Calles, Johnrel P.

HRN: 11-28-10  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/01/2023
CIPROFLOXACIN 500MG (TAB)
09/01/2023
09/08/2023
PO
500mg
BID
Infectious Diarrhea; UTI
Checking Final Appropriateness 
09/01/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
09/01/2023
09/01/2023
IV
1 Gram LD Now, Then 500mg
Q8H
Infectious Diarrhea; UTI
Checking Final Appropriateness 
09/02/2023
METRONIDAZOLE 500MG (TAB)
09/02/2023
09/08/2023
ORAL
500mg
Q8h
Intestinal Ameobiasis
Checking Final Appropriateness 

AMS Audit Form


Start Date: End Date:

 Indication:

              

 Type of Infection:

                             

           

 Compliance to guidelines:



 Initial appropriateness:



 If inappropriate:

           

 Final appropriateness:



 If inappropriate:

              

 Overall appropriateness: