Calderon, Jonathan A.

HRN: 27-58-64  Sex: Male

Patient Encounter


AMS Audit List

Audit Date
Antimicrobial
Start Date
End Date
Route
Dose
Frequency
Indication Documented
08/12/2025
METRONIDAZOLE 500MG (TAB)
08/12/2025
08/26/2025
PO
500 Mg/tab
BID
Helicobacter Pylori Infection
Remove - Pending Acceptance
08/12/2025
AMOXICILLIN 500MG CAPSULE (CAP)
08/12/2025
08/26/2025
PO
1g
BID
Helicobacter Pylori Infection
Remove - Pending Acceptance
08/12/2025
CLARITHROMYCIN 500MG (CAP)
08/12/2025
08/26/2025
PO
500 Mg/tab
BID
Helicobacter Pylori Infection
Remove - Pending Acceptance
08/13/2025
AMPICILLIN 1GM + SULBACTAM 500MG (VIAL)
08/13/2025
08/20/2025
IV
1.5 Gram
Q8h
CAP MR
Remove - Pending Acceptance

AMS Audit Form


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Compliance to guidelines:



Initial appropriateness:



 If inappropriate:

           

Final appropriateness:



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Overall appropriateness: