Arsenal, Wilfredo, Jr. S.

HRN: 23-13-18  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
06/04/2023
CEFUROXIME 1.5GM (VIAL)
06/04/2023
06/12/2023
IV
1.5gm
TID
UTI
06/06/2023
CIPROFLOXACIN 500MG (TAB)
06/06/2023
06/20/2023
PO
500mg
BID
H Pylori
Waiting Final Action 
06/06/2023
METRONIDAZOLE 500MG (TAB)
06/06/2023
06/20/2023
PO
500mg
BID
H Pylori
Waiting Final Action 

AMS Audit Form


Start Date: End Date:

Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: