Tiangha, Eleutorio D.

HRN: 06-16-15  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
10/23/2023
CEFTAZIDIME 1GM (VIAL)
10/23/2023
10/30/2023
IV
1g
Q8H
CAP MR; PTB TALF
Waiting Final Action 
10/23/2023
AZITHROMYCIN 500MG TABLET (TAB)
10/23/2023
10/27/2023
ORAL
500mg/tab
OD
CAP MR; PTB TALF
Waiting Final Action 
10/27/2023
AMOXICILLIN 500MG CAPSULE (CAP)
10/27/2023
11/03/2023
ORAL
1g/cap
BID
UGIB H Pylori Infection
Waiting Final Action 
10/27/2023
CLARITHROMYCIN 500MG (CAP)
10/27/2023
11/03/2023
ORAL
500mg/tab
BID
UGIB H Pylori Infection
Waiting Final Action 

AMS Audit Form


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 Indication:

              

 Type of Infection:

                             

           

 Compliance to guidelines:



 Initial appropriateness:



 If inappropriate:

           

 Final appropriateness:



 If inappropriate:

              

 Overall appropriateness: