Sinajon, Aguinaldo .

HRN: 23-90-93  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/18/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
10/18/2023
10/25/2023
IV
500mg
Q8hr
Partial Bowel Obstruction
Checking Final Appropriateness 
10/20/2023
CIPROFLOXACIN 500MG (TAB)
10/20/2023
10/26/2023
PO
500mg
BID
Intraabdominal Infection
Checking Final Appropriateness 
10/20/2023
METRONIDAZOLE 500MG (TAB)
10/20/2023
10/27/2023
PO
1 Tab
TID
Amoebiasis
Checking Final Appropriateness 
10/20/2023
MEBENDAZOLE 100MG/5ML, 60ML SUSPENSION
10/20/2023
10/27/2023
PO
500mg In Syrup Form
BID
Intestinal Parasitism
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: