Malinao, Lornal M.

HRN: 23-64-44  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/31/2023
CLARITHROMYCIN 500MG (CAP)
08/31/2023
09/10/2023
PO
500mg
BId
H. Pylori Infection
Checking Final Appropriateness 
08/31/2023
AMOXICILLIN 500MG CAPSULE (CAP)
08/31/2023
09/10/2023
PO
1g
Q24
H. Pylori Infection
09/01/2023
CEFTRIAXONE 1G (VIAL)
09/01/2023
09/07/2023
IV
2g
OD
UTI, Wound, Left Anterior Thigh
Checking Final Appropriateness 
09/01/2023
MUPIROCIN 2%, 15G (TUBE)
09/01/2023
09/07/2023
SKIN
Thinly
TID
UTI, Wound, Left Anterior Thigh
Checking Final Appropriateness 

AMS Audit Form


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Indication:

              

Type of Infection:

                             

           

Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



 If inappropriate:

              

Overall appropriateness: