ulcer: incidence and prevalence in the elderly. }{\rtlch\fcs1 \af0 
\ltrch\fcs0 \i\f0\fs20\insrsid202908 Journal of the {\*\xmlopen\xmlns1{\factoidname place}}{\*\xmlopen\xmlns1{\factoidname PlaceName}}American{\*\xmlclose} {\*\xmlopen\xmlns1{\factoidname PlaceType}}Academy{\*\xmlclose}{\*\xmlclose} of Dermatology}{
\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs20\insrsid202908  2002; }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\fs20\insrsid202908 46}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs20\insrsid202908 :381-386.
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\lang2057\langfe1033\langfenp1033 \hich\af0\dbch\af0\loch\f0 2.\tab}Cullum N, Nelson EA, Fletcher AW, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\f0\fs20\insrsid202908 et al}{\rtlch\fcs1 \af0 
\ltrch\fcs0 \f0\fs20\insrsid202908 . Compression for venous leg ulcers. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\f0\fs20\insrsid202908 The Cochrane Database of Systematic Reviews }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs20\insrsid202908 2001; }{\rtlch\fcs1 \af0 
\ltrch\fcs0 \b\f0\fs20\insrsid202908 2}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs20\insrsid202908 .
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\lang2057\langfe1033\langfenp1033 \hich\af0\dbch\af0\loch\f0 3.\tab}SIGN 26. The care of patients with chronic leg ulcer. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\f0\fs20\insrsid202908 
Scottish Intercollegiate Guidelines Network}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs20\insrsid202908  1998. Publication Number 26.
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\lang2057\langfe1033\langfenp1033 \hich\af0\dbch\af0\loch\f0 4.\tab}PRODIGY Quick Reference Guide. Venous leg ulcer \endash  infected. 2005
. (Personal communication from Prodigy: Duration of antibiotic treatment for leg ulcer infection will shortly be changed to 7 days, to bring it in line with Prodigy Cellulitis guidance)
\par {\*\xmlopen\xmlns1{\factoidname PlaceName}}{\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\lang2057\langfe1033\langfenp1033 \hich\af0\dbch\af0\loch\f0 5.\tab}Royal{\*\xmlclose} {\*\xmlopen\xmlns1{\factoidname PlaceType}}College
{\*\xmlclose} of Nursing Institute, Centre for Evidence Based Nursing, {\*\xmlopen\xmlns1{\factoidname PlaceType}}University{\*\xmlclose} of {\*\xmlopen\xmlns1{\factoidname PlaceName}}York{\*\xmlclose}, and {\*\xmlopen\xmlns1{\factoidname PlaceType}}
School{\*\xmlclose} of {\*\xmlopen\xmlns1{\factoidname PlaceName}}Nursing{\*\xmlclose}, Midwifery and {\*\xmlopen\xmlns1{\factoidname PlaceName}}Health{\*\xmlclose} {\*\xmlopen\xmlns1{\factoidname PlaceName}}Visiting{\*\xmlclose} 
{\*\xmlopen\xmlns1{\factoidname PlaceType}}University{\*\xmlclose} of {\*\xmlopen\xmlns1{\factoidname place}}{\*\xmlopen\xmlns1{\factoidname City}}Manchester{\*\xmlclose}{\*\xmlclose}
. The management of patients with venous leg ulcers. Recommendations for assessment, compression therapy, cleansing, debridement, dressing, contact sensitivity, training/education and quality assurance. }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\i\f0\fs20\insrsid202908 Clinical Practice Guidelines.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs20\insrsid202908  1998: 1-26.
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\lang2057\langfe1033\langfenp1033 \hich\af0\dbch\af0\loch\f0 6.\tab}Bowler PG and Davies BJ. The microbiology of infected and noninfected leg ulcers. }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\i\f0\fs20\insrsid202908 International Journal of Dermatology.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs20\insrsid202908  1999; }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\fs20\insrsid202908 38}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs20\insrsid202908 :573-8. 
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\lang2057\langfe1033\langfenp1033 \hich\af0\dbch\af0\loch\f0 7.\tab}Nelson EA, O\rquote Meara S, Craig D, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\f0\fs20\insrsid202908 et al}{\rtlch\fcs1 \af0 
\ltrch\fcs0 \f0\fs20\insrsid202908 . A series of systematic reviews to inform a decision analysis for sampling and treating infected diabetic foot ulcers. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\f0\fs20\insrsid202908 Health Technology Assessment}{\rtlch\fcs1 
\af0 \ltrch\fcs0 \f0\fs20\insrsid202908  2006; }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\fs20\insrsid202908 10}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs20\insrsid202908 (12).
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\lang2057\langfe1033\langfenp1033 \hich\af0\dbch\af0\loch\f0 8.\tab}Health Protection Agency.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\f0\fs20\insrsid202908 
 Investigation of skin and superficial wound swabs. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs20\insrsid202908 National Standard Method BSOP 11 Issue 3. }{\field\flddirty{\*\fldinst {\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs20\insrsid202908 
 HYPERLINK "http://www.hpa-standardmethods.org.uk/pdf_sops.asp" }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs20\insrsid202908 {\*\datafield 
00d0c9ea79f9bace118c8200aa004ba90b02000000170000003300000068007400740070003a002f002f007700770077002e006800700061002d007300740061006e0064006100720064006d006500740068006f00640073002e006f00720067002e0075006b002f007000640066005f0073006f00700073002e0061007300
70000000e0c9ea79f9bace118c8200aa004ba90b6600000068007400740070003a002f002f007700770077002e006800700061002d007300740061006e0064006100720064006d006500740068006f00640073002e006f00720067002e0075006b002f007000640066005f0073006f00700073002e006100730070000000}}
}{\fldrslt {\rtlch\fcs1 \af0 \ltrch\fcs0 \cs15\f0\fs20\ul\cf2\insrsid202908 http://www.hpa-standardmethods.org.uk/pdf_sops.asp}}}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs20\insrsid202908 .
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\lang2057\langfe1033\langfenp1033 \hich\af0\dbch\af0\loch\f0 9.\tab}Bowler PG, Duerden BI and Armstrong DG. Wound microbiology and associated approaches to wound management. }{
\rtlch\fcs1 \af0 \ltrch\fcs0 \i\f0\fs20\insrsid202908 Clinical Microbiology Reviews.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs20\insrsid202908  2001; }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\fs20\insrsid202908 14}{\rtlch\fcs1 \af0 \ltrch\fcs0 
\f0\fs20\insrsid202908 :244-69. 
\par {\*\xmlopen\xmlns1{\factoidname place}}{\*\xmlopen\xmlns1{\factoidname City}}{\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\lang2057\langfe1033\langfenp1033 \hich\af0\dbch\af0\loch\f0 10.\tab}Halbert{\*\xmlclose} 
{\*\xmlopen\xmlns1{\factoidname State}}AR{\*\xmlclose}{\*\xmlclose}, Stacey MC, Rohr JB }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\f0\fs20\insrsid202908 et al}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs20\insrsid202908 
. The effect of bacterial colonization on venous ulcer healing. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\f0\fs20\insrsid202908 Australasian Journal of Dermatology}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs20\insrsid202908 . 1992; }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\b\f0\fs20\insrsid202908 33}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs20\insrsid202908 :75-80
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\lang2057\langfe1033\langfenp1033 \hich\af0\dbch\af0\loch\f0 11.\tab}Human RP and Jones GA. Evaluation of swab transport systems against a published standard. }{\rtlch\fcs1 \af0 
\ltrch\fcs0 \i\f0\fs20\insrsid202908 Journal of Clinical Pathology.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs20\insrsid202908  2004; }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\fs20\insrsid202908 57}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs20\insrsid202908 :762-3. 
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\lang2057\langfe1033\langfenp1033 \hich\af0\dbch\af0\loch\f0 12.\tab}Fernandez R, Griffiths R, Ussia C. Water for wound cleansing (Review). }{\rtlch\fcs1 \af0 \ltrch\fcs0 
\i\f0\fs20\insrsid202908 The Cochrane Database of Systematic Reviews. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs20\insrsid202908 2002; }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\fs20\insrsid202908 4}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs20\insrsid202908 .
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\lang2057\langfe1033\langfenp1033 \hich\af0\dbch\af0\loch\f0 13.\tab}Bill TJ, Ratliff CR, Donovan AM, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\f0\fs20\insrsid202908 et al}{\rtlch\fcs1 \af0 
\ltrch\fcs0 \f0\fs20\insrsid202908 . Quantitative swab culture versus tissue biopsy: a comparison in chronic wounds. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\f0\fs20\insrsid202908 Ostomy Wound Management.}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs20\insrsid202908 
 2001; }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\fs20\insrsid202908 47}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs20\insrsid202908 :34-7.
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\lang2057\langfe1033\langfenp1033 \hich\af0\dbch\af0\loch\f0 14.\tab}
Gardner SE, Frantz RA and Doebbeling BN. The validity of the clinical signs and symptoms used to identify localized chronic wound infection. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\f0\fs20\insrsid202908 Wound Repair and Regeneration}{\rtlch\fcs1 \af0 
\ltrch\fcs0 \f0\fs20\insrsid202908  2001; }{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\fs20\insrsid202908 9}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs20\insrsid202908 :178-86. 
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\lang2057\langfe1033\langfenp1033 \hich\af0\dbch\af0\loch\f0 15.\tab}Mims C, Playfair J, Roitt, I, }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\f0\fs20\insrsid202908 et al. }{\rtlch\fcs1 \af0 
\ltrch\fcs0 \f0\fs20\insrsid202908 Medical Microbiology. 2}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs20\super\insrsid202908 nd}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs20\insrsid202908  ed. {\*\xmlopen\xmlns1{\factoidname place}}{\*\xmlopen\xmlns1{\factoidname City}
}London{\*\xmlclose}{\*\xmlclose}: Mosby; 1998. 
\par {\listtext\pard\plain\ltrpar \rtlch\fcs1 \af0\afs20 \ltrch\fcs0 \fs20\lang2057\langfe1033\langfenp1033 \hich\af0\dbch\af0\loch\f0 16.\tab}Anonymous. Obtaining wound specimens: 3 techniques. }{\rtlch\fcs1 \af0 \ltrch\fcs0 \i\f0\fs20\insrsid202908 
Advances in Skin and Wound Care}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs20\insrsid202908 . 2004;}{\rtlch\fcs1 \af0 \ltrch\fcs0 \b\f0\fs20\insrsid202908 17}{\rtlch\fcs1 \af0 \ltrch\fcs0 \f0\fs20\insrsid202908 :64-5.
\par }}