Daniel, Dannylyn .

HRN: 18-40-76  Sex: Female

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
09/27/2023
CLARITHROMYCIN 125MG/5ML, 60ML SUSPENSION (BOT)
09/27/2023
10/10/2023
PO
3ml
BID
H. Pylori Infection
Waiting Final Action 
09/27/2023
AMOXICILLIN 250MG/5ML, 60ML SUSPENSION (BOT)
09/27/2023
10/10/2023
PO
3.5ml
TID
H. Pylori Infection
Waiting Final Action 
09/28/2023
AMIKACIN 250MG/ML, 2ML (VIAL/AMP)
09/28/2023
10/05/2023
IV
100mg
OD
URTI
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: