Saputalo, Jose .

HRN: 04-98-21  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
11/16/2023
CEFTRIAXONE 1G (VIAL)
11/16/2023
11/22/2023
IV
2gm
OD
CAP
Waiting Final Action 
11/16/2023
AZITHROMYCIN 500MG TABLET (TAB)
11/16/2023
11/20/2023
PO
500mg
OD
CAP
Waiting Final Action 
11/18/2023
AMOXICILLIN 500MG CAPSULE (CAP)
11/18/2023
12/02/2023
PO
1g
BID
H. Pylori Infection
Waiting Final Action 
11/18/2023
CLARITHROMYCIN 500MG (CAP)
11/18/2023
12/02/2023
PO
500mg
BID
H. Pylori
Waiting Final Action 
11/20/2023
METRONIDAZOLE 5MG/ML, 100ML (VIAL)
11/20/2023
11/27/2023
IV
500mg
Q8H
AMOEBIASIS
Waiting Final Action 
11/21/2023
MUPIROCIN 2%, 15G (TUBE)
11/21/2023
11/27/2023
TOPICAL
Apply Thin Layer
BID
Soft Tissue Infection
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: